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078-310-071
' 04/09/2002 11:40 15305334389 PAW PAT PAGE 02/03 ' ssv�ao�s, no�asaWor�nRt���seior �l,�,� DfcPARTAI T OF HO!lBMAMQ COWAMY DeJMD IMM . `Q t15EOMO.Y V M $= OF MM AND StAf DAM 1� ? REGM MTM AND 111IM PROOR M fir+ APPWCATION FOR REGETRATWH Ewa "1mommum =AL XDW 0 HOU fM NCO OSIGm i wM . NA i71! 12 ` 5 Z,7 ` 2c� or, z tmw © ILT EXT !)T PVTPPF �t�tT Rl�'TNuweROj tt6CEM'Ta7� o. IIP• . MEO LY ... Bit 7TMa t3 ATAe a c l A..,, . .- M.1 aw a e, V 1 L L'E5cauar Quare race sseee � — •::;:«�� .. wm otv coma sane bP ' cqw.. . Two. (�etiMe E n0► d 1/ 01�' MT aptlee�c se�aieoreitl4.ttAlrl.F 13•'1'BtCOftOR % Olm '017D=MAND .[] COWRO CIW VP CCP IQ nior . ennolder wrc �+No�lA4dieaaeeit�ereNe.1� TOEMOR .Q 1TRS Cl ISEMMAMp co*m Sbeet OW ypge' TOM IL Q�RnAA (�. NaiE: APPI.X'�ITT;1�E� SAA � C�!lETETNE C11 THE NEVERSt: Ste, : • " : •, ; i�1dlA•P P�JHI� A10 01!are &wandGOI!�t• �• .o � X527 ©.c�tL ��:.T� �y �edu� cu.-- �� ��� � r S G ' . CD.MSTWclOMOM) J/ ;?le, 7� W9L 0WANCE ERFAAP9ST§@2920M:P.ENMYffW-W-LP' LRIML I LN PIIRIH-QR YIRUI APPROVED PFS Coipomtion i Madison - 7. IIJW03 14ut) Waroufacturod Hdme collstmctlon & ji - - m- w WA00 (f WA to uw mole Im polpat ON in L tA T -ft NOTF- THS APP-ROVAL. EXPUZES.90 C)AYSP FROM PFS.AFPROVA,L STAMP DAIrr.. !" L9 MR ScHma I tESCIPII-- W] Sa wff at SWI U;aD: 4"Umv PAU orsmem , .► r rl.O(* PIAN 487��j WOODW .46 L OF I 0 A W4W wmiw- I IV Ty- q . RKS5114 3 V 3 t4O A 45630 10-.17-03 q A ZIL VM MAW t U'l W � V. IME4 15 =%a. -7rx!g* Am" wit JK wwwmga.,owrn paw nerdsum Ian 09 I -Si MOM —,Iva wmm 0*0 mm M]fM 'A_ AR AVH IQ Awtv 30, a"W" row• - 121S 7 B7M' RUILdWWU AM" OF 0 T.0, aim TM 10 vs R01=34 310083S dw NCO" #A I -SP I aF4.L W02W SA V(3 06 Sgetd)a IC*JdW SHI .-A pie UM. P**""Atajcs V U0jPfL4sU0-J para-30inflem [Intl Uoj3Mdj03 S -Ad (33A01JddV 04/09/2002 11:40 15305334389 6707 south Sixth stwt lazath Nis, Oregon 97601 M., 541.884 -SM FAX- 141.084.1111 PAW PA I- October 11, 2004 M. & Mrs. Rayot6nd Kubeja 350 S- Willow #79. Rjako, CA 92376 December 1 2003, YM.W�,TAYDePt Was lv,.ce'v"d via ::W notified you via a letta-0i , C Usese bank viretransfer NDvcmbcf12,2003 intbg &Mount Of S38,780-00. Af 0m e amount on your contrail was $67,770.00. This amount included the which was paid 4rov,.Ily by Timbedake IlOn' to the Carifornia State Board of w full. om your contract with Timberlake Ronws b&q been paid in f Equahzilti Of Origin with a bill of Sale- 'Tice We have enclosed duplicate MWudkclulm Statement cnig*j was mailed to you in 2003. Thafik-youl Lynn Howard offme Manager 04/09/2002 11:40 15305334389 PAW PAT PAGE 01/03 T/lU� �P�1 Y/'1 �1 �� C . 1,(li � � J A ���� � %2l C l,4 /yl�l T l�UB Ej A OWN T9 IS )400 9 /�2 cW5-,e7 I--' &-., 2 E3 7 0,4e 161VOL L ) aeo VII u� S- '7 4� OF ANY- L 1EA1 S W� 4:1- S6 - C -7t) GM -��fTYIOAIPC"SEJI? VATS V IV. , RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: n S LINE FOR RECORDER USE ONLY . SPACE ABOVE THIS . . 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 withthe real property. HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. yV�t rt. REAL.PROPERTYOWNER/LESSOR .. L MAILING ADDRESS n 1^o 004) 13N q� / MAILING ADDRESS CITY COUNTY STATEZIP C Ty COUNTY STATEZIP A53-7i0a,�!��� INSTALLATION MAULING ADDRESS, IF DIFFERENT BUILDING PERMrr NO. TELEPHONE NUMBER CITY �' -- - ' COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL _ DATE /q--� UNIT OWNER d also property owner, write'SA.ME'). DEALER NAME (f not a drier We, write 'NONE*) ..MAILrNGADERESS DEALER LICENSE NO. . CITY COUNTY STATE ZIP UNIT DESCRIPTION R 2� tD©ori �O6 3 B L / e r�S�t i �.�, 7 ,' 6-3 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ORFL 34P �91/1 5-' 8 5615'" x ,;?7' C9RF 4 $lbgl Z SERIAL NUMBER(S) LENGTH X WIDTH L`SIGNWLABEL R(S) ®� 77 O REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER: n -- �� a4advool HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. yV�t rt. IrU4/08/2008 09:57 FAX 530 343 4410 FIDELITY NATIONAL TITLE FO 002 RECbADRgG REQUESTED BY: - i AEC i& 7.M RAYMONPC• KUMA, T�ze vlrlcoot of KM R=ORDBD, MA13. TO: RAYMOND C. KUSRJA, lhzsoee 2537 Oak KaoMay Coolly Clerk ftm do Oroviltt, Califooeia 95%6 I� ohm 15*—M —M I OBja 1 of t gumAmeliABEDBY: Ameciwo FinatLy I,c8a1 Cents 18008 Sly Ps * Circle, #= Irvine, CA 92614 SPACJ& ABOVE TM8lJN9 FOR RECORDER'S USE APN 0 036.100 M QUIT CLAIM DEED •lhe ondcsipW SMW de bmz This oonveywM uftftfara dto sal = in or � a TR&T 11930. Not prow t to a sale. No I zm gzvca for Mk tmsiee z pd is did Gam 1.13, Calf[ornn Cons. t3A, Steon 1, and et seq. I Moconlanb y Tmsrcr Tim - SO) GRANTOR; RAYMmm a_N=MamsdaLam bmbyRmwM55, RELEAMS tad QUltC1.A>Ms m: 5 his aadivided one.hdf (1R) inteeeat is the following dacrOmd MW pmpww In the City offtdl County afAM& ad State Of reg . LAT T. BLocK 24, VILLAVMLONA SUBDIVISION, AS SHOWN ON THE OFFICIAL. AARP THEREOF, FILED JANUARY 17,1S89, r LN THE OFFLCE OP THE RECORDFA OF THE COUNTY OF BUTT$ STATE OF CALIFMCA. EXCFPTINO THE EASTERLY 132 FM THERBOF. u Conrmonfy fpm w 2337 Oak Lenon Way, Mavft, Ca Risk 95966' _. » DATED: 7'/ 7' at Of0waL cd - YM C KUBsrA _ y NOTARY PUBLIC ) ,earn �Cailfaams G&*ft1� As ... - ' tON cfczoa , Nolwy PMIS Penow►ly PA a pennodlytmoomrosize((Z Fund bmeonmebasisof )mhoshepmanwhoseM"isaabsmib dmdw wlthio imtatmm and adbowledpd to smtt hae9aewle t toss s m tho hspp d ds paiao1l or 9w aatity opon 6d+df ofwl>idt me pemm t�adf, aa�t die at�mteot. A►l'1NtSS t smdta w she COttraron B t�tlofp T� ��'�•+� Nat�ottmt.T�l+aaJtsts4 `I Mal Tax Statememb to: Some Ax Above Tff[ E SEAMM NU"M R1:QUEEM MM DONE—MUAB» FROM WORnZATM SU?rUWD BY GRANTM Description: Butte,CA Document-Year.DWD 2006.19843 Page: 1 of 1 Order: j Comment.' i +6 04/08/2008 09:57 FAX 530 343 4410 FIDELITY NATIONAL TITLE F0002 RECbaDnw R13QUg$'Ip BY: i IM f m 7.W RAY�iD G X11BMA, TMMC aftlicid WHEN 16i =RDX% MAIM TO: RAYM014D C. XMMIA. TWOM� a. � I 2537 Oak KaoMay MAP clerk ftm do y Omville, C iditaia 95%6 I o0 ohm is Apr I OBjge I o�fpI smim FD AY: Alull ausiaw mw[y I.agel Genies 18008 Sly Pais Ckak, OM Irvin, CA 92614 swig AB01/E Tf118 IME FOR RECOIRDER'S USE APN 4 03b-]Ot? M Quff a" ])F.M , •Itis onder4pW Fawor dmlkm line omveyaaca Rraoaf I dw iata+ast in or ftm a Tma RAT 11930. M pumumi to a Gale. No f wazdM given for Osis tiler �d end Gam 0, i.g, Cali[oraia Const 13A, Sets�oa 1. �d et soq. II GRANTOR: RAID C._ liaroby RRIIbS85 aad QUfI Ci.Al>► oaahaif (IR) intKeat m tla; foUoavmg das�cd nsal pia�poe(y m t'he C9ty oai X116 �-�Y of , sail � of�n:�: . LOT T. BLACK 24, VIU A-YIiRONA SUBDpnSM, A4 SHOWN ON THE OFFICIAL. MAP THEREOF. FILED JANUARY 17, 1869, TN THE OFFICE or THE RF=m= OF THE COUNTY OF BUTT$ STATE OF CALdFO MX EXCFVMG THE EASTERLY 132 FM THEREOF. _ Caaaaoaly IrAOYYa as 2337 Cak WADU Way, Maviee: DATED'— at - YM G MJMA NOTARY PUBT.IC ) STATE OF C&Ufi mia AS . - �(`.OUNfY OF Sd&d 410tda� ase • �� � a HcMnY F1d+lle. penaoelly eppe�ai . peyla�mmasa(or dtffaonBeff�fof)tDbo>bepafoowbofenemeisfaba�tod� WOW insmaassa and admowle Is I to faatl�lia foga t�p' � Oro h�meot me p�6W1 Or memtlty apa�6dmlevPwtiads we pef,om ems, asoR+fel me:+aad►�. . wrrNPSS eotroffiaFs{ ' • RJ� • n s,?Y, •v7 or Mag Tax Statements to: Same As Above 7M E SEARtM Na UR REQUEST ED NOR DONE—MOAM TRW IWOWAATM stlPM&D BY MARfM Description: Butte,CA Document-Year.DoclD 2006.19843 Page: 1 of 1 Order. j Comment: NOTICE TO ASSESSOR HCD 433(B) 4/86 THIS FORM MUST BE COMPLETED BY THE OWNER OF A MANUFACTURED HOME MOBILEHOME OR COMMERCIAL COACH AND FORWARDED TO THE COUNTY ASSESSOR UPON COMPLETION OF THE INSTALLATION OF THE UNIT ON A FOUNDATION SYSTEM PURSUANT TO SECTION 18551 HEALTH AND SAFETY CODE. ORIGINAL PURCHASE PRICE FOR: 1. The Basic Unit $ Type of Exterior Wall Covering: 4l /�fy/ (Metal, Wood, etc.) 2. Optional Equipment & Upgrades S Type of Roof Covering /i1 . (Metal, Wood, Composition,, etc.) 3. Subtotal ' .. . S Heating Type: Forced Air ❑ Floor or Wall 4. Accessories &Accessory Structures $ . 5. Other (Specify) S Air Conditioning: 1g( YES C3 NO Tons 6. Delivery &Installation $ �, Evaporative Cooler: ❑ YES m NO 7. TOTAL SALES *PRICE Built-in Cooktop: ❑ YES Q� NO Built-in Oven: ❑ YES t$ NO DOES THE BASIC PRICE INCLUDE: Built-in Dishwasher: ® YES ❑ NO The Towbar(s) (A. YES ❑ NO Built-in Wet Bar ❑ YES ® NO Tires'' Wheels,. O,YES,_ NO O YES NO- "`" Refrigerator:. ®. ❑ YES,__ ❑ ._ YES ' ❑ NO NO _ inches' Wheelhubs &Axles Roof Overhand (Eaves)." Furniture Included: ❑ YES 10 NO Value $ LIST NUMBER OF ROOMS: (LENGTH X WIDTH) Bedrooms Dining Room I Carport: ❑ YES ® . NO X ' Awning: ❑ YES, M W NO X NO X Baths Family Room. .. Porch: ❑ YES Garage: ❑ YES 11 NO. X Kitchen_ Utility Room � Storage Shed: ❑ & . YES YES ® ❑ NO X NO LINEAL Living Room Other Rooms Skirting: FEET The sales price as shown does not include any amount for any in-place location. 7� '3io —b-71 The Assessor's Parcel Number of the installation site is :21 (Signature) 86 41568 04/09/2002 11:40 6107 South sixth st"tt I.M.th hils, 0*egon 97603 -aL: 541.884.5403 FAX- 541.884. fill 15305334389 PAW PAT — October 11, 2004 Mr. & Mrs. Dymond Kubeja 350S. Willow.09, Rialto, CA 92376: -_ . ber 1 2003 our f payment was received via We notified you via a�lctfer-on D.,c6xi , y... r fatal bank wire transfer November 12, 2003 in the amoum of $38,780.00.' Your .a Usep e amount on your contract was $67,770.00. TW amount included the Cahfom which was paid directly by Timberlake Homes to the California State Board of Equalization, Yourcot�traat with TitAwlake Homes has been paid is M. 4. We have enclosed a duplicate Manufacturers Statement of Origin with a bill of $810. The original was maned to you in December 7003. ... Thank you, - Lynn Howard Oboe Manager v H 4, dF & NOTICE TO ASSESSOR IACD 4:�3(13) 4/86 THIS FORM MUST BE COMPLETED BY THE OWNER OF A MANUFACTURED HOME MOBILEHOME OR COMMERCIAL COACH AND FORWARDED TO THE COUNTY ASSESSOR UPON COMPLETION OF THE INSTALLATION OF THE UNIT ON A FOUNDATION SYSTEM PURSUANT TO SECTION 18551 HEALTH AND SAFETY CODE. ORIGINAL PURCHASE PRICE FOR: 1. The Basic Unit $ 2. Optional Equipment & Upgrades $ 3. Subtotal $ 4. Accessories & Accessory Structures $ 5. Other (Specify) $ 6. Delivery & Installation $ Type of Exterior Wall Covering:/`IaV'Q I (Metal, Wood, etc.) Type of Roof Covering (Metal, Wood, Composition, etc.) Heating Type: ❑ Forced Air ❑ Floor or Wall Air Conditioning: O YES ❑ NO Tons Evaporative Cooler: 7. TOTAL SALES'PRICE Built-in Cooktop: 'Built-in Oven: DOES THE BASIC PRICE INCLUDE: Built-in Dishwasher: The Towbar(s) ._ _ ❑YES ❑ NO Built-in Wet. Bar: Tires &Wheels 0,',YES. } ❑`. NO'. 'Refrigerator:: Wheelhubs & Axles OYES" "':'❑` NO, Roof Overhand (Eaves): Furniture Included: LIST NUMBER OF ROOMS: Bedrooms Dining Room Carport: NO " Awning: Baths Family Room Porch: ❑' Garage: Kitchen Utility Room Storage Shed: ❑ YES ' Skirting: Living Room Other Rooms ❑ ❑ YES O NO " ❑ YES ❑ NO ❑' YES ❑ NO ❑ YES ❑ NO ❑ YES- ❑ NO O YES:,❑ NO O YES ❑ NO -inches- ❑ YES O NO Value $ (LENGTH X WIDTH) O YES ❑ NO X ❑ YES, ❑ NO X O YES ❑ NO X ❑ YES ❑ NO. X ❑ YES ❑ NO X YES O NO_ LINEAL FEET The sales price as shown does not include any amount for any in -'place location. _ The Assessor's Parcel Number of the installation site is -7/ (Signature) i Address �� Telephone 86 41568 1, r BUTTE COUNTY _ DEPARTMENT OF DEVELOPMENT SERVICES ' BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541' FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: - 2537 OAK KNOLL WAY Owner: Permit NO: B08-0664 ' APN: 078-310-071 KUBEJA -TRUST, Issued Date: 4/11/2008 By GLB Permit type: RESIDENTIAL P O BOX 5781 Subtype: SFD-Mobile Home RET OROVILLE, CA'95966 Expiration Date: 4/11/2009 Description: RETRO FIT PERM FND EX MH (530) 533-4389 Occupancy: Zoning: AR Contractor Applicant: Square Footage: REDLINE INSTALLATIONS INC REDLINE INSTALLATIONS I: Building . Garage Remdl/Addn 13407 GARNER LANE 13407 GARNER LANE CHICO, CA 95973 CHICO, CA 95973 Other . Porch/Patio. Total (530)891-6719 (530)891-6719 ' - FEE INFORMATION Y DBF MH Plan Check $241.16 DBMSC Mobile Home Permit Fee. $361.74 Total Charged: • $602.90 Fees Paid: $602.90 Balance Due: $0.00 Receipt No: B6986 LICENSED; CONTRACTOR'S DECLARATION, ,OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No.,/ Class / Expires . I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License REDLINE INSTALLATIONS INC 8480254 / C47 / 10/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIR NDER PENALTY RJURY that I am licensed under provisions of Chapter 9 (commencin wi ec0on 7000 o 3 of the Business a d Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for ffect. 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 X //� /11/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contracto s Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: - the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [%My The Contractors License Law dows not apply to an owner of the property who builds or improves Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 461-0000736 ExpDate: 911/2008 Cartier: Policy Number: Contractors License Law.). (This section nee not a competed if the permit is or on' 7 uFn�red dollars. ($100) or ess. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑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' X 4/11/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X� 4/11!2008 G �� I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signatu Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prope y owner or uthorizedVo ap on the property owners behalf. 4/11/2008 CONSTRUCTION LENDING AGENCY , 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for 44afne of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. Agent for Owner gent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY UT BUTTE DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION" 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 00 0 ' � ''? 0 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds c�UNZy PLEASE PRINT CLEARLY ""When filed, this application and all supporting material becomes subject to the California Public Records Act. All pu PERMIT NO. b� BIN # � �c m ormatmn related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name , First Noe Q fit+11 Mailing Address a6 7. o LVa 110, City �. States Zi SC / to Phone 5 3:5 y 3 7' Fax E-mail CONTRACTOR Name 1 f " Address 3 City ;State Zi , Phone State, - . E-mail Lic. # cJp O S Class C ______L_JAPPLICANv W00 1, PROJECT LOCATION API 6 -7Property Address o2 , . City WORKER'S COMPENSATION Policy Number 6 / 36 Carrier Is J iL4 P,1 If hiring anyone other lth'annlicense contractors, a certificate of worker's compensation must be shown at the time of permit Issuance. DESCRIPTION OR SCOPE OF WORK: I r -e rd J, II,44jo Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use ARCHITECT/ENGINEER Name Li v1dA) P1.11c,141ap l I h Address ' 5 L4 07 City _. _ - State, - . Zip. Phone I _ Fax.. . E-mail r i State License Number ______L_JAPPLICANv W00 1, PROJECT LOCATION API 6 -7Property Address o2 , . City WORKER'S COMPENSATION Policy Number 6 / 36 Carrier Is J iL4 P,1 If hiring anyone other lth'annlicense contractors, a certificate of worker's compensation must be shown at the time of permit Issuance. DESCRIPTION OR SCOPE OF WORK: I r -e rd J, II,44jo Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use APPLICANT INFORMATION Name Li v1dA) P1.11c,141ap l I h Address ' 5 L4 07 City C ice State Z' 3 Phone I _ Fax S) (� E-mail� r i ______L_JAPPLICANv W00 1, PROJECT LOCATION API 6 -7Property Address o2 , . City WORKER'S COMPENSATION Policy Number 6 / 36 Carrier Is J iL4 P,1 If hiring anyone other lth'annlicense contractors, a certificate of worker's compensation must be shown at the time of permit Issuance. DESCRIPTION OR SCOPE OF WORK: I r -e rd J, II,44jo Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use Zoning Flood Zone SRA Yes J No Occ. V Tyq nst. 3 Vector Dynamics "Foundation System" by TIE DOWN ENGINEER1NCi Inc. Installation Instructions for the SUM of California,, 1&7nd Zone 1, ! 5 PSI:' W;nd, Seisrj�ic Zone 4 . IntradllCtiorl These instructions describe the proper use of the lateral and longitudinal foundation system. General •me Vector, DYSystem resists lateralA , longitudinal wind loads by anchoring the two longitudinal main rails: The system is approved to be used on single or multi section homes; • These plans and specifications meet the equirements of Title 25 section 1330 and '65C requirements. Maximum eave width (roof overhang of sidewall) of 12" for Zone 1. The Vector Dynamics Foundation System has not been designed for use on exposure 71 1 homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. BUILDING DNISK)N AppRQVED -P, [ e CV . 1i SPA IQ Engineer Approval State Approval M.»UFP,CTURED HOMEIMOMMM FOUNDATION SYBTEA , HIA6 : M AND SAFETY CODE, MCI=12 APPROVED SmECT7000RRECY1". Xom RpVAL DOES NOT AUTHORIZE OR AMO" AW SSrONS OR DMATION FROM 89QUMMEM Of P ACABLE STATE LAWS AND REOULA3XM Sa+m of Cali{be3lia . -Parom! of R*40"g aria C=MM14Dooft e /4DAN181QH OF C0= AXD SSAXM9aM/ .iG GENERAL INSTALLATION INSTRUCTIONS Site Preparation It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. Footings and Frost Lines The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete to comply with local requirements for footer depth. Foundation/Footing Specification for Vector Pads Vector Pads are used in place of conventional foundation pads. One Vector pad provides 2 sq. ft. on single block and 3 sq ft: double block pads of bearing support. Vector Systems `should be spaced as symmetrically as possible within 10' of end of home. For pier locations in between the Vector Systems, use the normal foundation pads. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 36 inches under one or both main rail(s). Multi -section homes limited to 50 inches. Unequal Pier_ ieights 4• r Mufti -section homes with unequal pier heights are limited to 50" maximum pier.height:The difference ° between the taller pier and the shorter pier.cannot exceed 26". Vector Dynamics Foundation Systems Component Parts List o Vector System Part # 59018 CD Single piece pads with straps te4 x o and slotted bolts ®�aung 00 X� vxktif. �y R Vector/LSD Kit Part # 59013K for single block pads Vector Foundation Systems for the State of California Page 2 11/28/2005 19HConcrete Vector System .•E��� ® a s � Part # 59036 s (for single stack blocks) ;0 o o o� Concrete Vector System Part # 59049.. ® — (for double stack blocks) - -•_•-•_•_•_•_•_•_•_•_•_•_•-._•_.---•-• Longitudinal a Stabilization • Hardware Kit 0 0 6 8 9 for Concrete ®� 0 1 ®� 0 Part '# 59023 9• 00 . . Pad ® Vector 2000 3 Sq. Ft Part #.59276 for Double Block sets with strap and hardware ;O01A ............................................................... ._._•_._•_._•_._._._•_•_._•_._._•_._•_•_._._•_•_._•_._•_•_._._ ._ • • -------------------------------------- Longitudinal •Longitudinal ®� Hardware Kit Part # 59026 U (for use with 59271) --------------- its for Longitudinal Systems Part Strut Pier No. Length Height 59013 44" up to 4 Blocks 590.15 65" 5 to 6 Blocks Vector Foundation Systems for the State of California m „w Center Compression Strut ar C, # 48612 - 62"-108" Strut # 48613 - 34"- 60" Strut " Page 3 11/8/2005 .Set -Up Instructions for Vector System .s_r ti $earn Clam Long U -Bolts Outside B - • `Tension racket Longitudinal Strut d• 18 ket Longitu "Cl rac 'Y/ Vector 2 r7q. ft. Pad for 1. Set Vector Pads Clear all vegetation where pads will rest. Place a long U -bolt in pad as shown. Attach longitudinal bracket to -pan. Press or hammer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place metal strut between blocks, resting on pads, centers between U -.bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to outside of pads. Tie Bracket °r Jr Y single block set' .e 4. Inside brackets & straps" Attach the inside tie brackets to the U -bolts over the , compression member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the �• :ca{ strap over opposite I-beam & down to outside tension V, bracket. Cut strap 12 =15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap r until tight with 4-5 wraps around bolt. Repeat with Vis; opposite strap: 5. Longitudinal Install beam clamp to I-beam and attach longitudinal :Y strut to pan using nuts and bolts provided. Pull beam,. clamp outward to remove any slack and ti n all L nuts and bolts. Vector Foundation Systems for the State of California Page 4 11/28/20 r� r Vector Foundation Systems for the State of California Page 4 11/28/20 r� r i S6 -Up Instructions for Double Stack Vector Systems Part #59276 S: ✓trut Longitudinal Bracket k = 3 6q. Ft Vector Pad for Double Block Set f . Vector Foundation Systems for the State of California Page 5 Bracket: Y ii•• Tension .� ar 1-5• •i, � 6 Y �t•. .� ar 1-5• •i, � 6 11/28/200.5', 1, Mirtal Pier Foundations For metal piers, place the piers in the center of the Vector pad. Set the strut through the..piers so that it butts up against the tension bracket.:lnside tie bracket mounts upside down as shown in drawing. Metal piers on Vector can only be used on level ground'sets. Conventional pier adjusters must be placed under beam with head fastened to beam. Mier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. r�. . ^Y C Vector Foundation Systems for the State of California Page 6 11 05 '4 >: Yk WIND ZONE -1 -for Sing le.Section Homes - Using Vector. Dynamics Foundation Systems Example of a Single ✓ection 14'x 72' Home -------------------------------------------I 50 LLJ Vector Systems LSD I I 8 Vector Systems 1 I Soil Bearing Capacity: 1,000 PSF Minimum Home Length Vector Systems .. Required -Longitudinal - *Stabilization (LSD) 0 to 80' 4 2 NOTES: . For use on 14'.& 16' wide homes. Main rail spacing ori single wide'must be 95" or more. Pier hieghts cannot exceed 36". :Roof slope no greater than 20° (4.37 in. 12" pitch). Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers instruction and/or state requirements. Two Struts =1 LSD System. Can be used on one pad or on opposite ends of home Vector Foundation Systems for the State of California Page 7 11 /28/2005 - F= WIND ZONE .I for Double -Section Homes Using Vector Dynamics Foundation Systems --------------------------------------------i LM TT M LM Li LSD Example of Double Section 28'.x 72' Home I Home Length* Vector Systems Required Longitudinal Stabilization (LSD) 0 to 62' 3 2 63' to 80' 4 4 * Up to 7:12 Slope OTES: ector Systems should be spaced as ymmetrically as possible along the length of ie home. Pier spacing must be consistent lith home manufacturers instruction and/or tate requirements. wo Struts =1 LSD System which can be ised on one pad or on opposite ends of he home. 28 —� .. Diagram represents example of a double I section offset. Total size is determined by the I :: length of unit plus 72' I offset. I i t Example: 28' x 72' 11 /28/200 r Foundation Systems for the State of California Page 8Y :.R WIND ZONE I for -Double Section Homes (High Pier Sets) Using Vector Dynamics Foundation Systems Soil Bearing Capacity: 1,000 PSF Minimum" Home Length Vector Systems Required over 24" Longitudinal Stabilization (LSD) 0 to 80' 4 4 NOTES: Pier height is measured from top of the Vector Pad to the bottom of the I-beam. Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers instruction and/or state requirements. Two Struts =1 LSD System which can be used on one pad or on opposite ends of the home. Vector Foundation Systems for the State of California Page 9 11/28/2005 _ _+ WIND ZONE .1 for Triple Section Homes using Vector Dynamics Foundation Systems ----------------------------------------------- Vector ----------------_--------------------- --- I Example of a Triple Section 32'x 72' Home I Vector 5yotems –' `-w I I LTJ 12M LMJ LMJ !!T-1 L---- ---- ----- — ---------------- Iri LLEJ 50. liFlip FEE I Tag or Full Triple -------------- ---------------� -------�— 32' :Soil Bearing Capacity: 1,000 PSF Minimum I Home . ,Length Vector Systems Required : Longitudinal Stabilization (LSD) . Tag Or 3rd Section. 01to80' 4+2onTag 2 2 �C I I �w1 j NOTES: 1 r Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent Diagram represents example of a <' with home manufacturers instruction and/or state requirements. triple section offset. Total size.is Two Struts =1 LSD System which can be used on one pad or on determined by the length of unit plus offset. opposite ends of the home. Vector Foundation Systems for the State of California Page 10 11 72' I. 1 f �C I I �w1 j NOTES: 1 r Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent Diagram represents example of a <' with home manufacturers instruction and/or state requirements. triple section offset. Total size.is Two Struts =1 LSD System which can be used on one pad or on determined by the length of unit plus offset. opposite ends of the home. Vector Foundation Systems for the State of California Page 10 11 Vector Dynamics- System for Concrete Applications Instructions Read and follow all applicable instructions and guidelines in the Vector instructions -and home instal- lation manual. The Vector system for concrete pads applies to concrete footers, runne.rs and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" -round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor. bolt to its' full load. resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (galy. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3.. Place a long u -bolt through the holes of the Vector pad as shown. 4. Place the concrete pier blocks on the Vector pad. Center the blocks.under.the frame. The upturned edge end of the Vector pads should be up. against the inside of the pier blocks. {. _ 5 B.uild::vectorpiers but do°not wedge• at this time. -6. Usirid a�corcrete drill bit; drill -two holes into the'concrete using the two holes -in, the rear end of the .. Vector pad as a guide. Drill the 3/8" diameter. holes 3 inches deep.. 7.- Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One: Single Block Set -Up Part #59036 Double Block Set -Up Part #59049 Vector pai for concrete Wood Cap and wedge. Outside Tension Bracket Wedge Bolt footer Vector Foundation Systems for the State of California Page 11 `Vector Dynamics System .a . r for Concrete Applications :8. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 9. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 10. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 11. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 12. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to outside tension bracket. Cut strap 12 -15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. 13. Tighten inside u -bolts at this time. 14. Use the outside tension brackets to remove any space between the outside tension brackets, ra` tstx; > ";._-�",ci5ncr'ete`olocks�and the'inside,edge:.of.,the:Vector.pad:;:by.�tapping.,.the,; r-acketsawith a -hammer., Wedge the pier set at this time. 15. Using a 9/16" socket wrench, tighten all of the .wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 16. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight Using at least five turns on the slotted bolts. :.Illustration Tw Single Block Part #59036 Double Block Part #59049 Inside Tie Bracket Vector pad for concrete Concrete footer. Steel Compression U -bolt Strut Vector Foundation Systems for the State of California Page 12 11 /28/2005 '.' I'�: 46 2 4 4 2 2 2 2 2 2 2 Parts Breakdown 1018-1 Hardware Kit for #59018 & #59276 eral System 10019 Flat Washer 1/2" zinc 10502 Flat Washer 3/8-16 zinc 10624 Hex Nut 3/8-16 Grade 5 zinc 10646Y., Hex Nut 1/2-13 Grade 5.zinc ........: 10,925 Carriage Bolt 1/2 x 1 tra'de'-5. zinc 59135 Slotted Bolt w%Nut 59232 Protecto Strap 59279 Diagonal Connector 59288 Vector Tension Head 83044Z U Bolt 3/8-16 x 4.06 x 4.88 zinc #10732 Hardware Kit Longitudinal 4 10804. Carriage Bolt 3/8-16 x 1 Grade 5 zinc 4' 10502:< Flat Washer 3/8-16 zinc .. _ 4 10624 Hex Nut 3/8-16 Grade 5 zinc 010732-1 Hardware Kit Longitudinal 8 110926 Carriage Bolt 1/2-13 x 1=1/4 full Thread 1210646Y Hex Nut 1/2-13 Grade 5 zinc 4110801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc #10733 Longitudinal Hardware for #59013 Kit 1 10732 Hardware Kit . 1 10732-1 Hardware Kit 2 59282 Tension Link 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange #59036-2 Vector Sub Kit for Concrete 4 10502 Flat Washer 3/8-16 zinc 4 10530 Hardware Anchor wedge 3/8 x 3.50 4 10624 Hex Nut 3/8-16 Grade 5 zinc 3 83004Z U Bolt 3/8-16 x 4.56 x 5.50 1-3/4 Thread zinc 2 59135 Slotted Bolt w/Nut 2 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread 2 10646Y Hex Nut 1/2-13 Grade 5 zinc 2 10019 Flat Washer 1/2 zinc #59036A Hardware for #59036 and,#59049 Lateral Concrete System 1 59036-2 Sub Kit 2 59279 Diagonal Connector 2 59282 Tension Link 2 59232. Protecto Strap #59023 Longitudinal Hardware 4 10530 Hardware Anchor Wedge 3/8 x 3.50 1 10732-1 Hardware Kit. 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 2 59282 Tension Link #59026 Longitudinal Hardware 2 59272-1 Beam Clamp Base ' - 4 59272-2 . Beam Clamp.Top Flange 2 59288 Vector Tension Head 1 10732-1 Hardware Kit #48612-1 Compression Strut Hardware 2 10999 U Bolt 3/8-16 x 4.06 x 2.751-3/4 Thread zinc 4 10502 Flat Washer 3/8-16 zinc 4 10624 Hex Nut 3/8-16 Grade 5 zinc :..6 -10556 . Tek Screw #12 x 1 Vector Foundation Systems for the State of California Page 13 11/28/2005. 04106/2008 09:57 FAX 53U 343 441U .; t, ri RECb4lmi; mQUTa r&D BY: RAYMOMC XEMMA, TMstoe VAM RROORDEM MAB. TO: RAYMOND C. XUBEM.T vshw ' 2537 Oak Kaol-WILY . 0mvilk. Ca` ilio lis 95966 eREPARED BY: Amw- w= FwMi(y I.Ald CaWai 7 5008 Sly Paris Chdr, OM lmi=6 CA 92614 FibELi Y NAliONAL lilLE LVjUV0 7.0 ca" of 0s J. � I coft Mirk ftm & � IM am is 40 1 PNNol 1ppo��f I,MApp • - (M�����RIf1I�IfIH�f�H SPACJ& ABOVE TM IME FOR RECORDER'S USE APN 4 036-1034M QUIT CLAW ]TEED , 'tile mrdcrsig wi aw dadim= This cmveysm paos5as dw ink=u is cr ftm a Trust R&T 119X Not pumgtnt to a tale. No ' oaamr given for mis t� and drehraed Gam taeppeeaa(uo 13.1.8, Gliton►ia Cotte 13A, Stc4oa 1. and et seq. (pocem�taiy l't�- SO) 1 GRANTOR: oaeahalf (1R) iutaeet in ft follawmg deoalled Mal pmpwW is ft City of d Co=y ofd, wd Smee ofMfbfW LOT 7, BLOCK 24, V1L1.A-YERONA SUBDIVISION, AS SHOWN ON THE OFFICIAL MAP T19REOF, FILED JANUARY 17.1869, IN THE OFFICE OF 111E RHCORM OF THE COUNTY OF BUTT$ STATE OF CALUMC& EXCEPTING TM RMTERLYy/132 MET TI�1E�MF. t CoamnoNy 66WO in 253 ' � XMnM 11v Oiavilk, Califtials 9596& y ..'• Fa .uN iu✓ k4 i NOTARY PUBLIC ) STATE OF ClI foaoia As COUN1Y.oF ) . cMw& FM=2y tom(arpmadloin wkhin koaaemes[ and adbnawWged to mait�hasena ehaaodty�behalfofw6ir><mepnmd elpetl, aeoaeoddie:er�. WTINESS sadolRohl sigaemae Y/IY .0 �e laYMqFM G KUBSTA , NOWY PUNK p=wMllY WMA. . patoa w6oee rimae is � dne w dpaw an ft bwmeddspWwror r;z NN l a� C+ossraHilo i R ia"M NdwOWN AraoolRW lie. ('�a111f rL ttaa�ils6, if I Mal Tau Statements to: Some As Above 7TnZ SEARM NUMER REQUEFM NOR DONS— FRSTABSD TROM INFOEWATM St11'PLIED BY GRAN OM ption: Butte, CA Document-Year,DoclD 2006.19843 Page: 1 of 1 j Comment.' 0 Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: K u I -q I C 7 Na i A.P.#--0-7/ Home Manufacturer: .o e w c)Manufacture Year: -a 09 G Model Number / Name:_ 7_44 Q,,1 T Width: oO (ft.) Length: �' " (ft.) FOOTINGS: Wood - pressure Ireated or foundation grade[ ] Other$ A 65 SUPPORTS: Concrete block Other:[ Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Pier Footing Sizes and Locations SINGLE WIDE Line 1 �� Line 2 Line 1 ____j Section 1 Section 2 Section 3 Line 1 Piers: Minimum size piers: X [ 2,.� Spacing maximum:. Ll(o " From ends maximum:. " MULTI -WIDE Line 1 Line 2 Line 3 Line 2 ine .4,(triple wide only) , �*- Line 2 Snow Load: AQ psf . Snow Load requirements may be obtained at http:/Mww.upstate-ca.com/butte/butte county/ Insert AP #, view snow load in lower right comer. Line 2 Piers:.. Line 1 Openings:.;... IUihlmum size piers: ] X PA, Minimum size pier: Spacing maximum: Required at each side of openings over F: om ends maximum: rO wide. Line 3 Roof Loads: Knimum size piers: Location (from front): N6nimum size piers: Location (continued): Lite 4 Roof Loads: M'nimum size piers: Location (from front): Mnimum size piers: Location (continued): Kim Use all ABS pads excCpL for 5,000 lb. loads, where we will use pressure -treated pads for footing sizes. �YF i�''�3 AM cn. c0/10 39dd lvd mvd 68EVEESO£5Z 6b:80 Z00Z/60/b0 c'� afa i d a :n O a Y `s �YF i�''�3 AM cn. c0/10 39dd lvd mvd 68EVEESO£5Z 6b:80 Z00Z/60/b0 c'� afa O + K 1 1 b .�p CP �•t1�i= 1'11 „1 1 �YF i�''�3 AM cn. c0/10 39dd lvd mvd 68EVEESO£5Z 6b:80 Z00Z/60/b0 13'- 4" -7 46x59 'h r Cq o N 'h 03/28%2002 08:21 15305334389 PAW PAT PAGE 02/09 V) J %ate 4- 0 11 L9 G _ h� u� f -Lu or v 064 0 t3 CJ 'o u z tJ 6 al V) J %ate 4- 0 11 lii CLD _ h� "ON V) 0 t3 CJ 'o 2)4. Q d� A m vi Q J Ap z �- ca . V t.. W� l% iJ r. ^i. 03/28/2002 -08:21 15305334389 PAW PAT PAGE 03/09 q - t9' R �X � J 4 C� 42 FOOi:Y.G APPROVED ,I��'qD ..` NOTE9: APP ROVE 1. TY19 DRA11111G :3 DES IGIIED FOR THE fEE eY �• .TJ OPT 27' TAG fE[ 119TMtNAT FLEEMOM TAI.GTI•J:I ULUL _ T STI. ID.ARD 11111D ZONE AIID IS TO 9C USES i0.0IXIET IWIE BROAD14ORE ---- L WDCI tlC. 4684B - 1 OPTION it, CGITJIKLATr 11: :'R THE IIISTALLATIQ'I 206 ROOF LOAD - GEORGE G. CATE: 05/05/06 . " SPO.1C.1 ' 4810N/6818 �ti MANUAL 11D ITS - - SUPPLEIAEI:T9. r ------ ----- , r — — — — — �I1�11 1 I- — — 1� 1T — — — — —1 1 — — — — — — — l ❑ ?. EOOTIIIG9 ARE SRG EI FOR EK: 1? E LLLJJJ LUJ E. SPACING MMIAY 'TAR.111 eY �• .TJ OPT 27' TAG IN+ ?�Eltm FLEEMOM BASED OII PAC -TPE. SOIL CGIDITIW, ETC. 1 7. EOOTIIIG PADS t fE[ PIERS ARE REOU:P.ED IwN..L 1 • AT SUPPORT POSTS. SEE I119TALLATIGI IWNhL FOR REQUIRE- 4ENTS. I I' --ISI L L_.L.1 Q ❑ J 1IE — — — — — — — ------- OPT ------OPT 20' TAG 1; s CHASSIS N.R. SPACING I -BEAN SIZE OPT 27' TAG FLEEMOM WOODBURN .. 48 i0.0IXIET IWIE BROAD14ORE ---- • - WDCI tlC. 4684B - PIER LAYOUT OPTION 206 ROOF LOAD - GEORGE G. CATE: 05/05/06 . " SPO.1C.1 ' 4810N/6818 �ti =•03/28/2002 08:21 15305334389 hvima PAW PAT R APPMWOO��- rz¢rrran.Ra has rrrVwlW D uw•. rpsMada Q WX R ' r ,s 14 YW7E X 20' LO!!Q TAG M -6 �r�wc c to byFbsbaoeMwpb bm awEWARLL TM IIMIM� ■ I� 1 -�I • r Y �I. I I\�� weLsxa TWPLATE 4W2X49=If TZ'MKShtaARP11l Atm MAW uwrr 1 ELEVATION PAGE 06/09 tip IX4 FAMMACTI AiPLATERt aartm $ POJ41L,F64VAVW PLATE �IfRL rnerxZ u$'x tseA STAPLE$Ar+z aQ aRga tTLCdR' 7/lT X s X lMk3TAMMAT am MME & FtOORrdU PLATE• I VP X it X20M SWAP. lrA61B1 FLAOR.tC W QTP7cAL) VMA*L Mvw Xttx "e^ S APLE%8SA LSM049JOWT DUAL^A ! - f. AQttintttq sheer penal e>aietflet b ra 611 �' � gypiuR�. . 2. Ono eller paMb beaoaebd on ombbg uaitabeen* ; - (bOd at Gro el+ost pate. . S: DrA%orjoid to be hassled herderamh andafom*skw BUTTE u_ N` genet. Hsheerpnh ars ht a tt ons jobt stay ��O � 3 ' . sh*poht ane and of Eoih tlh�r patarAknek � jotalN 1o6h1 etyt Wrq ado of btnlr shear pen K Lep a d t wch W to each dmft "w" res wM nWo nftwft min. APPROVED l l? X 2 lW X lff Inetts9 dip std mtrh. fin lr: S l x ie0 *mw. FIMA lw joisb art h add lkn b on om m 4. Thm MOO@ aro in eldtM r b tg" bQ nwh mw& .. Z -d 66L5eVM..M ; aoio"0 lVall klggO N08 dgg-90 LO ZZ 0n`d APPMWOO��- rz¢rrran.Ra has rrrVwlW D uw•. rpsMada 14 YW7E X 20' LO!!Q TAG M -6 c to byFbsbaoeMwpb bm (AT EOWAU.) . 3.47M �Laubtbn Numb= iw 600E Ll K4x.1Q PRE D.L. +aaaMnl.foawr a wz-1 awe,• c..lreeoo a 00171!? oX kw. tte. N!V .. Z -d 66L5eVM..M ; aoio"0 lVall klggO N08 dgg-90 LO ZZ 0n`d SUPPLEMENT TO THE INSTALLATION MANUAL EXTERIOR SIDING CONNECTION TO BE FLASHED AND CLOSED AS APPROPRIA FOR TYPE OF SIDING USED (ME RW FOR WALL CONNECTION SEE FIGME 3 ROOF SHINGLE MAR opnONAL 1W SHEETMETAL SIXONE So x - S SCREWS AT 48" O.C. SEALANT OPTIONAL SHINGLES SEALANT METAL TAG UNIT FLASHING INSTALLED AT PLANT tAG UNIT MAIN UNIT ILI FIGURE CLOSE-UP TRIM TAG UNIT AT MAIN UNIT DORMER �UeIUIIAI FIGURE 3 EXTERIOR INSIDE CORNER CLOSE-UP ENDWALLS TO MAIN UNIT NOM 1. For connecUon of floor sea floor connection details in the inwi1own manual. PROPRIETARY AND CONRDENTIAL These dMwnpww%q.-1.Q'- lama", 2007 by FWehm)cd EnWpdno hr— Afflin to mmmilm Calculation Numbers 411707 0017125 . FLEETWOOD ENTERPRISES INC. rrrLE TAG UNIT CONNECTIONS AT ENDWALL or. JW NO. REV. 17-U7 Date:72-52-OW3.01 FASTEN TAG ENDWALLS MAIN UNIT TO MAIN LNT VM ROOF LINE SM """= M Cttlf_;� )THROUGH EX IDR SONG AT it 0.(—' 'LAY FLAT IN SIDEWALL FOR END WALL FASTEWIRS MIN, r EXTERIOR SIDING TAG TRIM. FASTEN TO TAG UNIT AND MAIN UNIT WITH 6 d NAILS AT 4rO.C. SEAL EDGES OF TFUM SILICONE SEALERW" FIGURE 2 FIGURE 3 EXTERIOR INSIDE CORNER CLOSE-UP ENDWALLS TO MAIN UNIT NOM 1. For connecUon of floor sea floor connection details in the inwi1own manual. PROPRIETARY AND CONRDENTIAL These dMwnpww%q.-1.Q'- lama", 2007 by FWehm)cd EnWpdno hr— Afflin to mmmilm Calculation Numbers 411707 0017125 . FLEETWOOD ENTERPRISES INC. rrrLE TAG UNIT CONNECTIONS AT ENDWALL or. JW NO. REV. 17-U7 Date:72-52-OW3.01 70 Vector Dynamics "Foundation Systempy by TIE DOWN ENGINEERIMO, Inc. Installatlon Instructions for the Stmf® of r__-vJ tnr�nh Wind ton® i, no 15 PSP Wind, Seismic XonheRUTTE COUNTY RHIL®ING ClViiislot ApPROVF.D Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. General :..The Vector. Dynamles,Eoundation System resists lateral &.. longitudinal Wind loads by'andioHng the two longitudinal main rails: The system is approved to be used on single or multi section homes. • These plans and specifications meet the equirements of Title 25 section 1330 _ and 65C requirements. • Maximum eave width (roof overhang of sidewall) -of 12" for Zone I. The Vector. Dynamics Foundation System has -not been , designed for use on exposure "Do homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Engineer Approval State Approval MAMUTACTUEED HOMElp ORRS11"" FOUNDATION SYSTEM HSAL : -,1 AND SAFETY CODE, MCI= )"n APPROVED SuaaMT7000MC11". 'ROTM AT AOVA DOESNOTAUTHOREMORAMO"AW Ou T. IONS OR DEVIATION FROM R2QUMMEM Of PLICABLE STATE LAWS AND REGULATJ W smz a+' CatHbntia :Porlmai! of 1j*W4 S Ind C0=raft Dad•PWd ,L—.q1S1V OP CODES ANDS! gy A7� SPA NO. This Q1;11: �pprovel EW -0 . BUTTE COUNTY � ' DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 . OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds REDLINE INSTALLATIONS INC 13407 GARNER LANE CHICO, CA 95973 (530)891-6719 DBEH Building Review Fee DBF Room Addition - First Stor DBFIRE Fire Inspection (SRA) DBFHZE Fire Inspection (SRA) DBFIRE SRA Fire Plan Review (S DBMSC Room Add -1st Story 250sf DBMSC Room Add -1st Story 250sf DBOMSC Fire Safe Standards Rev REDLINE INSTALLATIONS I 13407 GARNER LANE CHI CO, CA 95973 (530) 891-6719 - ' FEE INFORMATION $78.90 $192.77 $107.00 $107.00 $107.00 $47.99 $241.16 $118.98 ,i r LICENSED CONTRACTOR'S DECLARATION Contractor (Name) ' State Contractors License No. / Class / Expires REDLINE INSTALLATIONS INC 848025 / C47 / 10/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full foull and effect. X 06/24/2008 ' Cy tra ors Signature i Date w WORKERS' COMPENSATION DECLARATION ,. I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. - I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of 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. State Fund Policy Number..461-0000736 Exp. Date:09/01/2008 (This section nee not a completed if the permit is or oni e—l�undLre dollars ($100) or less. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensaon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those :Xs v 06/24/2008 ZS' at e� Date ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECT10N 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip DBSMIP Residential Permit No: B08-0663 Issued Date: 06/24/2008 BY KCG Expiration Date: 06/24/2009 Occupancy: R-3 Zoning: AR Square Footage: Building Garage Remdl/Addn 242 'Other Porch/Patio Total 242 $1.57 Balance Due: $0.00 Receipt No: B7800 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 06/24/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the propg��irty owner "a or�ed to�ect on the property owners behal i /%i/ .�. Z,—,/, AJ, ,;/i 06/24/2008., ❑ Owner ❑ Contractor OR;Agent for Owner ^Agent for r FILE COPY .PROJECT INFORMATION _. Site Address: 2537 OAK KNOLL WAY Owner: APN: ' + 078-310-071 KUBEJA TRUST Permit type: 'MISCELLANEOUS P O BOX 5781 - Subtype: -Room Addn-First Stry OROVILLE, CA 95966 Description: 242''ADDITION ON A MH ON PERP (530) 533-4389, 33-4389- I Cnntrqctnr Cnntractnr Annlicant REDLINE INSTALLATIONS INC 13407 GARNER LANE CHICO, CA 95973 (530)891-6719 DBEH Building Review Fee DBF Room Addition - First Stor DBFIRE Fire Inspection (SRA) DBFHZE Fire Inspection (SRA) DBFIRE SRA Fire Plan Review (S DBMSC Room Add -1st Story 250sf DBMSC Room Add -1st Story 250sf DBOMSC Fire Safe Standards Rev REDLINE INSTALLATIONS I 13407 GARNER LANE CHI CO, CA 95973 (530) 891-6719 - ' FEE INFORMATION $78.90 $192.77 $107.00 $107.00 $107.00 $47.99 $241.16 $118.98 ,i r LICENSED CONTRACTOR'S DECLARATION Contractor (Name) ' State Contractors License No. / Class / Expires REDLINE INSTALLATIONS INC 848025 / C47 / 10/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full foull and effect. X 06/24/2008 ' Cy tra ors Signature i Date w WORKERS' COMPENSATION DECLARATION ,. I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. - I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of 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. State Fund Policy Number..461-0000736 Exp. Date:09/01/2008 (This section nee not a completed if the permit is or oni e—l�undLre dollars ($100) or less. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensaon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those :Xs v 06/24/2008 ZS' at e� Date ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECT10N 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip DBSMIP Residential Permit No: B08-0663 Issued Date: 06/24/2008 BY KCG Expiration Date: 06/24/2009 Occupancy: R-3 Zoning: AR Square Footage: Building Garage Remdl/Addn 242 'Other Porch/Patio Total 242 $1.57 Balance Due: $0.00 Receipt No: B7800 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 06/24/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the propg��irty owner "a or�ed to�ect on the property owners behal i /%i/ .�. Z,—,/, AJ, ,;/i 06/24/2008., ❑ Owner ❑ Contractor OR;Agent for Owner ^Agent for r FILE COPY i BUTTE COUNTY o�vTrF0 DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION" ° OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 0, o A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds �UN'� PLEASE PRINT CLEARLY **When riled, this application and all supporting material becomes subject to the Califor ' icRec�or s i related to thisapplication is subject to public inspection and will be posted on the unty's website for elect "9 1�1�_ OWNER INFORMATION Last Name La 6,Gly Firs PIprne a Mailing Address i City State Zip Phone Fax E-mail CONTRACTOR/ Name ,Q I I a l ' Address !6 t City o StateC I. Zo5 .73 Pfiorie' Faz -- E-mail Fax Lic. # Flq p aClass CityL v U APPLICANT SIGNATURE X `V AP# Property Address rfi, nic access. PERMIT NO.TZ& I �1 _ lY BIN # WORKER'S COMPENSATION Policy Number -,llI-- OD© %36 Carrier r l' -q Sq FT- Living Garage Open' Cov O Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office usM o ARCHITECT/ENGINEER Name r Address City _ . _ -'State Zip Phone Fax E-mail CityL State License Number v U APPLICANT SIGNATURE X `V AP# Property Address rfi, nic access. PERMIT NO.TZ& I �1 _ lY BIN # WORKER'S COMPENSATION Policy Number -,llI-- OD© %36 Carrier r l' -q Sq FT- Living Garage Open' Cov O Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office usM o . APPLICANT INFORMATI Name r t 1 Address 3 LL J &I r n� CityL State �_ Zip Phone _ 7 Fax o E-mail - v U APPLICANT SIGNATURE X `V AP# Property Address rfi, nic access. PERMIT NO.TZ& I �1 _ lY BIN # WORKER'S COMPENSATION Policy Number -,llI-- OD© %36 Carrier r l' -q Sq FT- Living Garage Open' Cov O Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office usM o Zoning Flood Zone SRA Yes No Occ. Type Const. I L .--% T _V_P-P D i BUTTE COUNTY FEE SUMMARY Printed: 4/11/2008 7 County Center Drive 10:04 am Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-0663 Job Address: 2537 OAK KNOLL WAY Contractor: REDLINE INSTALLATIONS INC 13407 GARNER LANE CHICO, CA 95973 Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $78.90 4/11/2008 $78.90 DBFIRE Fire Inspection (SRA) 0100450001-4617240-1010 $107.00 4/11/2008 $107.00 0100-450001-4617240-1010 $107.00 DBOMSC Fire Safe Standards Rev 0010-440001-4210500-1010 $118.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $107.00 4/11/2008 $107.00 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010 $361.74 DBF MH Plan Check 0010-440001-4210500-1010 $241.16 4/11/2008 $241.16 DBSMIP Residential 1001-0-280-1011298 $1.57 Printed By: Gwyn Benedict 11,123.35 $534.0.6 Balance Due: $589.29 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees ay change he lan ecking process. Signature: Date: 4/11/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Receipt Number: B7013 Permit Number: B08-0663 APN:078-310-071 BUTTE COUNTY RECEIPT 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Paid By: REDLINE INSTALLATIONS INC Date Paid: 4/11/2008 Received By: GLB Pay Method: Check Printed: 4/15/2008 11:00 am Fee Description Account Number Fee Amount DBEH Building Review Fee 0021-540013-4614901-1010 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $107.00 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $107.00 DBMSC Room Add -1st Story 250sf 0010-440001-4210500-1010 $241.16' Total Fees Paid: $534.06 Receipt Number: B6985 Permit Number: B08-0663 APN:078-310-071 BUTTE COUNTY RECEIPT 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Paid By: REDLINE INSTALLATIONS INC Date Paid: 4/11/2008 Received By: GLB Pay Method: Check Printed: 4/15/2008 10:54 am Fee Description Account Number Fee Amount DBEH Building Review Fee 0021-540013-4614901-1010 $78.90 .- DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $107.00 DBFIRE SRA Fire Plan Review (S 0100450001-4617240-1010 $107.00 DBF MH Plan Check 0010-440001-4210500-1010 $241.16 Total Fees Paid: $534.06 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B08-0663 Date: 4/11/2008 Location: 2537 OAK KNOLL WAY By: GLB Parcel Number: 078-310-071 Sub Type: SFD-Mobile Home PI Owner Name: KUBEJA TRUST, Phone: (530) 533-4389 Description: TAG UNIT 242' ADDITION ON A PERM FND 1 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 The above permit application has the following Clearances required prior to permit issuance.. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 1 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Durham Park & Recreation District, 9447 Midway, Durham.CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning epartment, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ice/ E] Other: l 1:1 ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. r // A -1-7 . Signature of Applicant: / ,�1� Date: 4/11/2008 FILE SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 1:1 ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 F1 rl Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning epartment, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ice/ E] Other: l 1:1 ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. r // A -1-7 . Signature of Applicant: / ,�1� Date: 4/11/2008 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-0663 Location: 2537 OAK KNOLL WAY Parcel Number: 078-310-071 Date: 4/11/2008 Owner Name: KUBEJA TRUST, Phone: (530) 533-4389 Description: TAG UNIT 242' ADDITION ON A PERM FND Signature of Applicant: Date: 4/11/2008 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.butt,ecounty.net/dds —quo– ,�$ National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-0663 Dater 4/11/2008 Location: 2537 OAK KNOLL WAY Parcel Number: 078-310-071 Owner Name: KUBEJA TRUST, Description: TAG UNIT 242' ADDITION ON A PERM FND By: GLB Sub Type: SFD-Mobile Home PI Phone: (530) 533-4389 By signing below, I the project owner/owners' agent, certify that this project WILL NOT.DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or .other santions provided by law. Signed: Title: FILE Date: 4/11/2008 California Department.of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-0663 Date: 4/11/2008 Location: 2537 OAK KNOLL WAY By: GLB Parcel Number: 078-310-071 Sub Type: SFD-Mobile Home PI Owner Name: KUBEJA TRUST, Phone: (530) 533-4389 . Description: TAG UNIT 242' ADDITION ON A PERM FND To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the -property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 4/11/2008 Date . ignature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.orp/Fi reprevention/urotplan/t)rotiDlan.html Rev'd 5/7/07 FILE BUTTE .CO _"TTY SCHOOL FEE CERTIFICA ON FORM One form, er Buildin - School District: Oroville Elementary:School:District Building Permit Number: B08-0663 . . //. CIA Tax Rate Area No:' :Assessor's Parcel Number (s): 078-310-071. Jurisdiction:. County Property.Owner (s): KUBEJA TRUST,. Project Location/Address:. .'253t OAK KNOLL WAY OROVILLE Type of Development Residential Development: 0 No Yes Yes Sq. Footage: 242 No of Living Mobile Home Addition/ *Supplemental to Cr. Demo - existing 0 Units Installation Conversion Permit N g '(No Foundation Inspection) sq. ft. Net total sq. ft. Deed Restricted Sq. Footage: 0 Attach signed copy of Deed Restriction and Notice of Limited Use Facility Document CommercW/Industrial:. =New Q Addition Sq. Footage: (Including. error Roofed Areas) Project Description: TAG U T 242' ADDITION ON PERM FND 4/11/2008 Buildin De rtm t presentative Date I District Indentification No.e0i e) ICKO/ (Street Address) School District certifies that (Payor) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing square feet. AB 2926 $ FULL MITIGATION $ Number) Schon :District fepresentitive Date Paid by Check # Remarks: A04 6 7f - 3/0 — 7 GlriC%i!, Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees.in any court action. , subsequent o the School Districtepresen a ive signing this Butte County Schools Impact Yee Certification korm, the c o0 District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White. (Crhnnl Dictrirtl Vellnw (Rnildinv nennrtment) Pink (Annlir.ant) ililC Crhnnl Fee Pnrm rev'd Z 10 OR Inspection Type ROOFMALL CLOSE -UF i Inspector Richard Nixon 3 (12/3112008 10:00 RJ N ) 1) Provide approved plot plan with garage on plan. 2) Complete door, landing, stairs and skirting. 3) Verify finals from Env/Health and Cal Fire. Add St"d Cor,--Tpzr S Add Corrfro nt Code Search Link Done BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 03(b-163- 03 5 ZONIN OW ONE N 5 3 c� 3 3- L} 9 OWNER'S ADDRES 2631 A-V- P<00 LL- U)* -e ©0 v f -e& C' -- ?57?6.6 LOCATION OF BUILDING �C USE OF BUILDING r—,472M00/'1 t�7-1 -^ Fr.CZvaL vU L M Y -- f =/k / 1J SIZE OF STRUCTURE ^^1?I ? 7 '*mA0'P ' �� X —4L' _ SO. FT. TYPE OF CONSTRUCTION: - WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE TED COST OF CONSTRUCTION ESTTt '2t $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT �5S SIDES REAR 1 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 0 Permit Fee - $EMW Receipt No. Signature of Owner The above described AG Manager Bui/ding By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant ing is exempt from a building permit. 0 Date -1 z-7 14- SN 411 60/VO 30Vd M. Z ivd mvd 68EVEE90E9T TZ:80 ZOOZ%k/EO Ju SN 411 60/VO 30Vd M. Z ivd mvd 68EVEE90E9T TZ:80 ZOOZ%k/EO • r` f a •_ l NOTES RESIDENTIAL raw _ 0 3 6-103 v03-2965 R' PERMIT NO. - • ; ODIC-KI�O�,I,.��1�A1', OIZI�VILI_E' % ' Cont: -OWNER MHU _ _ f - 4 1 - 4 .i S , . NNNS • C F ' � 4 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS " VERIFY USE PERMIT CONDITIONS' s SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By Dat ELECTRI Meter By Dat t JOB FINALED (Date �w ;• Signature i J=OK 0 = Not OK NotReady b'e MOBILE HOMES Date MPBIVwHOME UTILITIES (Plans) OK except #'s Date ing Requirements -Setbacks -Easements 1. Soils; Special MH Support Sketch ewer; Location -Test -Fall -C/O -Concrete Footings; Soils -Size -Depth -Spacing -Connectors -Steel err; Location -Test -Easement Needed (Sketch) 3.: 5 ectricity; Location-Clearances-Grnd. /Amp -Concrete Zocation-Test-Wrap;-/ /" L'ft. / Nat. or/ /" L "ft./ P LPG Date / Card B-1 Card B-1 Da Card Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements 2. Footings;"Size-Spacing- Marriage Line Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Gas; MH Test -Demand -Valve -Connector 3.: 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 6. Water; MH Test -Regulator -Connector 5. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Carports; Windows -Doors ' 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 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 Braced Wall Panels 2. Footings; Size -Spacing -Marriage Line 3. Blocking Date 4. Gas; MH Test -Demand -Valve Card B-1 Date . Card B-1 5. Electricity; MH Test 6. • Water; MH Test Date 7. Water and Sewer Connected 8.. Gas and Electricity Tagged Setbacks -Easements 9. Exits 2. 10. License Decals 11. Verify #'s with Office Pool Structure; Steel -Connections -Thickness Dead Men -Lining " 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 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 ft 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining " 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5'-Circulating.Equip.-Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval { 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date 'Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Fireplace Ties or Type A Flue -Fireplace Throat Clearance 18. Water Pipe; Test & Anchor -Nail Protection 50. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 21. Test Tub & Shower, Second Floor -Tub Access 52. 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Property Line Firewall & Openings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 56. 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Siding -Nailing Veneer 26. Size Boxes & No. of Conductors Stapled 58. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Shear Walls; Nailing -Bolts 30. Subfeed Wire Size/ /ga. Cu or M-A.C. Wire Size/ /ga Cu or Al 61. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect Insulation -Walls -Ceilings 33. Equip. Clearances Panels-Motors-Mech. Equip. 63. 34. Clothes Closet Light -Shower Light -Spa Light Date 35. Smoke Detector Card B-1 Date Card B-1 Date 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 Bedroom Exiting 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 68. G.F.I. & Bath Fixtures & Tub Access -Spa 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 71. 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Elec. Outlets at Wood Panel, Int. & Ext. 43. Bearing Walls over Girders & Floor Nailing 73. 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Elec. Outlets & Receptacles at Kit. Counter 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (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 0 Yes 0 No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 1- ..sn.--c. .,_ -.- ._^ari..y_rs:�-•l..ot..:v...�yr ^�.�- .-�,�y.r t y�-.. r � �y+�r�r�'-�+.+vr.(,�s�--w. ... •-.. { ly COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES< 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. s A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is yy completed. If you have any questions pertaining to this matter, or need additional explanation, , please contact this office immediately. I Q� 7 PG✓ S P ev Kro� / co 4 J`ref vl aY f 3 f.. to ' I)IM,&4 sem` V r y; +t: 1 ty t I •, f t a' Date % 76�)'3 Inspector s < REV 10/92' kavc- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �/ 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-754102 , /_Wd " (Rev.12/96) ' ALICATION AND PERMIT ✓ "' l(/✓ PP ASSUY4P RcME l:3 -'-, Z°"�ING BUILDING PERMIT OWNER KUBEJA RAYMOND 909-873-0411 TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS PO -BOX 391 ETiWANDA CA 9 CONTRACTOR'S NAME owm TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-1-00 SUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE _ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑* Duplex ❑ Mobilehome Other SPECIFY Solar or hest um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U6litiesx, Installation ❑ Other ❑ Describe Work: - MHU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 3 920.00 60.00 PERMIT FEE $ 80. 00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ' A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service tow TO LIOOA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLAS. SO 3.5¢FT. NOµp°SID. T. MULTI.OUTLETITS @7,50 APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES zo @ 1.00 SAL @ .w Ex. Occup. oimEFrs A p.°sa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ith comply with tho pr visions. 6, Date /V l% $i atu of Applicant - Owne ❑ Contractor ❑ AgenAn OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 166.00 HAZ. p. FEES IMP IDOW COF PARC PD E This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions 4indicabove for which fees have been PERMIT EXPIRES O provisions to do work paid. ated,04/63 e Receipt No. WHITE-D.D.S.-B. . CANARY -A SES R PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF E E, OPMENT SERVICES -BUILDING DIVISION R7 County Center Drive, Oroville, C6.,959651Pl one (530)538-7541 Fax (530)538-2140 N PERMIT APPLICATION DATA SHEET , OWNER: Vv !1� \ ASSESSOR PARCEL NUMBER ABuilding Use: Counter Technician: Date: !� V required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Propos2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 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-si nq ed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate......r......................... ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. ,Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Othtr Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) "❑' 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings.......................................7.. 18. Sanitation and site plan approval from the Environmental Health Departmen In / City of Chico Plumbing permit ..................................... 10� 1.�.0.... - CD FJ 20. California Department of Forestry plan approval ®paid. ent by: %.- .-0 PD Q to•2-0 - ❑ 21. Planning approval for (A) Use: 0 K, (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 3 NPDES Form............................................................................. ��4. Encroachment Permit for driveway from the Public Works Dept .....-� E ...... O K / ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ k-3 Owner-Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization..................................................` Recorded copy of Agricultural Acknowledgment Statement...................................1�`U ❑ 31. Manufactured home utility clea�ance................................................1.0........... 0❑ 3, E�cPrig violations and/or expired permits......................................................... Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 34. Other: When issued Telephone 0 06i - -% and hold for pickup. I have been informed of the above itemspd d requirements for obtaining a building permit. Applicant:,�a� r Date: 6U 3 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owne ,was advised of the above d b phone, ❑ mail, ❑count b ( Date: flans reviewed by: Date: � � . �� Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: ,Note transfer by: Date: - K � �' Yellow: Building Division COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Orovillle, California �A95965 * Telephone (530) 538-754 0��� (Rev. 1'/96) ' ` APPLICATION AND PERMIT ASSESSOR PARCEL NUMBf3i ZONING BUILDINGPERMIT OWNER r� OJ TBSP "Q7 / SO. FT. OCC. BUILDING VALUATION OWN lAD CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS A LOT No. I SUBDNISION'SNUIME E SF ❑ Duplex ❑ Mobilehome� Other SPECIFY TYPE OF RK New ❑ Addition ❑ Remodel ❑ LflilBies Installation ❑ Other ❑ Describe Work: FLam; , 099 .PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED $ 2J)F2 DATE RECEIVED � 2� D� RECEIPT # �o,5-7b Total Valuation is Filing Fee $ S O i/ Permit Fee $ Main Service Plan Checking Fee $ Main Service Energy Plan Checking Fee $ NEW CONST. / DWELLINGoCCUP. $ OR ADDNS. \ PERMIT FEE $ 624 PLUMBING PERMIT 7 @ .50 Filing Fee 20.00 Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 1 5.00 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 j Ex. OCCUp. ( OUnErOR FD=RES ) I I BRI. 6 ".5-0 -1 FEL. Occu oim.ETs r ;,6.�FA 5.001 1 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 1 1 23.00 1 1 PERMIT FEE 1 $ J — MECHANICAL PERMIT I Fling Feel 20.00 Cooling Hood 6.50 Vmnfilwfinn PERMIT FEE S O i/ ELECTRICAL PERMIT Fling Feel 20.00 Main Service zoos OR LESS 23.00 Main Service 200A To 1000A 46.00 NEW CONST. / DWELLINGoCCUP. 3.5¢F0 OR ADDNS. \ !L A. BIDS. CC NEW CONST. omin MUMTFOLmFT e 1 7 @ .50 j Ex. OCCUp. ( OUnErOR FD=RES ) I I BRI. 6 ".5-0 -1 FEL. Occu oim.ETs r ;,6.�FA 5.001 1 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 1 1 23.00 1 1 PERMIT FEE 1 $ J — MECHANICAL PERMIT I Fling Feel 20.00 Cooling Hood 6.50 Vmnfilwfinn This permit is hereby issued dnderlhe applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ CCC CONST. TYPE TO L FEE $ r I HAZ - D. FEES I P IT I I CDF V EL I IVHD IS This permit is hereby issued dnderlhe applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON i MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE OROVILLE, CA 95965 - PHONE (530) 538-7541 APN: PERMIT NO.: Owner's Name: /('c4 1 C_ of... Owner's Address: ` / / ` S"F 7 /� !G. L (-- Mobilehome Manufacturer: ^ F � Year o,f Manuffacture: ,� f I"'iC�'t�' '�Loo Serial Number or V.I.N.: Insignia or HUD Number: U Official approving installation:' Date: If the mobilehome i?moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor 036-103-035 03-3026 KUBEJA, RAYMOND ?53.7 OAK KNOLL WY, OROVILLE Cont: OWNER MHI it w� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION, `" 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541%1—.,7,..�� (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMB ZONING BUILDING PERMIT OWNER rjL • • 4 6 !) C:lin0_Q7-A,.M11 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNd ADDRESS PO BOX 391 F TIWANM CA 91739 CONTRACTOR'S NAME ()Q�.� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $7 syl�wN s K KNOLL WAY ORNTUE Energy Plan Checking Fee $ i r $ } PERMIT FEE $ 43.(10 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _MUT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service "AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service WEADWELTO 46.00 NEW CONST. pWpLING OC CCUP. O OR ADONS. ( i ACC. BLAS. 3.5¢SFT. NOLFRESID. MULTI -RANCH OUTLET 97,50 QUITS OWER APPARA U SINGLE OLm.ET CIR. &.M. .00 EX. Occup. OUTLET OR FIXTURES BAL @ I. 0 Ex. Occup. 0FunED R 6.GEEw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE I $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is, issued, I shall not employ any person in any manner so as to become subject.to workers' compensation laws of California, and agree that if I should become subject to the wook�eers' compensation provisions of section 3700 of the Labor Code, I shall f6rthvkh comply with those provisions. /; X % (/' 1l/� ` ` _ Date /,0 6/ 43 Signature of Applicant - ❑ Owner 15 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $143.00 H DOD CDF PARCEL PD HD IS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B ��' j,r` r�, f f/� Date y PERMIT EXPIRES ON / _� " /'•- p��e Receipt No. �}'1 U(s!� J WHITE-D.D.S.-B.D. CANA V -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75416 3—%. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER f • ZONING BUILDING PERMIT OWNER KIME TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAIU ADDRESS Pro BOX 391 E TIWAMA CA 91739 CONTRACTOR'S OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Checking Fee $93 oo a�EPlan :9.,20"s) .,20s K KNOLL WAY ORI O Energy Plan Checking Fee $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00So WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5QFr: T. NON-RISID. MOLT,-OtmET g7.50 aSINGLE POWER APPARATUS OUTIET CIR. Ex. Occu OUTLET OR FIXTURES eA o I o Ex. Occup. OUTLEEDTS R .,6 R.. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) !� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wo rs' compensation provisions of section 3700 of the Labor Code, I shall rth ith comply with os pro isions. i��of X Date 1d d! �-3 _ Signatur of Applicant - ❑ Owner Eff Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in h ight. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $143 , OO HAZ. IMP FLOOD This permit is hereby issued under the the Butte County Code and/or indicated Bove for which fees have y PERMIT EXPIRES ON oZ COF PARCEL P D HD GS applicable provisions Resolutions to do work been paid. p O� Date 0 O e Receipt No. WHITE-D.D.S.-B.D. CANA -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT L ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville,,California 96965 •®Telephone (530) 538-754163— N(Rev.12/96) /APPLICATIOAND PEUIMIT �J OASSESSORPARCELNUMBEA 3 .. O 2� / I ZONING SUILDINGPERMIT ow J /V/ ELEPHONE / SO. FT. OCC. BUILDING VALUATION O 5 N / L- T1 MCOM /1 F TELEPHONE CONTRACTORS WN& ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BULDINGADDRESS 0C 0 Energy Plan Checking Fee $ $ fitPERMIT FEE $ LOT NO. SUBDIVISIONS NAME PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEO STRUCTURE Solar or heat um water heater 23.00 SF ❑ Duplex ❑ Mobilehome Other Water piping 15.00 SPEC" Each gas water heater or vent 15.00 TYPE OF WORK Gas piping stem 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Udliti ❑ 1 stallation�Other ❑ Building sewer 15.00 Mobile Home I S GI W 1 @20.00 Describe Work: PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo. on LLESs 23.00 Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. .� S�so. -9 OR -RESID 8 ACC. BIOS. NEW GUNS. MULTI.OUTLET PERMIT FEE PAID $ NON R6ID. @7.SO POWFA APPARATUS 6 SINGLE OUTLET CIR. OUTLET OR FIXTURES so @ L.50 EX. OCCU BAL_ @ .so MAW OR 5.00 OUTLETS ESIO. E0. Ex. Occup. SRA$ Temporary Service 23.00 Mobile Home Facilities 20.00 —rte Misc. Wiring 23.00 SHERIFF $ 0 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 OTHER $Heating --Cooling Hood 6.50 $ Ventilation PERMIT FE1= S Mobile Home Installation Fee $ —' $ Energy Inspection Fee $ rr CCC CONST. TYPE OT/ALF E $ M:T CO C PD HD ISSUE AMOUNT RECEIVED $ This permit is hereby issued udder the app Ica le provisions of the Butte County Code aA/or Resolutions to do work DATE RECEIVED I O �, (0 3 indicated above for which fees have been paid. By Date RECEIPT ## ✓/5 /vim PERMIT EXPIRES ON Dere , . t -f �-�.,,._..• ,-hp _ ` ., . r,,ti,w � • -. �� .r.rf•..v�`��✓.M�, dam✓ ^v♦ -W�..N.-J.. CI' tir-••.-. • ` ..... - ♦ .- r COUNTY OF BUTTE -DEPARTMENT OF D SERVICE -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUM R O� Y� r 1() �— Proposed Building Use: Counter Technician: Date: O Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in der to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and s4triplicoorp�lans . ❑ 4. gineered truss det I and I youts in duplicate. No faxes! nergy compliance d supporting documentati4n5ezte. 6. Manufactured ho a ata sheets and installation iiage line inf , loowfnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Me dg Plans, (B) Fnd plans and cariplicate, (C) Elev s in in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed, and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and/business license approval from the City of Biggs .................................... , ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ",P4. Hazardous Material Form ........�`.................................................................. 13 Fire Sprinklers ............................................................................................ 4. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other ` ' in items needed to issue the permit. (May require additional plan revi fwupQ!� receipt of the following items.) es as shown on the attached Schedule of Fees Due Sheet.�,�,G..Y.!.�.U...U..!.....�: �... ❑ 17. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 18. Sanitation and site plan approval from the Environmental Health Department in ❑ 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval O paid. Sent by: ...................... ❑ 1. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: Contact Land Development about ❑ Improvements, ❑ Drainage ............................... T 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29 etter of Signature authorization.................................................................... _2Re orded copy of Agricultural Acknowledgment Statement .................................... 1. nufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: - When issued Telephon and hold for pickup. I have beegAnfprmed of the above items and requirements for obtaining a building permit. 1. Index permit dpplication for the above itemb numbered: M 11al I Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by El- phone; 0 mail, ' ❑ counter, by Date: Contractor, designer, owner, nwas advised.of the above data b� ❑ phone, ❑ mail, ❑ cou t r,y Date: Plans reviewed by: iV \.Ci Date: (.��W- 3 Plans approved by: Date: n Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: —�- - •- .- - Yellow: Building Division e COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVIiCES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-'7541 'SCHEDULE OF RECEIPT OF FEES OWNER A.P. it 03-03 15 PROPROSED BUILDING USE DATE RECEIPT # DATE RFC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- sed Plan Checking Fee.... r SC OL DISTRICT ES loll U30� d o ct ) (fo r n / o /1 3. S RIFF FEES (paid at Building Division) 6_1101 I V ' Re ential............ 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. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE ' $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) r 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X $ Sq. Ftg. Amt. 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 maybe changed du yit�e plan checking process. APPLICANT (, DATE /O 3 Pursuant to Govemment de 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) V t AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 03�3,�/H 2+0103-0067108.2 Recorded Official Records Cou�TEf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:37PM 25 -Sep -2003 REC FEE 10.00 CONFORM 1.00 COPIES 2.50 Travis Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT. FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or- discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SES r¢fI-lqC°hez� a EKhc�wE' if Date lA�?7-0 7 PROD TY OWNERS: L . MA-rTrt- e,.o S State of Ca ' ornia ) County of Ou A+� ) `_ On q. a�. U before me,S�1C�c�N� �L le. -1 S�1 1 �j�-0 "/ 1�u 3' I' e. personally appeared' C3 (Yl ' ka , QL4V1C.W 5 perseftarlly ,known -to -me (or proved to me on the basis of satisf ctory evidence) to be the person(s) whose name(s),is9are subscribed to the within instrument and acknowledged to me that he/s)W/they executed the same in tlis/hpf/their authorized capacity(ies), and that by VsVr/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. re ' >��.lrij�'l --J ' �[/,-1 _ SHAWN I. NELSON Signatu Seal: � Comm. 91363163 N N NOTARY PUBLIC- CALIFORNIA Yuba County .� My Comm. Expires June 30, 200 "a A.P. Exhibit A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE�COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED.AS FOLLOWS: LOT 7, BLOCK 24, VILLA VERONA SUBDIVISION, AS SHOWN ON-THE.OFFICIAL MAP THEREOF, FILED JANUARY 17, 1889, IN THE OFFICE OF THE'+RbCORDER,OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA. EXCEPTING THE EASTERLY 132 FEET THEREOF. AP NO. 036-103-035 �: 41 I Building Permit Number: 30 Owner Name: i, Residential Construction Requirements U IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2,001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. Note: We will normally accept the following as compliance with the flood elevation requirements: ` 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be'one foot or more above the 100 -year flood elevation. (Plate height less than. 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. I i 4. At least 2 openings in; exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. �,rr 'ter Page 2of 2 Building Permit N ber: �� —3021w Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: O` `- All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and _Z' feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot -overhang. Expansive soil maybe encountered on this site. This condition may require the foundation to be designed by a California registered engineer'or licensed architect. 1. Owner's Name: PA-`iM C)V3 D� �. i.�_1� 1f1 ±-P,�FiilCtA 2.4 Assessor's Parcel Number: �! (/ - �5- '717 090 3. Installer's Name: 7 f4 1 C 4. Is the site currently under permit? Yes[ ) No[ ) Permit No.3- 5. ^5. Is the site an existing site? Yes[) NoC4 (If,yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?20 0 Amperes. 7. What is- the mobilehome site circuit breaker rating?�Z CAmperes. 8. What is the electrical rating of the mobilehome site? © Amperes. 9. Is the main service remote from the mobilehome site? Yes[X] No[ ] If it is, what is the rating? Q Amperes. 10. Is there any other, electric load. to be served by the mobilehome site electric service . (i.e. well, garage etc.)? Yes[ ) No[)j If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service -at mobilehome site: Natural[A Propane[ J None[ J 12. Size of gas pipe ' at the mobilehome site from -the meter or - tank: 3L4 v inches. r 13. What is the gas pipe length from the meter or tank to. the mobilehome?16 O (ft.). 14. What is the mobilehome gas, demand? B.T.U. * *0 L4 7; P Ll i *(This information is not required if the pipe length is less than 6 feet on' natural gas or less than 50 feet on, propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION 3L1 ,- CC UNI i -luiLDINC DEPART"'g . May 1995 8.5 Mobilehome Manufacturer: llc'c T w 00i.� Manufacture Year:�Orl If other than single wide, furnish Setup Model Number: -(5-6- 3 13 'n 0A Width: -_,I Z(ft.) Length: &_(ft.) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[] Other: -- jet 7 • << - -� SUPPORTS: Concrete block[ ] Other: S o�c -77� S - P, <,- s Provide Tie Down Specifications for all Mobilehornes: - G I J4 S Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I TL e 2 •....................................................................................Main BeamsLine 2Line 1 e 3 e 2 ...---•-------•......................................................................•..Main Beans e 2 e i Tag or Triple ine 4 . i Line 1 Piers: Size minimum: rd x r Z- I. Spacing maximum: From ends -maximum: j 0 Line 1 Openings Size minimum: x Each side of openings with width over: 0 ` Line 2 Piers: Line 4 Piers: Size minimum:`I ] x ]. Size minimum: [ ] x [ ]. Spacing maximum: Q Spacing maximum: ` From ends -maximum: j O From ends -maximum: ` Line 3 Roof Loads: Size minimum 100 00 yHaO `l4ot7 Location (from front): d I." � '/ln Line Roof Loads: Size minimum: Location (from front): SnIUd vao� 3 J' SO`/ Gay 6UT T C: CO3J0 1 t CC May 1995 DEPAR-f PV10V a•d 8.4 enr:gn Fn q2 deg �N10VE QJE FR.IG-r--"Tv2 70 C0P-UE1LAS S44a(,LN �k SICL?L I C I -I t IN KITCNI=T1 c l) I QEtD FD Re- FW\ S: 5 PL Cl S I`V�S'i E2 13VRM ) DEYq KITC4+EM 4 B T) P -M -0- 1 4: --+Z HAM C lr1G CABINET OVEN I SLAN1) -;E 'M I C(Zv UJAVL-: OVETI OVER 570V.C" -)K GA R BA C E D I S•Pa.SA L 2 BA S 14.,1 S IN M A5TEf - 73A'T �1 51Dlr-0 aFIREPt_ACC. 1� I 0 OPT. LIMEN41- AD`DE'D D��f2 W. INS U -)I N Cr DO 02S 63 -vOPT CN\IZ O2E7ULl SAU" (IDEr4D SOUNLD) DIShWASHER 0.1 ISLAND WITi4 rZAISED BAR 13 F'r KITCPEN COUNTER. MOIDIF'Y CLOSET IN BDQM � I ADD CLOSET 'IN F3*DP_.M�Z AS Z!HowN ADDLZ) LIMEAl CLO-Se-TSAS S I+OwN + AM) FIRE PLACE' LG4S/Woo,)) f1DD ELIbIW& GLASS V0oP.. IN KITCP N W A D DED 4 E -r- AT T +4 1 S 'POINT G�LInING DDOe— i O WE CAN RV D A COK?AKIY I - LEC -7 'PL c I G -SJ )AT EAC4 POOR -C3 PLC S) COMFRNY C LOSET L-TIT2Y CLOSE79 A LA 2C -E CLOSei i A LINEN CLOSET S 1-fvc2�N I ., p �. E -Z TIE DOWN SYST ►� -KM2dl�iL_1LY.0!'.Xi *WIND LOAD -- 15 PSF 1. THIS TIE DOWN SYSTEM.IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE S COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF, 2. CHASSIS BEAN SUPPORTS SHALL BE LOCATED AND SIZfO FOR THE LOADS AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS" 3. 1N AREAS WHERE' DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN 0 EXCEEDS 1/4 OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT, 4.* THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS IN WIDTH. CONTACT THE UESIGN ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. S. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING FO AWS SPECIFICATIONS, ELECTRODES -370 PLATED -ASTM A36. • BOLLS=ASTM A307. 6, THE E -I TIE ASSEVOLICS ARE CAPABLE OF THE FOLLOWING LOADS: HEI..,ii IiQ T 1 B" 2010 jib 6000 ' ib 891 Ib 21 "' 18lb 25 Ib 6000 I1 801 }b 25" 629 Ib 1510 Ib 6000 Ib 664 Ib 6000 Ib 36" 19 lb 28- !867 Ib 6000 ib 385 Ib 7. ALL METAL COVPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COALED. 8. WHERE STAND IS PLACED ON -EXISTING CONCRETE SLAB, 1/1" SLEEVE ANCHOR BOLTS MAY BE USED TO SECURE PIER BASE PAD. 9. ATTACHMENT METHODS FOR "C" k "J" BEAMS SHOWN ON SHT. J2. 10. THE LONG DIRECTION OF THE E-2 TSE. PAO (37') MUST 8E INSTALLED PERPENOICU�t S1i1�Ipgg4 AM. OF �1'rrJA, 1791Q OF 5B5I now. • PmumS ROAD BACRAWNr10. CA 95123 PH: 800) 382-8831 FAX: 916) 383-5207 ",OLE WIDE COACHES DOUBLE/pUlilPlE COACHES C. 2' MIN. / 0' bA%, Em t' MIN. / 11' MAX. VARIES }0'-70' EVENLY SPACED BETWEEN rT� r1� I I I I 0 0 -RIDGE BEAM.SUPPORT AS REOUIREO BY MA}IUrACTURER (TYPICAL) rl n E-2 1SUPPORT PAD ( •• � {TYPICAL) Q ❑ ❑ CHASSIS BEAM SUPPORT PIERS_—SIZE AND SPACING AS REQUIRED BY THE HOME MANUFACTURER,, �•.+rn nMP—OAR VI OF ?TOME 18" HT 21"HT 25"HT A44 4 4 6 8 4 4 6 $ 6_ 6 _ 1 0 APPROVED 1U8JECT TO CORRECTIONS NOTED Apumvd !o" not auUsorill or Rpprovo alY onllsslam or 601alion from ftw1em ats of owk wo we I:ws and reEJfotiwls. ShlOof C:11F:rda Ospsrtlt►�t of Hovsk:0 rna G;�-:.„,,h Oc'rdcrmont U1 Di COO�SPJ,i1br/..'".!'i$ � amro} EPA NO TNO Plea PwmrE,Wu THIS -TIE DOWN SYSTEM MEETS -THE REQUIREMENTS OF SECTION 1336,3 SUBSECTION, (a). WAYNE T. POLVADO, PC -LISTING N0. 99001 SHEET I or W O O w O CD a O or Sep 26 03 09:40a p.5 P.) v 1 - O � W - ¢ x 2 �W q O 4 Ov m 4 o.�sp0 n I (VIA ` IX Cl a /- IX: W Q h q 0 0 w F W W z N h W O W 0,01 CL CY CL f. Vr U ZrK SNS+ d� 'N 7 ()'' q N ms yQq LP �_ vO uVi� N Y w 0 p ra n 00 — O CO O co ab tr` �W A � h r I (VIA ` IX Cl a /- IX: W Q h q 0 0 w F W W z N h W O W 0,01 CL CY CL f. Vr U ZrK SNS+ d� 'N 7 ()'' q N ms yQq LP �_ vO uVi� N Y w 0 p ra n 00 — O CO O co ab tr` INS1 t N N CIONS L -z TIE DOW YSTEM 1. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL, 3, THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM, 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES IN THE BASE PLATE WILL LINE UP WITIO THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN, _I=0EAM S. REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER, START THE HEIGHT ADJUSTMENT BY REMOVINGTHE COTTER AND ADJUSTMENT PINS, PIERS CAN THEN TELESCOPE. RAISE THE TOP OF THE PIER UNTIL THE PLATE IS AS CLOSE TO THE BOTTOM OF THE CHASSIS BEAM .POSSIBLE. PLACE ADJUSTMENT PIN THRU -ADJUSTMENT HOLE AND SECURE. WITH THE COTTER PIN. AS 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOPIS TIGHT AGAINST THE BOTTOM OF THE - CHASSIS BEAM. 7. PLACE THE GRIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. C -BEAMS AND I_taceuS 8. HEAD OF PIERS REOUIRES THAT TWO (2) TEK SCREWS BE PLACED THRU THE SIDE OF THE BEAM IN ADDITION TO ONE GRIPPER •PLATE. 9. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THRU GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE CUIDE, ALTERNATIVE: (2)p12 $ M S OR WELD (2) #12 S.M.S.- ANGLE IRON 1 lh'k 1'I 3/10 NOTE: USE STIFFNER IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TTP) WEB STIFFENER DETAIL AL3ESOO.Ous GUARD CO KpgNy 58S I FLORIN • PPR7CIN9 fit SACPLANEW I, CA 95123 PH; (800) 3e2-6831 WAYNE T. POLVA00, PE -,LISTING -NO, 99001 FAX: (911 383-9207 SH[ET or *� C r tv National Pollutant Discharge Elimination System SWPPP Non -Certification for Project # County Storm Water Permit Compliance (NPDES) Phase 11 & for Butte By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BNIPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, -certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan School District U A.P. Number Property Owner Property Location/Address Subdivision Residential Development BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) 0 No of Living Mobile Home Units Installation u Wa Q Department Representative. . � 0 Addition/ *Supplemental to Conversion Permit # '(No foundation inspection): ................................................................................................................... (Floor Plans reviewed bV School District Personnel) District Identification No. 6445 Sq. Footage 1/ e�q7 V (Group R) Sq. Footage (Including Exterior Roofed Areas) /&.12- --5— Date School District certifies that Ku 10 G l a V t (Appl`ant) (Street Address) 1 (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. Q ( —0 a —1 o by.payment of $ representing b y0 square feet. B 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: l0 3.0 M C Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201x), within 90 days from the date fees are paid. Failure to submit a timely?written.protest will prohibit you from challenging the imposition of the fees in any court action. -11 If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm /& t r Building Permit Number: 03 —2q(0 5 - Owner Name: K V-)6 f Residential Construction Requirements J IMPORTANT This set of plans and specifications MUST be kept on the job'site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the .2001 California Building Code (2001 U.B.C), 2000 California'Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW _ Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical,. H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Ceriificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation - requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. r 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered' design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for. every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade.' 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. r -Page 2of 2 Building Permit Number: Owner Name: "u.b�J o * Parcel lies within the State Responsibility Area (SRA). Comply with attached ,-requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and a ui ment including overhan shall be clear of all easements. A' setback ofGA�om the side andW-40ee from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This -condition may -require the foundation to be designed by a California registered engineer or licensed architect. CDF FIRE SAFE REQUIREMENTS AP# PEFMT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. .[X] 1272.00 Maintenance of Defensible Space. To ensure continued . maintenance of properties in conformance with these standards and measures and to assure continued -availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. [X] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 3 t ®3.3 �- b r�-9 � ki.� l AP# PERMIT# NAME t [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds, 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet ofthe building. 1273.11 Gates [X] 1.Gate entrances shall be at least two feet wider than the roadway it serves. IN 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space 1. All parcels 1 acre and larger shall provide a minimum -30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. . 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable .vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 AN PERMIT # N Other Requirements ( ] If Building Setback is 15 to 30 Feet: - Class -A or B roof and Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: Metal or no doors on the side toward property line with insufficient setback Interior automatic fire sprinkler system per NFPA 13D Glass area not to exceed 10 % of .wall 'area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat y Hardi- Board or Plank Masonry Masonry veneer Metal t Other Butte County Fire Department approved materials =w SITE PLAN REVIEW APPLICATION Date:. - 2-,s - cr-2., AP# O `3 b -10 ?0 3 Permit Number (if applicable) 3 —2.9 L S Bin Number APPLICANT INFORMATION Parcel Size: 2- - e - Owners Name: V 13 SJa 4Z A % e7 AJ Owners Address: _P0 391 CA "9/219 Telephone No.: q 0 9 - B-) Situs Address: D A I,-,- k aV O Proposed Use: Residential Q New Single Family Residential ❑ Single Family Addition Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ¢. ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ® Approved , ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY14 Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract F1 Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 0C) 8 S Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (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: A — 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 p Side 5 3© Side Street Rear O 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 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ' ❑ Drainage t ❑ NCSP/CSA 87 ❑ Chico Urban Area = Road ' ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ •Water Tender 5 ❑ 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 F Deeds: - w. Date of Creation: `Q -E 9 S g Legal Access Provided:❑ No ® Yes Deed of Reference: Legal Access Required ' ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ® Yes, Road Name: OA K I<NO LL w/ Complies with County Standards for Deed Creation: r_1 No ❑ Yes Comments: Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance - ❑- Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ 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 II 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: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. 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 measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. �I Page 4 of 5 0 u U 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:\Larrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/pubhcworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530 538-7157 Ext. 2016 rmit Ner 07-3)ozotr District APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. App ie�rrt's Name: // .• � —� G k-. Z) 1 a. Company Name: 2. ress: P1 0 3Gl- X1'/7.39 3. Phone: UM `00 $73-04/1 4. Assessor's Parcel dumber: -3 _- / C, -5 -,n's 5- 5. Location of Work to be Done - tJ v 1= - .2 vis ;? c�N� � 3 i c��i c -Z erw cc n Z5 19. 25,43 6. Apgl' Signature ��� �C ( 7. Date: CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number: 13. Certificate of Insurance: Yes ❑ No: ❑ 14. Contractor's Signature: 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Drive (List Type): / 18. Other: PERMIT GRANTED' In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby granted. 19. Conditions /r / v e —l}- rctr ' Go a1 a,// r'Me clh,e r.)ce ") 'n 4J �e�ore Carly work C)h C) Underground Service 1 .A. mu otified da rior to an excavation. 800-227-2600 20. 4 All work shall conform to accompanying: Detail,& Plans ❑ Special Conditions 0 21. Date IssuedO 22. Expiration Date: O `La 23 Surety: r Mike -Crump, Director of Public Works By:Lxla ss Note: If permits are faxed to any number besides (530) 538-4356, they can be delayed up to one/(veek. Page 1 of 2 General Conditions — See Page 2 14 ' e of , F4 4� 7111613 I2 i7f q Lt- Arzc-iL.;� SOT P- w(o t-For� v� £3Tn- vfr�`� irlN� A T*e2- MEi cR- a;5 s j) G --p et — f 6 p?, 0�S 1 2- o pos e D {ALL ,� o 4D Rte. L c MEjE2. i 01APP I O� SPOLL I i J°r' 1 _N p k. L&ZTR r a ^'�-cJ 11 crz . 57 cw 7 1:, r� etc G -ft L I\J L7 ��0D%F C-2OL) 0�) ,�-T i^� F1S � )2�T r fzoM �-fog+✓ I PERMIT NO.: 56-03 ' - Lake Orville Area. Public Utility, D istric 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: July 7, 2003 , Applicant: RAYMOND C KUBEJA AND PATRICIA L MATHEWS Applicant Address: P O Box 391, Etiwanda, CA 91739 Applicant Phone No.: Home (909) 873-0411 Cel (909) 586-0546 Property Locations(s): Oak Knoll Way Villa Verona Subd a portion of Lot #7 A. P. No.(s): 36=103-35 Fees due $1,558.00 Capacity Charge, $650.00 Connection Fee & $9,901.30 Tank Installation Deposit. Total Due $12,109.3 Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: By: Lake Oroville Area Public Utility District release to close permit: Date: By: Date: n RECORDING REQUESTED BY Bidwell Title & Escrow Company r AND WHEN RECORDED MAIL TO Name Raymond C. Kubeja Sim' P.O. BOX 391 ess Addr City State Etiwanda, CA 91739-0391 Zip Order No. 00209373-001 . i2��3-036396 Recorded'. I REC FEE Official Records I TAX 44.00 County Of CANDACJT.. EE GRUBBS 1 Recorder I ROSEMARY DICKSON . I Assistant I.Kathy 09oM 05 -Jun -2M I Page 1 of 2 SPACE ABOVE FOR RECORDER'S USE Parcel No. 036-103-035 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned'Gra6tor(s) Declare(s) Documentary Transfer Tax is $44.00 ❑ City/Town of ✓ computed on full value of interest or property conveyed, or ✓ Unincorporated Area , ❑ full value less value of liens or encumbrances" remaining at the time of sale ❑ Monument'Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, •Reynalda Collins, A Married Woman. as Her Sole and Separate Property who accquired .title as Reynalda Garcia, a single woman hereby GRANT(s) to Raymond C. Kubeja and Patricia L. Mathews, Husband and Wife as Joint Tenants the following real property.in the ❑ City of ✓ 'Unincorporated Area County of Butte, Staie of California:, SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Dated: May 30, 2003 i AIA 411 Reynalda 6611ins STATE OF CALIFORNIA COUNTY OF Sar t0. Cram`. } SS: On '.,L no3 before me, the undersigned, a Notary Public in and for said County and State, personally appeared Reynalda Collins Personally known to me (or proved to me on the basis FOR NOTARY SEAL OR STAMP of satisfactory evidence) to be the person(s) whose name(s) its/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized 6aapacity(ies), and that by MARJORIEGUMABAY his/b&7—their signatures) `"on- . the instrument the I Commission# 1294371 Z person(s) , or the entity upon behalf of which the z Notary Public - Califomia > person (s) ' acted, executed the instrument . Z Santa Clara County' WITNESS my hand and official seal. iMyco!tifl9°€*iF@te- 17.2005 Signature MAIL TAX STATEMENTS TO: Same as Above' BTEC/Grantdee Exhibit A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE,IN'THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 7, BLOCK 24, VILLA VERONA SUBDIVISION, AS SHOWN ON•THE"OFFICIAL MAP THEREOF, FILED JANUARY 17, 1889, IN.THE OFFICE OF THE'+RECQRDER,OF THE 'COUNTY OF BUTTE, STATE OF CALIFORNIA.' EXCEPTING THE EASTERLY 132 FEET THEREOF.- AP: NO. 036-103-035 AND WHEN RECORDED MAIL TO. BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 25 -Sep -2003 2003-0067082 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building. permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or -discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations, including, but not limited to cultivation, plowing, spraying, pruning,.and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm' operations. All that real property situate in the County of Butte, State of California, described as follows: Date TY OWNERS: C eaBCJ;l R4. ., C,1 dk L, KtT% & L LQJ S State of Cal 14ornia ) County of U -F(�- ) On '�CJ U before me, )l i'J� t Q� personally appeared �<u' o- CM K' +,U C6GL ( 0�A �S per mally- Anowvn-te-me (or proved to me on the basis of satisfdctory evidence) to be the person(s) whose name(s)Are subscribed to the within instrument and acknowledged to me that V/sjd/they executed the same in this/*/their authorized capacity(ies), and that by.is/l r/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. 1 , SHAWN I. NELSON Signature �wLi„�,1J1 li J�^ Ca Seal: Comm. f 1363163 Illw1my NOTARY PUBLIC -CALIFORNIA N YubaCounty Comm. Expires M0 0.2006 2006 A.P.#�1 Exhibit A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: .LOT 7, BLOCK 24, VILLA VERONA SUBDIVISION, AS SHOWN ON THE OFFICIAL MAP THEREOF, FILED JANUARY 17, 1889, IN THE OFFICE OF THE 'RkCORDER;OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA. EXCEPTING THE EASTERLY 132 FEET THEREOF. AP NO. 036-103-035 NOTES s . RESIDENTIAL 036-103-035 �4-1474 KUBEJA, RAYMOND 2537 OAK KNOLL WY, OROVILLE Cont: OWNER I COVERED DECK s SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Signature a' i t r 4' ,I is t i i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Signature V=Oh? 0 = Not OK's ` = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 4. 1. Zoning Requirements -Setbacks -Easements Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 2. Soils; Special MH Support Sketch 7. 3. Sewer; Location -Test -Fall -C/O -Concrete rmg.; Sills-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing Ext.; Steps -Doors -landings 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Elec.; Enclosures; Conduit.Entries-Terminals-Listed 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG 7. Well Clearance & Disconnect 9. Health Department Approval 8. Utility Clearance 11. Light Niche Date Card.B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cen. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVE ARPORTS GARAGES (Plans) OK except #'s O Zoning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3`s 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. Elec ' 9. 10. 11. rmg.; Sills-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit.Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply.Test 11. Light Niche Date Card.B-1 Date Card B-1 Date Card B-1 Date Card B-1 V=OK 0 = Not OK = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready 8. , Date Underfloor (Plans) OK except #'s D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 11. 46. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting. -Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 16. 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped Date 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped Card B-1 Date Card B-1 51. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 17. 52. Property Line Firewall & Openings 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- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ID Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sills Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 6'.. Insulation -Walls -Ceilings 62. Infiltration -Walls- Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538=2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041474 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/19/2004 APN'' 036-103-035-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: Date: Contractor. Map Index: Description: COV DECK(720 ) 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 K L1b t Business and Professions Code: Any city or county which requires a �,^ permit to construct, alter, improve, demolish, or repair any structure, prior Owner' , RAYMOND . to its issuance, also requires the applicant for such permit to file a p0 BOX 391 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section ETIWANDA CA 7000) of Division 3 of the Business and Professions Code) or that he or 91739 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 -LAb.�' 6, Applicant: RAYMOND Code: The Contractors' State License Law does not apply to an , owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:• and, who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3_ofVe Business and Professions Code Dater Owner: License #: WORKERS' COMPE SATION 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. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: 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: 720 S.F. Policy #: Valuation: $11.,520.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 0 d 4 - Applicant: WARNING: Fai re to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and onehundred 1 4()Le- 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. — ' D 1 S d CONSTRUCTION LENDING AGENCY -f hereby affirm that there is a construction lending agency for the This perptit-is reby issued under the _app licable.provisions.of the Butte County Cods.enrVerT Resol o do rk indicated above f r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) -v BY• Date: ' Name: �f PERMIT EXPIRES 0 . I ' I S Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pure es. //%J Print Name: I�f���CfJd�l J + ,`i.� 1� E: 1 Signature: `-v Date: (j7 l U �p i Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041474 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/19/2004 APN: 036-103-036-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: COV DECK(720 ) Contractors' State License Law for the following reason (Sec. 7031.5 KL Lb Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ', RAYMOND to its issuance, also requires the applicant for such permit to file a p0 BOX 391 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section ETIWANDA CA 7000) of Division 3 of the Business and Professions Code) or that he or 91739 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 U bq Applicant: RAYMOND Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:• and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3_"e a Business and Professions Code Dater d Owner: License #: WORKERS' COMPS SATION 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. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: 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: 720 S.F. Policy #: Valuation: $11,520.00 I certify that in the performance of the work for which this permit is Census Code: LLL issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 0 ] G 4 - Applicant: WARNING: Fai re to secure workers' compensation coverage is�/ 1 d unlawful, and shall subject an employer to criminal penalties and one �(�� �-P ' "? �J hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. -----� /`-in' Ux CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for the This pere4Hs-kre by issued under the applicztile provisions of the &itte County Code anrVor Resol o do rk indicated above f r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) -� Date: Name: By I Address: PERMIT EXPIRESO . ' - Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pure es. %� Print Name: 2A`OnCI4I] C, ILLI O Ec� A Signature: `- Date: (J7' l��O r:3L3- Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP 0P-1I-1�-4 DATE:n APN: r ^ 6� ZONING: OWNERS LA NAME: I<u f3 C � A OWNER'S FIRST NAME: RA -e(40) 04 6] PHONE: :53,3-439c? STREET ADDR�EySS: m n � k/0Q ` � QJ A -Y 2_6 .3 7 �"C FAX 'I'dIP:_ Q %jl L b - CA q,5 -9,6 -6E -MAIL: SITE A9 7 ES 4 L 0 L` (14" - CITY. Z P: ✓c L t5 04 6 .6 NEARElSTTCCRTTREET: V� TRACTILOT q APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NRM PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL: D RIPTION OR S OPE OF WORK: ❑ 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 fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: 7 7p Date: v �/ Receipt number: -416� /O� �y� Amount Received: A50 w ':..:'$-.., r"+;•,,.^'.R-, c.�......--•--..........,,eppK�°^Ir-:«a1n-•^-•--•:a•':-'ase..:.•�---.,_.r._.�._".�y,...�,:�y,a,�F�,.Fb'EPs."':.m�q.�,Yf`3'+,t�++i�i."+�5 �T .��'�aJ"..,y` �:.�,�T..�.. .,....ti COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET J OWNER: l� • V ASSESSOR PARCEL NUMBER (% �tlJ ' / rJ -03S Proposed Building Use: C�(�r/ Counter Technician: Date:y - /9 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. - 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 'tdP 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.Sew er ❑ 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 ........................................... .......,- 0. Erosion Control Plan Required.............................................................. ........- 1.. Fees as shown on the attached Schedule of Fees Due Sheet ............ � ❑ .City of Chico Plumbino permit.........:...................................................... ........ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment 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 Carrierji�nd Policy Number .......................................... 31. Owner -Builder Verification (-kGiven to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits .................................... I.................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone s� - -h/ - - oj(jrl e ( and hold for pickup. I have been in aimed of the above items and requirements for obtaining a building permit. Applicant: �( � ��4 Ala VJA Date: O- �1 q O 4 1. Index permit apTlication for the above iteafis numbered: Plan Check Ldtter ' 2. Additional items required Q. Contractor, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by-)ZCiDate: S ' D Contractor, designer, own r, was advised of the ab ve d a by phone, ❑ mail, ❑ count r b Date: Plans reviewed by: - L_Date:__- D Plans approved by: IV U Date : (5-04 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED BUILDING USE UILDING PERMIT FEES 110,00 ---Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES A.P.# 03b -/0 DATE q' / 5'' Q RECEIPT # DATE REC. (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (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. MOTHER 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 process. APPLICANT DATE 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 requiremenis for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) OB.—I 1 I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major" labor and materials for construction of the proposed property improvement: YES ❑ NO E 2. I HAVE E]HAVE NOT�Asigned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed'construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this woik, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS -PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SEN/UT ER: DATE: O' S7,,� � dL NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must• be completed and returned to our office before we are permitted to issue the permit. OVER 11 0,1nA OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and materialpersonally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner Builderinformation is required by Section 19830 of the California Health and Safety Code. OVER National Pollutant Discharge Elimination System (NPDES) Phase Il Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACREl Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State .Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting, false and/or inaccurate information may result in revocation of g and/or other permits or other sanctions provided by law. Signed: CA(`� l'lda�l� �. �u fv�EJfi Title: Date: Building Permit Number: 0 q- I g 7 `1 Owner Name: ('<" u of j 01 - Residential Construction Requirements IMPORTANT. This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code ` (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to'be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. , 4. At least 2 openings in exterior walls, located ori opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number:., Owner Name: 'K W)b i _. Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. -" Fire sprinklers are required in this structure. y - The following parcel map requirements shall be met: ' All structures an�d,, ,eq�u.,ipment including overhangs shall be clear of all easements. A setback ofQ�_^feet from the side andGJ� �W `feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this, site. This condition may require the foundation to be designed by a California registered" engineer or licensed architect. ■ OTES ■ .ESIDENTIAL PE T NO. —, 0_;6-103-Q35 _ 03-0667 KUBEJA, RAYMOND '„r t 2537 OAK KNOLL \IVY, OROVILLE Cont: OWNE1: f COV DECK i r' SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 f } JOB FINALE (Date) Signature ze/1- CHECKED BY J=OK 0 = Not OK . = Not Ready NotApplicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements' 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L -ft. / P Nat. or/ /" L "ft./ P LPG Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEFn, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 7. Well Clearance & Disconnect 8. Utility Clearance 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. Date 7. Card B-1 Date Card B-1 Date rmg.; Sills-Anchors-Studs-Rftrs-Trusses Card B-1 Date Card B-1 Date MIOBILE•HOME INSTALLATION (Plans) OK except #'s 11. 1. Zoning Requirements -Setbacks -Easements Braced Wall Panels 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector Date POOLS (Plans).OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining - ' 6. Water; MH Test -Regulator -Connector Elec.; Pool Lighting; 15 Volts-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. 8: Gas and Electricity Tagged Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Tie Downs -Type -Installation Cert. 10. 10. Exits; Insp.-Sketch Light Niche 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage tine 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 DEFn, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Hing Requirements -Setbacks -Easements 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. EleqlkC rmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. 'SidjpW, Nailing -Veneer -Stucco -Mesh 10 oof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 w) Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans).OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining - ' 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 54. 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 57. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 23. Fire Sprinkler; Test Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date 74. Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 81. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 82. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At Insulated Neutral O Yes O No 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 34. Clothes Closet Light -Shower Light -Spa Light Water Well, Disconnect, Electrical, Plumbing 35. Smoke Detector Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 92. 36. A.C. Ducts Insulation & Support 93. 37. Vent Fan, Exhaust above insulation 94. 38. Condensate Drain & Overflow, Size & Grade 95. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 96. 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: L . .,. COUNTY OF BUT1E- :..�. �:. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES • 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE KU5E--T 0 (65 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ri please contact this office immediately. {'Ko v 16Foo -ri tic c L(Dc-C-P PS Date r 2 q Inspector REV 10/92 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR.INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO50657 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: 05/02/2005 APN: 036-103-035-000 the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Site Address: 2537 OAK KNOLL AVE ORO Date: Contractor: Map Index: Description: COV deck (420) OWNER -BUILDER DECLARATION 1 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: KUBEJA RAYMOND permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a PO BOX 5781 signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter -9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any 530-533-4389 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).): 1, as owner of the properly, 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: KUBEJA, RAYMOND Code: The Contractors' State License Law does not apply to an PO BOX 5781 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 530-533-4389 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 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.). ❑ 1 am Exempt under Articlr3!!�e Business nd rof ssions Code e 'DatOwner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit 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: 420 S.F. Policy #: Valuation: $6,720.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with t ose provisions. Date: Applicant: / n WARNING: Fail a to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees.��/ CONSTRUCTION LENDING AGENCY y issued under the applicable provisions of the Butte County Code and/or This peunikork I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolu ionIndic d above for which fees have been paid. a � � � • �j S Name: 1 BY Date: PERMIT EXPIRES Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑' Notification in accordance with Section 19827.5 of California Health 6 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 9, y official form or document of Butte County. I hereby authorize repr tatives of Butte County to enter upon t e above mentioned property for inspection pure es. Print Name: �` L l Signature: v Date: Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR.INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 , PERMIT NO. BPO50657 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: 05/02/2005 APN: 036-103-035-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 2537 OAK KNOLL AVE ORO Date: Contractor: Map Index: Description: cov deck (420) OWNER -BUILDER DECLARATION 1 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: KUBEJA, RAYMOND permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant. for such permit to file a PO BOX 5781 signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter.9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any 530-533-4389 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).): Y, 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: KUBEJA, RAYMOND Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does PO BOX 5781 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 530-533-4389 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 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.). ❑ I am Exempt under Article 3 e Business nd rof ssions Code Dater% d Owner: 2 License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: 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: 420 S.F. Policy#: Valuation: $6,720.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with t ose provisions. d OS Date: Applicant: WARNING: Fail a to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one n hundred thousand dollars ($100,000), in addition to the cost of 1� �O(I ` C / compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. ` — , La�—�/ , �b6 CONSTRUCTION LENDING AGENCY This pe rn herg y issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolu ions o vork indic d above for which fees have been paid. S' Name: By� Date: V �Y 6 PERMIT EXPIRES d Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑' Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above.information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of y official form or document of Butte County. I hereby authorize repr tatives of Butte County to enter upon t e above mentioned property for inspection purp es. Print Name: d 04) �� Signature: Date: Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor �uT TFBUTTE COUNTY PERMIT o I O DEPARTMENT OF DEVELOPMENT SERVICES NO. o O BUILDING PERMIT APPLICATION GO AND SUBMITTAL REQUIREMENTS q; -G4 o '"dam- - O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 O ==- ®" O OFFICE #: (530) 538-7541 �+ A FEE WILL BE REQUIRED AT TIME OF APPLICATION BIN # �U 14 Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTR#CTOR OWNER L NaL G,) A City State Na � Name D til tD Addtes�� 7 0*14 R/00 L `It AdVl LL e Occ, State Zig, P O S 4+3`9 dao 533`4 34,5 -mail Date A proved: Y CONTR#CTOR Name Address LZ City State Ip Phone F E-mail Lic. Class ARCHITECT/ENGINEER Name Address r City KI:IB r -IA — Lp RAS ;\,rUVD 05-0657 Phone �.,' OAK KNOLL CO,1t:OROV 066.1\,`ER ILLS E-mail COV PECK APPLI t;,mj v Nam Addle 7 Ci 0011- LL State 'gyp" of <2 -2 4 4 Vq �3 o1, 5_3 3 Iq3 6-S' APPLICANT SIGNATURE X C�'G I For office se only: t,09 Zoning if�C Flood Zone I k I SRA es No Occ, Type Const. - . Subdivision Name Map Book (' I Page Lot # Planner i 15 6 L Date A proved: Y LOCATION AP#©36 103 O3� Property Address SR• �-Z � City rE7sistreet WORKER'S COMPENSATION Policy Number Carrier firing anyone other than license contractors, a certificate of worker's co nsafion must be shown at the time of permit issuance. LENDING AGENCY ame Ad Description ption a0 s I D Proposed Change of Occupancy (Note previous use): . EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. [Received by: Amount: O Bldg I Receipt #: 14 ?ci4 Date:??I OVER FOR SUBMITTAL REQUIREMEN 15 K:\FORMS\BUILDING FORMS\BldgApp1SubRgmts.doc Page 1 of 2 SRA Sheriff SMIP Total 1"[Cv /-L/-VV 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 A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation hist, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact -Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of 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 KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.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 Phone (530)538-7541 Fax (530)538-2140 ` PERMIT APPLICATION DATA SHEETrr���,) OWNER: ' \ ASSESSOR PARCEL NUMBER U V Proposed Building Use: V 8 9 r Counter Technician: Date: 1 0 - Items required in order to app y for a perm/ .All boxes MUST be checked OR marked NA in orOZ apply - 1 . pply.1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. - 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form AA15. 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........................................................................ ........ rWxt(,1 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ i 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval (A) Use:L.(B)Parking:(C) Parcel Check: _v S� ❑ 25. Contact Land Development Aut _ Improvements, _ Drainage ............... I......... y26. 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 .......................................... ,,E� 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits.......::................................................ ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: j When issued Telephone 7 7 ' and hold for pickup. I have beenine,,", ormed of the above items and requirements for obtaining a building permit. Applicant: � / eiDate:. o'3 //O/Z> S- 1. Index permit applica ion for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: • Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER Ul PROPROSED BUILDING USE q4_ -i UILDING PERMIT FEES alance Due ..................... $ qb --- Additional Fees Due........... $ >� --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES Residential (per unit)..... X # Units Amt. A.P. # • - 16 3' 0 55 DATE RECEIPT # (paid at Building Division) Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (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-=l Sq. Fig. Amt. �0. OTHER �a Ste. 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 d the plan chec 'ngocess. APPLICANT DATE C5,461615- Pursuant 5,d G,5 -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) ' p�Q�tTME/�T 0--6UTTF / 0 < l ° J \\\ ® O \ AC0 t4l �L1c wo�� Department of Public Works .0 o u n t y o f. B u t t e J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant �isEh�rge Eliminati'n : System (!IDLES) Phase 11 Construction, Storm Mier Permit and Storm Wafer Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN 9 AC Project Description: G'bUL (Zc ,D Project Location and/or Parcel Number: 03 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre -or more.of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the- State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. , I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in I revocation- of grading and/or other permits or other sanctions provided by law. Signed: I Title: u Date: Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 - �.�tuw�9.r�.»�.Kaai 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. • I HAVE [-� ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER:'e L DATE: 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- 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. Micel 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. SVTBUTTE COUNTY PERMIT 0 I 0 DEPARTMENT OF DEVELOPMENT SERVICES NO. 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS - �• G(� dam. - p O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 -- 0 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION BIN # C�V 14 Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY* * K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 ,F r 7 3T r Department of Development Services O Building Division o'`-�y o 7 County Center Drive o_ - o Oroville, CA 95965 Ar:: =_ o A o (530) 538-7541 (530) 538-2140 FAX GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23 -II -B-1. Lumber shall be at least Douglas Fir #2 or better (D.F. #2). Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) and .minimum 12" from the finish grade to wood girders or treated wood. js required. No wood shall' be placed closer than 6" to earth unless it is foundation -grade or pressure treated. (UBC 2320.13) 4' ! Max. 4' Max. 36" Min. Top of Deck SIDE VIEW 4' Max. -7 1077771 777771 V77771 vrrrn v»rn i-�tv;rrn c. Min. 2x pressure treated ledger Min. 2-'a/ 91# 0. X +L—AG5 PcfMil) or call out size & spacing, diameter & length of lag bolts or screws. [A TYPICAL LEDGER If the deck/porch is 30" Pier posts greater or greater above the than 3 feet in height finish grade a guardrail is . need to be diagonally required. braced between posts 4 - 16d nails or an approved. post base connection If using precast piers, wet set precast pier into concrete footing Min. 4 x 4 post @ 5'- 0" o.c. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. Top of 3/4" clear&1ce Joist to the edge of -- �he wood member joist Min. 2 - 1/2" dia. thru bolts required GUARDRAIL An approved post cap connection Girder •• or connect girder and post with 1/2" plywd gussett Post and 3 - 16d nails top & bottom �1 6" Min. II I------------+ 12" x 12" Footing 8" Min. embedment TYPICAL PIER FOOTING Guardrail 1997 UBC.xIs r't Department of Development Services Building Division 7' County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX. HANDRAIL DETAIL HANDOUT Nailing shall comply with Table 23 -II -B-1. Minimum underfloor clearances from finish grade to wood joists is 18", (UBC 2306.3) and minimum 12' from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater, risers shall be 7" max and treads 11" min. The dimension difference between the smallest and largest tread run or riser height within any flight of stairs can not exceed 318" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary structure. Toenails subject to withdraw are not acceptable anchors (2320.13). 4' Max: 36" Min. Topof 4�_ Top of Deck W JOi St Anchor stair stringers to the primary structure with an approved joist hanger and screws, lags, M.B. Pier posts greater than 3 feet in height need to be diagonally braced between posts. 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete fnntinn. 3-1n 1-114 3-1n lax.• Mas. 1 -tn - Min. 2Af2 -\- A Intermediate rails 4' Max. spacing shall prevent 1.1n• the passage of a 4 3-1n Mat diameter sphere. m 4" Max. HANDRAILS 1-1/2' MHit- Handrail n.Handrail Theight 34"-38" 4-- a'Min. r-1 Not Acceptable 9'Min • Girder 6'Max Post An approved post cap connection or connect girder & post with 1/2' plywd gussett & 3 - 16d nails top & bottom 3-2x12/ �j 6' Min. Stringers r 12 x 12 footing 8" Min. embedment Attach stringer to sill plate with angle clip 4 x 4 post min. Min. clear width at stairs shall be 36" Min. 2 - 1/2" dia. thru bolts required Min. 2x pressure treated sill plate __� :i ioQ7 I IR(: XIS 193 i S CALF >r DA I'- -T -EEs TOLERA+ICrr✓-t °3� `) AD ! A Cr. -W �A R CE L ; ADJACENT PARCEL 1 NF't� ACi�t (I ACI' 201AIN Ee AR ` •?U1`d'ilG : A R' j Lel L^] �.� =� U SESm R-ESIDEt\\CE OC: Til-. l�'E1�1C' • 40 F NG DIVISION - BUILDING PLAN APP OVAL Use:Date: a- (fir ��� .. g: • Landscaping: y. I ' ure: E X 15-T I • ti wlrH--60.-- h Svg j FUT�IRE_ EXTENDED 50 os. 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PL.`rL0000 P-00Flo& Mc-ros�- �� 40 4 20t C6::!b Porn F:I NG P -t -AS 4 1►JG - �` ROOF 2AFTcR•S 13�ACKEr 24 ae"OTERS . FAC i A — , P-AcV-c r5 TY -P A-7��o HeADFA S I - �CXrSTI►� Cs wA�L /L1 MIN CXIST/NU OUTS IAc W A ti, c) r= 1+wA r j QAC It.� G I'n-taoL i• ou-rs►ri� z -.... i-�ME.. rG_tiare_ at�1 Z Pcc k S ' . Z Prlttil duTT L COUN I 4.x6-'a.TR°ERS ___- --- ---- ---- 4 X _.QP2u GE+_r_c_ CPas-r M.- ..1 198 SCALE= 1" = SOS DA I` TTZEES TOLGW,4n\GC-'±3/ T6 -I AD3ACEN7 PARCEL INFO' SIDE: ;-Z ON 11\LG % A R USES: 2ESIDENCr; PROPOSED --=--� RES IDEMCt MAN U FA CTU RED HOME) 27 45/ GENERAL ..o -- SUDFE. 60/ 1 4G ± S' I I � � I I,ve, 170' S� 201 '� TO IQI CIRCO AR DR \ v E- w 60, DIA oj I `LAPPPROX I P i 0 1 .t I� ANNING DIVISION - BUILDING PLAN APPROVAL WATER METER p►", Date: _2� - larking: -Landscaping: ---. _ .. . _... )cher. Q A K K N\ 0 LL WAY annnh iro -- ADJACENT PARCEL 1 NFlU . SIZE: _ 99(.Acu-7 (I ACPE) a0111N C> AR U SF- &t 2E51DE N\ CE I FU7URE GAPAGE` FUTURE EXTEN iD D DI,2IVEU)AY 50� A MCP < FUTURE Uf-CIC ----PACIFIC GAS ELECT RIC METEPS S EW E R TA NK IBJ I T+I PUMP (LAKEOROVILL-F ARCA PUBLIC UTILITY) - is' t3/ I(y --3' H5SESSORS QA'FPCEL NUM-aF`e = 03� 103 035 OWNEZ NAME/PkDVV-ESS. P,.-IONIE NO. RAYMOND C. j<U2E-1A PCS 130x 39) ETINANDA CA Q1?3- HOn 9 0 91 a73 6411CELL 909 586 SITE LOCATION; OA1< KtJ,OLL WAr; OROVILLE CA SSSlb[- sI:? --T : 2.39 ACRE L PLGs �fZ r DA K 7T2 EE._S AD 3 A CEP,I-f .-PARCEL 1 NFO ' SIF: ;-ZONIKG : Atz U5ES: 1pESIDE:NCE: PROPOSED S IDEI\ICE- M P, N U FA CTU RE 1) HDME) } RE IEWEO 5jjTTE CO. FIRE CALIF. DEPT. of FC ❑approved as sub! [,1 approved Wit sC r I ,r attac signature V 0 <� c� O 3 1 < Q) v cl c:. ErI E1zAL SL.0-F'E- 60/ I 4.G 'RUC; ERHANGE% g� 1' BAC! ;�P: LEOF ORA2FT .RY ms N, date SCALE: I"= r ---)O' TOLERAt\\C_G -f 3/ Te _1' ADSACENT F 'NKC_EL 1n\FU SILE= _ 99(bAca-: U ACME) aONIN Ea Art USE &t RE'SIDE1\\ CE ��$ ANDE'b JIPMENT I�LUDI�Y� SHALL BE CLEAR OF ALL EASE�� NAIL OF FT. FROM THES ROM THE REAR ENTERLINE SHALOPERn'LINESL QOM -TIDE ROAD C TRUCTURES AND O U1PME.NT .E% � EAVE OVERHAND. �— SUTURE Gl��'ACE" FUTURE EX-TEN0i D D1�2IVEUJAY 50 AMCP K I F-UTU R E DE C IC GAS EIEC I Rt C METEES I�- - --- See the attached-,,.. - " 1 `` S EW E f1 -TANK IBJ I T+I l° 170� ' S� - � tu�t�ot 20 ` PUMP CLAKE D IN VILUF ToI I ATZCA PUBLIC UTILITY,, CIRCULAR Z5' DRWE Pages �) w 151 tai - 60' DIA i > I A -P l:�, P. O X EIECTFtICAL, MECHANICAL, AND PLUMSINP I P I - NSTRUCTION ( NOT PLAN CHE kED I 1 4-31 LCOMPLV WITH CURRENT EDITION --:-jSI AL i - 3 gtVNING DIVISION - BUILDING PLAN APPROVAL WATO,� METER I� i8; (> Date: Gi-2� —B g� __ _— irking: _L-andscaping: - .011.�IN�1 ®EPARTOViE:��. Iher. 0AY KN1D LL WAY D . gnaturQ t� A5 SESSORS PAQCE.L NUM l) r; = 03Q) 1 o3 O 35 OWNED NAME��D�IZ�SS �1>'•'InN� NO. RAYMOND G l<uL�E�� PCS 130Y, 391 ETI WANDII CA GI?3� HOI\%_-309�i=373_-6411 CFELL _t905 566 0 5`1_91 SITE LOCqTION OAK Kf40LL l.JA1-' OROVILLS I C : 2.39 AC2E' L0flINGs �1•L I E S .t �• 14' •S' 19 S E1, e 1 t 1 '� 1 1t 1 PrOrlli �p1 BATH ,• 1 gLAF7 Eat 138 w Tl: ,r�r it 40 r- a oPt Iwo s . einft LE ofr , •' OEM ! 1 DINING AREA ort ' aIEU 1 4 4 UTILITY _ {,�,,) 11• 1 p 9144 KITCHEN i —I 1 / � 1 WAN 1 caLOD ED LCL ISP t 11 1 Q sz6.8-9�� At•Ee •r1 Pr. Pr F5 8j1o. T 9 I 1Wa *AC JAPE AECEPT OR ME011101 40 FL= 0 I J 1 J r AAO ' 4 6.lo.butt I NOTE: BE BUILT IN AN EXACT MIaROR IMAGE FiW � 1 pf Q r OPT O 0 r �' 1 BEDR�M i • M 6EDROOM £ e 118.5 eaf i� iIYlNG RAi196,7 fq1 r 117.5 f 1I9 — GLAZ VENT PPS COrpOW10n NO. BI Zf 1 .a ' •,.� I, t to -o NOTE: BE BUILT IN AN EXACT MIaROR IMAGE FiW � 1 THIS FLOOR PLAN MAY (SIDE rO SIDEI AND/09 WIDTH (ENO TO END) A90UT ITS LENGTH 69L',CE RANGE DIMEIS%ONS (FROM THE CHAgiel ARE AXIS. 70 BE STAIITE0 AT TME REAR OF ENO -TO -END MI NACR IMAGES. I�PPROVED WIND 0N SCHEDULE GLAZ VENT PPS COrpOW10n NO. BI Zf DESCSI P111014 2.30 1..20, I Madison • 7 I 141~30' V.SLIOER V.SLI 50 5,20 8.�V1103DE9 4 30':58' V.SLIDER 19.50 6.20 .30 g 48',56' 19 r8'►59' ".SLIDER XG1 20.210 IR.aD HUD Manufadured Home DOOR SC1ED'JLE GLAZ VERT conshuction & NO, 812E OESCRIPTtOut Safety Standard o, 192' A Te' BLANK PE12 30f 1 JECE'TACIf 9tl iCH iP1mrAT SME ALPXU SNORE AI ARM ar '" utar ILMI FIXTURE �ttAU6! it Ci.I:INS PAA E.I R11t GRI EASR - r CD-"wrou POS - 32' -I' VSy{EAEAMLt O7.,a se..a• 19CEILINS RES. 19'•10 0AIR SUMY , C90VI-VER ee. wNECTIeN 0 fLOOKELCCREO. E CHAR! �LXe6X• 1 -to 44'-?* + + FM PAN Wf L16Hf 4 Pao. iV000dUK�i 6E BEAM 46-1 3S CHU, ri - ro NI CURY al It sew ILE YC•JiL 0a , �J.�. 45635 t1i:F f LW PLAN 56,42 IND 2011E I 13�- ` a 56'-B' SEE JW. a e D1�6 DEPAR 1 6 Ep -x TE1i911CAL "1E X31 t2�103 stAW LICE L'to ,7, r tE7 C FiW � 1 td1E,!' I ,s. •a. It••O' • 1 .34'-4' - rJ x6fEt 1075E D91Et91N1S PE12 I METER P Z. ER ! 14 REQU 1 RE4 wD1.1 Ila, wig ton I RI loll E Pf l.L X 0 . P 9 _ F 111 8 9 a' rab' r •LIF! 9 L ell 4'-0• 38 q 5400 .1 14 •8' 9' 83 4100 1 9''i t •7'-0' 8 T800 2 13'-0' 6 LEE 8o Z 13'- 1LtdXICAt 5100 3 9'-!' 5 EC1,71KAL 4i0a 319-1 8.'8. IHSfdUAfio 8�a 4 eo' o' S 18St ATICH 4 111- 4800 141111- a o IUIIIIAI _-- . , , _,,. c HAL I 5100 is I I r' - 1 JECE'TACIf 9tl iCH iP1mrAT SME ALPXU SNORE AI ARM ar '" utar ILMI FIXTURE �ttAU6! it Ci.I:INS PAA E.I R11t GRI EASR - r CD-"wrou POS - 32' -I' VSy{EAEAMLt O7.,a se..a• 19CEILINS RES. 19'•10 0AIR SUMY , C90VI-VER ee. wNECTIeN 0 fLOOKELCCREO. E CHAR! �LXe6X• 1 -to 44'-?* + + FM PAN Wf L16Hf 4 Pao. iV000dUK�i 6E BEAM 46-1 3S CHU, ri - ro NI CURY al It sew ILE YC•JiL 0a , �J.�. 45635 t1i:F f LW PLAN 56,42 IND 2011E I 13�- ` a 56'-B' SEE JW. a e D1�6 DEPAR 1 6 Ep -x TE1i911CAL "1E X31 t2�103 stAW LICE L'to ,7, r tE7 C {�--- 198 �-- OA K TTZEES ADJACEN 1 PARCEL INFO' SIF: ZOr1ING % AR USES: RES IDENCt PROPOSED __\ 2E 51DET�1Ct (MANU FA CTURED H.ONIE� ELECTRICAL, MEC! CONSTRUCTION ( SHALL COMPLY 'A OF NEC, UMC e i 27 45� METER �� DIVISION - BUILDING PLAN APPROVAL --6 170/+' S/ 1 ----- -----/nc r D�z1vE" A Y 601 DIA N. A -P PR0X so 4,G + 5' GENERAL SL.UP� G0/ CAL, .AND PLUMS G r PLAN CHECKED - - - CURRENT EDITIORli/�/ UPC. t OTE:— se the attached Ccnstr+�c�On ' - c Jrements — 1 2 Pages 4 I \ I 20 TD I.> I 25 I '1> IPI SCALE= C = SOS TOLGWAt\\CG-t 3'T6' 3 See,2rm" & -003-Z`1GS �r ' AD7ACENT PARCEL 1 NFU s117-E:-996ACaL CI ACPE) aOTJIN Ee AR. USF -&t 2ESIDEt\\CE — F u��uR-W �-G A rz FUTURE 'EA -TENDED VIc?1VEUAY 50� A-FP2C>/X FUTURE DECK -PAO-IrIC GAS ELECT RIC METFIFS S EW E R TA NK IBJ IT+I PUMP CLAKE OROVILLf Ai CA K T`2 Fe's AU7fl C.F-WT �PAf2CE L IP4.FU SfZE: :iOPI.!Kc- i A T? SE N PLAN); USES,' RESIDENCE - EX IST N AG ESIDEVCE fEXtSTiNAG QU tL I`ll {. ; RESIDENCE C�ANU-�A CTUcz�D �a��MEJ V98 IiUT aE COUNTY JAN 2 6 2009 (DEVELOPMENT SERVICES I� 5CALE : 1�Nc.15DPf AD_TA C Eta` 'PA TZC4'L. IN -P70 .99b ^CP -C- Cf PSC RC - A EA 12 G �1 PLAN% - i USE.5: 9-eSI®E4jC�ff -C-AR GE PU7U E E7xTEFNtX-l3 $501 - 27 �XISTIY�1�L: 17E C>� 4 WITH ROOF ° / I P'A G 1 F - I, -c— C,. ,+R i SEW LE TPN V 1M1T14 PUMP 17 01 20 1 M Q Le A tC t- O IZO V I L l E A 2G:A t~UTU RE TD• � PLti,L% C. UT1 L.IT`f D IST � I IE CU LAW �} ;;,. 2 5� -D R ;.�>.. t i + GO' A1A► -tet J; I Lu F tom, 3, } WATT -P- m0-) Ev- 25 737 0A K- X140 L. L. WAY USE'S S®F-S PAR C Ti- N•UNl3eP- 034o 10-3 0 t�I/11NM IvtAMF/A D.DQeSK/P� 6tQ MO,. I�AYWIUN43 C. 1�1�153S1A m 1�L�. T�DX `S 7i�3! D2c�V6G:�CA 95�"66 (CE'L9(903) SS&O s46 Sl TE' LOCdq"nO%:fOAK KMOLL, 'la.AY DROVILL� CA 9059�G 519E'd '2- 7 ZD ISE 9 N C-+ o AR r ALL FRONT SETBACKS ARE MEASURED FROM THE ULTIMATE EDGE OF THE RIGHT OF WAY. • a 1 3 BUILDING ; Qi_'s ` PERMIT# d S U .`• I ACCCCCAQrC p- b% PARCEL# b' - / Sum Lo ;`IiL.INC sir - AWA 3M dQjj APPROVED PLANS AND PERMIT SHALL BE ON SITE FOR ALL ' INSPECTIONS • Yy Y+ � Y � .,..-�s� �.,e' 111 ' ' .. '• jQ' � I 0q G 66 Q z • . EL u vy _ :.s Wit ov a� o in A a tJ c3 . ix W lob COMPLY WITH CDF/ CAL FIRE REQUIREMENTS PRIOR TO BUILDING CODE OF - CALIFORNIA DIVISION FINAL. CONTACT CAL FIRE / r t Ir—INS--TITLE 25 CALIFORNIA DIVISION OF FORESTRY a _ Assessor's Parcel Number. C� .� I/ L 1 / _ �%j uU ® SCale' �11 - AT IpR I REQUIREMENTS AS AMENDED ;�FFICE USE ONLY JURISDICTIDN APPLY INFORMATION FOR t ' r r r �Cy!•171�L1�1 C1�1� NIV {J 11V�rLl+ TUrV� a Owner Name C �{�MV�l9ii J�l4 � 14,, n_ LEREMEN PROJECT,' , . 1 SIZE AC � C� Address/ Phone No. X53 b o G It) 0 v `1.r`1 - - Site Location 2S•2)'7�,_ XfjaL:L_ T_ ���pV Orovj1 �-e. S2lp � THE 2007 CBC, CMC; CPC, Si r - CEC,'-'AND 2005 CALIFORNIA rr r. T Contact: -, ' - ENERGY STANDARDS AS 1IT LE, Name L I' ,� 1� I -I _� �Pd !► Phone 5• - -� 5�/ 7/9 n' AMENDED BY•THE JURISDICTION L _ . —_ - n--. v rr••I TLrlc 939zf1AF*MT_ I 1 op-ti 08 —0663 APN 'VILE 1 W ` Q Zj � W. W 0 Assessor's Parcel Number: [�' — [ 0 0j — ❑- M 0 Scale: 1','= Owner Name_aT ✓i C<�� Address/ Phone No. X53-7 (Dgk k&01-1-0.4,1 Oa2v,) c c IS`1 (le-,� I Site. Location 25?, -7 - Cog k= &2tvLc- U�9Atl Oro vi /1-e- 19,75,96 6, L - (2Pd - Contact: Name L � n G l� � l,h.� Phone V11 FOR OFFICE USE ONLY PROVIDE FOR ALL ADJACENT PARCELS Zoning: SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: 4.0(r USES: