Loading...
HomeMy WebLinkAbout078-260-043i --7 J 91-4226 "4. ,REN; GAR CONI R : UNKNO l� 2`46T1 OAK' KNOLL %�IVOROV I LLE MH UTI L ELEC -- GAS CO ACTION TEST REQ A` SUPPORT STRUCT REQ ? V"l.< 91-4227 U'REN, GARY CONTR: UN OWN 2461 OA NOLL WAY., OROVILLE` � -0318 U'REN, GARY II 2461 OAK KNOLL WAY, Cont: OWNER MOVING MOBILE HOME _ t 1111111 C43 RECORDING REQUESTED BY: AND -WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 12 -Jul -2005 2005-0040374 Lias not -been compared with original E+UTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GARY UREN REAL PROPERTY OWNERILESSOR 6685 IRWIN AVE. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP 2461 OAK KNOLL WAY INSTALLATION MAILING ADDRESS, IF DIFFERENT _ OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAI LING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-018 530 538-7541 UILD G PERMIT NO. TELEPHONE NUMBER ' _�a_ ATURE OF LOCAL AGPNCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO SKYLINE 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER 0344AL/BL 60'X 24' CAL070686/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) RFAI pROPER'I'YLEGALDESCRIPTION CRF. ATTACT4F.D ASSESSOR'S PARCEL NUMBER 036-081-026 HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. BUILDING PERMIT NUMBER: 05-0318 Address or location of unit: 2461 OAK KNOLL WAY, OROVILLE CA 95966 Legal Description of Real Property: AP# 036-081-026 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: GARY UREN Owner's address: 6685 IRWIN AVE., OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL07686/7 SERIAL NUMBER- OR V.I.N.: 0344AL/BL MANUFACTURER'S NAME: SKYLINE YEAR: 1978 OFFICIAL APPROVING INSTALLATION: DATE: vj - 1 '� -OS PHONE: (530) 538-7541 H.C.D. 513C 9 6 `IRECORDING REQUESTED BY Gary U'Ren 1 91-031916 1 Rec Fee AND WHEN RECORDED MAIL TO I Check Recorded I Official Records I Gary U'Ren County of I Name Butte I Street 6685 Irwin Ave. Candace J. Grubbs I Address Oroville, CA 95966 city& Recorder I State L 11:14am 5 -Aug -91 I A.P. #36-08-1-10 SPACE ABOVE THIS LINE FOR RECORDER'S USE Deed --of .lift X cam` P' 3 9.00 9.00 This Deed, made the ...... Seventeenth ............................................ day of ... July ........................... one thousand nine hundred and ........Ninety.. One , Between ... Gary. R....U'Rsn..a.nd.�'I�x��.�:a..U. R,enhusband..and..wife as ...................... ..join.t.. ten ants........................................................................ . ............................... .............. , Grantor and. Gar.y..U'lien,..the.ir..s.on..a..Sing.le..man......................................... ......................................................... ' , Grantee Witnesseth: That the Grantor, for and in consideration of the love and affection which ........ they ...... have ... for the Grantee, do ....... by these presents gift, give; and grant unto the Grantee, and to ...... his... heirs and assigns forever, all ....................... . .......................... ....................................... .....................................r....ate... t at ... certain ........ piece ........ }#d ....... of land situate....in.the .ui nn.corpod area............................:..........:. .............................. ..................................... County of ...... Butt.e...................... . State of .... Cai.if ornia . and bounded and described as follows: ' See Exhibit "A" attached hereto and made a part hereof; 9 �f CAL1E0��\� Together with the tenements, here itaments, and appurtenances thereunto belonging or appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof. To have and to hold the said premises, together with the appurtenances, unto the Grantee, and to ..... his.... heirs and assigns forever. This document is only a general form which may be proper for use in simple transactions and in no way acts, or is intended to act, as a substitute for the advice of an atto not make any warranty, either express or implied, as to the legal validity of any provision or the suitability of these forms in any specific transaction. may. The printer does 3 i 41 In Witness Whereof the Grantor5ha ue........... hereunto set ..... their.................. hands ..... the day and year first above written. Signed and Delivered in the Presence of ary en rRen Mariiia u rn 4i A STATE OF CALIFORNIA On this...... 5•th . • . • • • .. • ... day of .......August ...... • , • , • .. • .. • . , in the yea F ... Butte.......... • .... COUNTYCIF ss, **1991* ..... ............................................. ....................... . before m , Beverl J. Green • • • .... , .. • • .. y................................. a Notary Public, State of California, duly commissioned and sworn, personally appeared. *�-Gaxy..R... U' Ren .......... ......and . Mari lla . iT :ien ............ . �a® personally known to me (or proved to me on the basis of satisfactory evidence) to b R"Qac - °® �< s s.................. ark........................ . the person ...... .. whose name.. . , q.-,� ® '41b subscribed to this instrument, and acknowledged that ..... t.. hey....... executed it a IN WITNESS WHEREOF I have hereunto set my hand and affixed my offici � F s� = seal in the... ..................................................................County . on the date set forth abov in this certificate. No blic, State of Californi' My nmmi.,; axnirPc 12/3M 91-31916 EXHIBIT "A" U'Ren to U'Ren The East 70 feet of Lot 4 as shown on that certain map entitled "Stormes Subdivision No. 2", which map was filed in the office of the Recorder of the County of Butte, State of California, July 11, 1950 in Book 18 of Maps at Rages 24 and 25. The Basis of Bearings for this description is the same as shown on said "Stormes Subdivision No. 2". Together with an easement for sewer line purposes 10 feet in width lying Northerly of and adjacent to, running parallel with the Southerly line of said Lot 4_ from the Easterly line of Oro -Bangor Highway to the Westerly line of the herein described parcel of land. Said easement is appurtenant to and shall inure to the benefit of the herein described parcel and applies to any heirs or successors. It shall include the right of entry onto said easement for the purpose of construction, repairing, replacing, maintaining and .inspecting said sewer line. ' IANC No. 4(105 n � �� ll• 6 30-92 : - sfvkr�_ Of CAL1E'_"_V._6;? END OF DOCUMENT ,(T Q and Bandar" J r Decal #: manufacturer: TS'advY1=c: Model: manufuctuvd Date: Aegisumdon Exp: Fi S®id On: 1 p(MaMM I A I RM AW "V W IPIU A;W.M7 LAV 8691 SKYLINE BUDDY 10/24/18 Tltle Seamb 3�®Oso Yu8dlEam a �➢eDe7.�9 . Use Cede: SFD OriSatl Price Code: AEX Rating Yea$': Tax Type: - LFT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Serial Number HUD Label / Insignia Length 034dAL CAL -070686 60, CAL070637 0344BL Record Conditions: voluntary Conyetsian to LPT Registered Owner: DELBERT-E MNSVC CANDICE ¢iUNSUCKER YW 2600 DALY AVE OROVILLE, CA 95966 Lut 'Title Date: O&q/94 Lag Res Casa: 06/13/94 Sale/Tramfer Info: Prig $21,300.00 Tmmferred on 03/31/94 Situs Address: 2600 DALY AVE OROVnIE, CA 95966 Situ $ County: Burro Legal Owner: 24700 ALICE AVE 966 oRO�, CA 95 Lien PerfectedOn: 04/18/94 12:00:00 Inactive Decal/DMV: DIbtV SI,3798 END OF TITLE SEARCH Width 12' 12, y ETES C RESIDENTIAL 036-081-026 05-0318 PERMIT NO' U'REN, GARY VA 2461 OAK KNOLL WAY, OROVILLE— Cont: OWNER • .- � T p SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER T 2 .20"P 1LG' 7*7 Glo'V 6, 7 e 4Nb JOB FINALED (Date) O Signature I� J=OK 0 = Not OK . = NotReadyable 5. t MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Carports; Windows -Doors 1. Zoning Requirements -Setbacks -Easements Electric 2. Soils; Special MH Support Sketch Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 3. Sewer; Location -Test -Fall -C/O -Concrete Siding; Nailing -Veneer -Stucco -Mesh 4. Water; Location -Test -Easement Needed (Sketch) Roof; Shthg-Roofing 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Ext.; Steps -Doors -Landings 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG Braced Wall Panels 7. Well Clearance & Disconnect 8. Utility Clearance Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date 1. Card B-1 Date Card B-1 Date 2. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Pool Structure; Steel -Connections -Thickness Dead Men -Lining 1. Zoning Requirements -Setbacks -Easements Elec.; Receptacles and Lighting, Distance-GFI 2. Footings; Size -Spacing -Marriage Line Elec.; Pool Lighting; 15 Volts-GFI 3. Gas; MH Test -Demand -Valve -Connector Elec.; Enclosures; Conduit Entries -Terminals -Listed 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 5.. Drain; MH Test -Fall -Flex Connector Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit 6. Water; MH Test -Regulator -Connector Health Department Approval 7. Water and Sewer Connected -C/O to Grade -HD Approval Plumb.; Cir. Test -Water Supply Test 8. Gas and Electricity Tagged Light Niche 9. Tie Downs -Type -Installation Cert. Enclosure; Fencing -Alarms 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -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.-/ 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-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-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 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 70. 17. Water Htr.; Vent -Access -Combustion Air Baffle Fireplace or Stove, Clearance -Hearth 18. Water Pipe; Test & Anchor -Nail Protection 73. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Elec. Outlets & Receptacles at Kit. Counter 20. Shower Pan; Test, First Floor -Tub Access 76. 21. Test Tub & Shower, Second Floor -Tub Access Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 22. Gas Pipe; Sixe & Anchors 79. 23. Fire Sprinkler; Test Insulation -Foam -Looked in Attic 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date r ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors 88. 26. Size Boxes & No. of Conductors Stapled Ventilation Throughout House 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 64. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 65. 32. Service -Riser Conductors & Ground Main Disconnect Card B-1 Date Card B-1 33. Equip. Clearances Panels-Motors-Mech. Equip. Comments at Final: 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 67. 47. Hangers -Post Caps -Anchors -Connectors G.F.I. & Bath Fixtures & Tub Access -Spa 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 70. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance Fireplace or Stove, Clearance -Hearth 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 73. 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Elec. Outlets & Receptacles at Kit. Counter 52. Garage Fire Protection Framing -RC Channel 76. 53. Property Line Firewall & Openings Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 79. 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Insulation -Foam -Looked in Attic 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 82. 57. Siding -Nailing Veneer Clearance Looked under Floor 0 Yes 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 84. 59. Glazing Area -Glass Protection -Skylights -Plastic A.C. Unit Disconnect, Electrical -Plumbing 60. Shear Walls; Nailing -Bolts 87. 61. Brace Interior/Exterior Wall Panels 88. 62. Insulation -Walls -Ceilings Ventilation Throughout House 63. Infiltration -Walls -Windows Date Corrections from Previous Inspections Card B-1 Date Card B-1 Date 93. Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 95. 64. Ext. Steps -Door & Sidelight Protection -Landings Fire Sprinkler 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks D Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHI(;O) OFFICE #: (530) 538-7541 PERMIT NO. BPO50318 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/15/2005 APN: 036-081-026-000 the Business and Professions Code, and my license is in full force and effect. License Class., License Number: Site Address: 2461 OAK KNOLL WAY ORO Date: Contractor: Map Index: Description: MH PERM FND 1440 SQ.FT.(EXISTING SITE) 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 Owner: UREN GARY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 6685 IRWIN AVENUE 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 95966 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: UREN GARY Code: The Contractors' State License Law does not apply to an 6685 IRWIN AVENUE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 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.). —/ 6d 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 Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law:). O I am Exempt under Article 3 of the usiness and Professions Code i Date: 'r S Owner: License #: WORKERS' C MPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit 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: Carrier Total Square Ft: 1440 S.F. Valuation: $93,600.00 Policy #: Census Code: (� �,/ ►r I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, % and agree that if I should become subject to the workers' fp�l d compensation provisions of Section 3700 of the Labor Code, I shall 7/ forthwith comply with those provisions. Date: Applicant: -70– WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. i CONSTRUCTION LENDING AGENCY This p it is hereby} uender thepplicab rovisions of the Butte County Code and/or. I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Reso tions to d rk indi ated ab a for wh' ees have been paid. performance _ BY Name: agate: L1 PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: T �/ �r� / 1 P /t Signature: Date: f /�� wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit U1 -1b -u4 pg i '!:�"ll 9_ ?d BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE 4: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICA TION Website: www.buttecounty.netidds **PLEASE PRINT CLEARLY"* APPLICANT NAME OWNER Name Last Name 1 I � ' irst t em City Address V% 1 City J ,\� State `jv Zip '�' Phone , �U Fax S30 • f'3 2— t 4 SrU E-mail (`n � Vt Y�,� 1 APPLICANT NAME CONTRACTOR Name City 0 t'a V; Address Zi� S� L C City Fax,_3D 32 Yom( d$ State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City 0 t'a V; Address Zi� S� L C City Fax,_3D 32 Yom( d$ State Zip' Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name 0'1 .t •-� Address City 0 t'a V; Stats A a Zi� S� L C Phone L7bv Fax,_3D 32 Yom( d$ E-mail ✓ -"\ 2-0 D 0 0 C (5 APPLICANT SIGNATURE X For office use only: Zoning Property Address �- a Flood Zone Cross Street SRA es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. G3/1R, BIN # LOCATION AP# _ 6 U / _ O1 Property Address �- a City 001VAI'e- Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 0 eE Description or Scope of Work: II Sq.. Footage v - ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMtN 15 L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 (V 116 °,, c Received by: IU" ' Amount: �(A1' �! �. Bldg lV DIJ SRA Receipt s�#:oo1 �q4� Sheriff C., ,l qto SMIP Date: -'�' 1 -QS // Other Total REV 7-27-04 r -A SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Lefler of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) - ❑ 1. Agricultural Buffer clearance and site.plan approval from the Ag Commissioner's office (if required). ❑ - 2. Impact Fees.-:----:.-. _.. ❑ 3...California-De padmuent of. Forestry plan approval (if required). ❑ 4. NPDES Form. '❑ 5. 'Eh&6aadlirhdht-Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Coniractor's-license. information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # PROPROSED BUILDING USE �7• ` J� DATE RECEIPT # DATE REC. j/ 1. BUILDING PERMIT FEES �j �]�) �p� --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES b /� ©ql (paid at School District Office) (form available after Plan h c UM/j am LY[6 d _q SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES 7 ) 1 0 (paid at Recreation District Office) (form available after Plan Check)�64'eo 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE S0 -(paid at Building Division) 8. WATER TENDER FEES BATTALION #. $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. O� 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking proc ss. APPLICANT DATE �2 D )� Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) r l O 1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BU.CLDING DIVISION e %County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: '2ASSESSOR PARCEL NUMBER Proposed Building Use: py 1/�/� Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. M;-- 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. 7 8. Manufactured homes: (A) Data sheets and installation inst, � Marriage line info, (Floor Plan, ([ -Tie down or nd`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 WAP010 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.) ❑ 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 .................. *...................................................... ........ 61--.121. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit...................................:.................................... ❑ t 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: N(B)Parking: (C) Parcel Check: 3 0 ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... 30. Worker's Compensation Carrier and Policy Number .......................................... I I 31. Owner -Builder Verification (liven to owner, _Mailed to owner) ..................... D 6r,- J !�•)� 32. Letter of Signature authorization.................................................................... 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ ,y • 35. Existing violations and/or expired permits......................................................... ❑ l. -v 36. Deed Restriction....................................................................................... 37. Brant Deed, H. Title/Statement of Facts, ❑ Letter from Legal Owner, l Xck to H.C.D. $ OO t Jn nQ L ❑ 38. Other: -"r" "` ❑ 39. Other: When issued Telephone. 4:59 _ �. _ /V . in / ..,r.�and hold for pickup. �v-� - -rte.-.����-�,�?�v��. I have been informed of the above items and requirements for obtaining a building permit. Applicant: % Date: /6 1. Index permit application for'(heiabove`items numbered: Plan Chec Let er 2. Additional items required - Contractor, desig owner as advised of the above data by 2T phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by:-_ 4-�.e Date : Structural reviewed by: Date: Structural approved byDate: Note transfer by: Date: Yellow: Building Division Bedroom 11'7x16' S Bedroom Bedroom 11'4x11' 13'x11' 6 bathroom Den 8'8x8' 11'6x9' s Kitchen Front room 23'x24'. Bedroom 11'7x16' S 61 6 61 Marriage BUTTE TE COUNTY BUILDING DIVISION .APPROVED �y(A 2� b. or-vvi IIe Li} J =-9rsti R s. 57AJY BUTTE COUNTY BUILDING DIVISION APPROVED I t/r 1/16' � • '� M e . F• 1197 TYP • C + . on h 1' .s wxuaxc�oamsso.sena®�aeo,m 4 $• ADigXMWW$ \ • ENSION sawvwnoze.sr� NUTS Tw. � � � ax�c�AXDLR VErTCO xca�Ia+n JB f/?• • x,wa� crw� AYMVED J/4 laq F4aar sty J/4• °®a.TT°°°t�n M!P • 4' . r PIN OR 4' .GR. 5 ALACiliiE SALT a NVT PAD MM me 7w. 21AREEEL PIPE RJl1E �� :BAQ • %W (SEE NOTE 'T5) m RP2013 574110 RP2 Oa ss^ t —•3 . W�448'0 "*ikr . Aac�tmrALo®6NOr AVMnQMb031Mr4BMANIr N li0 b a ®CR&XM 400.®G6MTMX FROM ZKp1®6fOF ATiQCABUMTs1A"A7®x841tAM 0 •� , moachl9r m 'f e e Ate. w�` Nmaum �i o 19fa,ift 4v am s7oLyr. MAI e7Et 14 Tlbn.Aq•vr o 2 THRE40M RDD 4 IIIJJJY ^ �E REC 6f RESAfNT aNP '7 RFC_ CHUMAEL JJ�� RP202 P 0 j2 . at •L17 to C– aft"EL imr WO (2 REG D) %10 (2 REDID) 9f.•O (2 REDID) ,Tb NJ• MR STOCK 2•/ S u ifiRE rsaa. eD ALT.BEAM RESiMNT-CLAA(P • x�7r6' FIAT STEEL �. jIe tYP � f>FA1f RFSIRAINr BASF sr HATE–SEF DERM r-�re• Roy wELom Ta • r ASSfNBLY rfxawAom RM r.RFPFR ,BASE PLATE. CMDOER 2 � M PPL c PV Fx1ET BROW OR • PLUG WOD A60YE ". "' :,mita' MUD AMW TO DS' MDIE ; 9f°•Ocavr>:rrm LOLYQrfD BASE FLAX i 2-x.*' ,rei°IAT� .� 4-�(.'Y� f�il"Na iib• PL io PIN Tw.v f1I• WELD TT1 BEA1! 06 �' �e Fa4k/ED TD 'iT• BdTHSF'IArL _ C 2b.D. SCH %' FUU. 8QM SIDES t 40 WE MTIN 9 4 15' NOLE %•L• – m ° ° Cpnpu� Eqwwwrar Dor aft a E * 21900M IIEElS sm so PIPE ! �>m �� -te Tw.km INro oAsr--nr-PLACE �, ro ANr KatF Ar FUN% ASEMS BASF RR 2028 PAD_ WITH RP 2000 SERMS STAND ,cr: DE MN LISTED AND 7ESTFD BY 8SK t ASSOQ4 S IWAYHE r. PDLIWDO, PE – 1JS71N6 IATA FDIB71053 .ax cow fts nm Mae nicaf,►; ounaxal awl am -rasp MA-.8-i5xu a.►m. V D 1 A L r- LJIMM LOM lillill 1x14 N YIN OPOSM T' UMW AMC a IIMN LOIO At MWAW q She Wit! � m Aft thowi0� ax. Fomuw Nle mm® rw IMF At MM aM UP.ICF M MOW 4W. aN Amit 11lIHE MPYovaµL i:, iP Gi t1R1M. IiWIfA=L= M7K tMiLL W stn 1113 as lCCE7�4 Ce HILL AVPC;NMY ARCA MraK10M1AIM oar aW aaNLWUWL ERM RWA21M Mpol N➢ m MC 3 Am XL0214l RWA--011" M AM WMWROV� 887110 M. RAtR AVY AM AOL^ BIC MO -AM AMO - AVW Aaraa ?.ALL IRPtt® Aam SL MM or cMvcN It wpm m ar ra®® N alm AW aClaiwll _4Mw iNML 4 �I-1�OII �wAlaip sum C ACW m DW Kwe M W om NC sm !•Yii� m 00 asQi GA,mICr MN/ S7i 9AMPAIM alit ZWO M M An l S L !8 UM AO I408M or MTR • AOOMM Ali ai alio OW N AW IaaN Ai I MOM m W Illm qM IOOr NMK OMW ®m a MSC'IPR1 ISiIOV, M CR;QWM OW 4WW AYl• OMM FANS DULL ar#w :Ofal®D AMrY R gC"M ACn=Y VICOAMA a 111=30C MOM ARY W AIf HMM m MW )-SIDE RAM M AIR/ALLaM a@ Lal! AS -Pail a TOE FWWA /G1a1MUCIO AN. PLOCEWW MrMAAMS Al AES[ MMM PPB rami Or r0t01Y.1Yai &MS MM K rale ON TPa SWU AM TPC PL4CV O1Y 00 a'rWL4fnM eNll� AIC ttz lore PawCNsl w" LAW' 101' APllaMn MAWR or AWAMIL {pq A! aGmCm or Ot Dar E MW a/ml M IMMM" QCNO Tw am AM �Plps ARI 8L RJI aa{1 wva ANRII® ao0 t710r �►mc emsr sM am ow a[ maae r to Ts NAlllf APlrN71a s aMAoe ' MM PRTi co amm PO 11R COMM MRWL Cwww or a n AMOW M UND Met71a1 a AM»I akYY SNC AgOUW MM CChIWJ" powN alta grWM De MMM -SM 11M ntat'U S R¢ IR/mm Aw"N m p^wa PNINOAwk Y � Aw jj >mf swim DIN MEMPNDR A® *AM ' 11113111511f p%MCEB AMi Ala ACLS as 1151 C AOI ARM PaRf V� OL PORAMW D -6M E!' a1 ld 1laW MD Nd SFJUI 40 a PlI AM Nmp MpXn MO Ally A TIOM R MwL MMt,df elw I. f. BUILDING U APPROV g ok IF JM A2W w m Jr. a Mr m ar a W fir v ir e Ir m ar s ar >a ar e Ir r M Mr ro of mar a ill Mfr 9 a' m er' e Ir MI' TC a, to la m Er a AIP m a' a aa' m m' • la' p' 10 MI' a arr w if 1 .arm M' a ar M or Is a' f0 ar a ar Ta as e r W dr ra AII' IN, M Id IS as m is, e Jr m ow is r Ar m er la ar m AY'a M, m M. n al' Ta or 10 Ar r,orr a - 1 1 El 0 Q Q 13 RECOMMENDED ALAN FOR t6 srrvpna� DE WW LISTED AND ' TESTED BY BSK & ASSOCb4TES WAYW T. POLVAOO, PE — USTTNG HO. FO T 501053 IAW- MpMZWM UMS Af0 PA( laM1i7�aAARITa (� ED OnwWryocewmerimso. COOMM" QCOYYtTt>Ntit8118t91 0i Affl6=iTM8a7An IATaI AaRAauoLA... PKMC COMIung Engineers zM aea *M" wL maa0.M f owl" nk Co. 93818 FM go -w M OQPRTt"t T OA, � 6�T TF 5 'tC/C WOVQI: Department Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACRE 1 - Project Description: A -Y7. /�'I Fn B04 Vs— o 8/ Project Location and/or Parcel Number:��(;, By signing below, I,' the*project--owner/owner'-s°agent certify that this project WILL NOT l acre of?more of land andYthatI; therefore, do r ot3n to;apply_'for a Construction Storin..WaterPern t from -Stateof California. 'Regional. W eer = r i t ,ControP=Board - -Phased projects that contain _ ..•,. multiple'site build-outs=of4 ss than one.acreAbuf-ukent_,combined with subsequent phases total -more than one acre of disturbed soil -w-111 require -.a. -Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: (// Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 BUTTE -- -- - EOUNW- _ _ FEB -A-8-2005 &VXLOP.A F:NT SERVICES 3:4MOA0 I ?"KIMP 1 SITE PLAN REVIEW APPLICATION Date: J AP# J3( Permit Number (if applicable) . APPLICANTIIVFORMATION. Parcel Size: /7 a Owners Name: Owners Address: Telephone No:: ...C,a Situs Address: s3y-6 7o V a D J. Proposed Use: Residential ❑ New Single Family Residential Single Family Addition ❑ Single Family Remodel Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: DO NOT WRITEBELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) is Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By Date 4 D Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if.verified proper foundation design required) ,otic ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: •Q&00 % CoggS Index Date: q110 QB ❑ Sacramento River Reclamation District (Approval must be obtained from the 6alifohiia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------- —---- ----------- -------------- ------------ -------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 9 - LD Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front C26 1 Side 5 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 ti Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula - --------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of . the building permit. Parcel Created By ❑ Deeds! Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No El Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with Comity Standards for Deed Creation:❑ No R Yes Co ents:- vt 091AS S — in Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.RC. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended.. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control,ineasures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa 0 101 Page 4of5 C W Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:UarryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5 BUTTE -COUNTY DEVELOPMENT FEE CERTIFICATION FORM 2-fEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO,AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 .DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Qi!p-' �� �� Building Permit Number Property Owner (s) r n Wo n Project Location /Address Subdivision Name Sq. Ftge / _1W2) Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home.. __�,�Mobile home replacement verified by Assessor Department Demo Permit (date issued )erified by Building Department Comments: Building Department Representative Date FRRPD ❑ CARD 0 PRPD 0 DRPD certifies that: alit ' 2.. �, % �� e -e, v - 5 3 �t- I; Q z Applicant Name / `J V Phone Number Lo � 8 5- r w'► A /��� �) ✓ v✓, I k- C Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ noc a 01 per unit for a total of $ _ Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No: I Iq I Paid by Cash: Recreation and Park District KAFORMSWILDING FORMS\park-rec standard form rev I.doc Receipt No: Date School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) �Lf Building Department No. J Jurisdiction: City County Property Locatior/Address hi (/% J ( )141') 1 V) 0 11 f d l f -I r , t. v Subdivision Lot No. (25— _3/ l;' ..............................................................: ...................... Residential Development Or Q ' Q I Sq.Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit U E *(No foundation inspection) ........................................................................... .................... ..... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q New Addition Building Department Representative Sq. Footage (Including Exterior Roofed Areas) Yz Date District Identification No. („ q 1 �o fr-!4P Vy1% School District certifies that ��. r�,� u LA, (Z �c J (Applicant) Z* la Address) (Phone Number) '0 V z -J, 6P CIA 1 sg (, L (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing School District ( * �-( 0 square feet. by payment of $ n, AB 2926 $ FULL MMGATION $ Date Paid by Check # Remarks: , J \a }'j o l e �� m., n ,ne . N ice*. l P C -- 03b No&*: You may protest the Imposition of the teas kientMled above by submitting a written protest to the District. In compliance with Govrmmsnt Cods Section 66020(a), within 90 days from the date fess aro paid. Failure to submk a timely written protest wili'prohibIt you from challenging the imposition of the fees In any court action. If, subsequarh to the School District Representative signing thio 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 Envinxwnsnfal Quality Act (CEOA) Urs project may be subject to additional school fees to fully rnitigate.ks Impact on the school dktbicl`s schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm Naa5ItLDERs'VE G13'idi�°FIA �;ATIO � 4FY r.ifsY.L'�:'1....:.• 5.3::.^k� x� .a1.1�-`��':. �': Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing�and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [ ] NO [ ]. 2. 1 HAVE [,C] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRE PHONE; 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5t I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ' ADDRESS SIGNED: PROPERTY OWNER: DATE: PHONE TYPE OF WORK NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING' GIS' PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their 'own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. U4�� Mic el C. Vieirl, C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Dlki hOC RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CORY of Document Recorded 19 -May -1999 1999-0021268 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. DELBERT HUNSUCKER & CANDICE HUNSUCKER BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMrr and CERTIFICATE OF OCCUPANCY 16 SHARP ROAD MAILING ADDRESS OROVILLE, BUTTE, -CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER ffaLso property owner, write 'SAME") MAILING ADDRESS CRT COMM SrXM UNIT DESCRIPTION 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 99-0867 (530)538-7541 BUILO G P TELEPHONE NUMBER 5118/99 SIGNATURE OF LOCAL AGEN(Z)VfPCfAL DATE NONE DEALER NAME (dnot a dealer sale, write *NONE*) DEALER LICENSE NO. SKYLINE 1978 BUDDY MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER 0344A/BL 60'X 24' CAL07686/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNGULABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #068-160-090 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY-HCD PINK -Applicant GOLDENROD -Building Dept LEGAL DESCRIPTION A.P. #068-160-090 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A, AS SHOWN ON THAT CERTAIN PARCEL. MAI', RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 18, 1975, IN BOOK 53 OF MAPS, AT PAGE 66. BUILDING PERMIT NUMBER: 99-0867 Address or location of unit: 16 SHARP ROAD, OROVILLE, CA 95966 Legal Description of Real Property: A.P. #068-160-090 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: DALBERT E. & CANDICE HUNSUCKER Owner's address 16 SHARP ROAD, OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: CAL070686/7 SERIAL NUMBER OR V.I.N.: 0344A/BL MANUFACTURER'S NAME: SKYLINE YEAR: 1978 OFFICIAL APPROVING INSTALLATION: DATE: 5/18/99 PHONE: (530) 538-7541 H.C.D. 513C f 97-032020: & I aa=mrgtod eamwwa Un;62-3 WW 099110"1 Recor" : P" 22..0000 L09A Oft C.Omty at I Cb4mmk 19,90 WHM VACOMM taxa ft &Att* CEUMr ANO COME MMCKM =0 DALY AVENUE 27-Auo-A" I Evve vs I OFCVNAE; CA OSM !MMS TABS SMATOOM M. 80CUMEWARY IPA%WM YM *a —i ap+ comemlow a gem am bw CE "madomm — —,d Oft OPAWT OM FM A WANALE OPOMMMK —00 of WM ft MMy mftmft*K POW T. MM;F. 41L 00 CTOM A. RMOV. lutIt EN W "Of Gwen" ft GUMM L NWWJCIM WW CAM= L MAMMML hwbmnd OW of m AOW TOMOO PAR= A, AS 10.10 111 1 ON IMT CENTAN PAMM MAP. RECORD® 0 TM OfiFiG7E Of TIE - " M M ER OF IM COU TT OF VJrM STATE OF CAUFOPOIK ON WWIIL IPM 0 S= 13 OF KAM AT P" OL Ker"IT 1. mumuh. JK a�sr� 'a0 6- -Ili 7=--l-e Aummt 25 1997 VTNTMA A RWW,"3c - r - RMIM ftMEi 4.. m ow pmmd 0 fm on ft Wb W 91101 fury ekfA warp" ov fanpauqpd ftmompawmang amomm a ff*tm~ oAwftw amooffto. OV ow w gvuwm 0% " v4v~ VA c I I cwwawm wm imp . fANUA Ow ONOW40 sd@4 smadw to M w"'E" V.0 me mm a"L MHK—IdS— l y'yts 1 J • r� r • •. • � • •.•.•..... STATE UP E:ALIVUXNIA • SUIN"t'"t 11u►Nertm I A 11VN ANN MNW IHI/ At�N1:Y Ali OI DEPARTMENT OF+10U91N0 AND COMMUNITY bEVL°LOPNIENT DEvlafgn of and Standards Title SMMh r Bate Printz d : 03/45/98 Use Code: sFD Decal ##: LAV8681 original Price Code: AEK I`r =facturer: SKYLINE Rating Year: Tradename: BUDDY Tax Type: LFT Model: Last ILT Amount: Manufactured Date: Date ILT Fee Paid: Registration Exp: ILT Exemption: NONE Fitt Sold On: 10124x/8 FTUD Label /Insignia Length Width Serial Number 60, 121 0344AL CAL -07068612, 0344BL CAL070687 600 Record Conditions: Voluntary Conversion to LPT Registered. Owner: DELBE RT E HUNSUcXER t.,ANDICE HUNSUCKM JTJEIS 2600 DALY AVE OROVIILLE, CA 95966 Last Title Date: 06/13/94 Last Rei; Card: 06/13/94 Sale/Transfer Info: Price 521,300.00 Transferred on 03/31/94 Situs Address: 2600 DALY AVE OROVILLE, CA 95966 Suva Coaaty: lavrrE Legal Owner: MAVIS MUNKBRS 2470 ALICE AVE OROVILI,E, CA 95966 Lien Perfeeted On: 04/1819412:00:00 Inactive Decal/DMV: DMV. SL3798 •** END OF TITLE SEARCH •*« 13 STATE OF CALIFORNIA ®rIA111cfBUSINESS, TRANSPORTATION AND HOUSING AGENCDEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDSREGISTRATION AND TITLING PROGRAM STATEMENT OF FAC'T'S This* unit is a: Z Mobilehome ® Commercial Coach ® Floating Home ® Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) 1-.4v eeel J 1k9,1U� ayavy b3gV e- I/We, the undersigned, hereby state: l):'e-.4 cs I -es 7. I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We. certify under penalty of perjury that the foregoing is true and correct. Executed on �'L!'S at Deoy"e- C- -C - - (Date) A (City) (State) Signature(s) Printed name(s) ,Uf.z Cv�dNS�lcic E2 t , Address / L11� Ci-- . State HCD 476.6 (REV 9/91) DECAL (LICENSE) NUMBER(S) SERIAL NUMBER(S) TRADE NAME LAV8681 0344AL 0344BL Buddy SECTION 1. CERTIFICATION OF MISSING TITLE The original HCD Certificate of Title or DMV Ownership Certificate (pink slip) was: ® Lost, ❑ Stolen. If the title was lost or stolen after receiving it from a party other than the Department, enter the party's name here: ❑ Illegible, ❑ Mutilated. A mutilated or illegible title must be surrendered to the Department. ❑ Not Received from the Department. This box can only be checked by the Legal Owner of Record (lienholder), or if none, the Registered Owner of record. I/We certify under penalty of perjury under the laws of the State of California that there are no liens against this unit other than those shown on this application and the statements made on this application are true and correct. I/We agree to indemni#i/ and save harmless the Director of the Department of Housing and Community Development for any loss suffered resulting form the issuance of said duplicate Cartificate of Title. Executed on 5-6-98 Signature at Oroville, CA Printed Name of Person Completing Certification SECTION 2. RELEASE OF OWNERSHIP AND/OR INTEREST 1 A. RELEASE OF REGISTERED OWNER RELEASE DATE ► B. RELEASE OF REGISTERED OWNER RELEASE DATE 9 C. RELEASE OF REGISTERED OWNER RELEASE DATE ► 2 A. RELEASE OF LEGAL OWNER (UENHOLDER) RELEASE DATE ► B. RETENTION OF LEGAL OWNER DATE ► Q ASSIGNMENT OF LEGAL OWNER DATE SECTION 3. DEALER'S RELEASE OF ACQUIRED UNIT 3 A. NAME OF DEALER 10 B. RELEASE OF DEALER No SECTION 4. NEW REGISTERED OWNER SIGNATURE(S) DEALER NUMBER RELEASE DATE 4 A. NEW REGISTERED OWNER SIGNATURE K this transfer Is the result of a sale, the sale price and sale ► / date must be entered below. li NEW REGISTERED OWNER SIGNATURE PURCHASE PRICE 10. HCD 480.4 - Side 2 (REV 121" PURCHASE BUSINESS, TRANSPORTATION AND HOUSING AGENCY a?A TRIAiS COOS .DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DEPARTMENT USE ONLY STATE OF CALIFORNIA i'': m `f8=nCKEMR DIVISION OF CODES AND STANDARDS REGISTRATION AND TTiUNG PROGRAM APPLICATION FOR DUPUCATE REGISTRATION CARD McMdachm Trade Neae Manuledurw Model Hamm or f ILT Exemption Skyline I 1 DEPARTMENT USE OMLY DECAL f f r3a Dab First Sold New 102478 DECALWCENSE f MANUFACTURER SERIAL NUMBER(S) HUD LABEL OR HCD INSIGNIA f LAV8681 o344AL CAL070686 0344BL CAL070687 DEPART29M USE ONLY USE CODE EXPIRATION DATE TAX TYPE OR1G COST CODE R CLERK'S INITIALS ILT EXT LPT PPT t PPF RF RECEIPT NUMBERS) RECEIPT SATE(S) [IT Registered Ownor(a)+• [print true "ar"e(a)l Law Hunsucker First Ykk" Delbert E vEN t PEN 2 : Hunsucker Candice r TRF i DUPT Current Mailing Address Street 16 Sharp Road DUPR SUeo City Coup Stats MP Oroville Butte CA 95965 CONF Future Mailing Address (v dM - - men above) Street 16 Sharp Road REPO RREG city County Stab ZIP Oroville Butte CA 95965 Rs Situs (louuon) Address of unit Street 16 Sharp Road PLT city County Stab ZIP Oroville, Butte CA 95965 SIT IlTP R Legal Owner pieefald IP" true aeaie(e)J None MM CCP Mailing Address Street city stab ap First Junior Lienholder (Pew krue _104) None Mailing Address street city state zip Second Junior Lienholder (Prkd erre ti@ None Mailing Address street city Stab zip Mobilehome Park Perk Thaw Operator Name I/We certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that the registration card has been: W Lost, U Stolen, U Mutilated, U Illegible, or ❑ Not Received Executed on 5-6-98 at Oroville, CA (0110) (CRY) — (� Signature of Applicant 1 J r/,4 MCD 4412 (it" v �y RESIDENTIAL 036-08-1-026 91-4226 ! U'REN, GARY CONTR: UNKNOWN 2461 OAK KNOLL WAY, OROVILLE MH UTIL i • r OFFICE COPY s j Address GAS Meter ByDat— ELECTR' Meter By Date JOB FINALE Signature k 4 i V=OK r ) O = Not OKNot A Fv I = Not Readyable MOBILE HOMES Date MOBIL.E40ME UTILITIES (Plans) OK except #'s Zoni Requirements -Setbacks -Easements oils 'pecial MH Support Sketch e�ocation-Test-Fall-C/O Concrete 4__4__Wa r'Location-Test-Easement Needed (Sketch) Electricity; Location-Clearence-Grncl, /Amp -Concrete 6. Gas. Location -Test -Wrap: , "L"ft. �• "Nat. or/' /"L"ft./ /' PG rance & Disconnect ility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s f ,11.-Zoninq Requirements -Setbacks Easements I i8'Gas,'_MH Test-Demand-Valve—Connector 5,,Ore-ctricity; MH Test -Crossovers -Breakers -Clearances MH Test -Fall -Flex Connector , .—Water; MH Test -Regulator -Connector ateyand Sewer Connected -C/O to Grade -HD Approval as a d -Electricity Tagged xits; Insp.-Sketch ert. of Occupancy Dat - C:Card B= Z Date Card B-1 Date Card B-1 Date Card B-1 110 4 U & 111`L_ MISCELLANEOUS. Date DECKS, COVERS, CARPORTS, GARAGES, (Plans) OK. except #'s 1. Zoning Requirements -Setbacks -Easements i 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. 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. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDI~RFLOOR (Plans) OK except ti's 11. 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 -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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------- --- --------------------------- 17. Water Pipe; Test & Anchor -Nail Protection -------- --- -------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --------------- - ------------------ 19. Shower Pan: Test, First Floor -Tub Access ------------- -- ------------------------- 20. Test -Tub & Shower. -Second Floor -Tub Access ------ ---------------- -------------------- 21. Gas Pipe: Size & Anchors Date Card B-1Date Card B-1 ------------------' --------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti'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. ---------------- 26. Equip. Ground made'up w/Mech. 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 At ------- -------------------------- ----------- --------------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes No -------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- - --------------------------------------------- 31. -Equip. -Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ----------------------------------------------------------------------------------- 33. Smoke Detector ------------- -- ---- -- ----- - ---- ---- --------------------------------------------- Date -------------------------------- Date Card B-1 Date Card B-1 - ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti'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-1--15-outlet- ---- --- ------------------- - ------- ------ - 38. Attic Access &Platform if Furnance in Attic ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------- ------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti'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 Walls (rat proof) ------------------------------------------------ ----------------------- ----- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------------------------------- -------- 44. Headers & Beam -Size & Bearing ./ jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Bra c-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 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 -Walls -Ceilings 60. Infiltration -Walls -Windows - -- - ----------------------- Date Card B-1 Date Card B-1 --- ---------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK exceptg's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------- --- -------------------- 62. -- Smoke Detector -- --------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. 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 -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;'.-1 nsu lat ion -Foam -Looked in Attic ❑ Yes - - ---------------------- 78. Guard Rails & Deck Construction -Post Caps ------------------------ 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes ------------------------------------ -------- 80. Followinginstld.; Drive 0 Yes 0 No: Walks 0 Yes 0 No: Planters ❑ Yes ❑ No ------------------------ 81. --------- ------------81. Stucco: Brown -Finish ------- ------------------------ - 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plb A liance-Fire lace. -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. -Correction - - sfrom 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 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: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0.�/' ye'� Address or location of ^mobilehome �(/ . if`/_ . L Owner's name Owner's address Insignia or hud number Id L �nT Manufacturer's name Serial number of V.I.N. nstallation Year of manufacture: (Date) IF THE 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. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humbol�.t Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. (C r-114 /Z. , ) T�r� r fvr s -T` 15-0- Date Inspector REV 11/81 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Cetlter Drive - Orovllle, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. % (/ ASSESSOR PARCEL NUMBER 36-081-26 ZO t2__� BUILDING PERMIT OWNERt GARY WREN T LE HONE 521-2148 SO. FT. OCC. BUILDING VALU -�I OWNER'S MAILING ADDRESS 6685 IRWIN AVE OROVILLE CONTRACTOR'S NAME UNKNO14N TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 7_71LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL I DDRE55 OAK KNOLL WAY OROVILLE Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 to 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 sewer15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ RemodeI ❑ Utilitieso nstallation Ui ther ❑ Describe work: Z _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200A 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 ❑ 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 -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.�\ OR ACDNS, ( ACC. BLDGS. // 3.6Q sq.ft. NEW CONSTR. MULTI -OUTLET NO N•RESID BRANCH CIRCUIT S IRC ITS @ 5,00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED PR Ex. Occup. OUTLETS IRESID,)EAJ I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. Wiring g '15.00 +_ I Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 againsts d County in consequuence of the granting of this permit. Date I PI I. -7/This siSignature of App licanr – Owner �—y g L� 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 $ 7n n Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE 5.0 I HA2 D P F CD&01 >RtEL J P?,-+P sS permit is hereby issued under the sions of the Butte Co my Code and/or work indicated Po for which fees DIC I O PU LI By 4nDate PER IT EXPIRE§ aate applicable provi resolutions to do have been paid. WORKS lv"� Receipt No. 103527 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT y f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE\OROVILLE, CAL;EORM 95965 - TELEPHONE: 916/538-7541 PERM ITIAWLICATION DATA SHEET t",�/ / OWNER Proposed Building UseBuilding Permit No. �. A P. No. 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 APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ....... . t 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) VI :0--9vlobilehome installation data including manufacturer's installation Instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .......................... _ 1. ad -12 School District fees paid .............. /b 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization . ......... *6. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date.�P� 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 prior t per . issua ce: (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_—Mailcount r by .date Contractor, designer, owner, was advised of above required data by—phone—mall—co ter by date Plans checked by Date Plans approved by Date < Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER/�/ V A.P. NO. PROPOSED BUILDING USE /'/ DATE ( Z- / REC. # DATE REC (/ 1. School Distric Fees 6�yU, ��Lc / (paid at.District Office) V 2. Sheriff Fees (paid at Building Department) Residential ......... X =$ 3c0 �— 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 �� DATE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 959,65 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ' 8i— Z(p ZONING BUILDING PERMIT OWNER TELEPHONE 5Z/-ai Ild SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAI LIN ADDRESS 6 6 �s nl lrc� U 9 CONTRACT R'S E I� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Lot:�;, Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AODREs�,^ �/ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 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[] MobilehomeC% Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 @ 15.00 TYPE OF WORK New 71 Addition El Relmodel❑ Utilities C] Instaliation[� Other[] Describe work: Permit Fee $ Contractor Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 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 ❑ - I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.h\ OR ADONS. ACC. BLOGS. // 3.6A sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS 5•�� POWER APPARATUS e (SINGLE OUTLET CIR. Ex.Occup(OUTLETSORFIXTURES 20 76d FIXED Ex. Occup. OUTLETS PIRESID IRE A.� j 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 I 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 in consequence of the granting of this permit. X Date 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES S� HAz 1 11 FEES I IMP I FLOOD I COf I PARCEL PD HD ISSUE : This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date t NO. 16352 Receipt WHITE•D.P.W.. YELLOW-A7eE73OR. PINK -INSPECTOR. GOLDENROD -APPLICANT MOBILEROME SUPPORT. DATA / If other than single wide, Mob ilehome Mfr.1_ `furnish Setup" Model No. Year '�_ I Width 7 (ft.) Box Length_Z L) (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check oneEBI_ Wood-pressure treated or foundation grade. El 2. Other (specify) SUPPORTS (check one) 1. Concrete block. F1 2.. Other (specify) Pier Footing Sizes.and Locations SINGLE -WIDE MULTI -WIDE Line I Line I Line 2 _ _ _ in B— eams — — _ — — Line 2 _ _ _ _ _ _ _ _ _ — — _ — _ Maio Beams — — — — — — — Tag or Triple Line 1 Piers: Line 1 Openings: Size -Min. ------------ • Size -Min. ------------------ "x „ Spacing -Max. --------- , Each Side of Openings From Ends -Max --------With Width Over --------- " Line 2 piers: Spacing-May..-�_------ ,_ n From Ends -Max .------- Line 3 Roof Loads: Size-Mio.------------ Location (From Front) Line 3 Piers: .(Under Bearing Wall Only) Size -Min .------------------- ,k Spacing -?tax.--------------- , From Ends -Max .------------- Line 4 Piers: Size -Min .------------ ,k Spacing -Max.--------- , From Ends -Max .------- „ Size-Min------------- Location (From Front) Size-Min.------------------ „� n Spacing -Max.--------------- From Ends -Max .------------- a89LDNVG DEPARlM" It BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS , 7 County Center Drive, Oroville, CAt PHONE: 538-7541 t �, MOBILEHOME INSTALLATION SHEET 1. Owner's Name: r / 2. Installer's Name: 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 clear of all setbacks and easements? Yes F11 No F (If no, clarify w 5. What is the mobilehome electrical rating? --------------- �Amps r 6. What is the mobilehome site service rating? ------------- .7 Amps 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 No (If yes, identify the load and size: (Load) (Amps 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas'demand?---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) N (BTU) BUTTE COUNTYSCHOOLS DEVELOPMENT'"'FEE CERTIFICATION FORM a. (One Form per Buildipg) A. P. Number ` DOS "r . Building Department No. School DistrictJA `G���ri Cit yA County PQ Jurisdiction Property Owner Project Location/Address Subdivision Residential Development: # of Living MHI Units Commercial/Industrial: ,Building Depart ******************** (Floor Plans A Lot Number El Sq. Footage Addition (Group R) u Sq. Footage New Addition (Including Exterior Roofed Areas) t - resentat (Z I-4?/ Date r reviewed by School District Personnel) . District Id No4�-�z. School. District certifies that V i/n _ ` plicant Name Street ess) ..i Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. r9 -70-6(o by thWpa ment of $ 9.14 0 representing 9�'� square feet. School District Reprtsentative Date PAID BY CHECK NO. REMARKS: BANK NO �l - //off / 0 PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) AP fir` --cam A b — 02 4 OWNER PERMIT MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size OtherPipe Load T e Size Length YES NO ES NO �o lA— N, f = `31 `, `:<S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 918-'538.7541 APPLICATION AND PERMIT PERMIT NO. A63E3EOR PARCEL NUMBER 36-081-26 ZONING BUILDING PERMIT OWNER GARY U'REN TEL P ONE 521-2148 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6685 IRWIN AVE OROVILLE CONTRACTOR'SNAME _U*KN6WN3— TELEPHONE CONTRACTOR'S MAILING A DRUS S� 94—RATU­ Fireplace CONSTRU TION LENDER WN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS OAK KNOLL WAY OROVTLLE Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 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 @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation[] Other ❑ Describe work: MN �T _ Permit Fee $ 60-00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18-50 18.50 Main service 200A TO 1000A) 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 ❑ 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) Q� 1, 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.&\ ACDNS. ACC. BLDGS. / 3.6Q sq.ft. NEW CONSTOR LE NO N.R ESID R BRANCH CMULTI*OU�IRCTI TS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2076 FIXED APPLNS. Ex. DCCUp. R OUTLETS ((RESID,IEA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.00 Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE 1 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. C� 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 FiIIng Fee 15.00 Heating Cooling Hood 6.50 Ventilation penult 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 Id County in consequence of the granting of this permit. X ��-- Date 12fC , �? . �/ Signature pP l� Controctor ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL fZE $ HAz I DFEES IMP FLV CDF I PARCE D• HD Issue/ r/ This permit is hereby issued under the sions of the Butte County Code and/or work indi abov which fees IOF PUBLIC ByV�W� PERNTITIkPIRES Date applicable provi- resolutions to do have been paid. WORKS Dto % 3/ yy Receipt No. 103527 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS , 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE 12-11-91 GARY WREN RE: 91-4226 6685 IRWIN AVE OROVILLE CA 95965 A.P. # 36-081-26 With reference to the above subject: L1 Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plana Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER L1 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans -in including plot plans. Plot plans in + Structural details in Complete plans and calca in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 Co4nty Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded.copy of deed showing Parcel legally created Recorded.copy of agricultural acknowledgement statement. L1 OTHER Should you have any questions concerning the above, please contact Jim Glander of this office. Yours very truly, JFG/a j William Chaff Director of Public Works .F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTME, T OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OR9VC(. ILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 t,..... I PERMIT APPLICATION DATA SHEET Permit No. OWNER 441 A. P. No. 131!�, — Proposed Building Use Building Inspector XQ Date Z g ✓ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District f s paid .............. _ 14. Sanitation approval from /� Health Department zz2 1 15. City of Chico plumbing permit ..................................... '-P, 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 7- 20. Pre -Inspection for required ... Pre-Inspec. equestto Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... _ 24. Recorded copy of Agricultural Acknowledgment Statement ......... 1431 92 Gc) Letter of signature authorization ............... .......... t, /P A �[cQ 735? tioSoo� of / zap �c Q�� 27.% S•ab When you issue the permit, process as follows: —Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl ica Date (mac . tel,`// 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 prioro rmit ' su nce��cle n ite not checked above). 1. Index permit for above items No. X�� 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date C/ Plans checked by Date Plans approved by C2-4 _<z� Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance / l' Z �� i Da � k�)1� G� �� - o el -2- T owner location Driveway permit !�l s '� has been issued for the above property. date si ature COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBE R ^� ZONING BUILDING PERMIT OWNER\y'J( /� /U TE PHONE SZ YI SQ. FT. OCC. BUILDING VALUATION A,., OWNER'S 6MAI LI G ADDR.,55 85- W /,A) 4 �`/(/•/' VE CONTRACT R' A E/V Ty„ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 2D•m0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS D /J C Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 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�q Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home api J_ @ 15.001 (Do TYPE OF WORK New❑ Additionf] Remodel❑ Utilities Installation❑ Other[] Describe work: /(A�IAVl I I I Permit Fee $ 6 0.O0 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS OR LESS 18.50 . 5-7"200A Main service 200A TO IOOOA, 37.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury ) P I y (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 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 ACDNS. l ACC. BLDGS. lI 3.64 sq.ft. NEW CONSTR. MULTI -OU NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76d A FIXE17I, Ex. Occup. OUTLETS PRESID IREA.) 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 /rj - C>C> Misc. Wiring 15.00 t Permit Fee $ 5-0 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 c; 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 FiIingFee 15.00 Heating Cooling Hood 6.50 I Ventilation Permit Fee $ LContractor 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 Date 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 S Ener Inspection Fee $ Energy P OCC CONST TYPE 1TOTAL FEES 0 I HAz DFEES IMP I FLOOD CDF I PARCEL I PD I HO I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. fU� WHITE-O.P.w.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLOENROO-APPLICANT r r Ret6- to DPW AGRICULTURAL STATE` NT OF ACKNO'.1LEDGEMIT �-� FOR RESIDENTIAL DEVELOPIONT Section 26-8.1 of the Butte County 'Code ' requires this acknowledgement be recorded prior to issuance of a building permit. 92-004288 1 Rec Fee The property described herein is adjacent 1 Cash to land or included within an area zoned Recorded I for agricultural purposes, and residents Official Records I of this property may be subject to incon- County of I veniences or discomfort arising from the Butte I use of agricultural chemicals, including, Candace J. Grubbs I but not limited to herbicides, pesticides, Recorder I and fertilizers; and from the pursuit 11:58am 31 -Jan -92 I PURL XX 8. 00 8.00 2 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 real property situate in the County of Butte, State of California, described as C ollows: SEE ATIMMM LEGAL Date: 1-3/-9Z State of CA ) County of BUTTE ) PROPERTY OWNERS: On this the 31st day of JANUARY 1 19 92 , before me, the SS. undersigned Votary Public, personally appeared ' . .2 J F1 Personally known to me. Proved to me on the basis 0FE' CIALSF:AT, of satisfactory evidence. ` K. VANES to be the person(s) whose name(s) Ly��. . `- NOTARYPUBLIC- CALIFORNIA subscribed to the within instrument and acknowledged that r;% BUTTE COUNTY executed the same for the purposes therein contained. IN W ! . ESS :oN•� PAY Comm. Expires Jure20.1994 WHEREOF, I hereunto set my hand and official seal. Present A.P. No. / - Notary Public v'� .J 1 V a v . v EXHIBIT "A" U' Ren to * U'•Ren The East 70 feet of Lot 4 as shown on that certain map entitled "Stormes Subdi•,v,i,sion,No. 2", which map was filed in the office of the Recorder of the *Couiity of Butte, State of California", July 11. 1950, in Book 18 of Maps. ,at Pa.aes 24 and 25. The Basis of Bearings.for this description is the same as shown on.. said "Stormes Subdivision No. 2". Together with an easement for sewer line purposes 10 feet in width tying Northerly of and adjacent to, running parallel with the Southerly line of said Lot 4 from the Easterly line of Oro -Bangor Highway to the Westerly line of the herein described parcel of land. Said easement is appurtenant to and shall inure to the benefit of the Herein described parcel and applies to any heirs or successors. It shall include the right of entry onto said easement for the purpose of construction, repairing, replacing, maintaining and inspecting said sewer line. 1AN0 L : 0 ,,,tom No. 445 J - s 30-9 i l : `f OF CAVA* END OFDOCUMENT r K� C BUyG EQ#,ID JAN 3 a IM RECORDING REQUESTED BY Gary U'Ren AND WHEN RECORDED MAIL TO Name Gary U' Ren 6685 Irwin Ave. Strut Address Oroville, CA 95966 city a State L A.P. #36-08-1-10 . 1 91-031916 I Rec Fee I Check Recorded I Official Records I —j County of I Butte I Candace J. Grubbs I Recorder I 11:14am .5 -Aug -91 I SPACE ABOVE THIS LINE FOR RECORDER'S USE Deed of Gift 9. 00 9. 00 X 3 This Deed, made the ...... Sev.ente.en.th............................................ day of ... July ........................... one thousand nine hundred and ........Ninety.. One ............... Between ...Glary.. R....U' Ren -and. Mar il.l.a..U'.R.en,.. husba,nd..and wife as .joint -tenants ..................... ............................... ............................................ ............................................................................................................ . Grantor Ii and ... Gar.y..U' Ren,.. the.ir..s.on..a ..s.ung.le..man...................................................... ............................................................................................................ ..................................................................................................... . Grantee Witnesseth: That the Grantor, for and in consideration of the love and affection which ........ they ...... have ... for the Grantee, do ....... by these presents gift, give, and grant unto the Grantee, and to ...... his... heirs and assigns forever, all .................................................. ........................................................................................................................ I!'i th at ... certain It ........ piece ........ 4z#* #dl ....... of land situate in the . unincorporated i area.................................................................... ......................... County of ...... Butt.e...................... State of .... California ............. ISI and bounded and described as follows: I See Exhibit "A" attached hereto and made a part hereof; IkAND 6�3G.c:^ :� I `1pql� CA i Together with the tenements, here itaments, and appurtenances thereunto belonging orappertaining, and the reversion and reversions remainder and remainders rents issues and � , profits thereof. ISI To have and to hold the said premises, together with the appurtenances, unto i the Grantee, and to ..... his.... heirs and assigns forever. ISI This document is only a general lorm which may be proper for use in simple transactions and in no way acts. or is intended to act. as a substitute for the advice of an attorney. The printer does I l not make any warranty. either express or implied. as to the legal validity of any prowswn or the suitability of mese forms in any specific transaction. i _ -- d'—rn—_...r4 V. 1 A) 1 —0 19 '4 V In Witness WhereOf the Grantorsha ve ........... hereunto set ..... their ................. I s..... the day and year first above written. Signed and Delivered in the Presence of 4-4 0 STATE OF CALIFORNIA COUNTY OF ... pq��e ................. ss, Cary R..7 ariiia L N On this ....... 5th .............. day of .......Ault ................... in the yeai:;i **1991**......................................................... before me, ..... ...... Bever1J. Green :.i ..... ........ I . v ................................. a Notary Public, State of California,,:! duly commissioned and sworn, personally appeared - ."Gary.R... U' Ren ......... j. and . .... Ren** ........................ * .................... .................... personally known to me (or proved to me on the basis of satisfactory evidence) to be'il the person ..... whose name.. S ............. I ....are.............. ..... ...... id subscribed to this instrument, and acknowledged that ..... t.. hey....... executed it'. IN WITNESS WHEREOF I have hereunto set my hand and affixed my officiali!! sealin the ............................................................... . County .............. j3ut.tp . .............................. on the date set forth above'! I in this certificate. Notary -public, State of Californik:1 91-JI�Ib EXHIBIT "A" U'Ren to U'Ren The East 70 feet of Lot 4 as shown on that certain map entitled "Stormes Subdivision No. 2", which map was filed in the office of the Recorder of the County of Butte, State of California, July ll, 1950 in Book 18 of Maps at Pages 24 and 25. . The Basis of Bearings -for this description is the same as shown on said "Stormes Subdivision No. 2". Together with an easement for sewer line purposes 10 feet in width lying Northerly of and adjacent to, running parallel with the Southerly line of said Lot 4 from the Easterly line of Oro -Bangor Highway to the Westerly line of the herein described parcel of land. Said easement is- appurtenant to and shali inure to the benefit of the herein described parcel and applies to any heirs or successors. It shall include the right of entry onto said easement for the purpose of construction, repairing, replacing, maintaining and inspecting said sewer line. 1AN0 ��p •,...... lid 94 ; O ;U rn J,•••• 6.30-9�`.•' Q, E Of END OF DOCUMENT PERMIT NO: 3-92 Lake Oroville Area Public Utility District 1960 Elgin 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: January 17, 1992 Applicant: Gary R. U' Ren Applicant Address: 6685 Irwin Ave., Oroville, CA 95966 Applicant Phone No.: 521-2148 Property Location(s): 2461 Oak Knoll Way 3:tQrus Subd. Vo. 2—a A. P. 0:36-081-10 FQV�� 11:11 IX ffo-was"UNITIM Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: M Lake Oroville Area Public Utility District release to close permit: Date: By: a'0 0 0 of �®dry a//shC?11,6 ease�e�� Sho Ret rn to DPW AGRICULTURAL STATEMENT OF ACL OWLEDGEMENT - FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded T - - — ---" prior to issuance of a building permit. 92-004288 The property described herein is adjacent to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 11:58am 31 -Jan -92 92-04288 Rec Fee 8.00 Cash 8.00 PUBL. XX 2 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 real :property:"`situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL Date: 1-31 -yZ State of CA ) County of BUTTE ) PROPERTY OWNER S : / J LCL/ On this the 31st day of JANUARY , 19_92 , before me, the SS. undersigned Notary Public, personally appeared F] Personally known to me. K] Proved to me on the basis � e�U OFFICIAL of satisfactory evidence. UNf:k EE to be the person(s) whose name(s)-CALIFORNIA subscribed to the within instrument and acknowledged thatUNTY executed the same for the purposes therein contained.IN W ESS June 20,1994 WHEREOF, I hereunto set my hand and official seal . Present A.P. No. 36- pct_ -oz6 _,J 77 Notary Public A2-04288 EXH_TBIT "A" U-' Ren to U' Ren The East 70 feet of Lot 4 as shown on that certain map entitled "Stormer Subdivision No. 7.", which map was filed in the office of the Recorder of the County of Butte, State of California, July 11, 1950 in Book 18 of. Maps at Pages 24 and 25. The Basis of Bearings for this description is the same as shown on said "Stormer Subdivision No. 2". Together with an easement for sewer line purposes 10 feet.in width lying Northerly of and adjacent to, running parallel with the Southerly line of said Lot .4 from the Easterly line of Oro -Bangor Highway to the tdesterly line of the herein described parcel of land. Said easement is appurtenant to and shall inure to the benefit of the herein described parcel and applies to any heirs or successors. It shall include the right of entry onto said easement for the purpose of construction, repairing, replacing, maintaihling and inspecting said sewer line. ��� ••►J+ND.. sli 4'2. �vp L O'9 •'�G�� o V17 No. 40?5 "? J, �•• s -30-g L •' Q, l'4N�_ Of CAUF'� END OF DOCUMENT END OF DOCUMENT Ll 0;i . . . . . . . . ... . . ... 0 . . . 0 . . . . . . . . . . . . . . . . !� I . . . . . . 7.0 " --:--> - , I . o... ITE PLAN I � . . . 0 0 . 0 0 0 0 .. .......... . . - . . . !,- - . . . . . . 70 . . . . 7 . . . . . .. 0 . . . . . : . . . . . . . . . . . . . . . - .7 . . . * , -, * , ,70- : : : : 0. : z : : : : : : 4 . : . -: . 0 . . . . 0 . . . . . . ...... . . . 0. ; . 0 . . . . � 0 . . . . ; . . . 00. ; . . 0 . . .� . . . . . . . . . . . . !0 . . . . . . . . 0 . . . . . . ....0 . . . . . I . . . . . . : . 0 . . . . . . . . . 0 0 .0 . . .. - 0 - - - - - : : : : : . . . . . . : . . . . 0 . . . . . . . . . . . . . . ; . . . . . . . . . 0 . . . . . . . . . : . . . . . . . . 0 . 0 . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . : . 0 . . . . . . : : : : : : : : : : : : : : : . : : : : ;: . : : : : : : : : : : : : : : . . : 0 . 0 0 . . -0 . . . . . : . 0 . . . . � . . . . . . . . . . 00 : : : 7 * I I I I � * I I * 0 * : , I 0 * . 0 . . . 0 . . - * I * * I * i . . . /. 0 - . . . . 0 . . I . . . . . . . . . . . . . . . 0 . . . . . . . . I . . . . . . . . . . . . . . 00 . . . . . . . . . . . . . . . 0 . . . . . . . . 0.00 . . . . . . 0_ : : : : : : : : : : : : : : : . . . . . � . . . O.. : . . . . O.. : : : : : : : : : : : : : : : : : : . . , * I I I :0 , , - : , * * * , '7 . . . . * .. . . . . . . : '***, �* * , * , * : , * * , , ":, * , , 0 , � . . . . . . : , * * * , ,7 0 * * . 0 . . . . � . 0 . . . 0 : . . . . . . 7 . . . . . .. . . . . . . . . . 0-7 . : : . . 4- 0 : : I : : : : : : : : . . . . : : : : : : : . 0 . . . . � . : : : : : : : : : : : : : : : : : : : : : . : : : . . : : : : : : : : : : : : : : : f . . . 0 . : : : : : : : : : : : : : : , * . . . * ! * , * , , - . . . * , i , , * 0 . : . . 0 . * . . . . . . . . . . . . . f . . . . . . 0 . . . . .. . . . . . . f . . . 0 . ,0 . . . . . . . . . . . . ; . . . . . . � . . . . . . ; - - o . . . � 0 . . . . . 0* 0 : : : . . . . . . . � . . f I . . . ; - - 0 . . . : . . . . . . . * . . . . . . ; - - 0 . . . � .0 . . . ; . . . 0 - -, - - * . 0 0 . , . : : : , 0 : : . . . . . . : 0 . . : : : : : : : : : : : : : : v . 0 . . , - . . . t . . . . . . ! . . . . . . h 0 0 . . 0 . . . . . . * 0. : . 0 . . . . : : : : - - . I : : . . . : . . . . . . : 0 . 0 . . . : . . . 0 . : . . . . . . . . . . . . : : : : : : : : : : . . . : : : : . . . . - . . . . . . . 0 . . . . : . . . . . ... . . .. : .. . . . . . � . . . O.. ! . . . . . . : . . . -0 �, * * - - - ! * - - * * *� - 0 . . . �. . 0 . . . : 0. . 0 . 0 . . . . . . . : . 0 . 00 . . . . . . . . . . . . . 0 z . . . 0 . ... . . . . . 0 . . . . . . . 1 . . . . . . .. . . 0 . 0 .. . . . . . . : . . . 000 .. . . . . . . .. . . . . . ... . . . . . : - . . ... . . 0 . . .. . . . O.... 0 . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . 0 -.0. : . . . - - - : . . : : : : , : : : : : : ..0 . . . . : . . . . . . . . . . 0 ;0 . . . . . ; . . . . . . . : : : : : : : : : : . : : : : : : : : : : : : : . . . . : : - : : : : : : : : : : : : . . o e� : : : : : . : : : . : : : . . . . . . . : : 0 . . . 0 : : : : : : : : : ... . . . . . . . . : . . . . . . � 0 . . . 0 ....... : . . . . . . . . . . . : . . . . . : : . . 0 -Lo . . . 0 :...O.. : . . : : : : : : 11*11, : * I * I I I � . . . 0 - -0 . . . 0 : . . . * 0 *� * I I I * 7 I I * I I ! * * I 0 1 * r * * * I I � I I I I * I : I * I * I I � - I I * I I.* I I I * I . . 0 . . r . . . . 7 . . . . . I . . . . . 0 : . . . . . � . . . . . . .. . . 0 . . . 7 . . . . 0 . . . . . '90 * , * , , : 0 * , '� * . . . . � * . : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : 0700 ' * 7 ' ' * ' * : ' * . . . . � ' ' * * 7 * 1-1 I : I I . � . . . . . : . . . . . . � . . . . . . : . . . . . . : . I * r I * * * * �, * * I I I : I * I I I 11 0 * I I I � . . . . 0 * : * * * ' 0 0 � * * * * 0 -* *** '* : ' ' * 0 " 7 . . .. 0 : . . .. . .. . . . . . � . . .. . . : . . .. . . 7-00 � . . .. - . . . . . �-,o . . . . .. . . . . . . : . . . 0 . . . . . . . . 0 : 0 0 1 0 1 * 7 * 0 * I * �111000 : I I I I I 1� -11 �11111* : ' * .. . 070 ' * 0 * :' 0 .. * * : ' * .. ' '7 . ... * '.' * .. * ' : 0 ' .. * ' 7 * ..* ' " * ' ' * ' : 0 0 .. * '. "'0* - . .. . : . . . . . . . . . . . : . . . . . . . 0 0 . . . ! * * , , , 0.1 . . . . . �** . . . . ! '**"*f**'* �-,**! 0 * * -.1 * 0 0 " 0, *0 , : , * , * , '., . . . . " ** ** . . . . . . . . . . . . . . . . . . . . . . . . . . . f . . . . . . . . . . . . ! - - - - .. . . . . . . . . . . . � . . . . : . . . . 0 -� . . . . 0 Z . . . . . . ; . . . 0 - -*, 4 . . . 0 1 . . . . . . � . . . . . � . . . . . . ; . . . . . . � . . . . 0 ;0 . . . . . ; . . . . . . � -0-0- Z . . . . . . ; -.0 . . . ; 0 . . . . ; . . . . . I : . . . . . . �- . . . z . . . . . . .. 0 . . . . . � . . . . . Z. - 0- - 0 ; . . . . . 0� . . . . . z . . . . 0. ; . . . . . . � 0 . . . . � . . . . . 0 ; . . . . . . . . 0 . . . ... . .. . . ; 0 . .. . O'. -.0.0 : : .....J..-.......... !, ..... i ...... ! - * 101.1 - 0 i -II** -!**I ...... 0 .......... :. V ... : ... o. 0:ofi- . :. . . ... .. . . : : : : : : : : . . . 0 . . . : : �) - - - - - : : : : : . . . . . . : : : : : : : : : : : : : : : : : : : : : : : : : . . . . 0 . . . . . . . . . . . . . . : I : � - y * : : , : - : - : : : : : : I. : : . 0 - . : : : : : - : . : : . : . . . . '. . : . . . . . . . . . . . .IN,< . * . . . 0 , . : : : : : : : : : : : : : I : : : : . . . , - * � I 0 1 * * 0 : * I * * 0 *:, - - 0 .0 . . . . . . . . . . . . ! -: . . . . . . . 0 . . . . . . : . . . . . . 7-0 . . . � . . . . . . : .0.0 . . . . . . . . . . . . . I . : . . . . . . . 0. o . . . . . . . . . . . . . . . . . . . . . Y-17,/. : 0 * - * -0 . . . 0 0 :"**O,: '** . . . :, , , * * , '� . . . 0': . . .. * '7 , .. . . . . . .. : , *- . . . . . . . . I- . . . . 0 . . . 7 . .. . . .. . . .. . 0 . . . . . . . 7. 0 .0. .. 0 , * , 0 .* ,*"* -*o*** - * , 0 , * * 0*** . . . . . . . . . . . . . . . ! . . . . . -0.0 . " : : . : . .: : : : . * : : " : � : - : : - : : : : : : : : : : : : : : : - 0 1. 0 . : : : : . : 0 . . . -�- : : , - : : , : : - . : : : : : : : : : : : : : : : : : : : : : : : : : : : - : . . : . . . . . . . . f . . . . . - . . ..*. . 4z) i . . . - - : : : : . . . . . . . : : : :* : ,�4- O.. I . . . . 0 . . . . . . . . I . . . . 0 ,.0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . z . . . . . . ; . . . . 0.� 0 . . . 0 4 . . . . . . ; . . ..0-0 . . . . . . . . . . . . 0 . 0 . . . . . . . . . . . . . . . 0 . . . . . . 0 . 0 . . . . . . . . . . . . . . . I 0 . . . . - . . 0 . . ...0 .0 . . . . . . . - . . . 00 . . . . . . . . . . . -0.0.0 - 0 - - , : : : : : : : : : . . . . : : : : : : : : O.- - 0 I . . . . . . � . . . . . . . . . . . ; 0 0 . . . ... . . 00-�0-0-0*. 0 0 .0-4 . . . . . . 4-0 . . . . ; . . . . 0-: . . . . . 0 Z . . . . . . ; - - . . . . . . 0- . 0 : : : : 0 : : : : : : : : : : : ! : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : \3 . . 0 . . . 0 . . . 0 .... . . t . . . . . 0 . . . . . . : . . . . . . . . 0 . . . ... . . . . . : : : : - : - . . . . ..O.. j . . . 00. ! - . . . �. O.. . . . . - - : . . . . ;0 . . . . . I . . . . . . � . . . . . ; . . . . . . ; 1 . . . . . : . . . .. : . .. . . - ... - - : : . . 0 . . ..O.. .0 . . . 0 ; . . . . 0 . . . . . . . . . . . . : . . . . . ... . . . . 0 . . . . . . ; 0 . . . 0.�O. . 0 . : . . . . . . . . . . . 0 ; . . . . . . . : : : : . 0 . . . . .. . . ; . . . . . . . . . . . . .. . . . . . . : . . . . . ... . . . . . .. . . . . . . : . . . . . : . . . . . ;0 . . . . . ; . 0 0 . . . : . . . 0 . ; . . . . 0- - . . . . . . . . . . . . . . : 0 0 . . . . : : : : : : : : : . . : : . 0 . . . . .. -0 � . . . . . j . . . O.. z . . . . . .. 00 . . . . j . . . . . . % O.O.. 0. ..O. 0 0 0. . : : : : . . 0 : : : : : : : : : : : : : : : : .. . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . - - ... . : . . . . : : : : : : : : : : : : : : : : : : : 0 0 : : : : : : : : : : : : : : : . : : . : 0 . : : : : : : : : : - : : * 0 : : : . : : . . . . . . . .. . : : : . . . . . . : : : : : : : : : : : : : : : : .0 . . . : . . . 0 . . . 1. �: . . . . . . . . . Lo . . . ; . . . . . . . . . . . . . . . 0- . . . . . 0. . . . ..: . . . . . . I . . . . . L ..O.. ; . . . . . . : . 0 . . . OLO . . . . ; . . . . . . : . . . . . . . .011*10 : 0 , � . -.0.0. 1 . 0 . . . . : . . . . 0 . :0.0 . . . : . . . . . . . . . . . : . . . . . . : . . . . . . L ..O.. ; . . . . . . . . . . . . . :.. 0 . . . : . . . . . . . . 0 . . . . L . . . . . : . . . . . . : ..O.O * . . : : : : : : : 7,0*0, "o . . . 0 : "***,7,0", , � : : : : 0 . . : : : : : : : : : : : : : : : : . : : : : : : : : : : : : : : : : : : : : : : : . . . : : : : : : : : : : : : : : : : : : : : : : : : : : : : : . . . O.O.. 4 . . . : : : : : . . . 0. i 0 . . . . . : : : : : : : : : : : - . . . . . . . . ; . . . . . . � . . . . 0 � . . . . . . ; - - 0 0 0 4 . . . . . ... . . . . . 0 ; . . . . . . ; . . . . . Z.. - . . . 0 . . : . . . . . ; . . . . . . z . . . . . 0 ; 0 . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 0 . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ­ 0 . 0 . . . . . . . . ; . . . . . . :. 0 . . . . Z�o . . . . : . . . . . . : . . . . 0 0 z . . . . . . ; . . . . 0., : : : : : : : : : : . : : . : : : : : I : : : : : . : : : : : : : : . I * * , , , I . . . . . . . ! 0- . . . f- . . . I . . . . . . : . . . . . . 7 . . . . 0 : - - - - 0-: - - -- 0 -r --O-' : . . . . . . .. . . . . . - : Z- , , * , , , - , * * , I . . . . . . I * . . . 0 *1 . . . . . . - -f . . . . . � . . . . . . . . . . . . ; . ! : : : : : : : . . . : : : : . 1, : : : : : : : : ; : : : : : : : : : : : : : : : : : : : : : : : : : : : : . ��. 00- 4 :--� : : : . 0 . . , :. . . . . . . . . . . . 0. : . . . . . . : : - - - - 0 . . . : : : : : : : : : : : : : : .. . . . . 0% 0 . . . . :; . 0 . . . . .. . . . . . .. . . . 0" 0 . . . . . . . . . . . . . . . : 0 . . . . . . . 0 . . . . . . . . . . : . 0 . . . 0 . . 0 0 0 . ..0.0.0. . . 0 . . . . - 0 . . : . 0 . . . . � . . . . . ;. 0 . . . 0 ; . . . . . . � . . . . . : : : : : : : : : . . . . . . . . . : . . . .. ..... . . . ... . . .. . : . . . . . . .. . ... 0 .. . . . . . 0 : . . . . . .. 00. 0 . . .. . . . . . . % . . . . . 0,0 . . . . . .. . . . . . . 3 . . . . . . : .0 . . . : . . . . . . : . . . . . . 0 . . . . . . 0 . . . . . . . : . . . . . . � . ... - : . . . . . . ; - . 0 000 .. . ... . .. . . . . . . ; - 0 . . . . i -.0.. ... .. O.. : .. .. : . vi ... W, : : : . : : , : : : : : : : : : : : : : . � 0 , . . . . . . . . . , : : ,\� : : : : : : : : : : : : : : : : : : : : : . . : : : : : : . . . . . r . . -•-......._........................ - , . . . . . I . . . . . I . . . . . . . . . . . . . . . . . . < . . . . . . ; . . . . . . :-o . . . 4 . . . . . . : - 0 . . . . � . . . . . 4.0 . . . . ; . . . . . . .. . . . . . ! . . . 0 . .� . 0 0 0 0 .0 . . . . . . ; . . . . . .... . . . . . ; . . . . 0. ; - 0 . . . . ; 0 . . . . � 0 . . . . . . - - : : : : : : : : - . . * '., . . . 0 , " , * , , I : * * * , , *., * . . . . I . . . . . * : , 0 , * , 7 -- � 0 . . . 00 ! * , , * , 7 , , 0 * . 0 * - - .T : : : : : : . : : : : : : : : : : : : : : : . : . . . : : : : : : : : . : : : : : : : : : : . .. . : : : : : : : . : : . : . : . : - : : : : : : : : . - ,**-* -101- I **,.. 0 ........................ 0. . - . . . 0 ;-.0. ; . . . . . . *1 . . . . . . . . 0. ! . . . . . . 7.0 . . . �. .. O..... . ... � . . . O.. : .0. ...7 . . . 0 . . . . . . . . . . � i7o, 0 ** 7*1- ! ,****O� "I,* 7-- : *I,,",. : : : : : . . . . . . Ti tFo I . . . .. . . 7 . . .. . � . . .. . . : 0 0 .. . . 7 .00.. : : : ! : : . . . . . . . . . 0 . . . . . . . . . : : : : : : 0 i � : : : : : : .: : : -- )LAN APPROVAL : : : : : : . . . . : i: : :: . : : : : : : V -m : : : : : . � k,��LANNING DMSION - WILDING F ; ..... � ...... .....--.---•..............:.... 0.1 ..... ...... :*"",.*"*' * ... � ..... �- ... 0 : : . : : 0 . . : : . A : : : . 0 0 : : 0 0 . ... " 0 � ...... � .... 0 ;0 .... 0 ; ...... � ..... z ...... ; 0 ..... � ... 0.4.0 .... ; ...... � ....... 0 .... : .... 0.* ... O.Z ...... : .......... 0 . ..... 0 ; . To.:,O* ... �- "10* ... *0; ...... � ..... � ...... . , , , , , 'o'! " .0 ........... 0.!. 0. .f ... 0.1 ... mo..Z. 0.-. 0 .... . : : . . . :" 4 ... **f***" - * ..... !*,*,*, - '*'*' - , * ... *"O***' - ­­ - * ..... !0,0­�'* : : : : : : : , : : . : . . . I . , . : : : : : . . 0 : : : : : : : : : : . Dq1te : . . . 0 : : i , 0 : : : : : : : : : . 0 . . : ! : : U se:: : : : : : : : : : : : : : : : : : : . . . . . . 0 . . . . . . � .0... �. . . 0 . . ; - - - 0 - 4 . . . . . . . . . - - - : . :---!-� . 0 0 . . - .p : : : : -, .. ; ......... .10 ........ 00- ....... 0- .......... 64�40 ......... !..o ............ . .............. : ... :..00..: 0 .... ...... 0 ..... ..... O.. . . 0 . . : . 0 ................... !O ........... % ...... j ...... �-- ....... : . . P ...... i. . .... I; ...... : ... .. .. 0 ... ........... 0. % 0 .... ........ 0 ......... 0-- ... ..... .... i.:- .... : ..... : ...... ; ... 0 . .1 .. . 0 .., ...... . 0 0 . : : : : : : : : : : - : ,a . . . 0 .. : . .. . . .. : .. -� : : : : : : . - - - I 0 . 0 ..O.. ... 0 � .. 0. : 00 : : : : . . . -:Land : . . 0 0 . . . : : . .PaNng: : . . : : : : : : : : 0 . . . : : : : : . : : : : . . : . . ; o s . .... ............ : .00.y ...... : : : : : : .0.0 ... * ...... -0... .. .... *' . -011. . 0 . -�, ;..0 ... ; ...... � .... ..: L. ...; ...... : ...... L ..... : .... : . ...... L ... O.; ...... : ...... � .... 0; ...... : ..... : I , ! : . .:II""-.0IIIII:*0--:-7 ...... 1 ..................... :... : : : : . : . : . .� ..... ; ...... ; ...... �.....� ..... 0!.000..�o .... � ..... 0: : :.offlOeo, * * : : : : : : 0 : : : : : : : : : : : : : : : : : : : . : : : : : : : : : : : : : : . . . . . . : : : : : : : : : : : ; -00-0z ...... :0 ..... �..... ... - .. ...0 .. ... 01 0011m, - ; - : 0 0 ...... !.0 .... f ..... � ....... ....... I ..... � ...... : ...... I ... o ........ ! ...... 0 , . . 7 ' ' ' * 0 : ' ' 0 * * '7 - - - 0 . . . . 0 : . . . 1 -0 . . . 4 . . . . . . ; 0 0 0 . . . � . . . 0 - ! . . . . 0 -� 0 - - 0 - -0 . . . . 0 - i - 0 ... .. . . . . . . . . 0 . 0 0 .� . . . . . � . . . . . . ; . . . . 0 -� . . 0 - . z . . . 0 0 0 ; - - 0 - 0 -� . . . 0 0 z . . . . . . ; . . . . . . . . . . . 0 . -00 . . . . : . . . . . . � . . .. . . . . .. 0 . : O.... .* . . .. . 4 . . ... .. ; . . . . . I -sign 0 : : .4 . . - . . . . . . . :. . . 0 � . . . � ..ak ". . . 0 . . . . . . . 0 . r . ; ; . . . . . : : : : : : : : ; : : : : : : 0 . . . . . 0 : : ; I : , . : : . : : : : I : . : . : : : ! : : : ': : 0 . . 0 . I : : : . : - - - 0 : : : - - - : . - . . 0 . �- :: ............ ; ..... 0� ............ oro -.f ............. ;0 ......... 0 ........ :0 ... 00'.0.0-.0 ..... ... O.....000. :..00..;0..0 .: .0.:. : .... :.: ................... ;0'...........--o- .... 0--0 ... : ..... 0-.0-0.0..: .... !.- . ..... .. 4)t�s- . . . : .0...3. -/. 8 : : . . . . : : : . 0 : . 0. . . .. .. : . 0 - .., --!J .. 0.0.0 ............. 0 ......... ! ....... I .... 0 ......... :0 .................. O.; . '. .0.. . : : : : : : . . : : : 0 . . ...... 00 .......... ; ...... � ....... : . . 0 : : : : . . 0 0 . . . . . : : : : : : : : : : : : : : : : . 0 : : : : : : : : : . . : . . . : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : 0 ' -r . . . . 0 0 : : . * - . : * I * I I 11 I * * I I t* * - I I 0 : * I I 0 1 *� * I 0 - - io . . . . I ! I I * - - *� * * * I - il - - - - I : 0 * * I 0 17 1 * * I I �, I * I 0 1 : * I 0 1 * *r 1010* �, I I I * * : I I I * 0 *7 1 1 * * * ; . . . . . . : . . . . . 0* . . . . . ;0 0 . . . . ; . . . . . . � . . . . . ; . . . . . . : . . . . . . � . . . . . 10 . . . . . I . 0 . . . . I . . . . 0 I . . . . 0. ! . . 0 . . . I . . . . . I . . . O.. : . . . . . ... . . . . . : . 0 . . . . . . . . . . ; . . . . . . .. L3 TCo* 0 JLJ N TY . . 0 . . ....... O.. O.; ......... 0 ... � 0 ... 0 �11-11 I*,,,,*,,* 111,1110, 3 -,.A.. : : : : : : : : : : : : : : : : : 0 . . . : : : . . . : : : . . . : : : : : . . . . . . . . . : ... 0-i ............ :.00 ... * .. 0 ......... :..0.00* ......... O..: ...... ; ..... 4 ...... ; ...... i ..... :. 0 0. O.: ...... :.. 0 ... : : : : : : : : : : : : : : : : : : : : .... : ...... � .......................... : : : : : : : : : : : : : : ...... .... 0 ; ... 0 ......... :..o ... ; 0 ..... : ...... ....0 .... : : : : : : : : : : : - : : : : : : : : : : : - : : - ' .... O.; ...... 0 ...... : ........... 0 ............. 0-0 ...... 0 . 0 , .... ..... .. O... . 0 .... :.0 ... ; ......:0...-. ............. 0 ; .... 0-� ... 0.40 ... 0-i--0-0� ........... 00, ............ : .... 0 ........ 0 ........ 0 ............ 0-.... 0- O.....0 ..... e ...... � ....... 0 ........... - . " .;:.� O....O..!.. .. . 0- * * , * * - - - --- -------------- **,O* ­ * , , , -.- , 0 , 0 , 7 / - 0 , , 0 , , , * * , , * - - - - - - - e6 41 - ---00--O-- -- - � .- - 0 -1p r- 0 - - 0. - 0 - - - - - , e- 0 - - - - 0 - - - - - - ... - - - ...... 0 . . . . . . . . . . . . . . . . . . . . . . . . . t -r , �,:- 0 f - 0 .. - .0 . . . . . . . . . . . . . * 0 * 0 - - - - - I -.0-0 . . . . 700--0------- -..* . .. . .. . . .0 . .. -A I - I fl 11 . I I .L I - - -- - . I i. -- " � 0-- . . . . ����� ""'r , , * - - - - - !!=�--- - I - 0 - 0 . . . 00 . . . . . . . I . . . . 0 10 . . . . . . . . 0 . . . I . . . . 0 I . . . . . . : ..... �0 . . . . . : . . . . 0.7 . . . . . : : : : : : ::: . . ...�N D D - \ I c: . . . . : : : : : : : : : : : : : : : . " . .: : : : : : R n : : : : : : : : : : : : : : : : : : : : : - - . - 0 - ... 0. ... . . Assessces Parcel Number ❑ 11 ❑ ® F -I 0 11 ® 0 F] F -I scais: 1'-, = 3il OwnerName (Z�j v< L -I V ne�,(� , g - / - ./ --?- -. : f r,.-- an T Address / Phone No. �4 a ,5 'k I<n J // IV 4 x 4Q, -v v / -// e- C-- /.I- I -;rq,� tI . 1--7A Z - Contact Name . L2 'i -, L4 r- -e /1 - -) --- ,f - . . Phone 2 3 ,D . I . - - Cezkw 23� = _ -7(3 SITE PLAN -----------------• ... _. . - .. ...... ..--- ...... ........::::: ...-...... .. .. .. �.... - - - -- _ z- . -- ..._ _. .. _. .. (� D Q....:... .. .. .� .. ._ ... __ .. .. .. .. ..............._. ............. e ....._.......... :_....:......:..... .. r ........ ........... .. .. .. .. .. _. .. .. .. ............................................. ..... .. .. ._ ... _. .. .. ........................... _ .. ............ ... ............ ... ............. f :.....:............ ....... :...... ............ ... .. .. <. _ .. .:.. - : :: {{.....__..... ............ .. .. _. .. ._ .. .. _ ... _ ....__ .. ..._ ._. ........ .. -' ...... .. __ _................_ ....... _.......... .. ._ .. .. .. .. :. _. ... ._ ............ _ ._ .... .. .. .. ... .'__r. .. .. .. .. ... .. .. ... .. .. .. ............. ............ ._........................._. ._ .. _. .. ... ._ .. .. .. .. _ ... .. .. _ .. __ .. _ .. .. .... .. ... _. .. .. _ .. _ .. _ .. .. .. ._ .. .. __ ......................... .. .. .. •__ .. .. ._ .. .. ._ .. .. .. .. .. .. _- _. .. .. _. .............._............._ .. .. _. .. .... .. .. ._ .. .. _. _ __ .. ............ ...... .._...._._ .._... _ ..._.. ..... _. .. .. _. ........_ _ :♦ :D .. % ._. ................ ._ .. .. . .. ... .. .. _. .-.. :.....:...._.:.....:. :...._.:1� - ....... _ ........... .- _ ._ ............ -- .. ...... .. ... .. - . ...... .. .. .. .. . •. ............. . •. - - - •- . :. = = ............:............. ..... :............. -...• :................................. . • . . . 7 _ .. -4:- -- - . .. .- -- . .. .. .. _. .. _ .. . . • .. .. :: :... �.. . . .. .. ........•-_.....__...... .................. .._.. .. .... :. ...._...• -- ---.... —........._... ...- PLANNING G DVISION - BUILDING PLAN APPROVAL AN:L. .................. ................. . . .......... .....;----•----- .. . ........................... US& E)at:: �e Partin Larsd -n .................... .. ............. .. 9 ® 9< .. .. ' - - ............ .........._.. :. ...... .... ....... ..-.. ....... ....... . ................ .. .. .. .. .. Y `� > .......................... ...... :..... _......................... Assessors Parcel Number: Owner Name Address / Phone N Site Location i Contact: Name ©� 1 ---1 ®0 ❑� ®� Scale: 1-, =16, ,n Phone Oeahw Zi, ?PA3 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres I 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: