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LUCINDA M. HARVEY--.
3447 Oro Bangor, Oroville %'3 -
Permit #6486-76P (instn:.
line nom tank to shouse)
B07-1695, 078-380-041
',.E.
PFS -
RESIDENTIAL, SFD-Mobile Home PFS- _
NEW MH, EX SITE, PERM FND.(1440)n'
3447 OROBANGOR HWY
a r
—wALLACE, ROBERT & K.ARI'.'
9L
� 078-380 041
B07-1696 ,�,,. ; r, Demolition
MISCELUANEOUS
DEMOLITION OF EX SF
47 ORO BANGOR HWY�
34 KA
WALLA.CE; ROBERT &
r
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2.140 Website: www.buttecounty.net/dds
Permit No: B07-1695 Issued: 02/14/2008.,.
Address: 3447 ORO BANGOR
HWY Area: OROVILLE
Owner: WALLACE, ROBERT & KARI
Applicant: WALLACE, ROBERT & KARI
Permit Type: SFD-Mobile Home PFS APN: 078-380-041
Description: NEW MH, EX SITE, PERM FND (1440)
ALL PLAN REVISIONS MUST BE
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122 _
Pre-S4i'.
y ---OFFICE; COPY"""'-�— "" k
Gas Ti,-
i Gas Ti:` Addr'_
Gas
Mason'
Masor
r —GAS +-''Underti
—Meter By Date
Under;!I.sELECTRIC
Sheard Meter By d.+
Under; r` *
Gas Piping 1
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
.135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
to
AREA
1
Flood Zone: None SRA Area: Yes
SETBACKS for Zonine. AG. SRA. PW
Front: 20 Ultimate R/W from CL:
Rear: 5 SRA:
Side: AG:
Other: 5
Total Setback from Centerline of Road:20+
BY THE COUNTY BEFORE PROCEEDING
Inspection Type I
IVR I INSP I DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
I
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpining
612 C
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605 G
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
y
Date of Manufacture:
Model Name./Number:
Serial Numbers: '
Length x Width:
Insignia:
In
Public Works Fina
538-7681
Fire Department/CDF
538-6226
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801
' 1 1.*Project final is a certificate of occupancy for (RkWenfiaV0nlyJ
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF I155iJANCE. IF WORK HAS COMMENCED, YOU MAY. PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
1,I
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: 3447 ORO BANGOR HWY
Owner:
Permit No: B07-1695
APN: 078-380-041
WALLACE, ROBERT & KARI
Issued Date: 02/14/2008 By TMP
Permit type: RESIDENTIAL
PO BOX 1010
Subtype: SFD-Mobile Home PFS
OROVILLE, CA 95965
Expiration Date: 02/13/2009
Description: NEW MH, EX SITE, PERM FND (14.
(530) 589-2001
Occupancy: R-3 Zoning: A -R
Contractor
Applicant:
Square Footage:
TOM'S MOBILE SPECIALTIES
WALLACE, ROBERT & KARI
Building Garage Remdl/Addn
6366 LINCOLN BLVD
PO BOX 1010
1,440
OROVILLE, CA 95966
OROVILLE, CA 95965
(530)533-9117
(530)589-2001
Other Porch/Patio Total
1,440
FEE INFORMATION
DBF MH Plan Check $233.56
DBFIRE Fire Inspection (SRA) $102.70
DBFIRE Fire Inspection (SRA) $102.70
DBFIRE SRA Fire Plan Review (S $102.70
DBMSC Mobile Home Permit Fee. $350.34
DBOMSCF Fire Safe Standards Re $115.98
DBSMIP Residential $9.36
Total Charged: $1,017.34 Fees Paid: $1,017.34
Balance Due: $0.00 Receipt No: B6359
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
TOM'S MOBILE SPECIALTIES 865359 / C47 / 10/31/2009
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 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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
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 02/14/2008
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor'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:
HAVE
the work himself or herself or through his or her own employees, provided that such improvements
❑I 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.mprove
for the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
000653 03/01/2008
State Fund 461-0Exp. Date:
Policy olicy Number:
Contractor's License Law.).
(This section nee not be competed if the permit is or one hun red dollars ($100) or less.)
❑ 1 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 / 02/14/2008
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
_
n s Signature Date
provisions.
X 02/14/2008
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
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, 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 a merrioned property for inspection purposes. I hereby certify that I am the
rt o r/or uthorize tonth pr p ersbehalf.
02/14/2008
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
a of PdribitiVe [ .—ji Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
net Contractor OR; Agent for Owner ❑Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name,)
Jp4t Name
Mailing Address O d t O
City (20w LLF,
StatA
Zip ,v65
Phone 5 g�w +
Fax c.G
O
E-mail
APPLICANT INFORMATION
CONTRACTOR
Nam 1
o&f
Address
COL
City Vb LL „
Fax
State cA
Zip 6-A
v I b(v
Phone 533 — �ll
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
CibQ0 10 LO
Address
Zip�1,r�L
City
Fax
State
Zip
Phone
Fax
E-mail
Slate License Number
APPLICANT INFORMATION
Na C2
C,
Address r�•�O Jot
CibQ0 10 LO
Sta
Zip�1,r�L
Phone W, _C-)00 1
Fax
E-mail
A PL/CANT SIGNATURE
X,
PERMIT
NO.
ruil� 1Cr
BIN #
(ate(
PROJECT L�O�CATION
O
Property Address ' �R 004 &40401
Wjj
cityo-Q6 5G b,6
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
PLACE 3)t.c OtO
IyLav
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
air R�vc�
Zoning
-
Flood Zone
SRA
ves
No
Occ.
Type Const.
.,Valk.
LOAND
C)t-%-®M
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: B07-1695 Date: 08/07/2007
Location: 3447 ORO BANGOR HWY
Parcel Number: _ 078-380-041
Owner Name: WALLACE, ROBERT & KARI
By: KCG
Sub Type: SFD-Mobile Home PI
Phone: (530)589-2001
Description: NEW MH, EX SITE, PERM FND (1440)
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
V�-� E]
❑ ❑
F.
DRAINAGE 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, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
PARKS & RECREATION DISTRICTS
Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
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
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
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
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 Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
Other:
Other:
❑ ❑ Other:
Signature of Property Owner. Date: 08/07/2007
FILE
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B07-1695
Job Address: 3447 ORO BANGOR HWY
Contractor: TOM'S MOBILE SPECIALTIES
6366 LINCOLN BLVD OROVILLE, CA 95966
Printed: 08/07/2007
1:18 pm
a
Fee Description
Account Number
Fee Amount Paid Date Pmt Amt
DBFIRE Fire Inspection (SRA)
0100-450001-4617240-1010
$102.70
0100-450001-4617240-1010
$102.70 08/07/2007 $102.70
DBOMSCF Fire Safe Standards Re
0010-440001-4210500-1010
$115.98
DBFIRE SRA Fire Plan Review (S
0100-450001-4617240-1010
$102.70 08/07/2007 $102.70
DBMSC Mobile Home Permit Fee.
0010-4400014210500-1010
$350.34
DBF MH Plan Check
0010-440001-4210500-1010 $233.56 08/07/2007 $233.56
DBSMIP Residential
1001-0-280-1011298 $9.36
Printed By: Kourtni Graham
19017.34 $438.96
' Balance Due: $578.38
At the time of permit appli ation, I was advised the above fees are required prior to issuance of the
permit. These fees may ch ge during the plan checking process.
Signature: Date: 08/07/2007
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).
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.buttecounty.net/dds
00�Ri/_'�
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: B07-1695 { Date: 08/07/2007
Location: .. 3447 ORO BANGOR HWY I By: KCG
Parcel Number: 078-380-041 i Sub Type: SFD-Mobile Home PI
Owner Name: WALLACE, ROBERT & KARI Phone: (530) 589-2001
Description: NEW MH, EX SITE, PERM FND (1440)
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: 08/07/2007
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 newfull 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
(not yet issued) must be requested within two years 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 of
$54.99 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 hqp://municipalcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-1695
Location: 3447 ORO BANGOR HWY
Parcel Number: 078-380-041
Owner Name: WALLACE, ROBERT & KARI
Date: 08/07/2007
Phone: (530) 589-2001
Description: NEW MH, EX SITE, PERM FND (1440)
Signature of Property Owner: Date: 08/07/2007
Y t W 41 FILE
a
California Department of Forestry and Fire Protection
Butte County Fire Department
Fire Prevention Bureau
_12§ue Oroville CA 95965
(530) 538-7888 Office, 530) 538-2105 Fax
Reference Number:
B07-1695
Date:
08/07/2007
Location:
3447 ORO BANGOR HWY
By:
KCG
Parcel Number:
078-380-041
Sub Type:
SFD-Mobile Home PI
Owner Name:
WALLACE, ROBERT & KARI
Phone:
(530) 589-2001
Description:
NEW MH, EX SITE, PERM FND (1440)
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
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
All development within the
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) 538-6837, ext. 169, (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.
qlaiure
08/07/2007
Date
Rev'd 5/7/07
All of the Fire Safe Requirements are posted on the Butte County Fire Department website at
http://buttefire.org/Fireprevention/protplan/l)rotplan.html
FILE
LGV-
)P'V,4,,W OUS /0 e&h'oo
f; PARCEL
KtS/UtIV IIAL tjU/LU/NG KtGUKU
ADDRESS SHEET. OF �- SHEETS
DESCRIPTION OF BUILDING
CLASS @ SHAPE I CONSTRUCTION STRUCTURAL EXTERIOR 'ROOF LIGHTING IR CONDITION I ROOM AND _FINISH DETAIL
1
Light_
Sub -Standard_
�( Frame
2,P '*/I �
Stucco on
Fiat l Pitch '
Gob /e
Wiring
X.T. Conduit
"27 Caplin ROOMS FLOORS FLOOR FINISH .TRIM'
Forced lean B 1 '1 Moierio/ Grode
INTERIOR FINISH
Wo//s Cei/in s.
ARCHITECTURE
Standard
_
Sheothing
SidingHip
/q
B X. Coble
Grovity Humid. All �j,
j', s f�
Above -Standard Concrefehloek Shed / Fix fures WON Unit
nit
ost
J Stories
Specia/
B48 T. B G.
/ y
Cu/ Up
Few Cheop
Ent. No//
.3ta
USE TYPE
I
I Brick
Shingles
Dormers
Av . Medium
Ifloorilnit Living
J; /P/.7i
V
FOUNDATION
Adobe
Shakes
Many I ISpecial
lZonellvil I Dining
Daub/e
Concrete
F/oor.JoisI
8.88. T. s6.
Gutters
Centro/••
'SU
Duplex
Reinforced
lir r "x -
PLUMBING
Bed
Apartment
Brick'
2"d: 'X "-
Brick
shingle
Poor Good
S Bed
Fiat
Wood
Sub floor
Slane
Shake
Oi/Burner
/
_'
Court
Piers
n'A
WINDOWS
Tile
fixtures
_
Mote/
_
D.H. Casement
Tile Trim
ifater/feoler
Insulated EI]
Slee/ Bosh
Composition
Automatic
Fireplace Kitchen
I)F VEL N1
(inifs I
ILiqhtj jHeovV I pnsuiareaffatt5 1 licreenj
vas 1 irlecr. i�r.•��••
CONSTRUCTION RECORD
EFFEC.
APPR.
NORMAL % .GOOD
RATING (E,G,A,FP) BATH DETAIL
Permit
Amount Dole
YEAR
YEAR
k�emoin9 Tab/e /o.
Age
Cored. Arch. Fuzic. Con- Coro eSpoce Work- FL, No. FINISH ' FIXTURES SHOWER
_
No. For
nit
Cost
Cost
nit
ost
Life
Attr. plan form. upbd loset , hthip f/oars Wot/s c Lo. ub T e Grode f. Q finish
Cosh nil Cost
/ y
O
/Tr e,.,
Zoo c�
.3ta
/300
3.0C�
/000.
J; /P/.7i
V
I /!illi
2 a / 2 f-3.0 4-7
SPEGIAL FEATURES
P�fr r i QRIVS COMPUTATION
Appraiser. B Date
FF- ! ,,..1:i • �-, -, .,
S. -� v
s%D�
��'
is 4
S-6 "S6
7C 36
Unit tArea
Unit
Cost
Cos/
onsit
Cost
nit
Cost
Cost
nit
ost
Cost
Unit
t
Cosh nil Cost
nit Cost Unit
Cost cost '
Zoo c�
.3ta
/300
3.0C�
/000.
S0
'SU
1%
n'A
/* c isme
INS
2
'
I)F VEL N1
MM
,
—
A5 b
e -
TOTAL
25"2�V
-7411
NORMAL a/o GOOD
`y 0 •
-�
�, R.C.L.N.D.
j I �6 .
/ l �%
SA
-7,5:- 0
20 v o
MISCELLANEOUS 'STRUCTURES
Structure -Foundi
Cons. Ex f Roof
Floor Int
Size, etc.
r
60 S
? d
d.
Af
/OR
COMPUTATIONS
rix 3Y S -e
bu c -
p
Remarks:
Z. 7x ",c_
D/
4_29
6�pJ11ilutte County Fire
All new buildih
i SP in SR� are required to We:
4y encloso r0wor(bustible eaves on entire strucl
L atter scree' topm#nt accumulation of leaves/del
00
Corrosion re
IAN"Illlfft� � BUILDING PLAN APPROVAL
Use: 6ate:
Par
Parking: Lan [IV;
—1 2_4121 f
Other.
Signature: I VIA
194
I to,
LANDING AT EXTERIOR
DOORS SHALL COMPLY
WITH CBC SECTIONS
1003.3 & 1003.3.1.7
V�S
'_'7
1711
A- �tl_
==4— �,bl 1- —77
This project isrequir
S sa e pract c4l Oki
Vined in th4 attach
quirement,4,
V-1
CALIFORNIA CODE OF
REGULATIONS TITLE 25
REQUIREMENTS;� AS AMENDED
BY THE JURISDICTION APPLY
I "
TO THIS PROJECT f U7
A�',PROVED PLANS AND
PMIT SHALL BE. ON
PM
Sk FOR ALL
PECTIONS
FILE COPY
LLA CC -
d to rr eet the
guidel nes
old PRC4290
a
BUILDING
PERMIT# 0?
ASSESSOR'S
PARCEL#_Q21 -3qO- 0q1.
10
"t-APPROV 0//
E D_ _e' Al�'717
THE 2001 CBC, CMC, CPO,
2004 CEO, AND 2005
CALIFORNIA ENERGY STANDARDS
AS AMENDED BY THE
JURISDICTION APPLY TO THIS
�,PROJECT.
►i ii ' ►.J � \ 7
00�i
9Aii:•.��'� '.:�i �3 ���Ir +if'f�af��},'! 11
'Twnh! 3,8r
HA IS
:�i8 .......... _M :u
W -1
J
set A#ac kfd
In tie County Building Division
MANUFACTURED HOME SUPPORT DATA
' .vner's name:0�U__U-
l�tt,� A.P.#4LL
Home Manufacturer: .��i SSV
-.--. ^� 3i/I, nufacture fear.lei
-Jlod ;! Number / Name:_
Width: '(ft.) Lengts�: �
FOOTINGS: Wood - pressure treated or.foundationradel/Other:
SUPPORTS: Concrete block -e Other:( ,g � [ ]
Provide manufacturer's installation .i�iwlaa), s pport blo6kirAg requirements and state
approved or engineered foundatio; p .:ir tie down systam spetificatiwr.so
Pier Footing Sizes and Locations
SINGLE WIDE
Line 1
Line 2 Section 1
Line 1 �y
Section 2
Section 3
Line 1 Piers:
Minimum size piers: [ ] X [
Spacing maximum:
From ends maximum. "
Line 2 Piers:
Minimum size piers:
Spacing maximum:
From ends maximum:
Line 3 Roof Loads:
Minimum size piers:
Location (from front):
Minimum size piers:
Location (continued):
Line 4 Roof Loads:
Minimum size piers:
Location (from front):
Minimum size piers:
Location (continued):
MULTI -WIDE
Line 1
Line 2
Line 3
Line 2
Line 4 (triple wide only)
Line 2
Snow Load: psf
Snow Load requirements may be obtained at
hftp://www.upstate-ra.com/bufte/bufte—'County/
Insert AP #, view snow load in lower right comer.
Line 1 Openings:
Minimum size pier [ ] X[ ]
Required at each side of openings over
" I wide.
A, FVR^I!FD
,w
BUTTE COUNTY DEPARTMENT OF PUBLIC WORDS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name:
3. Is the site currently under permit? Yes /d// No
.(If yes, furnish permit number ) OR
Is the site an existing site? Yes /ems/' No
(If yes', furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes No
( If no, clarify )
5. What is the mobilehome electrical rating? ------------- ---___--_ gips
6.. What is the mobilehome site service rating? _____________________ Amps
7. What is the mobilehome site circuit breaker rating? ------------- Amps
.8. Is there any other electric load to be served by the mobilehome
site service? ------ ---------------------------------------------- Yes / / No
(If yes,'identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? ------- -------------- (in.)
10. What is the type of gas service? --__----__m_-__---_---------- Natural / / LPG./A--`/
/
-11. What is the gas pipe length from meter or tank to the mobilehome? —3 -&--(ft.)
12. What is the mobilehome gas demand? ------------------------------ ,(BTU)
(This information not required if pipe length less than 6 ft. on natural.gas
or less than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
P'b lehome Mfr.
16 i Setup Model No, Year
Width(ft.). Length (ft.) Expando Size ft.x ft.
(Draw support details below)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with th County of Butte).
"enter
Support
Locations
E� )•(an�
-7.
ft (inti
7
H.) k in.
1#1 , - - Y/
(ft. in.
Center Support
Footing Sizes
(in.) J
(in.) an.�
—/x
(in.) (in.)
_V �e
0
in.)(in.)
(in.) (in.)
Sin
gIe Footings (check one
I
lakso
*If center piers are other than above,
-draw in locations, spacing, and dimensions.
Typical Support
—..-j)Footing Size
in.
Max. Pier
(ft.) c fi�
Max.
L Overhang
in
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
Ll
1. Wood either
pressure treated or
fdn. grade.
2. Concrete pad.,
3. Other, specify
Supports (check one.
1. Concrete block
2. Concrete piers
3. Steel piers
Other, specify
Typical Support
—..-j)Footing Size
in.
Max. Pier
(ft.) c fi�
Max.
L Overhang
in
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
a
BWT L- C�'o11i� .�1� . :Of'1: ANGLED
..� ULDING ®116ISI� t RecE850 ENTRY
WUt7/OEM
mAT, ►��
Lii4C
COUNTY
2007
opmENT
✓ ,._'ACEs ._J
ANGLE
CHASSIS FRAbIE
1/4" GRIPPER PLATE
(2) REQUIRED
1/4° GRIPPER BASE
1/2-13UNC-A307 x 4"
BOLT WITH HUTS
(4) REQULRED
01 1/2" SCFE 40 PIPE RISER WITH
01/2" ADJUSTER ROLES AND 3/8"
THICK TOP PLATE
02" SCH 40 PIPE STAND WITH TWO
01/2" ADJUSTER HOLES
ABESC0 ASS PAD #503 -�
STEEL FRAME
SEE DETAIL "A"
36" 1GAX
TO BOTTOM
OF PAD
Oi/2"'x 3" C.R.
LOCK PIN WITH
Di/8" BRIDGE
PIN
{-�---• 10.00
0 0
10.00
1 " X)
4— a
09/16 HOLE (TYP)
STAND BASE_
TOP VIEW
8" 1/2" DIA, BOLE (8) PLACES
$ t f
�. 30"
STEEL FRAME
TOP VIEW
Qsst,��
STATE A P P R oJAI
MANUFACTURED HO1,% MORD S HOME
FlOUXDAnOX�JW7 2007
HEALTH AND SAFETY CODS, SFXTIG I 78551
APPROVENEVELOPMENT '
SERVICES
h
SUBJECT TO CORP.EMONSNOTED
3%8", CAO PLATEO SOLT,• AUT & WASHER
COACT "C•' FRAME—.
-- COACH "J" FRAtAE
C
COUNTER CORED RUSH WITH BOTTOV
�'
�
pr"
A:I 8" O.e. (8) REQUIRED
2" [: HANNEL - "4"
t i �.
, - t/4 x 1-1 /4"
PER `
c
P
114"x 1-1/411
�
LATE TEK 5175
'REQUIRED
r 1 /4" STAND BASE..
TEK STS
(4)
—
--
�— 4RFSrO 4131§ PAD 050.3
(2) REQUIRED
114" GRIPPER
- 1/4" GRIPPER
BASE
_____ 8ASE
r�
QE-A.'L .�n
1/2" A30,
(2) REQUIRED / I
1 I - ijz" ASui i3-'-
(4) REQUEREO
STEEL PLATE
\ \
LT -SEAM
^ rte" A307 B�JLT
(2) REQUIRED ATTACHMENT
J -BEAM
ATTACHMENT
1/4" GRIPPER PLATE
(2) REQUIRED
1/4° GRIPPER BASE
1/2-13UNC-A307 x 4"
BOLT WITH HUTS
(4) REQULRED
01 1/2" SCFE 40 PIPE RISER WITH
01/2" ADJUSTER ROLES AND 3/8"
THICK TOP PLATE
02" SCH 40 PIPE STAND WITH TWO
01/2" ADJUSTER HOLES
ABESC0 ASS PAD #503 -�
STEEL FRAME
SEE DETAIL "A"
36" 1GAX
TO BOTTOM
OF PAD
Oi/2"'x 3" C.R.
LOCK PIN WITH
Di/8" BRIDGE
PIN
{-�---• 10.00
0 0
10.00
1 " X)
4— a
09/16 HOLE (TYP)
STAND BASE_
TOP VIEW
8" 1/2" DIA, BOLE (8) PLACES
$ t f
�. 30"
STEEL FRAME
TOP VIEW
Qsst,��
I .q •:-. ������ '' APPP.Qt'AI, HOES 1.C17'AUTHORIZE ORAFRROVBANY
OMISSiONS OR DF:I'iATIO14 FROM REQ0RENIENTS OP
APPUTCABLE STATE LAWS AND REGULATIONS
�- � `•r;.__ � is �' .rF
State ofCelifomfa
G�4 r Dw2alment of Housing and Community Development
37" TUl-- 1 PERMANENTmCODM ANO STANDARDS
FOUNDATION _,YSiFM _
C BY DATE
S 851 FLORIN - PERMS ROAD iI 7 II i +
1 t This Plan Ar, TVI upimq--
,� � • v,.i' � a, 0 .IRtIK Ii NI..A 1 �J. i,1x :V 9iJ
rj':
:1 e T Alli n i"sii ?•.. _ d= .—Ih t, id"
•
STATE A P P R oJAI
MANUFACTURED HO1,% MORD S HOME
FlOUXDAnOX�JW7 2007
HEALTH AND SAFETY CODS, SFXTIG I 78551
APPROVENEVELOPMENT '
SERVICES
h
SUBJECT TO CORP.EMONSNOTED
I .q •:-. ������ '' APPP.Qt'AI, HOES 1.C17'AUTHORIZE ORAFRROVBANY
OMISSiONS OR DF:I'iATIO14 FROM REQ0RENIENTS OP
APPUTCABLE STATE LAWS AND REGULATIONS
�- � `•r;.__ � is �' .rF
State ofCelifomfa
G�4 r Dw2alment of Housing and Community Development
37" TUl-- 1 PERMANENTmCODM ANO STANDARDS
FOUNDATION _,YSiFM _
C BY DATE
S 851 FLORIN - PERMS ROAD iI 7 II i +
1 t This Plan Ar, TVI upimq--
,� � • v,.i' � a, 0 .IRtIK Ii NI..A 1 �J. i,1x :V 9iJ
rj':
:1 e T Alli n i"sii ?•.. _ d= .—Ih t, id"
•
C -
COPY
- I IZ' - S S 0 R 'y
OWNER j
ALv�
APN O?q -Sirs BP S -/i,
When recorded return to:
County of Butte
Department of
Development Services
Building Division
7 County Center Drive
Oroville, CA 95965-3397
� 2008—@005570
Recorded 1 NEC FEE 19.18
Official Records I
County of. I CIPIES 4.N
Butte V
CMDAM J. BRUM I
County Clerk-Recorderl
I BW
69:.4 14 -Feb -2M I mage 1 of 5
Space above for Recorder's Use
I
SECOND DWELLING UNIT DEED RESTRICTION
I. WHEREAS, on this twenty-fifth day of. August, ( 2007, ROBERT & KARI
WALLACE, hereinafter referred to as owner(s), is the recor8 owner of the following real
property: 3447 Oro -Bangor Highway, Oroville, CA 95965,(APN 078-380-041), and as
further set forth in Exhibit "A" attached hereto and hereby, incorporated by reference,
hereinafter referred to as "the subject property"; and
II. WHEREAS; Building Permit No. B07-1695 was applied for on 8/7/2007 by the
owner in accordance with the provisions of the Butte County Code and the California
Building Code; and
Ill.- WHEREAS, the use allowed by Building Permit, No. B07-1695 has been
reviewed and approved as a. Second Dwelling unit; and
IV. WHEREAS, Section 24-280(c)(2)(f) of the Butte `County Zoning Ordinance
conditions the occupancy of the primary and secondary dwelling units as follows: the
owner of thearcel or lot must occupy py either the main dwelling or the second
dwelling unit; and
V. WHEREAS, it is intended that this Deed Restriction land Notice. of Limited Use
i
Facility shall constitute an enforceable restriction and remain in effect until a change in
use or law has occurred, either of which change allows. the use otherwise restricted
herein to be conducted on the real property described herein.. Under either
circumstance allowing such change in use, Owner shall be entitled to have this Deed
Restriction and Notice of Limited Use Facility rescinded by the execution of a
1
Peter Calarco ,
Assistant Director I
subsequent document entitled Rescission of Second Dwelling Unit Deed Restriction by
the Director of Development Services; and
NOW, THEREFORE, with the issuance of Building Permit No. B07-1695 to
Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use
facility, which establishes occupancy restrictions on the dwellings. The undersigned
Owner, for himself/herself and for his/her heirs, assigns, and successors in interest,
acknowledges and agrees to the restrictions. "
This deed restriction and notice .of occupancy restrictions shall remain in full
force and effect during the period that this permit, or any modification or amendment
thereof, remains effective, and during the period that the development authorized by
this permit, or any modification of this development, remains in existence in or upon any
part of, and thereby confers benefit upon, the subject property described herein, and to
that extent, this deed restriction and notice of limited use facility is hereby
acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited
use facility and shall be binding on Owner and all his/her assigns or successors in
interest:
This document shall be recorded and returned to the Butte County Department
of Development Services, Building Division prior to the issuance of Building Permit
No. B07-1695.
DATE: �3 i—cb�
20 0'�
Owner Signature:
1
Print or Type Name of Above
Owner Signature:.�r�,u�
. �`�Li� i (��C►1 l It C' �
Print or Type Name of Above
. 2
Peter Calarco
Assistant Director
CALIFORNIA ALL-PURPOSE
;;O. ACKNOWLEDGMENT ii i
State of California
County of aJ t_62�
On - i >-L 8 before me,
Date Here Insert Name and Title of the Officer
personally appeared nA- 4 }<n.r, A, -)c \G�C e
Name(s) of Signers)
M. M. STURNACLE
Comrrdalon # 1672633
Notary PWAC - Catlfa nl*
MM
My Co.=n. Eoles lure S. 201
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the
instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the. State of California that the foregoing paragraph is
true and correct.
WITNESS my hand and official seal.
i
Signature
Place Notary Seal Above Si nature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document �
Title or Type of Document: OLe Ct3rn e✓ \5
Document Date: -1 — C7 iP Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signers)
Signer's Name:
❑ Individual
❑ Corporate Officer —Title(s): _
❑ Partner— ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing
RIGHUMIJMBRRINTI
?DF'SIGNER —_1Top of thumb here7
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s): _
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:_
MIGh'TTNUMBPRINT=
"N!OF!SIGNER':`'
Top of thumb here
02007 National Notary Association- 9350 De Soto Ave., P.O. Box 2402 -Chatsworth, CA 91313.2402 • www.Nationa]Notaryorg Item 45907 Reorder: Call Toll -Free 1-E00•E76.6627
This is to certify that the Deed Restriction set forth above is 'hereby
acknowledged by the Director of the Department of Development Services and that
Butte County consents to, its recordation thereof.
Dated: T12, Y: -7
Peter Calarbo, Assistant Director
Department Development Services
1
STATE OF CALIFORNIA. )
SS.
COUNTY OF BUTTE )
On Aur -cast , :2-007' bqfQrme, rtir a" -4r* , Notary
Public, personally appeared CTL-
personally known to me
�elerreej'to be the person(4whose
name(pf Ward subscribed to the within instrument and acknowledged to me that
he/std tWy executed the same in'his/F)4r/tf�ir authorized capacity(io, and that by
his/h,e'r/thOr signature(gon the instrument the personw, or the entity upon behalf of
which the personal acted, executed the instrument.
WITNESS my hand and official seal. CO
t�t�y Pam . CmRPoma s
S g ature N
(Seal)
i
4
Peter Calarco
Assistant Director
'•: Order No. 00230702-001
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:
PARCELI:
A PORTION OF LOT 7, BLOCK 28, VILLA VERONATRACT, ACCORDING TO THE OFFICIAL
MAP THEREOF FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT IN THE NORTHERLY LINE OF SAID LOT 7, DISTANT THEREON
NORTH 89° 21' WEST 110.0 FEET FROM THE NORTHEAST CORNER OF SAID LOT 7; THENCE
SOUTH 0° 13'' WEST.FOR 198.0 FEET TO A POINT, SAID) POINT BE
BEGINNING FOR T$E PIlVG THE TRUE POINT OF
ARCEL OF LAND HEREIN DESCRIBED;- THENCE CONTINUING
SOUTH 00 13' WEST A DISTANCE OF 198.0 FEET TO A POINT; THENCE SOUTH 890 21' EAST
110.0 FEET TO THE EASTERLY LINE. OF SAFD LOT 7; THENCE NORTH 0° 13' EAST 198.0 FEET
TO -A POINT IN SAID LINE; WHENCE NORTH 890 21' WEST 110.0 FEET TO THE TRUE POINT
OF BEGINNING.
AP NO. 078-380-041
PARCEL II:
A RIGHT OF WAY FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBED PARCEL OF
LAND.
COMMENCING AT A POINT IN LOT 6 IN BLOCK 28 OF VILLA VERONA TRACT, BEING
SHOWN ON WALL MAP N0.12 IN THE BUTTE COUNTY RECORDER'S OFFICE, R'HICH
POINT IS LOCATED NORTH 890 21' WEST 220 FEET AND SOUTH 2' 15' WEST 381 FEET FROM
THE NORTHEAST CORNER OF SAID LOT 6; THENCE FROM SAID POINT OF BEGINNING,
SOUTH 20 15' WEST 613.56 FEET TO A POINT ON THE NORTH LINE OF THE OROVILLE-
BANGOR HIGHWAY, RUNNING THROUGH LOT 7 OF BLOCK 30-6F SAID VILLA VERONA
TRACT; THENCE, ALONG THE NORTH LINE OF. THE OROVILLE-BANGOR HIGH`VAY
NORTH 880 51' WEST 10 FEET; THENCE NORTH 20 15' EAST 598.50 FEET; THENCE NORTH 890
21' WEST 85.00 FEET, MORE OR LESS, TO A POINT LOCATED IN THE WEST LINE OF SAID
LOT 6; THENCE, ALONG THE WEST LINE OF SAID LOT 6, NORTH 0° 13' E _ 15 -0.0 --FEET;
� .SCE Q � 89°21'E-A-ST--95-FE-E-T-TO-T'
HE YGMT OF BEGINNING.
When recorded return to:
County of Butte
Department of
Development Services
Building Division
7 County Center Drive
Oroville, CA 95965-3397
COPY
Space above for Recorder's Use
SECOND DWELLING UNIT DEED RESTRICTION
I. WHEREAS, on this twenty-fifth day of August,' 2007, ROBERT & KARI
WALLACE, hereinafter referred to as owner(s), is the record owner of the following real
property: 3447 Oro -Bangor Highway, Oroville, CA 95965 (APN 078-380-041), and as
further set forth in Exhibit "A" attached hereto and hereby incorporated by reference,
hereinafter referred to as "the subject property"; and
II. WHEREAS, Building Permit No. B07-1695 was applied for on 8/7/2007 by the
owner in accordance with the provisions of the Butte County Code and the California
Building Code; and
III. WHEREAS, the use allowed by Building Permit No. B07-1695 has been
reviewed and approved as a Second Dwelling unit; and
IV. WHEREAS, Section 24-280(c)(2)(f) of the Butte County Zoning Ordinance
conditions the occupancy of the primary and secondary dwelling units as follows: the
owner_of_the_par_cel-or .l_ot..-must_ occupy either the main dwelling or the second
dwelling unit, and.
V. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use
Facility shall constitute an enforceable restriction and remain in effect until a change in
use or law has occurred, either of which change allows the use otherwise restricted
herein to be conducted on the real property described herein. Under either
circumstance allowing such change in use, Owner shall !be entitled to have this Deed
Restriction and Notice of Limited . Use Facility rescinded by the. execution of a
! 1
Peter Calarco
Assistant Director i
subsequent document entitled Rescission of Second Dwelling Unit Deed Restriction by
the Director of Development Services; and
NOW, THEREFORE, with the issuance of Building Permit No. B07-1695 to
Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use
facility, which _establishes occupancy restrictions on the dwellings. The undersigned
Owner, for himself/herself and for his/her heirs, assigns, and successors in interest,
acknowledges and agrees to the restrictions.
This deed restriction and notice of occupancy restrictions shall remain in full
force and effect during the period that this permit, or any modification or amendment
thereof, remains effective, and during the period that the development authorized by
this permit, or any modification of this development, remains; in existence in or upon any
part of, and thereby confers benefit upon, the subject property described herein, and to
that extent, this deed restriction and notice of limited use facility is hereby
acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited
use facility and shall be binding on Owner and all his/her assigns or successors in
interest.
I
This document shall be recorded and returned to the Butte County Department
of Development Services, Building Division prior to the issuance of Building Permit
No. B07-1695.
,-DATE: -F2.0
Owner Signature:
Owner Signature:
Print or Type Name of Above
Print or Type Name of Above
2
Peter Calarco
Assistant Director
c,!
NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing
on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat
(acknowledgment) as explained in your Notary Public Law Book.
STATE OF CALIFORNIA )
SS..
COUNTY OF BUTTE )
On before me, , Notary
Public, personally appeared
personally known to me
(or proved to me on the basis of satisfactory evidence) to be ,the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
STATE OF CALIFORNIA
COUNTY OF BUTTE
On
Public, personally appeared
before me,
SS
(Seal)
Notary
personally known to me
(or proved to me on the basis of satisfactory evidence) to be, the person(s) whose
name(s)_is/are_subscribed- to-the_within.instrument_and_acknowledged_to_me that
he/she/they executed the same in his/her/their authorized capacity(iess); and that -by'
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument. '
i
WITNESS my hand and official seal.
Signature
(Seal)
3
Peter Calarco
Assistant Director
. This is to certify that the Deed Restriction set . forth above is hereby
acknowledged by the Director of the Department of Development Services and that
Butte County consents to its recordation thereof.
Dated: 5112- o7
Peter Calarco, Assistant Director
Department Development Services
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE
On Au&"sr --LE, zooms b me, M �rr.t..4�1 , Notary
Public, personally appeared eTt
personally known to me
to be the person(Kwhose
name(pf is/ardsubscribed to the within instrument and acknowledged to me that
he/std/tWy executed the same in his/t)4r/ttir authorized capacity(io, and that by
his/h#r/their signature(gon the instrument the personal, or the entity upon behalf of
which the person(of acted, executed the instrument.
WITNESS my hand and official seal.
nom -
'g ature
Peter Calarco
Assistant Director
LMycomrrd�slon a 166705)
�-
WAMCMUM
s�ne county
comm. Exptres Apr 6, 2009
(Seal)
4
Jan 25 08 03:56p LORPUD 5305331750 p.2
PERMIT.P46:
Lake Orov-iliemea ;Pudic . Ttility Distridt
1960 Elgin Street
OROYII.1.E. CALIFORNIA 95900
(530) 533=8000 . .
DISTRICT AP. PROVAL AND VERIFICATION
OF BUILDING SEWERS INSPECTION
This verification form must be submitted to the Butte:.County. Department. of Public Works Building
Department prior to issuance of a build'irig or occupancy permit; whichever is' -.-applicable.
Prior to final apprwal of a Building'or an: Occupancy Permit by Butte County, a copy of this verification
form; signed off by Lake Oroville Area Public: Utility District, must besubmitted to Butte County..- -
Date: -October .31, 2'007
Applicant'-- Ro.bert Th.al'lacE' '
Applicant Address: n • . o'• -BOX 1010, Ore.v i l ke , . CA 95565* 556J_ ..
Applicant Phone No..:. (53-0). 589-2001
.
Property Locations(s): 3447 Oro 3angor unr
:ilill:a Verona. Sub6tivi_,aqr_ - I✓.6 t ';7;- Block CIC'0
Fees due: $4,0'8..,00 Haid on 10%31/07:
w.New si*tjgl i i. �l lv . Si izng.;
Application for service approved:
LAKE OROVILLE AREA
PUBLIC -UTILITY DISTRICT
Inspections) made.and successful test(.$). 9bserved;
Location: Date:
Lake Oroville Area Public Utility District release to close permit:..
Date: By; — - -
0 In Service Vii. -.Locked .Out .
\Alhifu _ /".ieln.»er Brenn _ ,nf�irn Cna/ .Vellnir. _ /`iiclimai�ino/ Pink _ FnC c/na/
Jan 25 08 03:56p LORPUD
1960 Elgin St.
Oroville, CA 95966
Phone: (530)533-2000
Fax: (530)533-1750
F- em. c
To: Alice, Butte County
Developmental Services
5305331750 p.1
From: Darin. Kahalekulu
Fax: 538-2140 Date: January 25, 2008
Phone: 538-7163 Pages: 2
Re: Sewer Permit for Robert Wallace CC:
❑ Urgent IBJ For Review O Please Comment 0 Please Reply 0 Please Recycle
-
Comments -Aloha Alice,
This is the sewer permit for Robert Wallace, parcel number 078-380-041. Al fees were paid on
10131107. If you need anything else please contact me,
Thank You,
Darin K.
-RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
14 -Sep -2001 2001-0042165
Has not been compared with
original
BUTTE COUNTY RECORDER
-1
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be
indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents
to all persons thereafter dealing with the real property.
RICHARD E. LE BLANC, JR.
REAL PROPERTY OWNERILESSOR
784 MISSION OLIVE ROAD
MAILING ADDRESS.
OROVILLE, BUTTE, CA 95966
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
ABNER C. BUTLER & VIRGINIA BUTLER
UNIT OWNER (if also property owner, write'SAME')
7`A MISSION OLIVE
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS '
1977
OROVILLE, BUTTE, CA
95965
CITY COUNTY
STATE ZIP
0 -20 9
(530)538-7541
T
TELEPHONE NUMBER
LENGTH X WIDTH
9/7/01
GNATURE OF b66AL AGENCY OFFICAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
MAILING ADDRESS DEALER LICENSE NO.
OROVILLE, BUTTE, CA 9966
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
GOLDWEST
1977
KEYWEST
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMENUMBER
61776A/B
24'X 64'
CAL058109/10
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNWLABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #028-420-057
SEE ATTACHED
HCD FORM 433(A) REV. 8/91.
WHITE -County Recorder CANARY - HCD PMK - Applicant GOLDENROD -Building Dept.
BUILDING PERMIT NUMBER: 01-2069
Address or location of unit: 784 MISSION OLIVE, OROVILLE, CA 95966
Legal Description of Real Property: A.P.028-420-057
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: RICHARD E. LEBLANC JR. ' - -
Owner's address: 784 MISSION OLIVE, OROVILLE, CA 95966
INSIGNIA OR HUD NUMBER: UNKNOWN
SERIAL NUMBER OR V.I.N.: 61776A/B
MANUFACTURER'S NAME: GOLPM WEST YE R: 1977
OFFICIAL.APPROVING INSTALLATION �-
DATE: 9/7/01
PHONE: (530) 538-7541 '
H.C.D.513C
` - ---j ---.... .
DESCRIPTION
ORDER NO. BU -187285-3
THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA,
CQUNTY:..O.F..,,..:BUT.T A TLS:., E-':DFSCR .BED,..p.S. FOLLOWS.:
'.;.....:5:.•�::..<.�3sc:»:.r �55`,bi �7l'r``tnJ:1_: ;t� .. =it: �jl:���
Ila; ::Iti:!'sa wrJ:ry•S%:r-: h. r 4 ! J �
{$'1'CSN CORNER BETWEEN.: SECTZON 31,
AND SECTION 6,
M•. ; .AND RUNNING THENCE
NdRTH 8 $ ° 4 7' FSAST, l Sg3 62 FELx
AWN t# TOWNSHIP LINE , TO THE
N4tTHWST CORS q' R xAON
TItAcCI 0�""LAND . HE.RETOFORE: CONVEYED TO
�,+' I`4NSzQr�3Y mE,EY5 DULY RECORDED IN' BOOK
l `1:`4E~n S fP�18 3fi ... 0 ', BQ DAR)(LINE OF SAID
:M
MZ3510N :OL'IV'E:.:O CkIARD. O'0_MlsAI Y TRACT;' S(?UTH .3295 FEET TO A POST;
THENCE SOUT'H:; 89°':.;LS'. WEST, ' 1g7Z :58;.•FEh'T' TO :`A POST IN THE WEST
BOUNDARY .LINE. QF THESAID SECTION 6; THENCE
SOUTH: 02.``=. -EAST<::=:15.9.3;0'EETALONG THE. WEST BOUNDARY LINE OF
THE''. SOUTHEAST: QUARTER.`:;OF;. SAID'; SECTION' 6 TO A POST, AND THE TRUE
POINT': OF.:: BEGINNING• OF : THE. PARCEL .OF .LAND DESCRIBED HEREIN; THENCE
CONTINUING : ALONG'.: THE.
_•SA.ID:. -WEST.' BOUNDARY.: LINE SOUTH 02- 02' EAST
213.0.1 FEET, .,.THENCE..: SOUTH 64 ° :: 3 5'.;: EAST, 2 3 3 .39 FEET TO A POST;
THENCE SOUTH 5.5 ° :.'.14' EAST',• 2 2.5.0 0.. FEET TO A POST; THENCE NORTH 890
16':'.RAST:647 ;12: FEET; THfiNCS IIORTH 27° 57' EAST, 16.01 FEET; THENCE
NORTH.:. -:56.° ..,0?'.. EAST,.:. 4 4 .-Y 5,.%. FEET; ' THfiNCE NORTH 840 42' EAST 70.7 8
f �` �+ `T NCE kS{3UTH 53° 25' SABT, 72 28 I SET -TO 'A POINT. ON THE SOUTH
"kd]4 AOBERT M . FROST,
E`'i' �3�C, TCS JASPER CONNE,L, ETJ�C; RECORDED JUNE 21, 1949, IN BOOK
498, PAGE 402, OFFICIAL RECORDS; THENCE ALONG SAID SOUTH LINE NORTH
EAST,..207.::. .. FEfiT TO .A, POST ON THE WEST LINE OF SAID
MISSION. OLIV.;G7RCH1}RD COMPANY. TRACT;: THENCE NORTH ALONG WEST LINE
OV*'SAID>.MISSI42�t';;OLTVE. ORCHARD' COMPANY. TR CT" .625.96 FEET; THENCE
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N< ,' RECORDING REQUESTED BY
Bidwell Title & Escrow Company
3
AND WHEN RECORDED MAIL TO
Name
Robert Wallace
Street
5580 Old Olive Hwy
Address
City,
P ty's`°" Oroville, CA 95966
Order No. 00230702-001
1111111III III!l111IIIIIIIiiillllll
2007-0017468
Recorded I REC EEE 10.00
Official Records I TRX 44,00
County of I
Butte I
CRNDRCE J. GRUBBS I
County Clerk—Recorderl
I
I BW
05a00RM 11—Apr-2007 I Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Parcel No. 078-380-041 GRANT DEED
THIS FORM FURNISHED BY BIDWELL TITLE &ESCROW COMPANY
The Undersigned Grantor(s) beclare(s) Documentary Transfer Tax is $ 44.00
❑ City/Town of 0 computed on full value of interest or property conveyed, or
0 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,
Steven Green and Steven T..•Green,
hereby GRANT(s) to ,
Robert Wallace and Kari Wallace, husband and wife, as Joint Tenants
' •4+Ed �
the following real property in the p City of 0 Unincorporated Area zti°'��-�': % ` Qy 'Po
County of Buttp,•State.ofCalifornia: :% I—, =�.o?�pla,,
SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF:
Steven Gr n Steve . Green
Document Date: March 22, 2007
State of Hawaii
Countyof 1i 0ca+4ti 1 } SS.
On this ZI day of (nGJ1C t-1 , 2007., before me,
personally appeared
to me known to be the person (or persons) 'described in and who
executed the foregoing instrument, and acknowledged that,he/she/they
executed the same as his/her/their free act and deed.
;y�c���yNOTMY PUBIC
en
to.
FOR NOTARY,E1L,3T'
Signatur COUNTY
My commission expires:/04.,q o AUG 0 7 2007
DEVELOPMENT _
SERVICES
MIN
MAIL TAX STATEMENTS TO: Same as Above
BTEC/GRANTDEED
Order No. 00230702-001
EXHIBIT A ;
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL, PROPERTY SITUATE IN THE COUNTY OF BUTT
CALIFORNIA, DESCRIBED AS FOLLOWS: E, STATE OF
PARCEL I:
A PORTION OF LOT 7, BLOCK 28, VILLA VERONA TRACT, ACCORDING TO
MAP THEREOF -FILED INTHE OFFICE FOF THE O THE RECORDER OF FICIAL
STATE OF CALIFORNIA, MORE PARTICULARLY THE COUNTY OF OFFICIAL
DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT IN THE NORTHERLY LINE OF SAID LOT 7 DIST
NORTH 89° 21' WEST 110A FEET FROM THE NORTHEAST CORNER OF S ANT THEREON
SOUTH 1O° 13' WEST,FOR 1,98 .0 FEET TO A POINT, SAID POINT BEING THE T LOT 7; THENCE
,.� " RUE POINT OF
BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE CO
SOUTH 0° 13' WEST A DISTANCE OF 198.0 FEET TO A POINT; THENCE SOUTH CONTINUING
110.0 FEET TO THE EASTERLY LINE OF SAID LOT 7; THENCE NORTH 0 INE 89° 21' EAST
TOA POINT IN SAID LINE; THENCE NORTH 890 21' WEST 110.0 FEET TO THE TRT PO FEET
OF BEGINNING, UE POINT
AP NO. 078-380-041
PARCEL II:
A RIGHT OF WAY FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBE
LAND. D PARCEL OF
COMMENCING AT A POINT IN LOT 6 IN BLOCK 28 OF VILLA VERONA TRACT. BEING
SHOWN ON WALL MAP NO. 12 IN THE BUTTE COUNTY RECORDER'S OFFICE, ,WHICH
POINT IS LOCATED NORTH 890 21' WEST 220 FEET AND'SOUTH 20 15' WEST 381 FEET FROM
THE NORTHEAST CORNER OF SAID LOT 6; THENCE FROM SAID POINT OF BEGINNIN
SOUTH 2015'WEST 613.56 FEET TO A POINT ON THE NORTH LINE OF THE OROV G�
BANGOR HIGHWAY, RUNNING THROUGH LOT 7 OF BLOCK 30 OF SAID VILLA RON
TRACT; THENCE, ALONG THE NORTH LINE OF THE OROVILLE-BANGOR HIGHW, y
NORTH 880 51' WEST 10 FEET; THENCE NORTH 20 15' EAST 598.50 FEET; THENCE NORTH
21' WEST 85.00 FEET, MORE..OR LESS, TO A POINT LOCATED IN THE WEST LINE OF S 89°
LOT 6; THENCE, ALONG THE WEST.LINE OF SAID LOT 6 NORTH 0° 13' - SAID
_.._..___._ ._,._ EAS215.0.0_FEE-T-;
THEN_CE`SO=U�I3:89° 2 -1 -E -AST 95-FE�E�'-TO-T�-pp NT OF BEGINNING.
,.
r
>, a
Order No. 00230702-001
EXHIBIT A ;
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL, PROPERTY SITUATE IN THE COUNTY OF BUTT
CALIFORNIA, DESCRIBED AS FOLLOWS: E, STATE OF
PARCEL I:
A PORTION OF LOT 7, BLOCK 28, VILLA VERONA TRACT, ACCORDING TO
MAP THEREOF -FILED INTHE OFFICE FOF THE O THE RECORDER OF FICIAL
STATE OF CALIFORNIA, MORE PARTICULARLY THE COUNTY OF OFFICIAL
DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT IN THE NORTHERLY LINE OF SAID LOT 7 DIST
NORTH 89° 21' WEST 110A FEET FROM THE NORTHEAST CORNER OF S ANT THEREON
SOUTH 1O° 13' WEST,FOR 1,98 .0 FEET TO A POINT, SAID POINT BEING THE T LOT 7; THENCE
,.� " RUE POINT OF
BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE CO
SOUTH 0° 13' WEST A DISTANCE OF 198.0 FEET TO A POINT; THENCE SOUTH CONTINUING
110.0 FEET TO THE EASTERLY LINE OF SAID LOT 7; THENCE NORTH 0 INE 89° 21' EAST
TOA POINT IN SAID LINE; THENCE NORTH 890 21' WEST 110.0 FEET TO THE TRT PO FEET
OF BEGINNING, UE POINT
AP NO. 078-380-041
PARCEL II:
A RIGHT OF WAY FOR ROAD PURPOSES OVER THE FOLLOWING DESCRIBE
LAND. D PARCEL OF
COMMENCING AT A POINT IN LOT 6 IN BLOCK 28 OF VILLA VERONA TRACT. BEING
SHOWN ON WALL MAP NO. 12 IN THE BUTTE COUNTY RECORDER'S OFFICE, ,WHICH
POINT IS LOCATED NORTH 890 21' WEST 220 FEET AND'SOUTH 20 15' WEST 381 FEET FROM
THE NORTHEAST CORNER OF SAID LOT 6; THENCE FROM SAID POINT OF BEGINNIN
SOUTH 2015'WEST 613.56 FEET TO A POINT ON THE NORTH LINE OF THE OROV G�
BANGOR HIGHWAY, RUNNING THROUGH LOT 7 OF BLOCK 30 OF SAID VILLA RON
TRACT; THENCE, ALONG THE NORTH LINE OF THE OROVILLE-BANGOR HIGHW, y
NORTH 880 51' WEST 10 FEET; THENCE NORTH 20 15' EAST 598.50 FEET; THENCE NORTH
21' WEST 85.00 FEET, MORE..OR LESS, TO A POINT LOCATED IN THE WEST LINE OF S 89°
LOT 6; THENCE, ALONG THE WEST.LINE OF SAID LOT 6 NORTH 0° 13' - SAID
_.._..___._ ._,._ EAS215.0.0_FEE-T-;
THEN_CE`SO=U�I3:89° 2 -1 -E -AST 95-FE�E�'-TO-T�-pp NT OF BEGINNING.
,.
r
y =ROV i%'iID VALLEY i ITL -E AND EkR0,8 .fC:p.1r.Mi�,`(
:_TH.ui 2i 0
;t.D ^- r 1, -2 1r D
SI
6TAPE OF CALWOM 1A • SUGARESS, TRANSPORTAT)ON AND MOU811lo 40ENCY
.. _
GRAY 0AV18,Gov♦mor
DEPARTMENT OF HOUSING ARID COMMUNITY DEVELOPMENT
DM.{on of Code* ♦od 8t.ndo d.. -
Title Search
Date Pc;nted : 05/09/2001 t
UY
Decal #: SE4814
Use Code:j
UNK
Manufacturer:
Original Price Code:
AHB
Tradename: KWEST
Rating Year:
1977
Model:
Tax Type:
ILT
Manufactured Date: 00/00/1977
Last ILT Amount:
$51.00
Registration Exp: 08/31/2001
Date ILT Fee Paid:
07/18/2000
First Sold On; 00/00/1977
ILT Exemption: ;
NONE
Serial Number
61776A
61776B
Record Conditions:
Registered Owner:
HUD Label / Insignia
Unknown
Unknown
PPI: Exempt
Length
Unknown
Unknown
ABNER C BUTLER
VIRGIMA BUTLER (Tcnants in Common Ort
784 MISSION OLIVE
OROVILLE, CA 95966
Luc T1tk Date; 00/00/0000
Lad Paz Card: 07/19/2000
SaWrrusder Into; Unknown
Situs Address:
784 MISSION OLIVE
OROVILLE, CA 95965
Situs County: BUTTE
Inactive D6caVDMV:
DMV SG8401, DMV 9GS402
Renewal Fees:
S47.00
*** END OF TITLE SEARCH 00•
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Unknown
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342.
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
i. PROJECT INFORMATION
a
Site Address: 3447 ORO BANGOR HWY
Owner:
Permit NO: B07--1696
APN: 078-380-041
WALLACE, ROBERT & KARI '
Issued Date: 08/07/2007 ' By, KCG
Permit type: MISCELLANEOUS
PO BOX 1010
Subtype: :' Demolition -
OROVILLE, CA 95965
Expiration Date: 08/06/2008
Description: DEMOLITION OF EX SF
(530) 589-2001
Occupancy: Zoning: AR
Contractor
Applicant:
Square Footage:
WALLACE, ROBERT
Building Garage Remdl/Addn
PO BOX 1010 '
OROVILLE, CA 95965
Other Porch/Patio Total
'
(530)589-2001
FEE INFORMATION =
DBMSC Demolition $58.00.
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B4143
Yt _ -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
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 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
pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000)
is in full force and effect.
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 08/07/2007
the applicant to a civil penalty of not more than five hundred dollars ($500];
Please check one of the following:
Contractors 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 Contractors 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: '
HAVE
the work himself or herself or through his or her own employees, provided that such improvements
❑I 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 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compansation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Carrier: Policy Number: Exp. Date:
'
ple
(This section need not a comted if the permit is for one hundred dollars ($100) or less.)
❑IAM EXEMPT under Section B. & P.C. for this reason:
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
SUED, I shall not employ any person in any manner so as to become subject to the Workers'
k
ompensation laws of California, and agree that if I should become subject to the workers'
X
08/07/2007
compensation provisiol of Section 3700 of the Labor Code, I shall forthwith comply with those
6wper ignature Date
provisions.
08/07/2007
�IUA
V')(
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
Signal/re Date
WARNIN LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHA UBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
injury, including death, and property damage caused arising out of, in any way with
HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION,
( )
t is
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the '
a t authorize
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 abovementioned property for inspection purposes. I hereby certify that I am the
r or am thorized to ct on the property owners behalf.
CONSTRUCTION. LENDING AGENCY
-
08/07/2007
11 4111
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency fore
P I [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
caner ❑ Contactor OR; DAgent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
'4 J
BUTTE COUNTY
(o " o DEPARTMENT OF DEVELOPMENT SERVICES
o o BUILDING PERMIT APPLICATION.
°. ° OFFICE #: (530) 533-7541 FAX #: (530) 533-2140
O`c A FEE WILL BE REO UIRED AT TWE OF APPLICATION
•� Website: w. rw.buttecounty.net/dds
UN **PLEASE PRINT CLEARLY-'*
OWNER INFORMATION
Last N, arae A"C_
t Name
Mailing Address P0,Ro( b
City eo, r' e
State A
Phone _ :R:�j
Phone cJ o�OC7
Fax
E-mail
CONTRACTOR
Name
Address
City
Stat
Zip y .
Cho
Phone _ :R:�j
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City r�l �^
DV i
Address
Zip y .
Cho
City
Fax
State
Zip
Phone
Fax
E-mail
State license Number
APPLICANT INFORMATION
Namd K
Address
City r�l �^
DV i
Stated
Zip y .
Cho
Phone 5%c) 0.)oo 1
Fax
E-mail
A PL/CANT SIGNATURE
X
PERMIT
NO.
WTMO
PROJECT LOCATION
AP#
Property Address -3 t d 0Mj oa-
City iz0 V l.l_
BIN #
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
I
SRA
Yes
No
Occ.
Type Const.
r -A , v�A
DEMOLITTON PERMIT
ASBESTOS NOTIFICATION STATEMENT
Pursuant to section 19827.5 of the California Health and Safety Code, all demolition
permit applicants are required to fill out this form_
"19827.5 A demolition permit shall not be issued by any city, county; city- and county, or
state or.local agency which is authorized to issue demolition permits as to any building or
other structure except upon the receipt from the permit applicant of a copy of each
written asbestos notification regarding the building that has been required to be submitted
to the United States Environmental Protection Agency or to a designated state agency, or
both, pursuant to fart 61 of Title 40 of the Code of Federal Regulations, or the successor
to that part. The hermit may be issued without the applicant submitting a copy of the
%NTitten roti fication if the applicant declares that the notification is not applicable to the
scheduled demolition project. The permitting agency may require the applicant to make
the declaration in wriling, or it may incorporate the applicant 5 response on the
demolition permit application. Compliance with this section shall not be deemed to
supersede any requirement of federal law."
Attached is a copy of the Asbestos NESHAP Notification of Demoliti on and
Renovation form for the project located at
(Address) (City) (Zip Code)
Assessor's Parcel Number
Date
Signature of Applicant
I hereby declare that a written asbestos notification to the United States
Environmental Agency is not applicable to this demolition project located at
3Wy oewulbL c 93gb6
(Address) (City) (Zip Code)
Date a -r AU&
oa-
-Signature of Applicant.,.. .
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
OWNER -BUILDER INFORMATION
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 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 $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
n 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
n income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especiallyserious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Seryice (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 thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor 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's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION'
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT((YE R NO)
2. I qe)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:
ADDRESS CITY
PHONE CONTRACTORS 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:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: DEMOLITION OF EX SF
Reference Number: B07-1696
Applicant Name: WALLACE, ROBERT
Owner's Name: WALLACE, ROIJERT & I AP # : 078-380-041
Signature of Property Owner:Date: U O�
�.�;.� ��� ����4�',�s.t`^4i�'f``"',��,Yx.ws!nw�- a�:r,,,y«„a�'� �a�,o,"s..^'.r.:..y,n�utascr++=c.�siri✓.�=""'"_ . ":�, 2KO
" $VY7. o•eo @►�
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i
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965 -
Tel ergione: 514-4541
APPLICATION AND PERMIT
out wllce IcNlcsentauveZS UI trre uuunty of mutte to enter upon ine
above-mentioned property for inspection purposes.
Q
Signature of Permitee or Agent
Date
Receipt No.,' --
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
a
Telephone No.
Fireplace
Contractor +
Total Valuation
Mai ling Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W. C'.
Serritatron
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
BFdg: Pl-ans-R,"'d
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES [D OTHER Q
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
A • - - 6, ..
Main service 600 OR LESSESS 5.00
Main service EA. ADD'L too AMP 2.50
Single Family "7 Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. OCCUP. &) 22sgft
OR ADDNS. ( DACCLBL GLING S.
NEWCONSTR fMULTI.OUT LET
NON .RESID. BRANCH CIRCUITS) 12.50ea
NEW CONSTR POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
St le of:
Y
Ex. Occup(OUTLETS OR FIXTURES)@L
BAL25CC�1
Ex. Occup.(FIXED APPLNS. OR
OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
out wllce IcNlcsentauveZS UI trre uuunty of mutte to enter upon ine
above-mentioned property for inspection purposes.
Q
Signature of Permitee or Agent
Date
Receipt No.,' --
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
Building permit expires Date
- J I - . ___ - .. .,, I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Urd,;ille, California 95965
Tel epho - e: 534-:541'
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
abov ntionedroperty for inspection purposes.
l h
X Date
Signa re of Permiteeee or Agent
Receipt No/s�~� 46
White-D.P.W.'— Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECT R OF PUBLIC WORKS
By ?— Date R. G
permit expires Date _�`%%
BUILDING
Owner ff` �,
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 3,4KE7
G / --y3
3 - IZ 3
Fireplace
.
Contractor �_
Total Valuation
`
Mai I i ng Address 10
Permit Fee
Plan Checking Fee &/or Penalty
!
Telephone No.
rj
Permit Fee $
Building Address �.• p 1 Gfiyt L
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 p(J
Each Trap 1.50
%
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
?�
A. P. l
o. J/ /
Zoning 8 Planning
Gas piping system 1 - 5 outlets P 1.50
Each additional outlet .30
es
WPC.
S,�rmtatlz7n
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
provements
Lawn sprinkler system 2.00
B d
f�
Parcel Approval
PP
Plans A
Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
f
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V
Main service 1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONSDWELING
OR ADDNST (ACCLBLDGS.OCCUP. &) 22sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID2.50ea
NEW CONSTPOWER APPARATUS &)
NON.R. RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)0'�a
BAL@1
(FIXED
Ex. Occu FIXED AP PLNS. OR
(RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
-
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
.yzI certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
-
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE is
authorize representatives of the County of Butte to enter upon the
abov ntionedroperty for inspection purposes.
l h
X Date
Signa re of Permiteeee or Agent
Receipt No/s�~� 46
White-D.P.W.'— Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECT R OF PUBLIC WORKS
By ?— Date R. G
permit expires Date _�`%%
Insp Type
Insp(I
Sched. Date
T4 1 Compl I
T4Result I
RemarDur
LCI
PUBLIC INKS
' Wa
2/13./2009
'11/21
; Pass
0
1 rJ
TAG ELECTRIC
Cai
12/4/2008
11
<noi metf 0
r-
ENV HEALTH
Alic
10/20/2008
10/2
Pas.;!
LCA 0
F
TEMP POWER
Bill
10/14/2008
V 10/1
Pas!
0
r.
Inspection Details for Inspection Selected Above
Type of Inspection
IPUBLIC WKS CLEARANCE -
Inspector
Wayne Brandt r ....................................................
Calendar
Date/Time Scheduled
J'F H--,1
Add to
Date/Time Completed
11/24/2008 _ Timesheet
Results
1pass
Comments / Remarks
More Info Notes
Play - Necord Void
Scheduled Date (desc)
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