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HomeMy WebLinkAbout078-260-03893=1018 P,B .MERCADO, J E ,Q 2485 OAK KNOL WAY, OROVILLE MH UTILITIES/* ELEC GAS— �iJ COMPACTION TEST ,REQ SUPPORT STRUCT RE S �2 T - -93-1019 MHI.� MERCADO, JAIME E 2485 OAK KNOL AY, OROVILLE, MHI PERMIT#94-2162 4 GUTIERREZ,_JAIME 2485 OAK KNOLL WAY, OROVILLE" - Q CONT: SIERRA MH SERVICE '� 1 COV DECK/MH / l' 04-1209 ROMERO, ISRAEL 2485 OAK KNOLL WA E Cont: SIERRA MH EX MH PERM FND �" 1 1 I r. 1 '„ RECORDING REQUESTED BY: Fidelity National Title Company of California AND WHEN RECORDED MAIL TO Butte County Building Division 7 County Center Drive Oroville, CA 95965 (III III (II' IIII I illl 22! 10 iI IIII l III I III Recorded I REC FEE 16.00 Official Records I CountyBUTTEOf I CANDACE J. uRUBLAS i Recorder - I ROSEMARY DICKSON I Assistant I Kathy 09:00AM 12 -Jul -2004 I Page 1 of 4 SPACE ABOVE THIS LINE FOR RECORDER'S USE This document is being re-recorded to correct APN Number. Recorded as 036-081-015. It should have been 036-018-015. APT -Y . ilkl � THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) (recoverch)(04-04) ........... r t RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 959.65 IIII I!I !II IlII! I II! III II! I I!I! I III 2004---Gb028090 Recorded 1 REC FEE 10.00 [Official Records I CONFORM 1.00 `oBOf TTE I CANDACE J. BRUBBS I Recorder I ROGEMARY DICKSON I Assistant I Lisa 11:23AM 12 -May -2004 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED ROME (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. ISRAEL ROMERO AND MARIA ROMERO REAL PROPERTY OWNER/LESSOR 2485 OAK KNOLL WAY MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso property owner, write "SAME-) SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE REL PROPERTY LEGAL DP_.Cr` IPTION SEE ATTACHED UNKNOWN DATE OFMANUFACIL 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 04-1209 530 538-7541 BUIL,DINGMEPMITNO. TELEPHONE NUMBER 5-11-04 SIO TRE OF LADCALIAGENCY OFFICIAL DATE NONE DEALER NAME (ifoot a dealer sak, write'NONB) NONE DEALER LICENSE NO. a=' BUDDY ' Ammon AP# 036-081-015 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Binding DcpL APN: 036-081-015 The following described real property in the unincorporated area of the County of Butte, State of California: The Westerly 100 feet of lot 10, as shown on that certain Map entitled, "Stormes Subdivision no. 2",: filed in the Office of the County Recorder of Butte County, California, on July 11, 1950, in Book 18, of Maps, at Page(s) 24 and 25. slit @nhasd ti .terit Mingo of Gi ZWT Sul? is Pj eidt owitto siti4 to 188a gIQI aq SM lift ftl-4 IMOMU00b erlt to Vqo* ` �°lsb+��f�•ai�si� �int�t9� �tf€�� sosbns else F P -i P 041 r�+ jON." A-. Date; JUL 0 9 2004 Phisis to certify that, it bearing -the purple seat of this office, this Is, a true copy of the document 610d Wfth 90 Butte County Clerk-FlecordWS OMM Candace I. W Grubbs Butte County C erk-ROOSIF By: -IS, Gr -*Do" d lith tho 1: U 0ir ! 2-Gbs dace J. A bs G r But County Clerk -Re rder Depul, By: I RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 C:C1V'11Y of Document Recorded 12 -May -2004 2004-0028090 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ISRAEL ROMERO AND MARIA ROMERO REAL PROPERTY OWNER&ESSOR 2485 OAK KNOLL WAY 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 BUDDY MAI 1 NG ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1209 530 538-7541 B IN ERMIT NO.TELEPHONE NUMBER 41;0icW 5-11-04 SI F LOCAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SKYLINE UNKNOWN BUDDY MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAb1FJNUMBER 04750185 AM/BM 48'X24' CAL 117280/81 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP# 036-081-015 SEE ATTACHED M T) FORM 411(A) RFV. R/91 APN: 036-081-015 The following described real property in the unincorporated area of the County of Butte, State of California: The Westerly 100 feet of lot 10, as shown on that certain Map entitled, "Stormes Subdivision no. 2", filed in the Office of the County Recorder of Butte County, California, on July 11, 1950, in Book 18, of Maps, at Page(s) 24 and 25. BUILDING PERMIT NUMBER: 04-1209 Address or location of unit: 2485 OAK KNOLL WAY, OROVILLE CA 95966 Legal Description of Real Property: AP# 036-081-015 SEE ATTACHED (x) Mobilehome/Manufactured Home O 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: ISRAEL ROMERO AND MARIA ROMERO Owner's address: 2485 OAK KNOLL WAY, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL 117280/81: SERIAL NUMBER OR V.I.N.:04750185 AM/BM MANUFACTURER'S NAME: SKYLINE YEAR: UNKNOWN OFFICIAL APPROVING INSTALLATION: DATE: 5-11-04 PHONE: (530) 538-7541 H.C.D. 513 04/27/20,014 ' G"a : 01 E I DEL I T'-' T 1 TLE ORDU I LL E 4 S 340705 No. 0so P02 STATE OF CALIFORNIA - EWSINESS, TRANEPCOATMN AHO HOUGING AGENCY ARROLO SCHWARlENIROMR, G*V8MOr OEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT INCtiq�1 alv dw of GoCan and Stzndvidr. 0 u � Title Seirch Date Printed : 04/27/2004 Decal 4: LAV2214 Use Code: SPD Manufacturer: SKYLINE Orieinal Price Code: ALB Tradename: BUDDY Rating Year: Model: Tax Type: LPT Manufactured Date: Last ILT 4tncunt: Registration Exp: Date ILT Fee Paid: First Sold On: 10124A978 ILT Exemption: NONE Serial Number HUD Label 1 Insignia Lepgtb Width 04750185AM CAL 117280 481 12• 047501858M CAL) 17281 481 12, Record Conditions: Pi'F Exempt Voluntary Conversion to LP T Registered Owner: ISRAEL ROMERO MARTA ROMERO (Joint Tenants wuh Rift :,f Survivorship) 2485 OAK KNOLL WAY OROVILLE, CA 95966 Lost Title Dati; 03/14/2002 Last Rea Card; 03/1412002 Sale/Transfer Infre: Price $25,000.00'Transfened or, 01%04/2002 Sims AddreSS: 2485 OAK .KNOLL IVY OROVILLE, CA 95966 Sit -is Coctnty: BUTTE Legal Owner, MERCADO JAIME GUTIEP-k6Z r-10NORINA GUTIERREZ LURA (Joint Tenants with Right of Survivorship► 2191 LON E tREE ROAD OROVILLE, CA 95966 Lien Perfecter! On; 03/070002 15:55:13 Inactive DecaVDMV: DMV SL3797 Title Searches FIDELITY NATIONAL TITLE 455 ORO DAM 0LVU SUTTF: A OROVILLE, CA 95965 'foie File No: 106174 "" ETD OF TITLE SEARCH ��� E4/2? 2004 09:01 FIDELITY TITLE ORDIU I L.LE 5340703 Fidelity National "Title Comma y OF CALIFORNIA 455 Oro Ram, Su!ta A, orovllle, CA 95965 530 533-5511 o FAX 530 533-1526 FAQMY ..F TRANSMLVILOA ATTN: Bill Reed Sierra Mobile 534,0709 FROM: Tara L. Carson Faxing the following: 2 1, Title Sea rch._GT.har,6c..yau.:.for,the info,) 3. Grant Deed * We will be paying off the Legal Owner at COE 1`:0.050 P 01 BATE' Aorll 27, ?.004 1Q. OF PAGES: 5 - Including coversheet ESCROW NO.: 04 -106174 -CC LOCATE NO.: CAF7V10J58i-0958-0001-0000106174 TITLE NO.: 64106174-60 NiOTE: If there are any gjesrions concerning this transmission please call Tara at 530 533-5511 PLEASE NOTE: In the event any of these pages require an Cfl?UGINAL SIGNATURE, please copy the fax transmittal page(s) and sign on the PHOTO COPY and return to us A4th the original signature. THANK YOU. CONFIDENTIALITTY_ROTIC The information contained in th!s facsimile is legally privileged and confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copy of this facsimile is stri+i!y prohibited. If you have received t'lis facsimile in error, please immediately notify us by telephone and return the original facsirnile to us at the address above via the United States Postal Service. Thank you. t Fax Transmitral (faxtran)(11.02) 04/27/2004 09:01 1� FIDELITY TITLE OROVILLE y 5340709 RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 102494 -SL Tltte Order No, 00102494 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. Israel Romero 2455 Oak Knoll Way Oroville, CA 95966 1,40.050 !!!llflllf���##�ii�ll��llflll�! Recorded I RED FEE 7,00 OffCoua ReCONS TAX 55.00 CANDAC J. GRUBBS I ROWAARY DICKSON I Assistant I Kricty9 09:00AN 04 -Jan -20@2 I Page 1 of l ^4711/. VdG-VG 1'V 19 GRANT DEED 'TALC AGVVC In1b LINE rUM MCUUPUGrI Wi;C V� The undersigned grantor(s) declares) 1 Documentary transfer tax is 556"00 1 ( X ) computed nn full value of property conveyed, or ( J computed on full value less value of liens or encumbrances remaining at time of sale, I X I Unincorporated Area City of unincorporated area of the FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Jaime Gutierrez and Nonorina Gutierrez Luna, husband and wife ' hereby GRANT(SI to Israel Romero and Maria Romero, husband and wife as Joint Tenants the following described real property in the unlnoorporated area of the County 01 Butte, state of Callfomla: The Westerly 100 feet of Lot 10, as shown on that certain Map entitled, "Stormes Subdivision No. 2 filed in the Office of the County Recorder of Butte County, California, on July 11, 1950, in Book 18, of Maps, at Pages) 24 and 25. DATED: December 7, 2001 STATE OF CALAQRNI COUNTY 0 ON before me, ersonally appear®d *JAIME G IER EZ HO RINA GUTIERREZ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(si is/are subscribed to the within instrument and acknowledged to me that he/shehhey executed the same in his/her/their authorized capecitylies), and that by his/her/their signaturels) on the Instrument the eerson(s), or the entity upon behalf of which the persons) acted, executed the instrument. t Jalme Gutierrez onorins Gutierrez Luna I Sandra K L.(nville COMM esion:1294672 Nolayy Public butte comity, Callfomla My Comm. FrtP• MARS. 2005 9 MAIL TAX STATEMENTS AS DIRECTED ABOVE Fa -213 (Rov 71961 GRANT DbED Description: autte,CA 2002.426 Page; 1 oP 1 Order: green Ca=aont:: D05 APN: 036-081-015 The following described real property, in the unincorporated area of the County of Butte, State of California: The Westerly 100 feet of lot 10, as shown on that certain Map entitled, "Stormes Subdivision no. 2", filed in the Office of the County Recorder of Butte County, California, on July 11, 1950, in Book 18, of Maps, at Page(s) 24 and 25. MOBILE HOME DECALS A.P. ;0F 11, Lk' On t. Fg. - NOTES RESIDENTIAL PERMIT NO. _ 036-081-015 .._ 04-1209 — ROMERO, ISRAEL 2485 OAK KNOLL WAY, OROVILLE Cont: SIERRA MH I EX MH PERM FND THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). j INSPECTOR TO VERIFY SERIAL & LABEL #'S. 11 SPECIAL CONDITIONS " II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Dat Cl Signature CHECKED BY P � 11 SPECIAL CONDITIONS " II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Dat Cl Signature CHECKED BY J=OK 0 = Not OK . = NotReadyaDle 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Date 7. Card B-1 Date Card B-1 Date 8. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Health Department Approval 1. Zoning Requirements -Setbacks -Easements Plumb.; Cir. Test -Water Supply Test 2. Footings; Size -Spacing -Marriage Line Light Niche 3. Gas; MH Test -Demand -Valve -Connector Enclosure; Fencing -Alarms 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector Card B-1 Date Card B-1 6. Water; MH Test -Regulator -Connector Card B-1 Date Card B-1 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zogjag,Requirements-Setbacks-Easements ootings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exit ice decals erify #'s with Office Date / � Card B-1. _ � Date Card B-1 Date t Card B-1 Date Card B-1 7 2- d MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rail's 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -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 Date 15. Access & Ventilation 47. 16. Insulation 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Date Fireplace Ties or Type A Flue -Fireplace Throat Clearance Card B-1 Date Card B-1 Date Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 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 59. Glazing Area -Glass Protection -Skylights -Plastic Date 60. Card B-1 Date Card B-1 Date 61. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Insulation -Walls -Ceilings 24. Fixture & Transformer Clearance -Ins. Protection Infiltration -Walls -Windows 25. Elec. Receptacles Spacing -Lights & Switches at Doors Card B-1 Date Card B-1 26. Size Boxes & No. of Conductors Stapled Card B-1 Date Card B-1 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 Smoke Detector 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 81. Card B-1 Date Card B-1 Date 82. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Clearance Looked under Floor ❑ Yes 41. Sills Proper Materials & Anchors Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes O No/Planters ❑ Yes O No 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Stucco Brown -Finish 43. Bearing Walls over Girders & Floor Nailing A.C. Unit Disconnect, Electrical -Plumbing 44. Draft Stop in Walls (rat proof) Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Water Well, Disconnect, Electrical, Plumbing 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 A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes O No/Planters ❑ Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041209 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: APN: 036-081-015-000 the Business and Professions Code, and my license is in full force and effect. 03 License Class: License Number: �� Site Address: 2485 OAK KNOLL WAY ORO Date: G y Contractor: � Map Index: Description: EX MH PERM FND EX SITE 1152 p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ROMERO ISRAEL & MARIA to its issuance, also requires the applicant for such permit to file a 2485 OAK KNOLL WAY signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA 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 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: ROMERO ISRAEL & MARIA pp Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for ' sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. SIERRA MOBILE SERVICE and who contracts for such projects with a contractor(s) licensed BILL REID pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-0599 Date: Owner: License #: 470386 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 Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: -7-4-`e Carrier: Total Square Ft: 0 S. F. Policy #: YL 5-7 Valuation: $0.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one_t���?�G 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 hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio s to do work ibove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY: Date: PERMIT EXPIRES ON: Address: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California HeaA and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes, �� A- Signature: Print Name: /% Date: ❑ Owner ontractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M. (530) 538-7541 PERMIT NO. BP 0 I �,O� 6 DATE: G/ Z S D APN: 6 O y� _ O/s ZONING: WNER'S LAST NAME: Zak E2v OWNER'S FIRST NAME: (S?AE4 PHONE: LET ADDRESS: O.4 KND AFAX, ZIP: 6 � / � � � � � � / (� E-MAIL: SITE ADDRESS: �2� roc E CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT M. APPLICANT NAME: s'f ,e�A a�1,CE SE�'vrc PHONE: ,r',3 y 0s9 9 STREET ADDRESS: Y66 cr,ec4E Ulf/vE FAX: 5-3 4/ e70 el CITY. ZIP: o�r�c.F �vP6>' 9Sy66 E-MAIL: CONTRACTOR NAME: 51,F99A /k 66/&£ SEKV,c PHONE: r7 `, J / 7 STREET ADDRESS: g YVV Cr �` eI� c logl dE FAK S - JY' d % 0 P CITY, ZIP: 1/// Lf !'/+ yS�66 E-MAIL: LICENSE NUMBER:/�p 3 g� LICENSE TYPE: ARCHITECT/ENGINEER? NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: — go Fir Aoef (�- livvic �uv,clO�T�a.t/ ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note prpyious use) zrlz /1 -4 - 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 fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number: Amount Received: Master application 311-04 I��.: r -.., .. ,�_ .-�:-.., r. ..-. r �, �-. � ..., ... aJ-'F.:'�.��SA'L 73LP�Li-'•CiC--Y.::.f+.�v!{i.'7[TYo?ii-T{�=�Kt`�*r;r-:.FsS•s. �,y r 'r �'. .'SM.: ,.. c 7,0 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT �OPLICATION DATA SHEET OWNER: C� l7✓�`^� G v ASSESSOR PARCEL NUMB `T ' Proposed Building se: Counter Technician: PADate: t s required in order to apply for a permit. All boxes MUST be checked OR marked NA i order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ ❑ ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Pla, (D (own or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site.plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 0 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Per * fr��riv�¢� fr0e Public Works Dept ........................... 28. Pre -Inspection f J� i �L j f required....,.. 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................ ❑ -35. Existing violations and/or expired permits ............................................. ... he" 36. d R ricin . ....... .................... .. ..................N�y 3 rant DeetlelStatement of Fact etterfromLegalOwner, ck to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. / d Applicant: / �Date: � r 90010, 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of thea ve data b ❑ phone, ❑ mail, ❑ count r y Date: Plans reviewed by: Date: Plans approved by: _ Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildina Division Building Permit Number: 04—/207 Owner Name: Po yyler-o Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with'the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent. walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: &YYU" Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. MFire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and uiDment including overhangs shall be clear of all easements. A setback of ee from the side andg 5 _LIK�'A't"iom. the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil maybe encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name : . AM- 2. Installer's Name: —... /po L`z �. 3. Is the site currently under permit? Yes 1-1 No Q (If yes, furnish permit number ) OR Is the site an existing site? Yes No JK (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What•is the mobilehome electrical rating?' ---------------Amps 1 _ 6. What is the mobilehome site service rating? --------- Amps =P&j 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes El No (If yes, identify the load and size: (Load) (Amps) as pipe g ?----------- 9. What is the mobilehome site i e size. --- (. / " � in.) 10. What is the type of gas service? ------------------- Natural a LPG 11.. What is the gas"pipe length from meter or tank to the ? ------ %% mobilehome---------------------------------------6� (ft.) * 12. What is the mobilehome gas demand? ---------------------- S (BTU) *(This information no.t,�regredApipeength less than 6 ft. o�0 natural gas or less than SO' ft. on L•PGA);;,� -AUILDING DEAF NEXT PAGE MUS � BE�,00��MET 0. TO�EROQESrPER�IIT 9 r xY v R.9 MOBiLEHOME.SUPPORT DATA If other than single wide, Mobilehome Mfr..—k.A44v� furnish Setup riodel No Year Width�(,Etj Box Length�ft.)' Tagalong or Expando Size ft. x on all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual aiid structural setup sheets (if not on file with the County of Butte). FOOTINGS. (check one)01. Wood -pressure treated or foundation grade.El 2. Other *(specify) SUPPORTS .(check. 6ne?01*. Concrete block. 2. Other' (specify) Pier Footing Sizes and Locations Main Beams Line 4 Tag or Triple in,'4 Line 1. Line 1 Piers: Line 1 Openings:' Size -Min. Size -Min.------------- E ach 't ide of Openings From Ends -Max.------- With Width Over-----' Line ver------ Line 2 Piers: Size -Min.------------ .Z "x .Spacing-Max._----.r---- ize-Min------------- .Spacing-Max._-­­7=- From Ends -Max.------- '_ " Line nds-Max:------- Line 3 Roof Loads: Size -Min. - 3Cy „ Location ize-Min--------------Location (From. Front) 0_1 Line .4.. Piers: . Size -Min.------------ ,k Spacing-Max ize-Min------------- Spacing-Max---------- From Ends -Max -------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) F Line 3 Piers: (Under Bearing Wall Only) Size -Min. -� ----------------- Spacing-Max - --------------- From Ends -Max -------------- "X j nx -x Line .5 Piers:.- (Under. -Bearing .,Walls Only Size -Min. ------------------ 'k „ Spacing-Max ize-Min------------------- Spacing-Max---------------- V. From Ends -Max. ------------- - NG .IX I "A 1. .1x 1.x .x x I _,. SINGLE -WIDE MULTI -WIDE Line 1 line 2 Line 2 • Main Beams Line 2 Line I I.Ing 3 Main Beams Line 4 Tag or Triple in,'4 Line 1. Line 1 Piers: Line 1 Openings:' Size -Min. Size -Min.------------- E ach 't ide of Openings From Ends -Max.------- With Width Over-----' Line ver------ Line 2 Piers: Size -Min.------------ .Z "x .Spacing-Max._----.r---- ize-Min------------- .Spacing-Max._-­­7=- From Ends -Max.------- '_ " Line nds-Max:------- Line 3 Roof Loads: Size -Min. - 3Cy „ Location ize-Min--------------Location (From. Front) 0_1 Line .4.. Piers: . Size -Min.------------ ,k Spacing-Max ize-Min------------- Spacing-Max---------- From Ends -Max -------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) F Line 3 Piers: (Under Bearing Wall Only) Size -Min. -� ----------------- Spacing-Max - --------------- From Ends -Max -------------- "X j nx -x Line .5 Piers:.- (Under. -Bearing .,Walls Only Size -Min. ------------------ 'k „ Spacing-Max ize-Min------------------- Spacing-Max---------------- V. From Ends -Max. ------------- - NG .IX I "A 1. .1x 1.x .x x I _,. e Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 INDEX PAGE RELEASE SECTION NUMBER . DATE INTRODUCTION 2 9/2/03 GENERAL INSTALLATION 3 9/2/03 PARTS LIST 4 & 5 9/2/03 LONGITUDINAL DEVICES 6 9/2/03 PIER HEIGHTS 7 9/2/03 SET-UP INSTRUCTIONS 8 9/2/03 FOOTER SIZES WIND ZONE I - SINGLE 9. 9/2/03 - DOUBLE__ . 10-- ^ �-9/2/03 - TRIPLE 11 9/2/03 . - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST SPA This Approval MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM REALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED kPPROVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS Surto of Califomfa t alo and Community DeMormod N ODES AND STANDARDS (signature) Q�yOFES$/p 9 ..1E M. rl- co u, N O M Cl Tie Down Engineering, Inc. . VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe'the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist. lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. . Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewal1) of 12" for Zoned, 8" to Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California 9/2/0 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES : The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FORVECTOR PADS Vector Pads are used in place of conventional foundation pads: One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16": When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . Tip: Pre=cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top"of the I -Beam. See illustration below. 1. Attach frame hook to top inboard -location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California9/2/03 C2 Longitudinal Stabilizer Devices The use of ISD systems on a . single or multi. section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization. Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is. shown on pages 10-13. 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD Note: Two struts = 1 L.S.D. Can be used on one Pad or e opposite ends of the home. Exa m&5 of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I I .I I I I I I I I I I I I I I I I 1 I I I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Wind Zone I. Triple Section Wind Zone I Tag Section 48 Ft. Max. Page 6 California 1 1 I I I I I 1 609/2/03 I I I I I I I I 1 Wind Zone I Tag Section 48 Ft. Max. Page 6 California 1 1 I I I I I 1 609/2/03 9 50 in max. Maximum Pier Height , Vector Dynamics Foundation Systems may be used on single section homes in Wind'Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in.Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zoned, have a-maximumpier height without anchors of 38".. See page 12 for double section home high pier set instructions. 50 it max. Unequal Pier Heights 4aximum Homes with unequal pier heights are limited to 50". maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". L �. Page 7 California` . . 9/2/03 Set -Up Instructions for Vector System #59018 Long U -Bolts C to V/ e� �r 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Califor 9/2/03 (D CD I 0 n 0 W WIND ZONE I, SEISMIC ZONE 4 Vector Systems' Required Anchors Required, Per Side L.S.D. Vector Dynamics Systems Required for 2 Double Section Homes 2 O me (Materials Required) _ _ - - " _ _ - - " " - p _ n 1 \ __- __- r sect% _- - be - 3 -7 dou \IN01 __ __- . 4 85' to 90' S 0 4 - - NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. No anchors required. For pier heights up to 46" for WIND ZONE I 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': None ('Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems' Required Anchors Required, Per Side L.S.D. O to 40' 2 0 2 41' to 66' 3 .0 3 67' to 84' 4 0 4 85' to 90' S 0 4 Each Vector System requires one .of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes.set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiffsilts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe: Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 sq. in. - __ 20x20 = 400 sq. in. ` _ or 16x18 = 288 sq. in. or 17x25=425 sq. in. EQUALS _ _ EQUALS 2 -Vector Pads # 59275 - 1 -Vector Pad # 59271 - 288 sq. in. or 1 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent liste bove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in tarwith site conditons Page 17 California 9/2/03 PRE -INSPECTION REPORT OWNER: 04 011hat't-, - - I LOCATION: CONTRACTOR: �I o>rE A.P. # ZONING: REASON FOR PRE -INSPECTION cam, DATE TO INSPECTOR GNO* PERMIT HISTORY ( ) NONE YSEE ATTACHED BULDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Currently Occupied ( ) Yes ( ) No Abandoned/Vacant: Electric: Gas: Electric Currently ( ) On ( ) Off Condition of Electric Currently ( ) On ( ) Off Condition Sanitation: Plumbing Working ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No ACTION RECOMMENDED: Hold for permits or verify: Mobile home # of Units: ISSUE W Yes ( ) No Inspector: Date: IRKRTCH RTTTT,DTNG.9 ON REVERSE AND INDICATE LOCATION ON PROPERTY: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO.. BP AI�'� GATE: 6112- D Y APN: 0. j 6 ZONING: OWNER'S LAST NAME: OWNER'S FIRST NAME: PHONE: ,fid /0 ER STREET ADDRESS: a Y s Dol K NBti IL U14 , FAX clrY, ZIP: 0/26 0 / t- SITE ADDRESS: 5:4 /k 6 - CITY, ZIP: NEAREST CROSS STREET: TRACT&OT lt: APPLICANT NAME:PHONE: S 1 (/�A 6aadl�E sEKv�c€ 5.3v 0s9 9 STREET ADDRESS: y66 C�,ecdE vtirV, FAX sae/ -070 V CITY, zip: s /� O hV U L E C: 9 S� 6 E-MAIL: CONTRACTOR NAME: 5 /EAe�A Mo�S��E SEK��c PHONE: Sj y 0,5-,9,9r STREET ADDRESS: f`�r? Cl /� ed E �,�i d E FAX S3 y CITY, ZIP: A /L f E-MAIL: LICENSE NUMBER: ,r/�O3 g�a LICENSE TYPE: ARCHITECT/ENGINEER?? NAME: PHONE: STREET ADDRESS: FAX. CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: L I50 F-1 7- �ft6tl/C j�a/1i� f"uv,rrO,�T�aA/ ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an a lication after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the. permit and no construction work has been done. Filing fees, plan check. fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by:Paz, Date: Receipt number: �/ Amount Received: Master aoolication 3.4-04 036-01-015 _ -- 93-1018 P, E� MERCADO, J 1E 2485 OAK KNOL WAY, OROVILLE'lp2 ®� MH UTILITIES /9 6 ELEC GAS ti COMPACTION TEST RE SUPPORT STRUCT RE 036-08-1-015 93-1019 MHI MERCADO, JAIME 2485 OAK KNO AY, OROV LLE nD MIT //11��ntE✓' MHI 036-081-015 PERMIT#94-2162 GUTIERREZ, JAIME 2485 OAK KNOLL WAY, OROVILLE Q CONT: SIERRA MH SERVICE I ' COV DECK/MH 11 / / oo h i, {I h I T RESIDENTIAL y 036-081-015 PERMIT#94-2162 GUTIERREZ, JAIME 2.485 OAK KNOLL WAY, OROVILLE ! CONT: SIERRA MH SERVICE (COV DEC�Ky/MH JOB FINALED (gate) Signature V=OK O = Not OK ` N Applicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS VERS CARPORTS GARAGES Plans OK except #'a on equ menta -Setbacks -Easements -rfoolOgg;-Soils-Size-Depth-Spacing-Connectors-SteeI cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails �4. Wood Awn • Posts-Beams-Rftrs -Connectors Shtl�g!R-Bracing lum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Ro�Hthg-Roofing t.; Steps -Doors -Landings Date/Initials 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK A O=Not OK -=Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nall Protection 18. D.W.V.; Test -Fittings & Anchor -Nasi Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32.Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wal le-Cei II ngs 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO, APPLICATION ANQ PERMIT �� ASSESSOR PARCELNUMBEfl 036-081-0±15 AR ZONING BUILDING PERMIT OWNER JAIME GUTIERREZ 5IrTS469 SQ. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 2485 OAK KNOLL WAY OROVILLE 315 C 4,095.00 CONTRACTOR'S NAME SIBRRA MH SERVICE TELEPHONE 877-8575 CONTRACTOR'S MAILING ADDRESS 8965 SKYWAY PARADISE, 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2485 OAK KNOLL WAY PERMIT FEE $ 138.80 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome 00Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20'00 TYPE OF WORK New O Addition QOX Remodel O Utilities O Installation ❑ Other 1:1 Describe Work: C(1VFRF.n 1 Eff W./AWNING PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BO200A OR LESS OR LES S ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. I a ACC. BLOS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force aq} effect. License No. P_ o-/ 6 krb Classification L)� O I, as the owner, 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) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON -.Es...( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 3 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2L @ 1.00 Ex. Occu FIXED (RESID.E) EA. ) p• ( OUTLETS RESID 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ Th' permit is for $100.00 (valuation) or less. EFYI'have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of 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 in consequence o e granting of this permit. (� �j X c Date J l / Signature of Applicant - ❑ Owner ontractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 38.80 HAZ. D. FEES IMP � FLOOD C PARCEL H I E "- This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above forw 'ch fees have been paid. 0 � By Date PERMIT EXPIRES ON 9 X (Date! Receipt 156480 WHITE-D.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '.:� , �-'�,ttt�ax'� ;µ�+.� ��rraWi��*t""i�si9{�5�3.,ba=.,�h,:t+'y� _�af�A°�T"��'"��'�'i'._`"}"'..�v,•�-w. ri�+-v%•Tr,��:: ,. _�ti.• �. ti. .»..... ,. , COUNTYOF BUTTE - DEPARTMENTOF QEVELO..PMENTSERVICES - BUIL'DING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA14 fAiRNTA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNERP. (� 470/ Proposed Building Use building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. 'Flood elevation letter (100 year flood) by ornia Engineer. ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... + 19. Driveway permit (construction approval required prior to occupancy). ..di.. . Pre-Inspeon reque� 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Whenu issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at a�2 C office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date / Copy of Haz-Mat form sent Health Dept. t Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter b _ Date 9 7 Contractor, designer, owner, was advised of above required data by _ phone _ mail CounterAy _ Date Plans checked by Date Plans approved by Date k. Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works �. f .Rq SIDENTIAL 9P3 — 1 d %��/ ` 036-08-1-015-- 93-1018 P, EJ �? MERCADO, JAIME 2485 OAK _KNOLL WAY, OROVILLE MH UTILITIES -- 45�19 c JOB FINALE Signature OFFICE COPY Address I GAS i Meter y �nara ELECTRIC Meter By --- —Dat V=OK O = Not OK Not ' = Not Readyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES Plans OK except #'a n i ng . Requ ire menta -Setbacks -Easements MH Support Sketch �especial ,� 4 -*Sewer, -Location -Test -Fall -C/O Concrete ater,cation-Test-Easement Needed (Sketch) ectricity; Location-Clearences-Grnd-/ /Amp -Concrete p: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG ase -8r6 onnect Utility Clearance ,2o_.y� Date/Initials MOSR.E HOME INSTALLATION Plana OK except #'a 11.2ning Requirements -Setbacks Easements Footinas; Size-Soacina-Marriaae Line .3/. G__ ; MH Test-Demand-Valve—Connector . E1e tricity; MH Test -Crossovers -Breakers -Clearances tri: MH Test -Fall -Flex Connector !!2W2ter; MH Test -Regulator -Connector .. Water and Sewer Connected-C40—t6 Grade -HD ADDroval t0�ert. of Occupancy MISCELLANEOUS " Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK6 gt #•a w� 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftra: Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures & Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. 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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK + O = Not OK ' - = Not Applicable . RESIDENTIAL = Not Ready y Date/Initials OWDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing S Ingle & Duplex) Date/Initials - FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu riin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Ceilinas 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: 'a V ,°R ' l COUNTY OF BUTTE � BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Bliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A=NOW ims*ec7Gm irm iea m that the following violations of Butte County Ordinances exist at tie aiwe &idles arul should be corrected_ Please notify this office when correction of work incsss#605ill. fyoulieve any questions pertaining to this matter, or need additional explanation, tease cmmm2 tls office immediately_ L Tom" 17ily1 y-- �ti TIT Dare Inspector Aev fist MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 �, 93 loi • /PERMIT NO. � Address or location of mobilehome �Igkj Owner's name. ,l %C' �—�� 44 r Owner's address 5%' 4 15,brycf Insignia or hud number -C44 //-7ZS-6// %� Manufacturer's name �{ / �` � Cf r V Seri,Y nu, ber of V.I.N. , 1.'�P -5 Year of manufacture 41 (Officio Approving rnstallation) (Date) IF.THF MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. (tibPNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541. APPLICATION AND PERMIT ASSESSOR PAR L NUMBER 036-081-015 ZONING AR BUILDING PERMIT OWNER Jaime G. Mercado TELEPHONE 534-7865 SQ. FT. OCC. BUILDING VALUATION' OWNER'S MAILING ADDRESS P.O. Box 702, Palermo 95968 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filin Fee g $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee ,$' 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 -ZFi9SOak Knoll Way,Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW7 @ 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Uti lities ❑ Installation{=; Other ❑ Describe work: MHI _ MHU #93-1018 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 OCCUPM OR ADONS. ACC. BLDGS. 3.64sq.ft. NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 V 76 Ex. Occup. our ETS PRESID IREA.) I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. AI 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 15.00 Heating Cooling Hood 6.50 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 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 in consequence of the granting of this permit. X / �� ate 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 in height. Mobile Home Installation Fee $ 70.00 Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $105.00 I HAz — OFEES IMP FLoo t� cDF PARCEL PD HD ISS This permit is hereby issued under sions of the But County Code and/or work indicat above which tees F PUBLIC By PE XPI . ES Date the applicable provi resolutions to do have been paid. WORKS ateSz- t Receipt No. P WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT `�`''�"`�'"'�I}�-.��r�,�4w,'i- s rb + ,�,tX�`.-'"�`"3^�-,�J'�' . , f� • �,;r��,,iar�, S ..��, _: * ���r�,�� v •-`- COUNTYOF B TTE - DEPARTMENTOF D',', . ENT SERVICES - BUILDING -DIVISION V ' 7COUNTYCENTERDRIVE 7 - PERMIT ;PERMIT APPLICATION DATA SHEET OWNER ' ol 111c r^ - A. P. No. - -Proposed Building Use Building Inspector C34A Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. ........................... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................ •...............:..... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. . .._.......... I........... 8. - 9. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ......... . 10. 11. .................... . . ....... Fees f $ schedule. Impacttfees as shown on attached schedule . ......................... "..... 5 c 12. California Department of Forestry plan approval/fees................... 't.... . 13. Flood elevation letter (100 year flood) by California Engineer. ............... . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... ` 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... ,- 19. Driveway permit (construction approval required prior to occupancy). .. .. . . 20. Pre -inspection for co B�PBa'sdD�me6`'° " ` required. .. ��y �ngPect�o. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ............... :.......... x 23. Owner -Builder Verification (Given to owner , Mail to owner ............ .......... ;r 24. Recorded copy of Agricultural Acknowledgement Statement: .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. 28. Letter of intent on building use . ...................................... . Mobilehome utility clearance.................... 29. 30. I.•...................... Documentation of legal access. ........... ...:................. . Documentation of 50% subdivision developed or (A) Road improvements completed l and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ................. . 32. ................... Plan check list . ...................................................... 33. 34 Wh n you issue the ermit,gro a as follows: Mail to owner. Mail to contractor. Telephone , �-`5 and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applica6t G Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. ..Fire Dept. ?Other Date By The following data must be submitted rm'orftt iss 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). ' Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Count _ Date Plans checked by Date Plans approved by Date' Tj9 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEP-ARTMENT OF PUBLIC WORKS 7 County Center Drive,-; Orovil,le. California 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT PERMIT NO. / ASSESSOR PARCEL N MB R -- T 7- �� ZONING BUILDING PERMIT OWNER 2 �e Q OW RUAIL G ADDR70 �/LIIG_.�_'✓/C�_ _ % S CO TRACTO NA - /7 / TELEPHONE 531 TtLErrIpNE SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S MAILING ODRES Fireplace CO,N$TRUCTION LENDER UNKNOWN Total Valuation Is L✓FNNDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ AR TECT OR ENGINEER LICENSE NO. .Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Q Permit fee $ V PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome)' Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 - Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: �- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under enalt of p y p er lur y (check one): ❑ 1 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 Main service 200ATO1000A1 37.50 NEW CONST. ( DWELLING OCCUP,&) OR ADONIS. ACC. BLDGS. // 3.60 sq.ft. NEW CONSTR U TI.OUTLET NO N•R ES10 BRANCH CIRC ITS @ 5.00 POWER APPARATUS A (SINGLE OUTLET C1R. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APLNS. Ex. Occup. OUTLETS (RESIO )OR EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc.lYirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses whichmay in an way accrue against said County in consequence of the granting of this permi X Date / 9 Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OSHAwork 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ r,Az OFEES IMP FL000 COF PARCEL PD ND ISSUE This permit is hereby issued under the sions of the Butte Count Code and/or %� indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date 11-10510 Receipt No. WHITE -O. .W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 �/ J OWNER 0Cc i rrn� Anna-� �C� �l A.P. NO. a3� -C 1--01.� PROPOSED BUILDING USE DATE REC. # DATE REC 1. School District Fees Oro � L % & wi (paid at District Offite) S Z 2.—Sheriff Fees (paid at Building Department) Residential .......... X unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT Y DATE 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET `---, /��er-Cqr/e 2. Installer's Name: ,��,—..,,.� /yL0��L4�'" G� 3. Is the site currently under permit? Yes �. No -� (If yes, furnish permit number ) OR Is the site an existing site? Yes-` ' No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and easements?' Yes No and clear of all setbacks (If no, clarify 5. What•is the �mobilehome electrical rating---------- P'-- —�1 Amps 6. What is the mobilehome site service rating?--------ctlQo 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the . Yes � No mobilehome site service. -------------------------------- (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? --------------- / "� (in.) � 10. What is the t e of as type g ---------------- service.? --- Natural- LPG 11... What is the gas pipe length from meter or tank to the --------------------------------------------- mobilehome? / " �" (ft.) * 12. What'is the mobilehome gas demand? ------------=--------- (BTU) *(This information not required if pipe length less than 6 ft. o-.'elo natural gas or less than 50 ft. on LPG.) BUTTE C'URMTV! NEXT PAGE MUST'M COMPLETED TO PROCESS PERMIT APP ;•_-0 N r -P RT r T APP� s/��193 � . u l MOBiLEHOME. SUPPORT DATA �If other than single wide, Mobilehome .Mfr. furnish Setup( No.� Year WidtliO'�(ft.) Box Lengt44� Z&(ft.) Tagalong or Expando-Size _f t. x ft. On all mobilehomes manufactured after October 7,1973, furnish manufacturer's installation manuaT"and"structural setup sheets (if not on file with the County of Butte). -FOOTINGS. (check one) 191. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one w.1. Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations ci SINGLE -WIDE MULTI -WIDE Line 1 Line 2 — Line 2 ' Main Beams • ine 2 Line 2 Main Beams ----------- — tine Llne Line 1 -- — — — — — — — —-Line Tag or Triple - — — — — — — — — — — i .1 n e 4 Line 1. . Line 1 Piers: Ltne 1 OoeninRs:' Size -Min. ------------ Size -Min. --- ------- ------ Spacing7Max.=' r.=? -r:-=- ,... , - , - - - Each Side of Openings - - From Ends -Max. ------- �- With Width Over--------- s 'r fLine-2-Piers:: Line 3 Piers: (Under Bearing Wall Only) _ Size:hiin_=;---------- q ��x �, Size -Min. ------------------ — �, Spac_ingr ax..--------_- �_ - _ Spacing -Max. �------- �_ Flom"Ends--Maxy------- '- (J " From Ends -Max .------------- _ Line 3 'Roof' i ads;: Size -Min. ---------- Location (From Front) Line 4 Piers:. Siie-Min.------------ Spacing -Max.--------- From Ends -Max.------- e 5 -Piers:- (Under -Bearing -Stalls Only Size -Min ------------------- Spacing-Max ---------------- From ------------------ Spacing-Max.--------------- From Ends -Max .------------- Line 5 Roof Loads: - Size -Min.------------ "x "x _ "x " " k x ' "x "x "x " Location (From Front) AP?P OWNER.=�'� PERMIT '#q-) MH UTIL.CLEARANCE DATES C INSPECTOR LV ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other • T e Pipe Size Length YES NO YES NO ,L,o/ad /' V 441 A irwxnr*rr*taa���sa3�►lsht'r but o u `* fRi9t'?v"'Y gym'^^ "`r" xcx" Y.. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM .40ne Form Per Building) School District 0 i� ( �� me h f or Building Department No. A.P. Number ©� Jurisdiction City [] County Property Owner /(x j n P r . / e f C G Q d Property Location/Address Il D/' XY U22 k K11 / Wo �, Oro y Ill Subdivison ` Lot No. Residential DevelopmentSq. Footage PS N Living HI Addition (Group R) Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) B 'ng.epartme epresentative _ Date �. *,.0 mA t -s- ,& (Floor Plans reviewed by School District Personnel) s ' District Identification No. ' -c.YJ�'ri,� School District certifies that (Applicant) 02 V16- 1 Va (Street Address) ,(City) (State) has complied with the requirements of Resolution No. representing square feet. >chool District Rear i -Paid by Check Number Bank Number Paid by Cash a (Phone Number) M by payment of $ 00, Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkt (4/92) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 f % .- iols APPLICATION AND PERMIT /1 ASSESSOR PARCEL NUMBERZONING ' AR BUILDING PERMIT OWNER Jaime G. Mercado TELEPHONE 534-7865 SO. FT. OCC. BUILDING VALUATION f OWNER'S MAILING ADDRESS P.O. Box 702 Palermo 95968 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NOne LICENSE NO. Plan Checking Fee $20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 ZOak Knoll Way. Oroville Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. �D S U%B�DDI'VII,S,ION NAME .Q�iJ'Ot - � 2 PARCEL MA { 2r{ �S Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑, Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 3615.001 TYPE OF WORK New a Addition I__I Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work: HUD MH _ Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 20CA TO IOOOA) 37.50 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 F-1 1. 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.&\ OR ADDNS. ACC. BLDGS. // 3.6$sq.ft. NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRC ITS 5 00 POWER APPARATUS f} (SINGLE OUTLET CIR. Ex. Occup(OUTLETs OR FIXTURES 20 760 AL 4F;19 FIXED Ex. DCCUp. OUTLETS P(RESIDK )EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 48.50 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. 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. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 'n c �uencf the granting this permit. Xate Signarure of Applicant — Owner Contractor 1:1Agent Elsions An OSHA permit is required for excavations over 5'0' dg�p a demolition or construct- ion of structures over 3 stories in height. S Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 128.50 HAz DFEES IMP FLOOD `�' COF PARCEL PD H IssU '-- This permit is hereby issued under the of the Butte o Code and/or work incled for which fees R OF PUBLIC By P R IT EXPIRES Date IF applicable provi- resolutions to do have been paid. WORKS Date -74 1 2�l 11 Receipt No. /�Q �`� S �� WHITE-O.P.W., YELLOW- ASSESSOR. PINK-,,.PECTO GOLDEN IC T � , i' } i`�, �4f�, k .ra ii +l y Y .. ... �''U�`..p�•_`�; _,rrq_/1L�.�' '^ '-• � •• COUNTYOF BUTTE - DEPARTMEN7�OF4DEFLOMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER:D ........,V�ILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMITAPPLICAT ION DATA SHEET OWNER 1 �'? A rca J'o • A. P. No. d3eq( - 0�s Proposed Building Use/%%,d.� �, Building Inspector Date At time of permit application, -4 -was. advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY been submitted. . 1. All items hEpans, 2!. Plot planssets, signed by preparer of,p ns . .......................... z 3_ Complete 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... *' 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. -Fees of $ ............... ...................... . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ................... s, .... . 13. ~14. Flood elevation letter (100 year flood b�alifornia Engineer. ........... .... . Sanitation and plot plan approval �Health Department . ............ 15. City of Chico plumbing permit. ......................................... `' 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ... .... . 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. P��"�e�1 Pre -inspection for ns requ� required. .. to e���d��9 ���ecco, (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .............. :.......... . 23. 24. Owner -Builder Verification (Given to owner - - ; Mail to owner _). ........... . . Recorded copy of Agricultural Acknowledgement Statement -�- J 25. .................. .�Ts Letter of signature authorization. .:....................................... ` 26. Copy of recorded deed of parcel creation and 60 right of way to a public road: ..... 27. Letter of intent on building use . .............................:.......... . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . .....................:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32 PI n check4st. . . .... .£G....................................a 45 ? 1IVhe you issue the pe rocess s follows: _ X Mail to owner. Mail to contractor. Telephon nd hold for pickup at office. Deliver with inspector. Other Parcel Creation - jLL �"Acrreage Applicant Date .Copy ofHaz-Mat form sent Health Dept!f_ Fire Dept. Air Pollution Date. Copy of plans.sent Health:Dept. Fire Dept. Other Date By z The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional itejrns required: , Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mai Counter by _ Date Plans checked by Date Plans approved by T M Date Sets of plans on A2I&O F� � �t AP folder Copy - Department of Public Wo*s , , 8 %lo le -,COUNTY OF BUTTE - DEPARTM N OE T OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 Ldp OPLICAtION A —3— / ND PERMIT Cn/ l� /� ASSESSOR PA IXL N MBERZONIN 036 / BUILDING PERMIT OW NSO. 0 e_ 7A e CL TELEPHONE 74�s FT. OCC. BUILDING VALUATION ((!D OW'R'S MA1 NADORO� ��t //�I/�L V •9�-/ 1.�/} 7� ' Vi CONTR/l/A/-•CCTOR'S NltM e,LEP NE CONTRACTOR'S MAILING ADDRESS Fireplace CON$ UCTION LENDER UNKNOWN C Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCH ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ A CHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS (�h (/ Permit fee ; r PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.001 1 Each qas water heater or vent 1 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome(X Other Building sewer 15.00 Mobile HomeG W @ 15.00 SPECIFY TYPE OF WORK New Addition❑ Remodel❑ Utilities[) Installation❑ Other[] Permit Fee $ 40 Describe work: A9 il= Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OOR LESS 18.50 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 Main service 200A TO 1000AI NEW CONST. ( DWELLING OCCUP.Id\ OR ADDNS. l ACC. SLOGS. I) NEw CONSTR ULT I.OUTLET NON.RESID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET cIR. Ex. Occup(OUTLETS OR FIXTURES 37.50 3.64 sq.ft. @ 5.00 20 76d ❑ I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 I 3.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) as the owner, am exclusively contracting with licensed contract-Misc. (Sec. 7044) Temporary service Mobile Home Facilities �Yirinors. g 1 15.00 tl5.00I, 5.00 ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee ; WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling ❑ 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. EHood I Ventilation Permit Fee Contractor 6.50 ; I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Mobile Home Installation Fee Energy Inspection Fee $ $ Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte a ainst all liabilities, judgments, costs, and expenses which may in any way ccrue against said County in consequence of the granting of this permit. OCC CONST TYPE TOTAL FEE $ HAz OFEES IMP FLOOD COF PARCEL PD HD IS LIE c X Date L/ �% /_7 This permit is hereby issued under the applicable provi- Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHApermit Is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No. )q05/ 0 By PERMIT EXPIRES Date Date WNIT[-p. P.W„ TlL LOW-Ase[730R, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT NO: 30-92 Lake Oroville Area Public Utility District 1980 Elrin street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the.Butte County -Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: Applicant: Applicant Address: Applicant Phone No.: May 12, 1992 JAMIE & HONORINA GUTIERREZ P. 0. Box 12, Live Oak, CA Property Location (S): 2485 oak Knoll way Villa Verona a portion of Let 10 A. P. No. (s): 36-081-15 Fees due: Balance of fees covered by payment agrPPmPnt_ Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: By: Date: Lake Oroville Area Public Utility District release to close permit: Date: 0 a Return to DPW AGRICULTURAL -,TATEPIEIV'I' OF `ACKNOWLEDGEMENT ,�.� FO�R'ESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be rv-corded 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 incon- i,veniences or discomfort arising 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 agricul- tural zones which have as a priority use for productive 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 redl property situate in the County of Butte, State of California, described as follows: The Westerly 100 feet of Lot 10, according to that certain map entitled, "Stormes Subdivision No. 2", which map was filed in the office of the r.. leC:i)LdzL'iiL't:ie e:;c<<��y....��r Ea;te---9LatJu�- liz,-IT ;,uly I1, 10 0, �.. Book 18 of Maps, at pages 24 and 25. Date: 1F3 3a k*rfP. C. M(_-racido State of C91, 6, N ) County of �) PROPERTY OWNERS: �,, 4 On this the .?/ day of _'6X'7'C1'4 , 19 F3 , before me, the SS. undersigned Notary Public, personally appeared OFFICIAL SEAL PAULA S. REYNOSA m - NOTARY PUBLIC - CALIFORNIA YUBA COUNTY W Comm. Ex:)ics May 2. 1994 _J /49//- � u !L. f �' r E Z - Personally known to me. ❑ Proved to me cn the basis of satisfactory evidence. to be the person.(-&) whose name(-&-) is subscribed to the within instrument and acknowled;ed that H E executed the same for the purposes therein contained. 1N4ITNESS WHEREOF, I hereunto set my hand and official seal. I _- Present A.P. No. (-Z"'e"'P4 . Notary Public --------------- - 4Y 193-015624 93-015624. 93-015624 93 c Fee -0156241 Re 5-00 I Cash 5.00 Recorded I Otficial Recorde I County of- I Butte I Candace J. Grubbs I R I ecorder I 1 .t I 10opm 21 -Apr -93 I PUEL x is set TpIand specifications Mlisie I on tie job:at all times and it is unlawful to 3 any changes or alterations on same without ?n permission. from the DeparUment of Pubk I cs, Couaty of Butt r,+` `• Is & Workiria�dghlp Shall"Be in I N�II'Materiat prices and R ut ,:. ccS�dance wlth- ccognized'Good ' of a quility::°prescribed for the Specified use in the U iforrri.Building,.'plumbing &'Mechan"l Codes an t 4ational El®ctii'cal Code. I ALL STRUCTURES AND EQUIPMENT INCLUDD pVERHANGS SHALL BE CLEAR OF ALL EASEMENT L{ J A SET BACK OF FT. FROM THE SIDE Al FT. FROM THE REAR PROPERTY LINES AI Jo FT. FROM THE ROAD CENTERLINE SHALL CLEAR OF 'STRUCTURES AND EQUIPMENT EXCE FOR A 2 FT. 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