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HomeMy WebLinkAbout079-380-03804-3566 LOTrRT pROVILLE`/ EDNAS W AY' Cont: OWNER AILY NEW SINGEL FM- PERMIT RENEWAL BP # bate: BP Expires: ) —2-0— 0-7 07 -3 - MISCELLANEOUS Room Addn-First Stry ADDITION TO SF (499) 4038 EDNAS WAY ° LOTT, ROBERT & DAWN 92 E MARSH, Ga 4038 Ednas Wa Oroville , mh utilities ,ELEC 71 .GAS . COMPACTION TEST REQ SUPPORT STRUCT REQ 92--441-8 MH12- ^ 613- MARSH, Gary •,l 4038 Ednas W Oroville mhi PERMIT#98-0267 ECKELBARGER, Della 4038 E'dna's Way, Oroville Cont: D & D Homes MHI Ex Site 0 0,4-22514 LOTT,ROBERT 4038 EDNA'S WAY, OROVILLE +M CONT:SIERRA-NIRS E�k :NIH• PERIv1 FND [� 04-3566 LOTrRT pROVILLE`/ EDNAS W AY' Cont: OWNER AILY NEW SINGEL FM- PERMIT RENEWAL BP # bate: BP Expires: ) —2-0— 0-7 07 -3 - MISCELLANEOUS Room Addn-First Stry ADDITION TO SF (499) 4038 EDNAS WAY ° LOTT, ROBERT & DAWN ' CnI V `\`J u LJJ► 0 0 . 4 a� RESIDENTIAL y�-lFr .' 036-24-0-038 E I MARSH, Gary Oroville 4038 Ednas Way, mh utilities 53.3--1Y 311 OFFICE COPY Address GAS Meter By Dat ELECTRIC Meter By Dat JOB FINALED (naw?_ Signature J=OK .- O=NotOK = Not Readyable MOBILE HOMES ' y Date MOBI OME UTILITIES Plans OK except tf's Zoning Requirements-Setbacks-Easementb 2 ils; Special'MH Support Sketch er; cation -Test -Fall -C/O Concrete r; Location -Test -Easement Needed (Sketch) lectricity; Location-Clearences-Grnd-/ /Amp -Concrete Location-Test-W�/p,�J•, /"L"ft. / " at. or/- /"L"ft./VAPG . W.�arance & Disconnect utility Clearance ap Date Card B- 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed �7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 21 24-- - rd B-1 Date Card B-1 • and B -t Date Card B-1 Date MOBILE HOME IN TALLATION (Plans) OK except #'s ming Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector lectricity; MH Test -Crossovers -Breakers -Clearances ainMH Test -Fall -Flex Connector ater;Test-Regulator-Connector ater and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged ts; Insp.-Sketch Cert. of Occupancy ap Date Card B- 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed �7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'j OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' ='� Date 11NDERFLDOR (Plans) OK except N'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- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- ----- ----------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------- -- - ---------------- 19. Shower Pan: Test, First Floor -Tub Access ----------- 20. Test Tub & Shower, Second Floor -Tub Access -------- ---------------- ---------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B -t --------------------- ---------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------------------------------------------------- _ 23. Elec. Recept-acles Spacing -Lights & Switches at Doors -- ------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled -------------------------------- --------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Water ------- ------------------------------------------------Gas-&--------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ------------------------------- ------------------ ---- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ! / ga. -- - Cu or -Al ------------------------------------------------------------------------ ----- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- -------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------------------------------ - ------ 31. Equip_Clearances Panels-Motors-Mech. Equip. ------- - ---------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------------------------------- 33. Smoke Detector -------------------------------------------- --------- ---------------------- ---- i ------------------------------------------------ - ---------------- --- ---- ---- ---- Date Card B-1 Date Card B-1 -- -------------- ­_ -------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support ----------------------------------------- 35. Vent Fan Exhaust above insulation ---------------------- ------ ---------------------------•---- 36. Condensate -- Drain- & Overflow: Size & Grade ------------ -- 37. Furnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic ------------------ -- ---- -- - ------------------------------------- ------ -------------------- ---------------- Date Card -B-1 Date Card -B-1 ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 . Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- -- -------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing - --------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------------- ----------------------------------------------------------- -------------- ---------------------- 43. Fire Stops: Furred Ceilings-St4irs-Chases-Tub ------------- ---- ---------------------------------------------------- 44. Headers & Beam -Size & Bearing Date • FRAMING (Continued) -- Hangers-Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Pudin -roof Bra c-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection ----------- 54..plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer -------------------------- _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts _ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - i -------------------------------- Date _ _ Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's _ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------------------- -- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection --------------------- 64. Bedroom Exiting --------------------------- ----- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------ 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ------------ 67. Stairs & Rails ---------------------- -- -------------- - 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. -- ----- -...----------------- 70. ----------------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter --------------------------------- - -- 72. Garage Fire Door: Swing -Landing -Closer _.-------------------------------- ------------- ---- - 73.-A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------------------------------ - 75. Plb.. Elec. & Mech. Equip. Listed for Location ---------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------- 77. ------------77. Insulation -Foam -Looked in Attic ❑ Yes --------- ---78. Guard Rails & Deck Construction -Post Caps --------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ----------------------- - - - ------------ 81. .--------------------------------81. Stucco: Brown -Finish ------------------------- 82. A.C. Unit: Disconnect, Electrical, Plumbing --------------------------------- -- - - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------------- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House - -------------- ----------------------- 87. Glass Protection --------------------------- ------------------ ------------------- 88. Corrections from Previous Inspections - ------ ------------------- ---------- ----------------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates- ------ ------------------------------------ -- 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: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS t . 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER f PERMIT No. .2 A routine inspection indicates that the following violations of Butte County Ordinances exist at i the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, r please contact this office immediately. 24a� _2> OZA -ter 110, Date _—� - 17 ' �3 Inspector REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 ` 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PER A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. _ r -76 44-0-s- en Date �/ ! a nspector REV 11/91 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 5388(-77541 l� PERMIT N0. Address or location �of mobilehome /Cf a 3� �' ✓/� -r ��Ay Owner's name. '1 �1! � (r' Y/ 'Owner's address / ( K( i 1(�7^- °O Insignia or hud number 0- k4 L L Sz,) Manufacturer's name )W, Serial numbb%er-of V.I.N. D Z -1-7(S y Year of manufacture (Official Approving Inst6llation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W I COUNT`r OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone:.916/538-7541 r��L�� APPLICATI6N AND PERMIT ASSESSOR PARCEL NUMBER 036-240-038 ZONING ARMH-5 BUILDING PERMIT OWNER rsh TELEPHONE 589-2799 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S M LIN IG ADDRESS 16 Kitt Glenn Ct. Oroville 95965 CONTRACTOR SNAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 35.00 4038 tWaIr,Ornvillp PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: _ Z PD v—, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification (� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOAI 37.50 NEW CONST./ DWELLING OCCUP.&) OR ADDNS. ( ACC. BLDGS. II 3.6Q sq.f[. NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRCU ITS @ 5.00 (POWER APPARATUS tri SINGLE OUTLET cIR. I Ex. Occup(OUTLETS OR FIXTURES L. 76 Ex. Occup. OUTLETS IRESID.)REA.) .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid County in consequence of the granting of this permit. X Date 1 ;" _ Signat a of Ap icont — O ner [R Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $105.00 HAz 10FEES IMP FLOOD COF PARCEL PD H Iss This per is hereby issued under sions of the Butte County Code and/or work indicated above for which fees ECTOR OF PUBLIC By �d�— PE IT XPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date3 Receipt No. 130167 I WNIT!-D.P.W., ►EL LOW -A88 CS 80 R, PINK -INSPECTOR. GOLDENROD -APPLICANT r ti . l-ryr rrt r. •.^.tiy —a ,� IP _ti r•.t y"� , tr? ^"4 �rrt•, t r e . COUNTY OF BUTTE - DEPARTMENT OF pEVEMPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER (9 /-7 /� y ,11469 S P A. P. No. Proposed Building Use T _ Building Inspector Date�- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. . 10. Fees of $ ...................... .... ............. 11. Impact fees as shown on attached schedule. QZo ceCM- . , ......... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department. '.......... 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . Pre -Inspection reque�s — 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 2 . Letter of intent on building use . ......................................... obilehome utility clearance . .......................................... Dcumentation of legal access . .....................:................. . 30. Doc entation of 50% subdivision developed or (A) Road improvements completed an `(B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When �G u issue the permit, process as follows: Mail to owner. Mail to contractor. / oTelephone$ j27q'-i and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. o9f 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by �� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r•--••- r w..e ..vy,�st%h�r.'�., d.t'ar- �c,�-.yW^wFa.+.+Na'�.�•'�'�.`""'"*he+"'te+YH"k"7i+C"+f.glht�,fp,shwa'1.,✓j,.�,fA+i°`.y"'�""%�'�'ie.M't..h's'%+^�w:�L.�^.vw:.:w ,•+Lre•�k�' v d 4 BUTTE COUNTY SCHOOLS•IMPACT FEE CERTIFICAT16N FORM l (One Form Per Building) School District Building Department No. A.P. Number :36 -2 -YO -036 Jurisdiction CityCounty Property Owner_ Property Location/Address 4/038 15-01f1A s Subdivison Residential Development No. of Living Units Commercial/Industrial Building Departm t Repr entative Lot No. Sq. Footage 7,20 ZI Addition (Group R) 0 Sq. Footage New Addition. (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) 12 Date District Identific/a�tion No. l�G.�iZ, e.QxQ t11, School District certifies that (Applicant) /i (Street Address) ':•;1 (Phone Number) (City)° (State) (Zip Code) has complied with the requirements of Resolution No. 9���. -��% by payment of $ 00 representing square feet. School District Representative Paid by Check Number ,- - 2 5 Bank Number Paid by Cash Remarks: Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency'that this project is being reviewed under the California Environmental Quality Act (CEQA), this.project may he 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.wkf (4/92) .._,4 COUN'T'Y OF BUTTE - DEPARTMENT 'OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CL�iTER DRIVE - OROVI•LLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 ,OWNER 6fley /irrs� A.P. NO. :,-ROPOSED BUILDING USE �/ DATE 2 -2 8 -�12 School Distric Fees (!5XFO �ZC/yl (paid at District Office) 2. Sheriff Fees (paid.at-Building Department) Residential .......... =$3�C� unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other REC. - # DATE_ REC J 20M 7 .t time of permit application, I was advised the above fees are required to be paid pr'_O- =o issuance of the permit. 'PPLICANT DATE COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and.issuing your building permit. No building permit will be issued until this verification is received. .1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) PiA1C. signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name.. Address City Phone Contractors License No. 4.- I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner IWWA Social Security Nu ber -31JUST Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of -the California Health -and Safety Code. - - This verification must be completed and returned to our office before we are per- mitted to issue the permit. OWNER M UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size OtherPipe Load Type, Size Length YES NO YES NO BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHONE INSTALLATION SHEET 5. What is the 1. Owner's Name: Amps 6. What is 2. Installer's Name: service rating? ------------- 2 (Do Amps 7. What is the mobilehome site circuit breaker rating? 3. Is the site currently under permit? Yes �. No any other electric load to be served by the (If yes, furnish permit number 9-2– y/ 7 ) OR Is the site an existing site?.. Yes � No (If yes,'furnish two plot plans.) 4. Will the mobilehome be located•at least 5 ft. away from tank and leach fields all setbacks and easements? Yes tsept*c No F I load and size: and clear of (Amps) (If no, clarify 5. What is the mobilehome.electrical rating? --------------- zoo , Amps 6. What is the mobilehome site service rating? ------------- 2 (Do Amps 7. What is the mobilehome site circuit breaker rating? ----- fy 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 n4�t(— gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG I 11. What is the gas pipe length from meter or tank to the mobilehome? ------------------------------ --------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY W= PACE MUST BE COMPLETED TO PROCESS P AP IC -IO V E D. MOBILEHOME SUPPORT DATA ifyother.than single wide, ' Mobilehome Mfr..-_ - ! /- I C%� . S furnish Setup Model No. LrNK/ . Year `T --.— Width % �--- (f t. ) Box Lengtll- (ft.) Tagalong or'EKpando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and -structural setup sheets (if not on file with the County of Butte). POOTINGS (check -.one) Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS -(check one 1. Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Line 1 Openings: Size -Min. ------ 'k Size -Min. -------------- - — Spac ing-1 azo ..Each Side of Openings _ '_ " With Width Over From Enda-Max.------- _ Line 2 Piers: Size -Min .------------ "x O" Spac Ing -Max. - From Ends -Max -------- Line-3 ------- Line 3 Roof Loads: - Size -Min., ------------ Location (From Front) .Line 4 .Piers:-. Size -Min .------------ Spacing-Max.--------- From Ends -Max. ------- Line 5 Roof loads: Size -Min.------------ x 'Ix k "x I Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- _ Spacing -Max..---------------- r: From Ends -Max .------------- Line 5. Piers :...(Und8r Bearing Walls - Only.)-. Size -Min ----------- -------- „x Spacing -Max---------------- From Ends -Max .------------- location (From Front) t COUNTY OF BUTTE - DEPARTIIAFNT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone:,916/538-7541 �—��/ APPLICATION AND PERMIT it _ 6 ASSESSOR PARCEL NUMBER 036-240-038 ZONING ARMH-5 BUILDING PERMIT QJ OWNER - TELEPHONE 589-2799 SO. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS 16 Kitt Glenn Ct. Oroville 95965 CONTRACTOR SNAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $' Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 20,00 4038 rWnV, Orovillp PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. ,•f�ry/� SUBDIVISION NAME PARCEL MAP C �� Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 3 @ 15.001 45.00 TYPE OF WORK New ❑ Addition ❑ Remodel [:J Utilities g] Installation❑ Other ❑ Describe work: MHU Penult Fee $ 60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): provisions of Cha pt. am licensed under pt9Di . , v. 3 of the BuSlness and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole Compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. / DWELLING OCCUP.&) OR ADONS. l ACC. BLDGS. 3.6a sq.ft. NEW CONSTR. ULTI.OUT LET NON•R ESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e) I SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESIO.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 48.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation penu Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cequence of the granting of this permit. X r on Date _��"� "� Signature of Ap licant — Wner!� Contractor ❑ Agent ❑ An OSHA permit is required f r excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 128,50 HAz DFEES IMP FL OD COF PARCE PD HD uE This permit is hereby issued under Bions of the B e u Code and/or work indic or which fees R OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do j have been paid. WORKS DateZ-7-77— , Receipt No. 130167 WNITC-D.P.W., YELLOW-ASBlSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .: �... a. �.jl'�y,y��,-�-'X. �y,rayi+•v-••...,T�-.y .+�il`, 4:{�.v„^yi'4�.+aT a��,*'t'""�'...r r..r '�'']4 r�r.: `- .. ..�.,av, r.�„ a COUNTY OF BUTTE - DEPARTMENTOF:DEVE.OPMENTSE ..VICES -BUILDING DIVISION /, 11V 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER C�/�L% / "/ �/�s A. P. No. Proposed Building Use �/ /% - .r.) Building Inspector �IG� 'Date /2-2 -8-9i Z.._ SddY At time of p rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ..................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... / Z 7F34* Z ' 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... k .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. ' 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ...................... ................... . 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) b California Engineer . ................. . 14. Sanitation and plot plan approval _-� Health Department,'f ............ 15. City of Chico plumbing permit . ......................... . ............... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: + 18. Contact Land Development about (A) Improvements (B) Drainage. .. . 9: Driveway permit (construction approval required prior to occupancy). P'R1! l ..Fr Prednspecbon request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). ......... ..... 22. Certificate of Workmans Compensation Insurance . .....................�.... . Owner -Builder Verification (Given to owner , Mail to owner _). . . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. z_ 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed t and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. .34 r When you issue the permit, process as follows: Mail to owner. Mail to contractor. - _ Telephone 27(i� and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted p p it issuance: (Circle new item not checked above). 1. Index permit for above items No i 2. Additional items required: ` Contractor, designer owner was advised of above required data by _ phone _ mail Counter by ate Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou orb Date Plans checked by Date Plans approved by Dated Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works F.H. USE mi ri Phn mach,) TO: Building Department FROM: Environmental Health + SUBJECT: Sanitation Clearance 6aku ) OLer Location Q AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for W bedroom mobile honie. Other Hold final for: Final clearance O.K. for: NOTE 'A ZdhAM�AS l Environmental Health Specialist 0 8/92 Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner- s 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 or no) S 2. I (have/have not) _Hat& _ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to provide portions of this•work,-but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) -the following persons to provide the work indicated: Name Address.. Phone Type of Work Signed: Property Owner �J Social Security Numb r - Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and - 19832 of the California -Health and Safety -Code. - This verification must be completed and returned to our office before we are per- mitted to issue the permit. .=`RetKrn--ta DPW AGRICULTURAL STATEMENT OF AC.MOWLEDGE`sEl�IT 92-59159 FOR RESIDF'.NTIAL" DEVELOPMENT,, S6c-'i6n 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is ad jacen4 92-0591591 Rec Fee 11.00 to land or included within an area zones! I Check 11.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from thl! County of I use of agricultural chemicals, including„ Butte I but not limited to herbicides, pesticides., Candace J. Grubbs I and fertilizers; and from the pursuit,: Recorder I of agricultural operations including, 9:47am 28 -Dec -92 I PUBL XX 3 but not limited to cultivation, plowing, spraying, pruning, and harvesting which--- — --- - - - - --- -- - _17- T -- - occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property. situate in the County of Butte, State of California, described as follows: COUNIT of alyr-'e BUILDING DEPT. DEC PROPERTY OWNERS: State of On this the oqc?� day of ���_�J , 19�, before me, the SS. undersigned Notary Public, personally appeared County of ) /J n / OFFICIAL SEAL Personally known to me .eed �ee-� `'- s "` SHARON MC GH'E;E _� ; a NOTARY PUBLIC - CALIFORNIA to be the person(`') whose name( Burrs bOi�JdiY p;rasn� subscribed to the within instrument and acknowledged that - - -- executed the same for the purposes therein contained. IN W TNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 3;fo;Z�13_ ----- --- _-.._ _.... _ Notary ublic 92-59.1 59 ORDER -NO. BU -109219-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 7, 1981, IN BOOK 87 OF MAPS, AT PAGE(S) 9. RESERVING THEREFROM AN EASEMENT FOR ROAD AND PUBLIC UTILITIES AS SHOWN ON SAID MAP. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 6, 1981, IN BOOK 81 OF MAPS, AT PAGE(S) 73. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, 30 FEET IN WIDTH, LYING EASTERLY OF AND ADJACENT TO THE WEST BOUNDARY OF PARCEL 2, AS SHOWN ON PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 6, 1981, IN BOOK 81 OF MAPS, AT PAGE(S) 73. EXCEPTING THEREFROM THE NORTH 334.98 FEET THEREOF. PARCEL IV: A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSES, OVER A STRIP OF LAND 60 FEET IN WIDTH, BEING A PORTION OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 36, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE INTERSECTION OF THE EASTERLY LINE OF THE OROVILLE WYANDOTTE COUNTY ROAD, WITH THE SOUTH LINE OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 36, FROM WHICH POINT A' 1 1/2 INCH IRON PIPE, WITH LS TAG 2513, MARKING THE SOUTHWEST CORNER OF SAID NORTHWEST QUARTER- OF THE NORTHWEST QUARTER OF SAID SECTION 36, BEARS NORTH 89 DEG. 16' 14" WEST, 625.49 FEET; THENCE NORTH 89 DEG. 16' 14" EAST ALONG THE SOUTHERLY LINE OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 36, A DISTANCE OF 126.00 FEET; THENCE NORTH 62 DEG. 51' 14" EAST, 202.00 FEET; THENCE NORTH 36 DEG. 19' 14" CONTINUED PAGE 5 PARCEL IV: CONTINUED 92-591.59' ORDER.NO. BU -109219-3 EAST, 148.00 FEET; THENCE NORTH 18 DEG. 30' 14" EAST, 197.00 FEET; THENCE NORTH 27 DEG. 35' 14" EAST, 77.00 FEET; THENCE NORTH 80 DEG. 21' 14" EAST, 240.00 FEET TO A POINT ON THE WEST LINE OF THE LAND DESCRIBED IN THE DEED TO EDWIN RUDOLPH DOLDER, DATED APRIL 25, 1962 AND RECORDED MAY 7, 1962, IN BOOK 1178, PAGE 336, OFFICIAL RECORDS. EXCEPTING THEREFROM ALL THAT PORTION OF SAID RIGHT OF WAY, LYING WITHIN THE BOUNDARIES OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 36, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M. PARCEL V: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THOSE PORTIONS OF, PARCELS 1, 2 AND 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 7, 1981, IN BOOK 87 OF MAPS, AT PAGE (S) 9, LYING WITHIN THE BOUNDS OF KITTY GLEN COURT, AS SHOWN ON SAID PARCEL MAP. Y PAGE 6 END OF DOCUMENT 3 a RES1-:rU. U a 036-240-038 PERMIT#98-0267 ECKELBARGER, Della PERMIT NO 4038 Edna'•s-Way, •Oroville _ I Cont: D & D Homes �/�/� PERMIT EXF MHI--EX Site — - OWNER CONTR. ASSESSOR PARCEL 'LOCATION zl� - -s may✓ � ss � di _. t t. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) 9 9 Signature I V=OK 0 = Nbt OK Not •=Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Teat -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-Test0rap; / PLft. / /Nat. or/ /"L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION(Plans) OK except #'s ,,J,- Setbacks Easements 2 6 , meSpacing-Marriage Line _ as; MH Test-DemardValve-Connector ectricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector 61)�4-ter and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged , g/Tre Downs -Type -Installation Cert. Insp.-Sketch of Occupancy Only: License Decal Date 7 c,+�p Card B -11D,%= Date Card B-1 Date e� } Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fong.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall. Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements ' 2. Soils; Compaction -Structure Stability 3. Pod 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/S•Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool Lghtgq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Nkche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 v ✓= No RESIDENTIAL (Sing O Not OK le & Duplex) - = Not Applicable ' Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / /" Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main;'Steel-Blockouts4Nrapped 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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -.Sills -Anchor Bolts-Joists-Vents-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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Ught-Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. 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 (Plans) OK except #'s 40. Sits Proper Materials & Anchors 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 i Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 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 61. 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-Conector- In Garage; Above Floor -Ducts -Meeh. 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 & Recepticales 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 (G.FI.)-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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 Throught 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 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`'�R� � rr-�'!'�.,'r,,.,-,-r„_,,, �.,�r!�-y"o"Y_"^,<•vf'Z.,�.,.•r^r,".r.-•r..�..r.rr �rr�+•'�.^—"i7.t':.Y"'v.'"''-'r-'s,"*ry*+""'".?.. - ..� .... . � _--.-., .. , MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ---PHONE (916) 538-7541 APN: PERMIT NO.: Owner's:^ 1 'Z F �/G Name: V �'. I ra ,• P.�� �. Owners: � Address: � �� �f •� G , �.. b' r''l r ,� . �._..— i Mobilehome 1� Year of �1 Manufacturer J- �.,.} �� . Manufacture: Serial number Insignia or �, D /0 or V.I.N. +G 4-� / HUD number: . Official approving installation: Date: � r If the mobilehome is moved or reloca ed; the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor .. CERTIFICATE at ANCHOR INSTALLATION Tide 25 CCR Moblehome Pub Act Section 1326 (W) I certify those portions of the tiedown system installed below grade were not damaged prior to or as a result of the installation, were not modified prior to or -during the installation, and were installed in - accordance with the manufacturer's installation instructions, plans and specifications of the engineered tiedown system referenced on this certificate. r Tiedown System: G L - - - Manufacturer. r'6edold Model:L Installed by: V Date: - Q Contr./Owner. /?,;I, VV �, ,e�a�a..1 License No.: 3 7 ! 7 79 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING D SION 7 County Center Drive - Oroville; California 95965 -Telephone (916) 538- 541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -�� ASSESSOR PARCEL NUMBER 036-240-038 a 'M 5 ByfLDINGPERMIT OWNER DELLA ECKELBARGER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4038 EDNA' S WAY, OROVILLE CONTRACTOR'S NAME D & D HOMES I TELEPHONE 532-3301 CONTRACTOR'S MAILING ADDRESS 2243 FEATHER RIVER BLVD., ORO 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4038 EDNA' S WAYgy Ener Plan Checking Fee g $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome)R Other SPECIFY Each Trap 7.00 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: MHI EXISTING SITZ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa 'ss 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.k License Class I,� 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 ( 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢5_ NEW CONST. MULTI.OUTLET NON-RESID. BRANC L 97.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20@''50 BAL @ .SO Ex. Occup. oui Pa slo.)0E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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' compensatio,a insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 144 2 :7 4& O (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' sation laws of California, and agree that if I should become subject to the comIntsh work' compensat provisions of section 3700 of the Labor Code, I shall forth "ompl ith tRoBe pr jvisions. X Date ——�- 9 / Signature of Applicant- wner ❑ Contractor 13Agent An OSHA permit is required f r excavations over 60" deep and demolition or construction of structures over 3 stori4 n height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. .– D. FEES T IMP FLOG CDF PAR PD HD 5SU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON— the applicable provisions Resolutions to do work been paid. 3 ate Q _ y / D to Receipt No. -,3/ %gam WHITE•O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT " `WUNTY OF BUTTE DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDI G DIVISION 7 COUNTY CENTER DRIVE ,-OROVIj ')IFORNIA 95965 -TELEPHONE (916) 5 -7541 0. PERMIT APPLICA-TTIONDATA SHEET N OWNER:7). a ASSESSOR PARCEL NUMBER: r-) .:3 � - 2- Propos ' uilding Use: Building Inspector: 1r, 4: Date: /c c At time of permit application, I was advised the following data must be submitted prior to permit processidg an or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 0 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ 0. Fees of $ ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. ��¢ a f -u f ------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. tation and plot plan approval Health Department. 111vcMity, of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---. 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ­ E124. •❑24. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ------------- ❑26. Letter of intent on building use. --------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------- 029 ❑30 043 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ Other: i (Date) %I' When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ntelephone a -V - .3303 and hold for pickup at office. eliyer with inspector. Applicant: Date: r 0 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other:61 Date: By: 1. Index permit application for the above items numbered: A� ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi ' n counter, by Date: Plans reviewed by: Date: Plans approved by: o,5 Date: 3 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. to 0 H. . USE ONLY Plat Phu Attached Floor Pita AtdcW Scot to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance D tom" )�-D AJ A -S tJ/-Vy Owner Location 0A01 Plan Approved for: Sewage Disposal Water Supply: Public Clearance for a-bedroo m bile 0=00mr .K. for: Environmental 03C-awa-o3'V AP# Private Well Date BUTTE COUNTY SCHOOLS IMPA }�FEE� TIFICATION FORM n (One form p r-uildj%g) School District j•�� %, ✓ W Building Department No. A.P. Number > Jurisdiction: ® City I County Property Owner Property Location/Address 410E,44,1 e., L4 Ja Subdivision Lot No. Residential Development Sq. Footage 3 2— No of Living Mobile Home Addition (Group.R), ` Units Installationc Commercial/Industrial Sq. Footage + r New Addition (Iincluding.Xxterior Roofed Areas) z � a Building Depart ent Repr sentative Dat (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that (Applicant) 0 (Street Address) (City) has complied with the requirements of Resolution No. representing da/ square feet. School District Representative Paid by Check # Remarks: (State) (Phone Number) (Zip Code) I*z- Fj/ Q d by payment of $ /�% IF B 2926 $ ULL MITIGATION $ ,,2 - 9� Date 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 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. 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 (CEO.A), 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 (2/97)dmm Set o ttl.. 61 IDBS '� Mate�laTs �1orkYn o aatices �d4j'j �('N C VFp i�0"TE. FLeco�ed c3 e�1 . Accordance with ��W)fcv.� thegpecihed us hvalitypy,8ecribed.for e��f t of a @ orxs� Building, Plumbo ode e®fib in the l�lea�=ar Codes and the l�ationeYl x`400_ � �• i �XVI OS e OV:9 �F ti� OP v� ®`10 �k"oN o � �. �,XiS�-�•�1 r I/ FJA. � �fi �• 54- - -e.c"'.,o a.m a •a e e BUILD r t:P s- 7 �� ------------------ F. MA5TER BEDROOM W-5" X 12'-101 FLELC7W(nD® Westfield Series Model 6522L V',dri -I lamustomotwom so I I t s`r-CI BEDROOM D & D HOMES, INC. 2243 FEATHER RIVER BLVD. „F,17AUM OROVILLE,'CA 95965 L14'2" 1a00M I I R I I PORCH oPr. INSWING Opt 1 _ 1 DOOR \ WSMNG DOOR OPT . OPEN .. ENTRANCE WALK -IN -BAY l c 2 Bedrooms • 1 Bath • 868 Square Feet Mobileh'ome Manufacturer: �-R .-T Manufacture Year: I If other than single wide, furnish Setup Model Number:`- 5 :2 2 Z— Width: I (,o (ft.) Length: ft.) Tagalong or Expando On all mobilehomes manufactured after - October 7, 1973, furnish manufacturer's' installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ 4f Other: SUPPORTS: Concrete block[. Other: Provide Tic Down Specifications for all Mobilehomies: PierFootingsSizes and Location SINGLE WIDE MULTI -WIDE Line I Line I Line 2 Line 2 ....................................................................... Line 2 ........................................... Main - Beams ............................................ 'Line 2 Line I Line 3 Line 2 ............. ........... Main Beams ....................................... ............. ...................................... Line 2, Line I . ............. . ................... ........... . >:7ine.1 -Tag or Triphe• ine 4 ................................................. T ine I Line I Piers: Size minimum: r 121 x rzt-i- Spacing maximum: From ends -maximum] 119P Line 2'Piers: Size minimum: 1,2-1 x 12- q-1 Spacing maximum. I S '. 0 From ends-maximum:1 Line a Roof Loads: Size minimum Location (from front): Line 5 RoofLoads:. Size minimum: Location (from front): Line I Openings. Size minimum: .,Each side of openings with width over: Line, 4 Piers: Size minimum: Spacing maximum: From ends-maximum:1 OVER, A 0 M.H.L-2 I. Owner's Name: 2. Assessor's Parcel Number: - tf O 3. Installer's Name:� 4. Is the site currently under permit? Yes[] No[ J Permit No. 5. Is the site an existing site? Yes[,(] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ No[ J If it is, what is the rating? a 08 Amperes. F; 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] Igo Wf yes, please identify the load and size: a Themobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ Propene[ J None[ ] 12. Size of gas pipe at the mobilehome '-'site from the meter or t, tank: '3 i inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?26: (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(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 PERAUT APPLICATION g.$ J NOV-25-1997 09:48 D&D HOMES 9167519096 P.02i13 4, 30'-0" MIN. 0 TYPICAL PIER AND PAD Q TYPICAL MARRIAGE LINE PIER AND PAD cRouNo-Loc-AssEMBLY �Q(Aa slOiyq TENSION ONLY uEu9ER ��Q�O �� A• CFCcl�y 'SPAL1' SPECIAL PRODVCT ANCHORINC MATERIAL (SPECIALLY FORMULATED) SEE MIXING �� M AND HANOUNC INSTRUCTIONS. 10= N0. 1654 _ POSSIBLE ALTERNATE LOCATION OF GROUND— �C f.[n 6J0 - 1O LOC—ASSEMBLY -- MLCFT — MARRIAGE LINE CHASSIS FRAME TIE. F CAO / LOADING ROOF LOADS 20PSF — BO PSF (INC. ROOF SNOW LOADS) WIND — CA MIN.. 70C. 75C. 80C .-WESTERN GROUND LOC 1.4182 CENTRAL AVE, UNIT D, CHINO CA 91710 cN�«o ��oowNsy MODEL GL200-1 A .APPROVED ]USJECT TO COaoTCT104S NOTTO ..I�••••1 Anoi nm emM.:u et eOD•o•• n.T •.•nd•. lo.:na.. Lo- y�..v.wph el yfplhMl• Soa• Ir.v urA ••Qylpr.•—, 1 OoYerlwron[ of M•.•d.D o.� (n-.. •.Ur Dr.a•I•onanr o1vIS1 Of CODTS A-0 ST&NDAVDS Byft� a:o..[•..1 OoleQ0-0-7 SPA NO .... 4A'rl ,_J/�� (tia `.PJon An provol Fvpirts.�%7,9 Crvrel -1541,15WIOr ROGER LEGGETT INC. 760-961-2182 MOBILE HOME TIE DOWN SYSTEM 97169E SINGLE, MULTIPLE SHEET MOB,IFE5 °HW.1Z. 3ouNv— REVISIONS 0g EdsLUF-TCAGr�N��Y� �=� p� P C.I-P ER§1:D Q �ONSTRI� ION OF 12 INCPFrTl0N E3 B G E3 I za I 3 .. • l - I O O ' I 1 O b EEI E3 E3 CENTER PIER(S) ONLYIF RE TO L(AINTAIN MAXIMUM PIER SPACING END END Diu. Diu, TYP. SPACING PER SCHEDULE I NP• PLAN — SINGLE WIDE PLAN LEGEND AND KEY 0 TYPICAL PIER AND PAD Q TYPICAL MARRIAGE LINE PIER AND PAD cRouNo-Loc-AssEMBLY �Q(Aa slOiyq TENSION ONLY uEu9ER ��Q�O �� A• CFCcl�y 'SPAL1' SPECIAL PRODVCT ANCHORINC MATERIAL (SPECIALLY FORMULATED) SEE MIXING �� M AND HANOUNC INSTRUCTIONS. 10= N0. 1654 _ POSSIBLE ALTERNATE LOCATION OF GROUND— �C f.[n 6J0 - 1O LOC—ASSEMBLY -- MLCFT — MARRIAGE LINE CHASSIS FRAME TIE. F CAO / LOADING ROOF LOADS 20PSF — BO PSF (INC. ROOF SNOW LOADS) WIND — CA MIN.. 70C. 75C. 80C .-WESTERN GROUND LOC 1.4182 CENTRAL AVE, UNIT D, CHINO CA 91710 cN�«o ��oowNsy MODEL GL200-1 A .APPROVED ]USJECT TO COaoTCT104S NOTTO ..I�••••1 Anoi nm emM.:u et eOD•o•• n.T •.•nd•. lo.:na.. Lo- y�..v.wph el yfplhMl• Soa• Ir.v urA ••Qylpr.•—, 1 OoYerlwron[ of M•.•d.D o.� (n-.. •.Ur Dr.a•I•onanr o1vIS1 Of CODTS A-0 ST&NDAVDS Byft� a:o..[•..1 OoleQ0-0-7 SPA NO .... 4A'rl ,_J/�� (tia `.PJon An provol Fvpirts.�%7,9 Crvrel -1541,15WIOr ROGER LEGGETT INC. 760-961-2182 MOBILE HOME TIE DOWN SYSTEM 97169E SINGLE, MULTIPLE SHEET MOB,IFE5 °HW.1Z. 3ouNv— REVISIONS 0g EdsLUF-TCAGr�N��Y� �=� p� P C.I-P ER§1:D Q �ONSTRI� ION OF 12 INCPFrTl0N NOU-25-1997 09:49 D&D HOMES 9167519096 P.03/13 30'-0" MIN. 17 E3 JE31 E3 - I 0 e I P E3I Li iEl I I .I v v I E31 E3 E3 E3 I I CENTER PIER(S) ONLY IF REO'0// I I TO MAINTAIN MAXIMUM PIER SPACING ENO DIM. TYP. PLAN - DOUBLE WIDE SPACING PER SEE SINGLE WIDE FOR LECEND OuR MLCFT IF MANUFACTURER NAS PROVIDED UNITS WITH TIES FROM STEEL CHASIS TO ADJACENT STEEL CHASIS END DIM. TVP. WESTERN GROUND LOC 14182 CENTRAL AVE, UNIT D, CHINO CA 91710 MODEL GL200--1 A ROGER LEGGETT INC. 760-961-2182 MOBILE HOME TIE DOWN SYSTEM SINGLE, MULTIPLE MOBILE HOMES REVISIONS TEST AGENCY P.C.I.-PREFERRED !4 CONSTRUCTION INSPECTION 97169B SHEET 2 NOV-25-1997 09:49 D&D HOMES 9167519096 P.04i13 • JO' -0- MlN. Fel f� F1 E3 -� I & �► ( I I L—i � r—� r� I E3 v 0 v E3 E3 a o - o EII H93L CENTER PIERS) ONLY IF I REO'D TO MAINTAIN MAXIMUM PIER SPACING ENO au. TW. END DIM. i1 PLAN — TRIPLE WIDE �" ? SEE SINGLE WIDE FOR LEGEND No. 1654 7< - OMR MLCr7 IF MANUFACTURER HAS PROVIDED ES FROM STEEL CHASIS TO ADJACENT STEEL CH S S�I4! f OF r.n��5 WESTERN GROUND LOC 14182 CENTRAL AVE, UNIT D, CHINO CA 91710 MODEL GL200--1 A I ROGER LEGGETT INC. 760-961-2182 MOBILE HOME TIE DOWN SYSTEM SINGLE, MULTIPLE MOBILE HOMES a�0 � REVISIONS TEST AGENCY P.C.I.-PREFERRED CONSTRUCTION INSPFr.TInN 97169B SHEET' 3 V) (D WIDTH WIND LOAD Fri _J 10' CJ) O Cn - m 8' -11 V- 4' 8' - 2- 75-C (n 2'- r S' - 6' 80-C 51- 6' m rn O I ::Er- O' O o 6 151-61 :r K Z = rrl Cn ;au 20-0--4 z. LAI m •� -� O rC- � _) -< o Ln i rTl C ;la C fTl -p to r- - 4 m r ri N G7 Co Z 14' CA MIN. 21' - 1' Zmo 9' - 0' 70•C I T - r 5' • S. 6' - 9'. 7SC 10' • 2' v -4' • 9- 80-C Z 3' - 4' 16' CA MIN. n V) (D WIDTH WIND LOAD Fri _J 10' CJ) 101-11, UJ 9' - 0' m r1l CD -r N rrl rn Z D0 r- z rrl r- . O C Z O D SINGLE WIDE MOBIL UNITS ANCHOR SPACING SCHEDULE WIDTH WIND LOAD SPACING END DINt 10' CA. MIN. 101-11, 4' -6- ' -6'70-C 9' - 0' 70 -C 8' -11 V- 4' 8' - 2- 75-C 6' .3. 2'- r S' - 6' 80-C 51- 6' ' -3 - 2' -3 - 4' - 3" CA. CA. MIN 151-61 6' -4' 9' - 0- 9' 7:0' 70-C 10' - 6' 4' • 4" 6'-61 75-C S. • 5' 3' - 5' 4' - 8" 60-C 6' -11' 2' - 10' 14' CA MIN. 21' - 1' 8' - 7' 9' - 0' 70•C I T - r 5' • S. 6' - 9'. 7SC 10' • 2' 4' - 2" -4' • 9- 80-C 8'- 2' 3' - 4' 16' CA MIN. 28'- 6' 9' .0. 9' - 0- 70-C 151-91 6' • 6' 7' - 2' 75•C 11' - 6" 4' - 10' 4' • 11' 80-C 9'-3- 3' -10, NOTES: 1. ,USE CALIFORNIA MINIMUM LOADS FOR 70. 75 AND 80 MPH WINDS WITH EXPOSURE B. 2. END DIMENSION MAY BE REDUCED FROM THAT DIMENSION SHOWN IN TABLES. DOUBLE WIDE MOBIL UNNS ANCHOR SPACING SCHEDULE WIDTH WIND LOAD SPACING ENO DIM. 20' CA. MIN. 54' 9' - 0' 70-C 19' - 10' 8' - 2- 7SC 13' • 10' S' - 6' 80-C 10' - 4' 4' - 3" 24' CA. MIN 70•C 21PER SIDE 25' • 0' 9' - 0- 9' 7:0' 75-C IV 61 6'-61 60-C 111- 41 4' - 8" 26' CA. MIN 2JPER SIDE 9' -'0' 70-C 2r - 6' 9' - 0' 75-C 16' • 5' 6' - 9'. 80-C 11' - r -4' • 9- 28' CA. MIN ZIP51 SIDE 9' - 0' 70-C 30' - 6' 9' - 0- 7S -C f r • 4- 7' - 2' a0 -C 11' i 1' 4' • 11' 30' CA. MIN 21PER SIDE 5' 0' 70-C 32' - 5- S' 0' 75-C 17' - 8- 7' • 3- 60-C 12' • 0' 4' - 1's' 32' CA. MIN 21PER SIDE 9' • 0- 70-C 36' . 10' I 9' - 0' 75•C 18' - 6" T • 6' 80-C 12' - 4" I 5' • v NOTES: 1. USE CALIFORNIA MINIMUM LOADS FOR 70, 75 AND 80 MFH WINOS WITH EXPOSURE B. 2. ENO DIMENSION MAYBE REDUCED FROM THAT DIMENSION SHOWN IN TABLES. 0 NOU-25-1997 09:49 D&D HOMES TRIPLEVIDE MOBIL UNITS ANCHOR SPACING SCHEDULE WIDTH WIND LOAD SPACING END DIM. 32' CA. MIN. 2/PER SIDE 9' - 0' 70-C 36'- 10" 9' - 0" 75-C 1B� - 6. 7' - 6,. 80-C 12' - a" 5' - 0" 34• CA. MIN. 21PER SIDE 9' - 0" 70-C AT -0- 91 - 0" 75-C 21PER SIDE 8' - 3" 80-C 2JPER SIDE 5' - 0" 36' CA. MIN. 2/PER SIDE 0' - 0" 70-C 21PER SIDE 9' - 0" 75-C 2JPER SIDE 9' - 0' 00-C 21PER SIDE 5' - 0' 42' CA. MIN. 21PER SIDE 9' -0- 0-70-C 70-C 2/PER SIDE 9' -0- 75-C 2/PER SIDE 9' -0- 80-C 2JPER SIDE 5' - 0" 48• CA. MIN. 2/PER SIDE 9' - 0' 70-C 2/PER SIDE 9' - 0^ 75-C 2/PER SIDE 9' -0 " 8—C 2/PER SIDE 5' - 0' NOTES: - 1. USE CALIFORNIA MINIMUM LOADS FOR 70,75 AND 80 MPH WINDS WITH EXPOSURE B. 2. END DIMENSION MAY BE REDUCED FROM THAT DIMENSION SHOWN IN TABLES. 9167519096 P.06i13 WESTERN GROUND LOC 14182 CENTRAL AVE, UNIT D, CHINO CA 91710 MODEL GL200-1 A ROGER LEGGETT INC. 760-961-2162 . MOBILE HOME TIE DOWN SYSTEM 971698 SINGLE, MULTIPLE SHEET MOBILE HOMES REVISIONS TEST . AGENCY P.C.I.- PREFERRED FJY' CONSTRUCTION NOV-25-1997 09:50 D&D HOMES 9167519096 P.07i13 d I` Ma,c• . All LZrI V 11 GAL rJftri 3 I,L • p Gol1P�EP-� T OFII-riAl. • YIIAS�EF}.hi�T` A WAS147-9F71P �S IPJEIL•Tlca� .IU�; Iti 51auAilorl, �.- �� FEQb, • II 1,0V4x16 L0.ALt IVXA'^D N/ Dba.. � d r» -re, 4 T> -r d �s17.0 GYN l - Pte.' r.N o.•I 1 . G'nt 5 0'-3 t_�r•ul ° LX_ I/i ALL 7N�,Ao -NA u `o L 4w3Olt -Ao'-4-" w/ � l- I/2'�' ►1 II/2�� I -q. V111-1 (A(,7 A1��irl� (I- LCT. ALL " 7HFe�OieOtt-EI4UT 8 t oG AL, .T..REA 0 /^/70 G00PLE11_ n IL` C, To t, ± OF 5coIL/ sP HArI D P1%c.4 20. . opTooJA't 11�• ALlPJU.»i6 - 1 L" i PjELI- Id"5!L• h.DIP.• WESTERN GROUND. LOC 14182 CENTRAL AVE. UNIT D. CHINO CA 91710 MODEL GL200-1 A ROGER LEGGETT INC. 760-961--2182 MOBILE HOME TIE DOWN SYSTEM SINGLE, MULTIPLE MOBILE HOMES REVISIONS. TEST AGENCY P.C.I.—PREFERRED CONSTRUCTION INSPECTION 97169.8 SHEET L NOV-25-1997 09:50 D&D HOMES w 0 3 `s _O 9167519096 P.08i13 AL7lLoL.'� wH�. v�r�1Ge1. r p�7Kle7l.�:• ',3 LLj. w1 U NILE- 4 I- %/, THW1- bot.T 'x&'ILorJ4.' � r, �f►R- 2" o'- W/ ► 5i..rtaw Gr�,o►.J U�1'• �{• oQ ')Ib -4 PDVJN-b.. �- 3 '11 u � � ' per_.�er�-i M► 4 a r►e.G�P 1'�'�Z'�r<I�i L4 �VpIGE ?�!✓ed r ��� )Oi.�F�►. E/u' N Q — ®GIrl W0147- � Ir F arlb P,aGk�EO Off '9014, N 8 V . n Eu �� . • • rim l' 4 rt° LCT ALL Til GcAQ, rid -T17 -fop 4- coJ p---- P li � SAM r-rYe Go.��eM•. GFter- ALL. 7NRto i ! f• op7ro•dnl � „E• . b N i m gL. N �'f S G •oT. , 7oP N �� ' A L -f Gn,►j A'T S - I Co" m $F1. �. • I 9 cel �. • Iv 5dr• . �� �Io.. 5�_....__.. - -- WESTERNGROUNDGROUND LOC 14182 CENTRAL AVE, UNIT D, CHINO CA 91710 MODEL GL200-1 A ROGER LEGGETT INC. 760-961-2182 MOBILE HOME TIE DOWN SYSTEM 97169B SINGLE. MULTIPLE SHEET MOBILE HOMES REVISIONS TEST AGENCY 7 P.C.I. PREFERRED CONSTRUCTION a INSPECTION NOU-25-1997 09:50 D&D HOMES 31'JALL "1HF�n� I ng I • l i.- Gad rJ 0' w .' . '� ti�75 AS hF�WI+►Fs�N parr Pry i'r� 9167519096 P.09i13 — ..,� I I�� I•I.��E � H �• — — CSI f IIOLtt �v , �i(v'•Fiol-6- • �B eAu.•'��13G90 A (,7e-R.,)A 1'E ,6,2" e,ALV 1741LE+D WESTERN GROUND LOC 14182 CENTRAL AVE, UNIT D, CHINO CA 91710 MODEL GI200-1 A ROGER LEGGETT INC. 760-961-2182 MOBILE HOME TIE DOWN SYSTEM SINGLE, MULTIPLE MOBILE HOMES REVISIONS TEST AGENCY P.C.I.=PREFERRED CONSTRUCTION INSPFCTION 971698 SHEET 6 11 ��s'Ila es NI11Utixv _ 14A IwdttJVR ��►11�nf.nr5G.:3e�1`v� rC�x3or"/b �i(v'•Fiol-6- • �B eAu.•'��13G90 A (,7e-R.,)A 1'E ,6,2" e,ALV 1741LE+D WESTERN GROUND LOC 14182 CENTRAL AVE, UNIT D, CHINO CA 91710 MODEL GI200-1 A ROGER LEGGETT INC. 760-961-2182 MOBILE HOME TIE DOWN SYSTEM SINGLE, MULTIPLE MOBILE HOMES REVISIONS TEST AGENCY P.C.I.=PREFERRED CONSTRUCTION INSPFCTION 971698 SHEET NOV-25-1997 09:51 D&D HOMES C COQ Zt ry��fll�fl ���"�conivao) Wo�;a .GNouJ G F (L►M i . : �NaylS FF4r'E -F- 1460 F SE'tvr1DAP-Y MDF- , N w. APPI��i°`L # 2y i - 1'i i• -TYP 'rop dFr ' pl�l� � MAf�1n�aE Lit4c.piejL6 AIS Ax � Ex cc P-�o. TY p 6 ALL PSE 9167519096 P.10/13 WESTERN GROUND LOC 14182 CENTRAL AVE, UNIT D, CHINO CA 91710 MODEL GL200-1 A ROGER LEGGETT INC. 760--961-2182 MOBILE HOME TIE DOWN SYSTEM SINGLE, MULTIPLE M061LE HOMES REVISIONS TEST AGENCY P.C.I.—PREFERRED CONSTRUCTION INSPFr,71nN 971698 SHEET 9 NOU-25-1997 09:51 D&D HOMES ' Z � � r � x to q moo..d- •� u P e 'o 0 U- 10, ,. 9167519096 P.11/13 Nu. 1654 I.n Wo -4 WESTERN GROUND LOC 14182 CENTRAL AVE, UNIT D, CHINO CA 91710 MODEL GL200--1 A ROGER LEGGETT INC. 760-961-2182 MOBILE HOME TIE DOWN. SYSTEM 97169 B SINGLE, MULTIPLE SHEET MOBILE HOMES 1 O REVISIONS TEST AGENCY P.C.I.-PREFERRED CONSTRUCTION INSPECTION NOV-25-1997 09:51 D&D HOMES 9167519096 _GEdERALECIEIGATaONS . 1. STRUCTURAL STEEL AND PLATES SHALL CONFORM 70 ASPM A-36. TYPICALLY, 2. ALL BOLTS SHALL CONFORM. TO AS A 301, UNLESS SPECIFICALLY DIOTEO OTHERWISE. ATED 3. 'SPAM" IS A SPECIALLY FORT UL SANTA A ATERIAL. TESTED 13Y E INTEGRATED O PART M DEPARTMENT NA CALIFORNIA, THE MATERIAL IS ACCEPTABLE pR7E NGE COUNTY CLASS 111 LANDFILLS AN MAY Of PLACED IN YOUR DISP DUMPSTERE HETEST NG LABORATORY WAS ASSOC AOTED LABORATORIES, LOCATED NA TKAs ORANGE. CALIFORNIA. THE LETTER ANO TEST RESULTS ARE ATTACHED TO THE CALCULATIONS SUBMITTED AT THE BACK. "SPAM" SPECIAL PRODUCT ANCHORING MATERIAL. q, THIS FOUNDATION SYSTEM SHALL WORK IN CONJUNCTION WITH MOBILEHOME MANUFACTURER'S STANDARD INSTALLATION INSTRUCTIONS. S. ALL METAL COMPONENTS SHALL BE PROTECTIVE COATED (GALV./ZINC/EPDXY). pES1S,1`LG$LlEaj66T LCAL 6ND-LATERAL..LOAU: IC ZONE 4 & WIND ZONE 1. THIS PLAN CONFORMS HEXPO UREHC METHOD 2R MINIMUM WORKING UPLIEQUIREMENTS FOR FT LOAD IS 3,1 O# WITH AOF UP 708 50% OVERLOAD CAPABILITY. 2. T14E DESIGN LOADS USED IN THIS DESIGN AREA; m 40 P.S.F. ROOF OL = 9 P.S.F.. LL = 20 TO 80 P.S.F.. FLOOR DL =-10 P S.F . LL ALLOWABLE SOIL BEARING IS 1,000 P.S.F. 3. TAG UNITS ARE TO RECEIVE GROUND -LOC ASSEMBLIES WITH THE SAME DESIGN PARAMETERS AS SHOWN ON THIS PLAN. 4, PAO FOOTING ATTACHMENT IS BY OTHERS, AS & IF REQUIRED. S. A PERMIT SHALL BE OBTAINED FROM THE GOVERNING JURISDICTION(S) AND. INSPECTION (S) AS REQUIRED. 6, THE CONTRACTOR (BUILDER) SHALL BE RESPONSIBLE FOR FIELD MEASURING EACH MOBILEHOME UNIT a VERIFYING ALL DIMENSIONS. NTRACTOR (BUILDER) TO 7. 114E FOUNDATION . PADS AND INSTALL PER THE MOBIELEHOMETHE SMAO MANUFACTURER'S S INSTIBILITY OF THE OPLY INSTALLATION INSTRUCTIONS. ALL PIERS ARE THE CONTRACTOR'S RESPONSIBILITY. P.12/13 WESTERN GROUND LOC 1.4182 CENTRAL AVE, UNIT D, CHINO CA 91710 MODEL GL200-1 A ROGER LEGGETT INC. 760-961--2182 MOBILE. HOME TIE DOWN SYSTEM. 97169E SINGLE, MULTIPLE SHEET MOBILE HOMES REVISIONS TEST AGENCY 1 1 P.C.I:-PREFERRED CONSTRUCTION INSPECTION NOU-25-1997 09:52 D&D HOMES _ ; ' �.IN�91.1�TIQL`i PRQDEQl1F3ES.: 9167519096 P.13i13 1. LOCATE GROUND -LOC HOLD DOWNS AS SHOWN ON'fHd POUNDATION PLAN(S). VARY LOCATIONS TO CENTER OF HOLES TO ACCOMMODATE OBSTACLES SUCH AS ROCKS. BOULDERS. CROSS- OVER DUCTS. ETC. GROUND -LOC HOLD DOWNS MAY ALSO BE PLACED TO THE OPPOSITE SIDE OF THE CHASIS BEAMS THAN SHOWN. IF NECESSARY. BUT NO FURTHER THAN TWELVE INCHES FROM THE BEAM AS INDICATED IN DETAILS 1 3 2 (7 WHERE THE CENTER TO CENTER D. USE ANOTHER GROUND -LOC HOLD DOWN DIMENSIONS HD'S EXCEEDING O G THE CENTER CENTER DIMENSION E ENS ON L MIIT. R DETAIL OR BETWEEN. TWO GLHE 2. DIG 10 INCH SQUARE OR DIAMETER BY TWO FEET DEEP HOLES AS SHOWN IN DETAIL 1 OR 2. SPREAD THE SOIL INSIDE. ALONG THE SKIRTING OR ENCLOSURE SO DRAINAGE UNDER THE STRUCTURE IS NOT INTERFERED WITH. 3. THIS IS SUPPLEMENTAL TO MOBILE HOME MANUFACTURES INSTALLATION INSTRUCTION AND REQUIREMENTS. THE INTENT OF THIS IS TO CONFORM TO CCR TITLE 25, CHAPT. 2. SUB -CHAPTER 1. ART. 7 SECTION 1336.3. LOAD TESTING WAS PERFORMED BY PREFERRED CONSTRUCTION INSPECTORS (C P, I,) ON THE GLHO GROUND LOC HOLD DOWN ASSEMBLY. 4. INSTALL THE GROUND -LOC UNIT AS SHOWN IN DETAIL 1 OR 2. S. NO HOLE INSPECTION IS REQUIRED. 6. COMBINE THE CONTENTS OF 'SPAM' AND MIX WELL. POUR INTO THE HOLE AND UNDER THE 80770M PLATE. ALLOW THIRTY MINUTES FOR THE 'SPAM' TO SETUP. THEN SET ALL MECHANICAL CONNECTIONS. T- INSTALL THE MARRIAGE LINE CHASIS FRAME TIES (MLCFT) FINGER TIGHT ONLY. 8. INSTALL GROUND -LOC ANGLES AND 112 INCH ALL THREAD SYSTEM PER DETAIL 1 OR CHAINS SYSTEM PER DETAIL 2. ADJUST AND TIGHTEN THE ALL THREADS WITH EITHER THE TOP OR BOTTOM NUT HAND WRENCH TIGHT OR TIGHTEN THE CHAINS BY SLIDING THE GRIP -LOC CHANNELS 'A'ALONG THE CHASIS FRAME AND RF -TIGHTEN THE NUT HAND WRENCH TIGHT. ADJUST THE CHAIN TENSION WITH THE GROUND. -LOC NUT ON TOP OF THE ASSEMBLY. 0- TIGHTEN THE MLCFT WITH HAND WRENCH UNTIL TAUT AND SECURE. 10. MAKE A FINAL CHECK OF ALL BOLTED ASSEMBLIES TO ENSURE THAT TREY ARE TIGI-I'f AND SECURE. WESTERN GROUND LOC 14182 CENTRAL AVE, UNIT D. CHINO CA 917.10 MODEL GL200-1'A ROGER LEGGETT INC. 760--961-2182 MOBILE HOME 97169E TIE DOWN SYSTEM SINGLE, MULTIPLE SHEET MOBILE HOMES REVISIONS TEST AGENCY 12 ,a><,Qo P _C.I_ PREFERRED TOTAL P.13 ' NOTES RESIDENTIAL 7. PERMIT N(,'—i6- 0240-038 _- V _- - 04-227 LOTT,ROBERT 4038 EDNA'S WAY, OROVILLE j CONT: SIERRA MHS EX MH PERM FND m ........ THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS 'BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THF, INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW F MH' S). INSPECTOR TO VERIFY;SERIAL & LABEL"#,'S. 4 I SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER O JOB FINALED (Date) Signature CHECKED BY J= OK 0 = Not OK_ . = NotApplicable N& Ready 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 7. Well Clearance & Disconnect B. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 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 Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2-. Foot' ;Size -Spacing -Marriage Line oc9 S as; MH Test -Demand -V Ive 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 D s :d- 2--7.F-> MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" 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 Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Interior/Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 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 Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No Clearance Looked under Floor O Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive O Yes 0 No/Walks O Yes ❑ No/Planters O Yes ❑ No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 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 "J i 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 O Yes 0 No/Walks O Yes ❑ No/Planters O Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netkdds PERMIT NO. BP042274 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: 08/06/2004 APN: 036-240-038-000 the Business and Professions Code, and my license is in full force and effect. License las : License c/ / %U 3 8 6 Site Address: 4038 EDNAS WAY ORO Date: C�, G -I Contractor: Map Index: Description: EX MH PERM FND EX SITE (806) 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: LOTT ROBERT JR permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 4038 EDNAS WAY signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966-9581 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).): O 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: LOTT ROBERT JR 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 Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds or improves thereon, BILL REID and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-0599 Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of pedury 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: ❑ I 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 d policy number are: Q Carrier: o "" "`'� Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: Policy #: t�L s ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anrUor 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.) Resolution o ork ' dicated above for which fees have been paid. & _` Name: By: Date: JPIRSN: - Address: PERMIT 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 1 have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representativesofButte County to enter upon the above mentioned property for inspection purposes. Print Name: OL%� j r,> Signature: Date: 0 Owner ontractor O Agent for Owner ❑ Agent for Contractor COUNTY OF BUTTE-DEPARTMENOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County'Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER 361) Proposed Building Use: M R ounter Technician: ( �� Date: / Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in Virder to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Pla4-j*own or fnd plans,_all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ' ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking:(C Parcel Check: ❑ 25. Contact Land Development about _ Improvements, D ainage......................... D26. NPDES Form................................/................................ ................... . 27. Encroachment Per it o 'd I a frd t 'c t....... .''.ii... 28. Pre- Inspectioq for ILA I RAY I ❑ 29. Contractor's license information. (Numbe , Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits ................. ............................... ❑ 36. ee9�Restriction................................. ....................... �-- 37Grant Deed, .H. Title/Statement of Fact r from Legal Owner heck to H.C.D. $ ❑ 38. Other. - ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. / //Z ri 7 /Jo% Y Applicant: Date: /// 1. ermit application for the above items numbered: Plan Check etter Addition I items required ntract , designer, owner, was advised of the above data by IV phone, 1, ❑ counter, by Date: U n �+� t ontr r, designer, owner., was advised of thea ve ata by phone, ❑ mail, ❑ counte by Date: 1K / Plans reviewed by: ('i Date: Plans approved by: Date 8.4j.0`i Pie/ Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division PRE -INSPECTION REPORT OWNER: DATE: LOCATION: SA.P. # CONTRACTOR: MZO REASON FOR PRE -INS E TIO DATE TO INSPECTOR U PERNIIT HISTORY ( ) NONE SEE ATTAGiED BUILDING INSPECTOR'S REPORT Building Description: CommerciaUUsage: Residential # of Units: Currently Occupied ( ) Yes ( ) No z Abandoned/Vacant: Electric: Electric Currently ( ) On ( ) Off , Condition of Electric Gas: Currently ( ) On ( ) Off Condition Sanitation: Plumbing Worldng () Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No ACTION RECOMMENDED: Hold for permits or verify: _A Mobile home # of Units: ISSUE(- es ( ) No Inspector• — [� Date: 2 cTlV 'r!''Y-T RTTTT .T1TNl=.0 !1N R FVF.R CF ANT) TNT)TC A TF. T ,OC A TT()N fW PR (1PPID rV PLAN REVISION Owner's Name: BP#: CH Date: L� o4 Contact Person & Phone Number:. f Received By: Time: 1 4 - PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering El"'* Plan /*Plan Revision C" ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: ❑ Requested by Plan's Examiner — Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the'revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: 9 Call and hold for pick-up. ❑ Deliver with next inspection. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: 311 Minimum $54.99 Receipt #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 Building Permit Number: m q - aa 7 7 Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be -in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your "parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: ©y — 2 Z 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: All structures bpd equipment including overhangs shall be clear of all easements. A setback of -�Q feet from the side and *7D 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 fora 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. M.H.L-2 1. Owner's Name: V- e- 1_ 2. Assessor's Parcel Number: - a O - d 3. Installer's Name. 4. Is the site currently under permit? Yes[] No[ ] Permit No. 5. Is the site an existing site? Yes[,j No[ j (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? /C7 Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[�1f No[ ] If it is, what is the rating? a Oa Amperes. 10. Is there any other electric load to be erved by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ]VNo[ 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[' Propane[ ] None[ ] 12. Size of gas pipe at -the mobilehome 'site from the meter or tank: 3 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?,ZO (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(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 PERMrr APPLICATION May 1995 8.5 M.H.I.- 2 Mobilehome Manufacturer: FP-P�Manufacture Year: I g 9 If other than single wide, furnish Setup Model Number: --t552--- (Q 5 Width: 1 Co (ft.) Length: (ft.) Tagalong or Expando Siz . 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: SUPPORTS: Concrete block[.1.J� Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................................................ Main Beams . ... . ........................................................................... Line 2 .............. ine 2 Line 1 Line 3 Line 2 Main Beams ................................. .................................................. Line 2 Line 1 >;Z7 --Line 5 Tag or Triple, ine 4 Line 1 Line 1 Piers: Line 1 Openings Size minimum: 12 x 2 Size minimum: Spacing maximum: Each side of openings From ends -maximum: o 'with width over: ' 1b ` Line 2 Piers: Size minimum: [ i 7-J x [ Spacing maximum:, S '0 ` From ends -maximum: 2 - Line Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 4 Piers: Size minimum: [ J. Spacing maximum: ` From ends -maximum: ` l OVER S � i e �^ fes. �: ;� RECORDING RGQUES'I'ED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: ROBERT LOTT, JR. 4038 E.DNAS WAY OROVILLE, CA 95966 A. P.N.: 036-240-038 IIID ill llf I IIII I ���3—eta!+3935 IIII II it it 11 11 111 l Recorded Official Records I REC FEE 13.00 I TAX County Of BUTTE I 9S• 55 CANDACE J. GRUBBS I 'Recorder I ROSEMARY DICI(SON I Assistant 09:00AM 07 -Jul -2003 I Barbara 'I Paul 1 of 3 ' Above'rhis Line for Recorder's Use Only Order No.: URO/C GRANT DEED Escrow No.: 211905KB THE UNDERSIGNED�GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $99.55 [ X J computed on full value of property conveyed, or [ I computed on full valueless value of bens or encumbrances remaining at time of sale, [ X J unincorporated area; [ J City of OROVILLE , and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, DELLA JONES, WHO ACQUIRED TITLE AS DELLA ECK.ELBARGER,an Unmarried Woman hereby GRANT(S) to ' ROBERT LOTT JR., a Married Man as his Sole and Separate Property the following described property in the City oP UNINCORPORATED AREA, County of Butte State of California; SEE ATTACHED LEGAL DESCRIPTION 4DELLAJONE Document Date: June 26, 2003 STATE OF CALIFORNIA )SS COUNTY OF 1 T ) On JUNE 26 2003 before me, personally appeared DELLA JONES �?RY J. BTnWRT.T, NOTARY p1iRi.Tf' personally.known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose narne(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 hdnd and-�official seal. Signature I'his area for official notarial seal KARYJ. ®IDMLL Notary ublic' caBio n a U Butte Count ro y � MY Comm. Exp. NpM1/. 08, 2006 Mail Tax Statements to: SAME AS ABOVE or. Address Noted Below Order No. BU -211905-3. KB Description The land referred to herein is situated in the Stale of Calif()'follows: rnia, County of Butte, and is described as PARCEL 1: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP 13EING A PORTION OF SECTION 25, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., WHICH PARCEL MAP WAS RECORDED 1N THE OFFICE OF THE RECORDER OF THE COUN'T'Y OF BUT'FE, STATE OF CALIFORNIA, ON MAY 30, 1984, IN 1300K 97 OF MAT'S, AT PAGE(S) 3. AI'# 036-240-038-000 PARCELIL A NON-EXCLUSIVE PUBLIC EASEMENT OVER EDNA'S WAY, FOR INGRESS AND EGRESS, PUBLIC UTILITY PURPOSES, OVER THOSE PORTIONS OF PARCELS 1, 3 AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP BEING A PORTION OF SECTION 25, TOWNSHIP 19 NORTII, RANGE 4 EAST, M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF 111E RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 30, 1984, IN BOOK 97 OF MAPS, AT PAGE -'(S) 3. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, BEING A PORTION OF THE NORTHWEST' QUARTER OF TILE NORTI)WEST QUARTER OF SECTION 36, TOWNSHIP 19 NORTH, CENTERLINE OF WIIICII IS DESCRIBED AS FOLLOWS: �NCE 4 EAST, M.D.B. & M., TIIE BEGINNING AT THE IN'T'ERSECTION OF ']'HE EASTERLY LINE Ol THE OR OVILLE THE N RTH COUNTY ROAD WITH THI: SOUTH LINE OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 36, FROM WHICH POINT A 1 1/2" IRON PIPE WTTH LS. TAG 2513, MARKING -THE. SOUTHWEST CORNER OF THE SAID NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 36 BEARS NORTH 89 DEG. 16' 14" WEST, 625.49 FEET; THENCE NORTH 89 DEG. 16' 14" EAST ALONG TIIE SOUTHERLY LINE OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 3 A DISTANCE OF 126.00 FEET; THENCE NORTH 62 DEG. 51' 14" EAST, 202.00 FEET; TIIENCE NORTH 36 DEG. 19' 14" EAST, 148.00 FEET; TIIENCE NORTH 18 DEG. 30' 14" EAST, 197.00 FEET; THENCE NORTH 27 DEG. 35' 14" EAST, 77.00 FEET; THENCE NORTH 80 DEG. 21' 11" EAST, 240.00 FEET TO A POINT ONTHE WEST LINE OF T11[3 LAND DESCRIBED IN "TIIE 1)L'ED TO EDWIN RUDOLPII DOLDER, DATED APRIL 25, 1962, AND RECORDED MAY 7, 1962, IN BOOK 1178 OF OFFICIAL RECORDS, AT PAGE 636, RECORDS OF BUTTE COUNTY, CONTINUED Order No. BU -211905-3 KB DESCRIPTION - CONTINUED PARCEL.111 - CONTINUED EXCEPTING THEREFROM ALL THAT PORTION OF SAID RIGHT OF WAY LYING WITHIN THE BOUNDARIES OF THE SOUTHWEST QUARTE R.OF THE NORTIIWEST QUARTER OF SECTION 36, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 30 FEET IN W1D'I'll, LYING WESTERLYOF AND ADJACENT" I'O THE EAST BOUNDARY O.I� PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP BEING A PORTION OF SECTION 25, TOWNSIIIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., WHICH MAI' WAS RECORDED IN TIIE OFFICE OF THE RECORDER OF THE COUNTY OF BUT I'E, STATE OF CALIFORNIA, ON DECEMBER 7, 1981, IN BOOK 87 OF MAPS, AT PAGES) 9. PARCEL V: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PUI?POSES 60 FEET IN WIDTH, AS SHOWN ON THAT CERTAIN PARCEL MAP BEING A PORTION OF SECTIONS 25 AND 26, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., W1.110.1 PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BU'17E, STATE OF CALIFORNIA, ON FEBRUARY 6, 1981, IN BOOK 81 OF -MAPS, AT PAGE(S) 73. Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 20, 2004 Robert Lott Jr. 4308 Ednas Way Oroville CA 95966 RE: HCD 433A (mobile home on a permanent foundation) 4308 Ednas Way, Oroville Ap# 036-240-038 Dear Robert Lott Jr; to124ay/ The County of Butte, Department of Development Services, Building Division, is requesting a check for $11.00, payable to H.C.D (Housing and Community Development). Please submit the check to: Department of Development Services Building Division 7 County Center Drive Oroville CA 95965 The recorded 433A, check, and supporting documentation must be mailed to the State of ` California, Housing and Community Development, Manufactured. Housing Department before the mobile home can be removed from state license rolls and the Butte County Assessor treating the mobile as real property. Should you have any questions concerning this matter, please contact Gwyn or Myles at (530) 538-7541.' Thank you. Sincerely, Gwyn Benedict Office Assistant II RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 it 11 III I II I Iill I 2004-0050280 II II IIII ill N(I Ili Recorded Official Records I REC FEE 13.00 I CONFORM 1.00 County Of I CANDACEUTTE J. GRUBBS CITY COUNTY STATE ReI 04-2274 (530) ROSEMARYrder DICKSON I Assistant I Alyce 01:51PM 17 -Aug -2004 I Page 1 of 3 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. ROBERT LOTT JR. REAL PROPERTY OWNER/LESSOR 4308 EDNAS WAY MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS ' OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2274 (530) 538-7541 BUILDIN PERM:ITNO. TELEPHONE NUMBER "� 8•I(o•C¢ SFRArURE OF LOCAL AGENCY OFFICIAL DATE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD HOMES CA 1998 652-2L MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLW 17A20921 WF12 52'X 15'6" RAD1059085 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 036-240-038 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. Order No. BU -211905-3 KB Description The land referred to herein is situated in the State of Califionlia, County of Butte, and is described as follows: PARCEL 1: PARCEL 2, AS SHOWN ON THAT CERTAIN PAIRCEL MAP BEING A PORTION OF SECTION 25, TOWNSHIP 19 NORTI-1, RANGE 4 EAST, M.D.B. & M., WI-IICII -L MAP WAS RECORDED 1N T14E OFFICE OF THE RECORDER OF "THE COUNI'YOl' BU"IYE,1 STATE OF CALIFORNIA, ON MAY 30, 1984, 1N 1300K 97 OF, MAI'S, ATPAGE(S) 3. AP# 036-240-038-000 PARCEL II: A NON-EXCLUSIVE PUBLIC EASEMENT OVER EDNA'S WAY, FOR INGRESS AND EGRESS, PUBLIC UTILITY PURPOSES, OVER THOSE PORTIONS OF PARCELS 1, 3 AND 4, AS SHOWN ON THAT CERTAIN PARCEL MAP BEING A PORTION OF SECTION 25, TOWNSHIP 19 NORITI, RANGE 4 EAST, M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF TI IE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 30, 1984, 1N BOOK 97 OF MAPS, AT PAGE(S) 3. PARCEL III- A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, BEING A PORTION OF THE NORTL-IW17ST QUARTER OF TILE NORTHWEST QUARTER OF SECTION 36, TOWNSI11P 19 NO.RT'I-I, CENTERLINE OF WIIICI.I IS DESCRIBED AS FOLLOWS: �NCI; 4 EAST', M.D.B. &)\q, TIIE BEGINNING AT THE INTERSECTION OF 11 JE EASTERLY LINE OI. WYANDOTI'E COUNTY ROAD WITH THE OROV THE SOUTI-I LINE OF T'HE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 36, FROM WHICH POINT A 1 112" IRON PIPE WI"1'II LS. TAG 2513, MARKING THE SOUTHWEST CORNER OF THE SAID NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 36 BEARS NORTH 89 DEG. 16' 14" WEST, 625.49 FEET; THENCE NORTH 89 DEG. 16' 14" EAST ALONG TIIE SOUTIIERLY LINE OF TIIE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 36, A DISTANCE OF 126.00 FEET; THENCE NORTH 62 DEG. 51' 14" EAST, 202.00 DEET; THENCE NORTH 36 DEG. 19' 14" EAST, 148.00 FELT; THENCE NORTH 18 DEG. 30' 14" EAST, 197.00 FEET; THENCE NORTH 27 DEG. 35' 14" EAST, 77.00 FET; `THENCE NORTH 80 DEG. 21' 11" EAST, 240.00 FEET TO A POINT ON THE WEST LINE 017-1-11E, LAND DESCRIBED .IN T'I1L DEED TO EDWIN RUDOLPII DOLDER, DATED APRIL 25, 1962, AND RECORDED MAY 7 962, IN BOOK 1178 OF OFFICIAL RECORDS, AT PAGE 636, RECORDS OF BU"Ii'E COUNTY, CALIFORNIA. CONTINUED 0 Order No. BU -211905-3 KB DESCRIPTION - CONTINUED PARCEL III - CONTINUED EXCEPTING THEREFROM ALL THAT PORTION OF SAID RIGHT OF WAY LYING WITHIN THE BOUNDARIES OF THE SOUTHWEST QUARTER,OF TILE NOIZT11WEST QUAR'T'ER OF SECTION 36, TOWNSHIP 19 NORTH, RANGE 4 EAS"T, M.D.B. & M. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 30 FEET IN WIDTH, LYING WESTERLY OF AND ADJACEN.I" TO THE EASTBOUNDARY O.I� .PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP .BEING A POR"PION OF SECTION 25, TOWNSHIP 19 NORTH, RANGE 4 EAST', M.D.B. & M., WIIICII MAP WAS RE. Colt IN `I'IIf? OFFICE' OF THE RECORDER OF THE COUNTY OF BUTLE, STAKE OF CALIFORNIA, ON DECEMBER 7, 1981, IN 1300K 87 OF MAPS, Al- PAGE(S) 9. PARCEL V: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH, AS SHOWN ON THAT CERTAIN PARCEL MAP BEING A PORTION OP SECTIONS 25 AND 26, TOWNSIIIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BU'I`1'E, STATE OF CALIFORNIA, ON FEBRUARY 6, 1981, 1N BOOK 81 OF MAPS, AT PAGE(S) 73. BUILDING PERMIT NUMBER: 04-2274 Address or location of unit: 4038 EDNAS WY. OROVILLE CA. 95966 Legal Description of Real Property: AP#: 036-240-038 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: DELLA ECKELBARGER Owner's address: 4038 EDNAS, WY. OROVILLE CA. 95966 INSIGNIA OR HUD NUMBER: RAD1059085 SERIAL NUMBER OR V.I.N.: CAFLW17A20921WF12 MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR: 1998 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C r STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ovstNG 9ti Division of Codes and Standards �ti.��•oa Title Search Y DEQ Date Printed : 07/27/2004 Decal #: LAY5195 Use Code: SFD Manufacturer: FLEETWOOD HOMES CA INC Original Price Code: AKB Tradename: WESTFIELD Rating Year: Model: 652-2L Tax Type: LPT Manufactured Date: 02/27/1998 Last ILT Amount: Registration Exp: Date ELT Fee Paid: First Sold On: 03/19/1998 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width CAFLW17A20921WF12 RAD1059085 52' 15' 6" Record Conditions: - An application for title or registration change is pending with the department. For information regarding this application, please call 1-800-952-8356 and request to speak with a customer representative. , Registered Owner: DELLA ECKELBARGER 4038 EDNAS WAY OROVILLE, CA 95966 Last Title Date: 09/28/1998 Last Reg Card: 09/28/1998 Sale/Transfer Info: Price $35,399.00 Transferred on 03/19/1998 Situs Address: NAS WAY OROVILLE, CA Situs County: BUTTE Legal Owner: rNMC MORTGAGE HOLDINGS 15050 AVENUE OF SCIENCE STE #10 SAN DIEGO, CA 92128 Lien Pere 03/24/1998 13:21:58 *** END ARCH *** 1 • 08/04%2004 09:30 FIDELITY T1TLE OROV I LLE 4 53413799 N0.035 001 Fidel' National " tle Company OF CAI:IFQRNIA 455 Oro 03n1, Suite A, 0MV111C, CA 95965 530 533-5511 a FAX 53D 533.1526 ATTN, Bili Reed DATE, August 4, 2004 Sierra Mobile ESCROW NO.: 04.106451 -TG Fax 53+0709 LOCATE NO.; CAFNT0958-0958-0001-0000106451 TITLE NO.: 04 -106451 -BD PROPERTY ADDRESS: 4038 Ednas Way, Oroville, CA 95966 Fidelity National Me company is processing an escrow property located at 4038 Ednas Way Oroville, Ca. 95966. Wells Fargo holds a lien on said property and at the close of escrow this.11en will be paid in full. Sincerely, Terri Geroy Escrow Officer 530 533-5511 MIC enclosure(s) oSG Blank I,fter (I )(04.03) DFP..flrb+IcN1 U:i4 ufJlY "TATE OF CALIFORNIA DEP AHrM-NT USE ONLY BANS C xc BUSINESS, TRANSPORTATION AND HOUSIN3 AGENCY NEW DFCALa DEPARTMENT OF HOUSING AND COMMUNrTY OEVELopmE-NT DIVISION OF f'ODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STICKER u - sruscc APPLICATION FOR DUPLICATE GLODECALA CERTIFICATE OF TITLE Namc of M.nufactwor �r MFA t7: !rade NSmn Moad Name of q FLEETWOOD uN. KIN WMT MI LD Cato R N.IrlYrecturer M.Af, Dealer Llconso 8 Date of Trafiver Le Doa-er tram MFO ILT E.cinpt!on Dal Flroi Sold Now 00100109 D.CAULiCErJSEp MANUPACTURERSERIAL NUMBER(S) HUD LAMEL OR NCO IN0IOlJIA 0 LENGTH WIDTH WEIGH' DATE RST so D _ PAerrs) hent" etN,de I! alfy0rent Ihen ebover I Av5195 Cn>i'I.wi�r�zo�itwrt2 i ADDUNIT b U5E E%PIRAI ION DATE TAX T/PL• ORIO COMICE CODE YR SALE FRtCE Pf�F {.CODF. nJ ILT w-It T PT DEPARTMENT EC IPT NUr�gER{31 e1pY OAT'--~ E;------+•-�-_ - r./ US.c. ONLY �� AME elntA" 5 E DATE / Rr REGISTERED WA LZ ILT �'� IAer11t OWNERS) NAF (Print True I. LTCKELBARG)ER DELLA. Nema(s)) — — --� — �MAUN0A7DRc:3 9nd Cdr— Stare �y PEN - LOCATION ADDRESS sreu city .�..� OF UNIT 4038 EDNA'S WAY, OROVILLE, CA L�cAL owNEIA'DYMAC BANK — TA: (,Trim! Trus nDmo) 0 r TOO MAILING ADDU-3 8ree! -" �•p PT ' CA clt, of ne APPLICATION FOR TRANSFER BY NEW OWNERS a,FR //We request tnet theme cortiftcato of T-Itt• and Recishallon Card to be tssuad cS formes: REGISTERED �t Fra tw441e 3000 OWNER(S) [Print true 1. LOTT ROBERT, JR name(s)J - ---- _ ConP- 2. KIM ' - __ A L•fa IropPlicebte. Cheek oro or Ina reltowingi TI:NCOM OR u .fTng TT M © TENCOM AND COMPRD RaF MAILING ADDRESS S'r•ot — -^�— Gty slate zP T FUTURE MAILING S reoi ��-- PLP ADDRESS , My a,.e dip SIT LOCATION ADDRESS area ay� .'To I RT OF UNIT 4038 EDNA'S WAY OR�SVILLE "�uttP etaft CA z,p LEGALOW NER —" ^'r (part Ima name) WELL FARGO HOME MIDRTGA.GF row CCP Ira 11bo checkemoo/thefWOwing: TE 0. OR ❑ JTR$ - MAII,INO AOt7RESS Strodt TH4C0!A AND COMPR_O y CA City State a, FIRST JUNIOR Tour LIENHOLDEP. (prim! bus name) t! i�DClie,b e, enoeu ono of tho f9lfowing; TENC08f CR �- �All G AODREgS Stre,a 1TRS TENCOM AND COMPRO RIs_H f� N T SECTION I, 1rERTtfIC.ATIOIv OF MISSIN9 TITLE' ON THE REVERSE SIDE MUSTiRQCO•NaLET -D. TO GOMpLETE A TANSFeR OWNERSHIP N ROTA THE OLD AND WNERS MUST SICN THR c APPROPRIAT_ OF 71+15 iliz CF E LINES ON THC RE'1'EkSE SIDE HCO 480.4 - Sido 1 (4EY 17/93; Repro "ted by SMS NCD Apprised 11-1gS7 - fi00fT00p1 30 A.I.IO TCL'f S6B 0£S YX3 CZ:90 INN 6007.:0L LO DECAL',LICENSQ NUIVISER(S) SERIAL NUMBER(.i) TflACS NAME LAY 5195 CAFLWI7A20921WF12 FLEETWOOD SECTION 9. CERTIFICATION OF MISSING 717i't-E The original HCU Certificate of Title or DMV Ownership Certificate (pink slip) was: Lost, ® Stolen. If the title was lost or stolen after receiving it from a party other than. the Department, enter Me pa; ty's name here: Illegible, E Mutilated. A mutilated or illegible title must be surrendered to the Department. Not Received from the Department. This box can only be checked by the Legal Owner of Record (penholder), or if none, the Registered Owner of record. Me certify under penalty of perjury under the laws of the State of California that there are no [lens against this unit other than those shown ori this application and the statements made on this application ars true and correct. !tale agree to indemnify and save harmless the Olrector of the Department of Housing and Community Development for any loss suffered resulting from the Issuance of said duplicate Certificate of Title. Executed on r .`? 7 _at_ (% Signature_P City)�~�-� /. rslare) Printed �Name of Person Completing certification (; ; \ '-C. Alva SECTION 2. RELEASE OF OWNERSHIP SHIP AND/OR INTEREST 1 A. ALEASEOFRe is rERED OWNER RELEASE DATE A. RELEASE OF REGLSTt:RED W, "R /j "' RELFASE DATE C, RELEASE OF REGLR,`TriRED OWNER 2 A. RELEASE OF LEGAL OWNER (LIENHOLD@R) B. RETENTION OF LEGAL -OWNER C. ASSIGNMENT OFLEGAL OWNER SECTION 3. DEALER'S R 3 A. NAME OF DEER r KI ' n B. RELEASE & DEALER E OF ACQUIRED UNIT SECTION 4. NEW REGISTERED OWNER 4 A• NM RECISTERED OWNER €IGNA7URRE ti. NEW REGISTEkeo C'WNER IGUREA_ C. NEVW F•cEGiSTFRED OWNER SIGNATURp. HCID .t80.4. Sade z (REV 12193) Reproduced by SMS f00/20017 tr fnfs transfer Is the result of a aale, the sale price and .ate ncdate—,�,ytll- entered below, PUR&LASE PRICE SIF-O,�IHa 3U AlI l L�L6 S6I3 OCS TE3 9z90 MA 6002:0C!_0 znuraearror Trade Name FLEETWOOD HCAULICENSE ¢ LAY5195 DEPARTMENT USE ONLY Registered awner(s) (printin" name(s)l Current Mailing AddreSs Future Marling Address pr di7erent then Qt a) Situs (lacatfan) Address or Unit Legal Owner �. plenhelder) (print true namD(s)) Mailing address FL•St Junior Lianhotder (Drina we name) Llenhotder (print bue name) it ONLY STATE OF CALIFORNIA BUSINESS, TRANSPORTATION ANO HOUSING AGENCY DEPARTMENT OF HOUSING AND OOMMUNITY OEVELAP ENr DIVISION OF CCDFS AND STANDARDS REGISTRATIOr l AND TITLING PROOPAM APPLICATION FOR DUPLICATE _ REGISTRATION CARD MenuraCtsror Model Nam# erg )LY Huampt,lr,n WESTk"Yi✓I.D UANUFAOTUAE a PIALNUMHEA S CAFLlW17A20921WFI2 L—i 4038 EDN.A`S WAY OROVILL . I(, YMAC BANK b LPT V Date Plrsa sell New 311Q\\ Park e(alur Neme — I/We Certiffr Linder penalty of per)u nder the laws of the State of California that the foregoing Is true and correct and that the registration card has been. Wl-ost , ❑ Stolen, ❑ Mutilated, ❑ Illegible, fir ❑ Not Received Executed on at — (Date) (city) (state Signature of Applicant :� I Sn WP finn Cas 3SH-03M 10 AII3 TcLf £tiri M 11'3 1z:90 Ixa f ooz: ac -1a T iisJWtJMLFJI UL:L• UNLY —� I RAMS Z, SIAM OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AOFNCY DEPARTMeNY op MOUSING -AND COWAUNITY O@V@I-OMAF-N T' DsVISION OF CODES AND STANDARDS REGISTRATION AND TITL!NC PP,CGf AM APPLICATION FOR REGISTRATION Name Of usnurac'.ver — MPG IC p Trade Nave Data of Msm,Farwror I Ga•Ii. Dealer Llcarrpa aF Data of TTonsfcr tv 0.0a [or Prem MFG ILT£xempuon 0610.0/98 d Li DECAULICaNSE C MANur44,WRER SERIAL 4UM0E-R(S) HUD LABEL CR )4F6 iH513NIA 7e LENOTH LA'Y5195 CAFL`W'17A20921Wr12 ORPARTMENT Rt:CE1FrNLInER(S, REMP DATE(Sy US14ONLY kltibsiar�rr--�,�r�ner��o� REGISTERED ud FlM OwNem(s) (, LOTT ROBERT (Prinllrue --- raRa(syJ 2. _ (Neto Tire - --- - intolm®lions ItIpPllcable,eheefeone nrthe ielloWing: C TENCaMOR u JTRS Current Mailing Address Address (if diffo ant _ them areae) 014 ." �4,- ;. -"`_•�' Situs {IocAliex) Y�4038 EL V �' UVr�Y' _ Address of unit _ a17OROVILLE , taanlilt Butte LaaGpl Oti4'NER I INDYMAC; BANK 111000528848 (IianholdeJj jPtinl IC amicebh, cheek ena or fteo (allowing: TENnam oft JTRS MAILING ADORLS JUNIOR LIENN,QLt)EP. ;prim true n�rle(s)J •""`"'®"'�"' IrapPll:ebla. check ono o! the fottowing: TI;NCOfn OR w� ® JTRS TGHCCRt AND D COR1PR0 MCULINO A'DORESS EUis lap ADu JIq;LH NOTE: APPLICANT, PLEASE READ AND COMPLETE THIZ CIVESTIONNAME ON THE ReVERSE Me cerfify ,under penalty of perjury rIr!et the slarements' made in this application are true and correct. �Eeecuterl on� U Signaturr(s) of iti Above - RegJs4ered 2. Owner(s; 1. Hicu I?Ic1'hl,1 MINI LI,L: ONLY I sncKtsF s 4:n^.eCAL a -� -- -- Modal NAme or �•vE.�rrrF•3,n_ Data FIM Sold New WEIGHT OAT,* PIRST s (Dounael �(r dlHoranl than Cj TEN:OM. ANO C TENCOM AND COMPRO --- Slat. CA. ngEO MIA PRO �6r �....._.ui.l. �' Zia ----- JT CA. - tpo/S'oo 0SX-ODIHD dO AID T LT SH OCS Y A qZ:9C is.i pooZ'OE.`LO When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 2006-0000837 Recorded I REC FEE 19.00 Official Records 1 County of 1 CONFORMED COPY 1.00 Butte I CANDACE J. GRUBBS I County Clerk—Recorderl I 1 BW 04:00i?id 186—Jan-2006 1 Page 1 of 5 D 7c�-3 ,?(5 —6 33' Space above for Recorder's Use (rev.5/04) Owner Name: Lott, Robert Jr. Building Permits No: 04-2274 1A I DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 10th day of November, 2005, Robert Lott Jr., hereinafter referred to as owner(s), is the record owner of the following real property: 4038 Ednas Way, Oroville, CA 95.966 (APN 036-240-038), 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, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permits No. 04-2274 were applied for on July 30, 2004, by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permits No. 04-2274 has been reviewed and approved for only the limited purposes set forth below; and VI. 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 character of use has been approved by the'Butte County Building Official or a change in law has occurred, either 'of which change allows the uses 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 subsequent document entitled Rescission of Deed Restriction and Notice of Limited . Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permits No. 04-2274 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permits No. 04-2274 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions ori the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: the owner of the parcel or lot must occupy either the main dwelling or the second dwelling unit. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility 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. Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of Peter Calarco (J ►"/ Assistant Director, DDS y� 407Z execution. This document shall be recorded and returned to the Butte County Department of Development • Services, Building Division prior to the issuance of Building Permits No. 04-2274: DATE: November 10, 2005 Owner Signature: ,Q p - d� C. D Print or Type Name of Above Owner Signature: Print or Type Name of Above 11 Peter Calarco Assistant Director, DDS . Is 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 �(�}�1. �; �-00� before me, -�'T' I e.�;O� , Public, personally appeared Notary He o -ex t' L.0-f'f Tr , 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 offici I seal. � U Signature STATE OF CALIFORNIA COUNTY OF BUTTE On Public, personally appeared before me, TERR'I;'GEROY�:. Gommisaion #'1442021 C5 Notary,PLiic-Cailtomla . v' BU_ It@.Coht�tttyy j �,My,Comm.'Exp. OCT. 24, 2007 SS. a (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(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 (Seal) Peter Calarco Assistant Director, DDS n 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. STATE OF CALIFORNIA COUNTY OF BUTTE On NovPwbe` IQ..00S Public, personally appeared Dated: A0034e A et Cala co, Assistant Director Department Development Services. SS. -11U. Ann //le�4'►- , Notary • , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person() whose name(, is/ay6 subscribed to the within instrument and acknowledged to me that he/5ht/t4ey executed the same in his/Wtjir authorized capacity(jeg), and that by his/pe/tXir signatureW on the instrument the person(, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. Signature FFQRD 1366536 ZMM Callfomianty .lul 22, 2QU6 . (Seal) Butte County Department of Development Services www.buttecounty.net/dds . 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING November 10, 2005 Robert Lott 4038 Ednas Way Oroville, CA 95966 Subject: Second Dwelling Units; APN 036-240-028 Dear Mr. Lott: Thank you for the visit to our office. Pursuant to recent changes in the Second Dwelling Units section of the Zoning Code, you are no longer required to maintain the second residence as a temporary second dwelling, otherwise known as an "Aunt Minnie." The sole requirementto change the dwelling's status is to record a deed restriction, which - states: "The owner of the parcel or lot must occupy either the main dwelling ofthe second dwelling unit." The deed restriction is included with this letter, and a form that provides instructions of how to record the deed. After the deed has been recorded and returned to our department, • the dwelling will be a permanent second dwelling, and you will no longer need the security deposit. Please contact me if you have any specific' questions at (530) 538-7601. Th you, Chris Tolley Assistant Planner NOTES 07q —fb Ko RESIDENTIAL PERMIT NC_�8 0749 36p -off 04-3566 LOTT, ROBERT _c.4_1%6EDNAS WAY, OROVILLE #'Cont: OWNER %OC v �� �, ; �✓ / /� , / ,✓ NEW SINGEL FAMILY <7r.1 0 Apz;. .iz PERMIT RENEWAL BP # Date: I —,l2b—Q �P BP Expires: 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER r, f JOB FINALED (Date)— Signature Date) Signature _rV �S CHECKED BY i PERMIT RENEWAL BP # Date: I —,l2b—Q �P BP Expires: 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER r, f JOB FINALED (Date)— Signature Date) Signature _rV �S CHECKED BY J ='bK 0 = Not OK . = NotReadyable 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 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 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 Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 N 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. Frmq.; 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,,,11- Date POOLS (Plans) OK except #'s /\ 1. Setbacks -Easements % 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date U D FLOOR (Plans) OK except #'s 1. ing-Setbacks- Easements- Flood -Slope 2 tq., Main; Soils-Elec. Gr .-/� Ftq. Depth g., Gari Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 'L07 -0 5>Atvrhwalls, Main; Steel-Blockouts-Wrapped -i3YFIold Downs and Special Anchors 7. Slab,Steel-Wrapped Date 80' D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. 4, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 111_/Water Pipe; Test -Anchors -Regulator -Service Test 1 ectric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Date DateCard 55. Card B-1 Date Card B-1 B- Date Card B-1 Date PLUMBING (Permit) OK except #'s Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 17. Water Htr.; Vent -Access -Combustion Air Baffle Siding -Nailing Veneer 18. Water Pipe; Test & Anchor -Nail Protection Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 19. D.W.V.; Test Fittings & Anchor -Nail Protection Glazing Area -Glass Protection -Skylights -Plastic 20. Shower Pan; Test, First Floor -Tub Access Shear Walls; Nailing -Bolts 21. Test Tub & Shower, Second Floor -Tub Access Brace Interior/Exterior Wall Panels 22. Gas Pipe; Sixe & Anchors Insulation -Walls -Ceilings 23. Fire Sprinkler; Test Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 24. Fixture & Transformer Clearance -Ins. Protection Smoke Detector 25. Elec. Receptacles Spacing -Lights & Switches at Doors Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Bedroom Exiting 27. Romex Installed Close to Edge of Studs & C.J. G.F.I. & Bath Fixtures & Tub Access -Spa 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Trim & Subpanel, Breaker Sizes & Labels 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Stairs & Rails 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fireplace or Stove, Clearance -Hearth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes Cl No Elec. Outlets at Wood Panel, Int. & Ext. 32. Service -Riser Conductors & Ground Main Disconnect Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 33. Equip. Clearances Panels-Motors-Mech. Equip. Elec. Outlets & Receptacles at Kit. Counter 34. Clothes Closet Light -Shower Light -Spa Light Garage Fire Door; Swing -Landing -Closure 35. Smoke Detector A.C. Duct in Garage -Damper 77. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 80. 36. A.C. Ducts Insulation & Support 81. 37. Vent Fan, Exhaust above insulation 82. 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 83. 40. Attic Access & Platform if Furnace in Attic Date Stucco Brown -Finish Card B-1 Date Card B-1 Date A.C. Unit Disconnect, Electrical -Plumbing Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 9e 93. 46. Headers & Beams -Size & Bearing 94. Energy Compliance Certificate -Other Certificates 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.FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 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. Qorrections from Previous Inspections 26�rJ �,� 9e 93. Gag.Test Meters Tag , G s -Electric Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Z Date% 'I j,� s Card B-111-1Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: • ii .)CB FINALED (Date) Signature '` NOTES`- RESIDENTIAL 'PERMIT NO. oy - 3S�6 12 2/,p r - cyjl 4/ T 0 OFFICE COPY Address _ - ~ + GAS Z Meter By Date I ELECTRIC A- Meter By Date SPECIAL CONDITIONS`__ 3IY `F CHECKED r;�r' BY SRA -� �' • • = . p ` FLOOD CERTIFICATE REQ.:-.' _r+- •a+fl FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS sti" VERIFY USE PERMIT CONDITIONS! SUB -STANDARD HOUSING LETTER • �Y .'fir+ r _ �. T . u �%/c • ii .)CB FINALED (Date) Signature '` J=ol2 0 = NoQ0K . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Specidl MH Support Sketch 3. Sewer, Location-Test-Fall-C/O-Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap;-/ /" L'ft. / P Nat. or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 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-Connectot 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type-Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Blocking 4. Gas; MH Test-Demand-Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. -Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-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 ox Not OK Not Appricable Not Ready RESIDENTIAL (Single & Duplex) Date UND FLOOR (Plans) OK except #'s f,eVning-Setbacks-Easements-,Rood-Slope g., Main; Soils-Elec. G .-/ ft /" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4,41a.. Porches & Decks: Soils -Steel-/ /" Fla. Depth Downs and Special Anchors Slab, J!D.W.V.; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 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 S., Card B-1 C,/LN Date Card B-1 Date Card B-1 C,,, Date Card B-1 Date PLUM G (Permit) OK except #'s 1 er Htr.; Vent -Access -Combustion Air Baffle 1 . er Pipe; Test & Anchor -Nail Protection *9—. W_- Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access . Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date 0 q e ­f Card 13-1 r Date Card B-1 Date Card B-1 Le -IR Date Card B-1 Date ELE2TRICAL (Permit) OK except #'s 24. /Fixture & Transformer Clearance -Ins. Protection 25/ fiec. Receptacles Spacing -Lights & Switches at Doors Or §ize Boxes & No. of Conductors Stapled 27,,." R6mex Installed Close to Edae of Studs & C.J. ;2$?'Equip. Ground made up w/Mech Fasteners,gond Gas &jy& s 2T?,Appliance Circuits in Kitchen & Conductor Size GFI 3 . ,Subfeed Wire Sizel g u ofaA.C. Wire Size/ /ga Cu or AI 3)l/ Range Circle/ & /ga/ or A,, -Oven Circ. / /ga Cu or AI I sulated Neutral f�?'Yes O No 3 Service -Riser Conductors & Ground Main Disconnect 33 E ui . Clearances Panels-Motors-Mech. Equip. 34' Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ME HANICAL (Permit) OK except #'s �i C. Ducts Insulation & Support 7. Vent Fan, Exhaust above insulation Condensate Drain & Overflow, Size & Grade 3 . Furnace -Vent Access -Comb. Aft -Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date ,) JO -j Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. rSills Proper Materials & Anchors 42/'Walls Studs -Nailing Spacing & Braces -Plates -Sound 431 Bearing Walls over Girders & Floor Nailing 44./'D aft Stop in Walls (rat proof) L 45 Fire Stops, Furred Ceilings -Stairs -Chasers - 4 46$rAeaders & Beams -Size & Bearing Date FRAMING (Continued) 48, --Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 915ireVke Ties or Type A Flue -Fireplace Throat Clearance 5Y. dnn. Windows or Exiting Doors -Sill Ht. & Dimensions %y arage Fire Protection Framing -RC Channel AZ>" /-44 14 53. Property Line Firewall & Openings .40 t 'r- 54' Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits —Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection �LPlywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer / ^:�Iucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 Glazing Area -Glass Protection -Skylights -Plastic 60"' Shear Walls; Nailing -Bolts §}!Brace Interior/Exterior Wall Panels Insulation -Walls -Ceilings 1 C4-". 63. Infiltration -Walls -Windows L Date O e Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIVI!L (Plans) OK except #'s 64.,,Ext. Steps -Door & Sidelight Protection -Landings 65' Smoke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above oor-Ducts-Mech. Protection 67edroom Exiting _ - 6V G.F.I. & Bath Fixture uti Access -Spa 6Y Elec. Trim & Subpanel, Breaker Sizes & Labels _79-Gtairs & Rails -7#--Fireplace or Stove, Clearance -Hearth 72- Elec. Outlets at Wood Panel, Int. & Ext. 75. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Flec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -landing -Closure 761 A.C. Duct in Garage -Damper 7 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.FI.)-Romex-P tection 8 . Insulation -Foam -Looked in Attic 9TGuard Rails & Deck Construction -Post Caps 8 , Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 13 Yes Following InstldJDrive O Yes [ ANo/Walks O Yes 5rf4 Ianters O Yes Qo Stucco Brown -Finish 85-'A.C. Unit Disconnect, Electrical -Plumbing 8&Aents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87! Water Well, Disconnect, Electrical, Plumbing 8e Exterior Elec. Trim, G.F.I. Receptacle -Underground 8,V Ventilation Throughout House 90�Glads Protection 9 orrection from reviou Insp cti s 2 , ( 3 .p Gas T ete mag d, G -E tric 93/Water & Sewer Connected -C/O to Grade -HD Approval 94!Energy Compliance Certificate -Other Certificates 9 Address Posted 96. Fre Sprinkler Date "k , 0 , OL ; Card B-1' Date Card B-1 Date ?,, u. Card B-1 cled2Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Insulation Certificate BUILDING LOCATION: Description of Installation ROOF ' Material Thickness (inches) r ' BUILDING .PERMIT #: Brand Name Thermal Resistance (R -Value) CEILING Batt or Blanket Type Brand Name Thickness Cinches) )�" Thermal Resistance_(R-Value) Brand Name Loose Fill Type lb Minimum thickness inches Contractor's minimum installed weight/ft Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material Thickness (inches) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) FOUNDATION WALL Material Brand Name Thickness (inches) "';ermal Resistance (R -Value) Declaration Ihereby certify that the above insulation was installed in the building at the above location in conformance with ciency Standards for new residential buildings contained in Title 24 of -the the current Building Energy Effi California Administrative Code. . General Contractor (Builder) Signature and Title Sub -Contractor (Insulation Installer) Signature and -i iUe License Number Date License Number THIS CERTIFICATE MUST - BE PROVIDED TO THE BUILDING DEPARTMENT APPROVAL AND A COPY SHALL BE POSTED AN THIN ARY 1'� BUILDING. Date . PRIOR TO FINAL INSPECTION BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP043566. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/24/2005 APN: 036-240-038-000 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. Site Address: 4036 EDNAS WAY ORO License Class: License Number: • Map Index: Date:- Contractor. OWNER -BUILDER DECLARATION Description: NSF(1425)GAR(896)COV(1142) I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city.or county which requires a Owner: LOTT ROBERT JR permit to construct, alter, Improve, demolish; or repair any structure, prior 4038 EDNAS WAY 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 OROVILLE, CA the Contractor's Stale License Law (Chapter 9. commencing with Section 95966-9581 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: LOTT ROBERT JR Intended or offered for sale (Sec. 7044, Business and Professions pp Code: The Contractors' State License Lew 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.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business Contractor: and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 'I am Exempt under Article 3 of the B Iness and P ofes los de / (: _ Date: wner: • ,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 Architect: Labor Code, for the performance of the work for which this permit Is issued. Engineer: ❑ I 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: Total Square Ft: 3463 S.F. Carrier. Valuation: $132,401.00 Policy u: 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 � � `�� T U 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 %1 forthwith comply with those provisions. Cly IIJJ Date: '— Applicant: 19p� WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued undo the applicable provisions of the Butte County Coda anWor I hereby affirm that (here Is a construction lending agency for the Resolu n to 1)o work I kale bove or which fees have been paid, performance of the work for which this permit Is Issued (Sec 3097 Clv.) V/0's Name: B Date: Address: PERMIT EXPIRES ON: Oafe ❑ 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 em the owner or the dui uthorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any o •c I rm or document of Butte County. I ereby authorize representet• es of Butte County to er upon the above mentioned property for Inspection purposes. jan ` �� �� K7 Print Named I7 P(JC�� /`f i Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION t 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 f PERMIT APPLICATION DATA SHEET / OWNER: I ASSESSOR PARCEL NUMBER 2 ` 8 S Proposed Building Use: - / , �/ O% /V�/�I'%i f Lam/ Counter Technician:�k2 Date: Items required in order to apply for a permtit: All boxes MUST -He 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. 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! T- 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 `[ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. O 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 ........................................... ........ a ❑ Erosion Control Plan Required........................................................................ • 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ ,- 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval aid. Sent by: ............. 24. Planning approval (A) Use: O%L(B)Parking: (C) Parcel Check: ( d 0' 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ -kl. 30. Worker's Compensation Carrier a • Policy Number .......................................... 31. Owner -Builder Verification (_PTtven to owner, _Mailed to owner) ..................... ❑ a 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: When issued Telephone - and hold for pickup. I have been informed of the a ove items and re it ents f r obtaining a building permit. Applicant: Date: �� D 1. Index permit a plication for the above items numbered: J 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, bDate: Plans reviewed by: Date: Plans approved by: Date Structural reviewed Date: Structural approved by Date: Note transfer by: Date: Yellow: Building Division E.FI 3E ONLY Slot Plan Attnchod Floor Ran Attsc"id Sant to G.D. ! TO: Building Department " FROM: Environmental Health SUBJECT: Sanitation Clearance _q O3 C�p'S g �� -- V., _ Owner Location AP# Plan Approved for: Sewage Dispos A'L Water Su�tP blic Pr va W Clearance for dwelling. Other �J �.� �I 1 hf chWa Hold final for: Final clearance O.K. )for: NOTE: rc 10�1'1r1 O/MI)AA. Environmental Health pecialist Date 0 O�Q PgTMEN7 Oro .�UTTF �o J o0 o a 0- 0 w g �CfC Wo�� Department .0 o u n t 1 Michael Crump, Director Public f B u t i Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE) Project Description: Project Location and/or Parcel Number:�e4) 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 revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM -rP4 OV — 0 o �j (One form per Building) I VI 435-6 School DistrictL � � Building Department No. 07 A.P. Number CND � S)1 LT-' O Jurisdiction: City �` County Property Owner p--�-� ��� �✓ l Property Location/Address Subdivision Lot No. .............................................................. :...................................... Foote j Residential Development Q Q Q Sq• ge No f Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection) ........................................................................ . ............................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. ` L 3 V V --d -j< <�t �e_lrr- School District certifies that Sq. Footage (Including Exterior Roofed Areas) I Q4/aS- Date � La-tt TtnL (Applicant) (Street Address), % (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. d 3 —�� by payment of $ 3 representing 1 15 square feet. School District Paid by Check # t b ;i- 3 Remarks: r2926 $ L MITIGATION $ 03 to .'.--k6-. a38 Date Nodbe: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, in compliance with Government Cods Section 66020(a), within 90 days from the date fess ars paid. Failure to submit a timely written protest wlll'prohibit you from challenging the Imposition of the fess in arty court action. M, subsequent to the School District Reprssentathw signing this Butts County Schools Impact Fee Certification Form, the School District Is nofiilsd by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQft this project may be subject to additional school toss to fully mitipale.lts Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feetorm.)ds (10/03)dmm 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 De] NO[ ]. 2. I HAVE [ X ] 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 N,O: 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: 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 your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. C. Vieirl, C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. WILLies Serving Publ,DA�N January 21, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 . (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1303 Jurisdiction Job No: 04-3566 Assessor's Parcel No: 036-240-038 Description: Lott NSF Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the following Conditions: 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. The Title -24 -CF -1R -form shall be signed by the Robert Lott, owner/builder. CES 10- 103(a)1 and California Residential Manual 1.4.8 The plans and documents provided for this review that have been found in compliance with the applicable codes are: # Plans: Two (2) copies sheets 1 through 6 dated 09-29-04, by Endeavor Homes. #,., Energy Calculations: Two (2) revised copies dated 1-21-05, by Barry Rubanoff. #: Truss Calculations: Two (2) copies dated 10-15-04, Endeavor Homes -James Bourez P.E The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" CODE ANALYSIS Type of Occu anc Type of Construction Sprinklers Stories 1S` Floor Sq Ft Total Sq Ft R-3 V -N No 1 •. 1425 1425 U-1 V -N No 1 896 896 Covered Porch V -N No • 1 1142 1142 SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. ' Sincerely,. Rick Essenwanger Gordon Wright, P.E. Plans Examiner 11 Plan Check Engineer CC: Alice Mefford, amefford(-buttecounty.net Robert Lott, 4038 Ednas Way, Oroville, CA 95966, mailto:rdmrlott@spearnet.net Page 2 of 2 -Butte t;tTl711CV 04-i566 W .i.l.l.d a n. 14.353-1303 SITE PLAN REVIEW APPLICATION Date. ..2 `f/D� AP# Q � l0 ,2 `"f 0"0311 Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: " — Owners Address: Telephone No.. Situs Address: Proposed Use: Residential IN New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory '• ❑ Permanent Second Dwelling, ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer - ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary):_ ❑ Commercial Remodel * , ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) .14 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval IN Site Plan Stamped Approved By (/C2�� Date -147-V45— El 7-V 5— T%--- i _r, ALL ITEMS UIECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) 41 ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified `proper foundation design required) a SRA - (CDF to determine specific requirements) El100-Year Flood Plain:.- , _ (See attached) - -` v Flood Zone: Flood Panel No.: —K00 Index Date: ; o" ❑ 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 ❑ Minor Variance - � Administrative Permit, ❑ Variance G` � 4 - ------------------------------------ ❑ Detached Building Use Form • Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: ME — r Applicable Building Setbacks: Zoning Code Front Streets & Highways Fire Prevention Subdivision Map Side Q , Side Street Rear to Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. r Pavre 2 of 5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ 'Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount ` LFormula *. Check with school district to verify actual fee if pre -application review. A final determination will be made at the -time of " the building. permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No . ❑ Ye' Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ 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 AanP I of S Subdivision Map/Parcel Map: Map Date of Recording: 5-1301 eql- � 3 Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: J Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ 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 roa Page 4 of 5 Summary of Specific Requirements: s This information provided in this summary is based on the application information and on the best available data at the time of review. CAL.arrys\Building Permit Site Plan Reviewl.doc Pana S of c ��L���i��i �V�J amUW Ng �� \ • 1 o a N e o I •n,D R �- ,r A0 o iA; to V m� o to 9 s aZ SnAeN �nA�t� (� T I 0 � � aea e 0 � �Y q aim $�U° y a• � I ° ° `� n aa��ae mob% �;o II lz 46 N^ 4 \ 0 1 R a IOU t� Z..°S m mmq AN p� ^� W• S a `� 14A1Y7 Butte CountyDeparmmentofDevelopmentServices YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING December 16, 2004 Robert H. Lott Jr. 4038 Ednas Way Oroville, CA 95966 CERTIFIED MAIL Re: Administrative Permit, ADM 05-18 APN 036-240-038 . Dear Mr. Lott: Enclosed is your validated Administrative Permit No. ADM 05-18 to allow a temporary mobile home on property zoned AR -5 (Agricultural -Residential, 5 -acre parcels). The property is located on the north side of Ednas Way, approximately 4,400 feet northeast of Foothill Boulevard, at 4038 Ednas Way, Oroville. Access from Foothill Boulevard by way of Swiss Lane to Ednas Way. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, oni Thornton Office Assistant II enc. cc: Land Development Division (g) Building Division (y) Environmental Health (p) Department of Forestry (gld) GIS TO: FROM: DATE: FILE #: PURPOSE: ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME Robert H. Lott Jr. Yvonne Christopher, Director - Development Services December 13, 2004 ADM 05-18 Administrative Permit for Robert H. Lott Jr. on APN 036-240-038 for a temporary second dwelling to be located on the north side of Ednas Way, approximately 4,400 feet northeast of Foothill Boulevard, at 4038 Ednas Way, Oroville. Access from Foothill Boulevard by way of Swiss Lane to Ednas Way., on property zoned AR -5 (Agricultural -Residential, 5 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Louise D. Lott. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. 4V rmi'tt-ee Signature Date Ste en treeter Date Interim Planning Manager Butte County Department ofDevelopmentServices YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING December 16, 2004 Robert H. Lott Jr. 4038 Ednas Way Oroville, CA 95966 CERTIFIED MAIL Re: Administrative Permit, ADM 05-18 APN 036-240-038 Dear Mr. Lott: Enclosed is your validated Administrative Permit No. ADM 05-18 to allow a temporary mobile home on property zoned AR -5 (Agricultural -Residential, 5 -acre parcels). The property is located on the north side of Ednas Way, approximately 4,400 feet northeast of Foothill Boulevard, at 4038 Ednas Way, Oroville. Access from Foothill Boulevard by way of Swiss Lane to Ednas Way. Should you have any questions regarding this matter, please contact this office between 8:00 a . and 4:00 p.m., Monday through Friday. Sincerely, oni Thornton Office Assistant H enc. cc: Land Development Division (g) Building Division (y) Environmental Health (p) Department of Forestry (gld) GIS ru ru Postage $ Certified Fee Receipt Fee Lr]Return (Endorsement Required) E:j O Restricted Delivery Fee p (Endorsement Required) Robert H. Lott Jr. Er 4038 Ednas Way C3 ®toville, CA 95966 Ic o qj V) lK. -Tj Vi z �4q o (., k \� 'm "t 0i i Q -d vc VVI Al LL � 4t A 17 law - 1 -n Inv' 3 0 ,o � I I I J 00 X, Lul Vk o 16 Cr- z .I- -1> :;al oC Z 2 MaMM-4 V, 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 DBEH Building Review Fee - DBF Room Addition - First Stor DBFIRE Fire Inspection (SRA) DBFIRE Fire Inspection (SRA) DBFIRE SRA Fire Plan Review (S DBMSC Room Add -1st Story 250sf DBOMSC Fire Safe Standards Rev DBSMIP Residential LOTT, ROBERT & DAWN 4038 EDNAS WAY OROVILLE, 95966 (530)589-5730 FEE INFORMATION $78.90 $288.75 $107.00 $107.00 $107.00 $433.13 $118.98 $3.24 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisioris of Chapter (commencing vy#h Section 7000) of Division 3 the B ass and Professions Code, and my license is in full forcj0%J0ffect. A „/ B// - X Signature 07/14/2008 Date .' 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: Policy Number: Exp. Date: (This section need not be completed if the permit is for 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 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. X 07/14/2008 Signature Date WARNING: 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 INSECTION 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 Square Footage: Building Garage Remdl/Addn 499 Other Porch/Patio Total ,Tota► Charged: $1,244.00 Fees Paid: $1,244.0 Balance Due: $0.00 Receipt No: B797 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 Contractor's 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: 4:ZZ( 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 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 Contractor's 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 Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: EMAMVP 7"M WN W MA WE 07/14/2008 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 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 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 property owyyr or Am aulhorizeo to act fn lhepropertv owners bebdIf. e 07/14/2008 Owner Contractor OR. ElAgent for Owner ElAgent for Contractor FILE COPY PROJECT INFORMATION Site Address: 4038 EDNAS WAY Owner: Permit NO: $0$-1192 APN: 079-380-038 - LOTT, ROBERT & DAWN Permit type: MISCELLANEOUS 4038 EDNAS WAY Issued Date: 07/14/2008 By TMP Subtype: Room Addn-First Stry OROVILLE, 95966 Expiration Date: 07/14/2009 Description: ADDITION TO SF (499) (530) 589-5730 Occupancy: Zoning: AR 5 DBEH Building Review Fee - DBF Room Addition - First Stor DBFIRE Fire Inspection (SRA) DBFIRE Fire Inspection (SRA) DBFIRE SRA Fire Plan Review (S DBMSC Room Add -1st Story 250sf DBOMSC Fire Safe Standards Rev DBSMIP Residential LOTT, ROBERT & DAWN 4038 EDNAS WAY OROVILLE, 95966 (530)589-5730 FEE INFORMATION $78.90 $288.75 $107.00 $107.00 $107.00 $433.13 $118.98 $3.24 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisioris of Chapter (commencing vy#h Section 7000) of Division 3 the B ass and Professions Code, and my license is in full forcj0%J0ffect. A „/ B// - X Signature 07/14/2008 Date .' 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: Policy Number: Exp. Date: (This section need not be completed if the permit is for 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 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. X 07/14/2008 Signature Date WARNING: 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 INSECTION 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 Square Footage: Building Garage Remdl/Addn 499 Other Porch/Patio Total ,Tota► Charged: $1,244.00 Fees Paid: $1,244.0 Balance Due: $0.00 Receipt No: B797 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 Contractor's 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: 4:ZZ( 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 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 Contractor's 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 Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: EMAMVP 7"M WN W MA WE 07/14/2008 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 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 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 property owyyr or Am aulhorizeo to act fn lhepropertv owners bebdIf. e 07/14/2008 Owner Contractor OR. ElAgent for Owner ElAgent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 �00 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds U PLEASE PRINT CLEARLY PERMIT NO. boy- I I U, BIN # A-1 - 07(1 -6'6J- U --),b "When filed, this application and all supporting material becomes subject torheCounty's ifornia Public Records Act. All public information related to this application is subject to public inspection and will be posted on website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Last Nam Name First am ✓ 0 Mailing Add' Address City O I I Sta l ZipE Phone Fax E-mail Phon90 APPLICANT INFORMATION ARCHITECT/ENGINEER CONTRACTOR Name Dwp,e 1 Address L D� State City ogoSteA Phone Fax Phon90 ,Sty 730 State License Number Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail -WA JW A�..0.111, !� PROJECT LOCATION AP# Property Addres 6 i ,1 City l G t: C WORKER'S COMPENSATION Policy Number Carrier N hiring anyone other than licensed contractors, a certificate of worker's compensation must he shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF ORK: C ® e �a �j Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning - Flood Zone SRA Yes No Occ. Type Const. TRA 04001 OrOVI Ilt E lerntr6- y .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: B08-1192 Location: 4038 EDNAS WAY Parcel Number: 079-380-038 Owner Name: LOTT, ROBERT & DAWN Description: ADDITION TO SF (499) Date: 06/20/2008 By: KCG Sub Type: Room Addn-First Str Phone: (530) 589-5730 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 El ❑ 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 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 c ❑ 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 Other: Other: "When filed, this application and all suppo information related to this application is subj access. Signature of Applicant: enqj oecornps su bli6 inse e� 'on ani FILE to tACalifornia Public Records Act. All public be/09tted on the County's website for electronic Date: 06/20/2008 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 0 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: "When filed, this application and all suppo information related to this application is subj access. Signature of Applicant: enqj oecornps su bli6 inse e� 'on ani FILE to tACalifornia Public Records Act. All public be/09tted on the County's website for electronic Date: 06/20/2008 BUTTE COUNTY FEE SUMMARY County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-1192 Job Address: 4038 EDNAS WAY Contractor: Printed: 06/20/2008 2:01 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010( $78.90 06/20/2008 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010( $107.00 0100-450001-4617240-1010.( $107.00 06/20/2008 $107.00 DBOMSC Fire Safe Standards Rev 0010-440001-4210501-1010( $118.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010( $107.00 06/20/2008 $107.00 DBMSC Room Add -1st Story 250sf 0010-440001-4210500-1010( $433.13 DBF Room Addition - First Stor 0010-440001-4210501-1010( $288.75 06/20/2008 $288.75 DBSMIP Residential 1001-0-280-1011298 $3.24 Printed By: Kourtni Graham 19244.00 $581.65 Balance Due: $662.35 At the time of permi icat' n, I adv' e a e fees are required prior to issuance of the permit. These fees a t he ng process. Signature: Date: 06/20/2008 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). 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: 0 Make sure your application is complete. 0 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: B08-1192 Location: 4038 EDNAS WAY Parcel Number: 079-380-038 Owner Name: LOTT, ROBERT & DAWN Description: ADDITION TO SF (A Signature of Applicant: FILE Date: 06/20/2008 Phone: (530) 589-5730 Date: 06/20/2008 i ' California Department of Forestry and Fire Protection a Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax I Reference Number: B08-1192 Date: 06/20/2008 Location: 4038 EDNAS WAY By: KCG Parcel Number: 079-380-038 Sub Type: Room Addn-First Str. Owner Name: LOTT, ROBERT '& DAWN Phone: (530) 589-5730 Description: ADDITION TO SF (499) 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 V. 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) 538-6226, (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 re( 06/20/2008 Date All of the Fire Safe Requirements are posted on the Butte County Fire Department website at httu://buttefire.org/FireDrevention/protplan/protDIan.html Rev'd 5/7/07 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 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. ° 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° 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 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 PERSONALLYP TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT OR NO) 2. I (HAV VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CON ORS LICENSE NO 4. I PLAN TO PROVIDE PORTI S F T RK, B T I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE ICONTRACTORS 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: ADDITION TO SF (499) Reference Number: B08-1192 Applicant Name: LOTT, ROBERT & WN Owner's Name: LOTT, ROBERT N AP # :079-380-038 Signature of Property Owner: Date: 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 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: B08-1192 Date: 06/20/2008 Location: 4038 EDNAS WAY By: KCG Parcel Number: 079-380-038 Sub Type: Room Addn-First Str Owner Name: LOTT, ROBERT & DAWN Phone: (530) 589-5730 Description: ADDITION TO SF (499) 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: ovel� /, vu r �I1 FILE Date: 06/20/2008 BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM (One form per Building) . School District: Oroville Elementary School District Building Permit Number: B08-1192 Tax Rate Area No: . Assessor's Parcel Number (s): 079-380-038 Jurisdiction: County Property Owner (s): LOTT, ROBERT & DAWN Project Location/Address: 4038 EDNAS WAY OROVILLE Type of Development Residential Development: Yes 0 Sq. Footage: 499 No of Living Mobile Home Addition/ *Supplemental to Units Installation Conversion Permit N Cr. Demo - eXlStm g *(No Foundation Inspection) sq. ft. Net total sq. ft. Commercial/Industrial: =New Addition Project Description: ADDITION TO SF (499) *04 1 AM I' Buildi g Department Repre ntative District Indentification No. Deed Restricted Sq. Footage: 0 Attach signed coot/ of Deed Restriction and Notice of Limited Use FacilitV Document Sq. Footage: (Includino Fxtenor Roofed AreasT 06/20/2008 Date 61,A -School District certifies that g (Payor) (Street Address) (City) .(State) (Zip Code) has complied with the requirements of Resolution No. (27- C1 -Q,-Z by payment of $ representing square feet. AB 2926 $ FULL MITIGATION $ School6iArict Representative Date Paid by Check # Remarks: (Phone Number) 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 DistrictRepresentative signing this flutte County Schools Impact Fee Certification k1orm, 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 (School District) Yellow (Building Department) Pink (Applicant) DDS School Fee Form rev'd 3.10.08 Butte County Department of Development Services oa�TTF. Building Division o 7 County Center Drive you s+ Oroville, CA 94965 530.538.7541 Phone www.buttecounty.neVdds 530.538.2140 Fax REFUND REQUEST -APPLICATION Butte County Code 3-41(d) Refund Policy. The Building Official shall not authorize the refunding of any fee paid except upon written application filed by the person originally paying the fee. The Building Official shall deduct all Development Services Department costs prior to authorizing _ any refund and shall charge one hour at the building division standard hourly rate to,process the refund application and recover costs related to application, file set-up, and file archiving fees. Refunds may be processed as follows: The Building Official may authorize the refunding of: (1) any fee paid which was erroneously paid or collected (Refund processing fee not required). (2) permit fees and the plan checking fee when the application for a permit is withdrawn or, cancelled before any plan checking is done. (3) the permit fees paid prior to the expiration of the permit providing no work has been done pursuant to the permit. (4) the permit fees paid prior to the expiration of the permit application, if the permit requested is not issued, but not after 180 days from the date of fee payment. (5) The Building Official shall not authorize the refunding of any filing fees, nor any plan checking fees, for work plan checked. http://municipalcodes.lexisnexis.com/codes/bufteco/ INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Development Services for payment processing. CLAIMANT'S NAME: - '9 ZQ ADDRESS (Include City/SVZip) (.3O) _4_ - ,22�,6 PHONE(S): E-MAIL: ASSESSOR'S PARCEL NO.: [Please use one claim form per permit.] BLDG PERMIT NO.: 4,2� Receipt No. 1 Recei o. 2 N ecei t No. 3 1 RECEIPT NO.: © 9tDl b -C:r RECEIPT DATE: l l� RECEIPT AMOUNT: REASON FOR REFUND REQUEST: .71 Note: This refund form is for fees paid and receipted at the time of application/issuance fora uilding emtit. This may involve fees Development Services has collected for other departments such as Fire, Agriculture, Land Development d Envi omental Health or collection of County Wide Impact Fees. In the event other department fees were paid along with building permit fee ,;Dvel ment Services will check with those departments to determine if any of the fees paid to them are refundable. This does not ' clf espaid directly to other departments, nor parks and recreation or school fees. If you paid other fees and were issued receipts other an frevelopment Services, please check with them for refund information. Building. Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may pick them up prior to that time. Signature is re Y of thp individu I who origi ally pai es or authorized representative of the business that paid fees. Signat a Date K:/Forms/Refund Application 012608 180 day calculator from date of receipt is: #VALUE! k- R _ e BUTTE 'IV COUNTY, `• _ JUL 2 2 2008 ' � E�V•E1.OPNDENT k SERVICES , n - V-16 7z -0- >iooet wrrA -w, %.n /i h Mil F.W Iq m MARRIAGE I= SUPPORTS AS SPECIFIED BY HOME MANUFACTURER T�/�rrrs xmttt Q Q Q 4 MIMIC pumg� CIJ U ►oDATION PADS (� OUTEM or Q Q STANDARD VERTICAL SUPPORT PIERS AS SPECIFIED BY HOME MANUFACTURER --80'. 24'. 28'. 28': OR 32— PLAN DOUBLE RIDE MOBILE COACH Seal.: 1' - 1o' ELEVATION NOT M. SCALE BASIOC PION t FOUNDATION 7ADS OU7L= or MOBIL& COACH lu !'..14', OR I PLAN SINGLE RIDE MOBILE COACH Scaler: 1' - 10' t2 So IN OVERSIZE FOR CHIPPING AND OR CORNER BREAKAGE S/B' XSTAI�ir f'-L5L, 4x4 -4x4 VVF-J I' PRECAST FOUNDATION PAD 31`x31 FM HOLES FOR 1/2' x 2 1/2. CA 18'x24'%3/4' PLYWOOD 38'IMAX Not to scale 3^4'�PLYVOODTSHEETS � NER VITH FMWS ALTERNATIVE PLYWOOD FOUNDATION PAD NOT TO SCALE REVISI GENERAL NOTES: REFBRENCE:CALLFORNIA CODE' OF REGULATIONS, TITLE 20 AND U.H.C. 1994 EDITION. 1. :tMGN LOADS: UBC FISMIC COACH SIZE OF 11 UK ZONE _r SINGLE WIDES 3o Ps! 40 PsfTM B 4 DOUBLE WIDES 30 Pd 40 Pd 80 B 4 TRIPLE WIDES 30 Psf 40 PafB 4 0 2. THE DESIGN LOADS SHALL BE CONSISTENT WITH ROOF LIVE LOAD, WIND LOAD. AND COACH I BEAN - c o r x r MATE 4 - 3/8' u 4. ALL FOOTINGS ARE TO BE SUPPORTED BY FIRM, UNSATURATED. UNDISTURBED 2. FOUNDATION PADS SHALL. BE PLACED ON LEVEL. UNDISTURBED SOIL BOLTS SOI. FOOTINGS ARE DESIGNED FOR 1000 PSF TOTAL LOAD SOIL PRESSURE W � N 2' DIA ,n th MAX HT AlrJVE CLAMP STD PIPE A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLLTE WEIGHT CONCRETE. SHALL C0� RM TO ASTM A36 Fy 38 EM MINIMUM. 4 INCH SHORT JBE U • b. SHALL BE FABRICATED ACCORDING TO RISC SPECIFICATIONS. c. SHALL BE WELDED ACCORDING TO ALIS SPECIFICATIONS: M '-N 8 INCH '-ONG TUBE 4 - 3/8' BOLTS r O c U IN04 EX -MING TUBE r TIGHTEN TO d a� too D+tat PROTECTIVE COATED. yl TUBE MUST EXT'Z.:' a O (15 FT -LBS) TORQUE PADS IN A TRAVERSE IDNE CAN BE ROTATED SO, THAT THE LONG DIMENSION 3' MIN IN TO CLAP 3/16' PLATE TINT -I o BASE HEIGHT N INCH SMALL AMP aT�IEADED ROD e. LATERAL 1700 LBS. ULTU[ATE LOAD/ I 11.3 INCH REGULAR 18.3 INCH EXTRA LARGE 3/16' PLATE LEGS g c S. THIS FOUNDATION SY3lFJI IS POR PINGING YANUFACTURI!D HUIID1LiG9 CON3IRLLCTED WITH IONGiTUDilNAL TYP OF 4 3 OR CR039 JO y+ 5/8' % 1 I/4' BOLT' } xj • WITH HARDENED WASHER r , IA IT 5/16' PLATE z Io. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR SEISMIC PIER Not to Scale I ' C.P. SEISMIC PIER#1-PATENT #5595366 Q E -I N SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4. OR WHEN IT WILL ADVERSELY AFFECT y 2 - 3/B' x V BOLTS FIELD DRILL HOLES W CO 0 12. STANDARD' PIY31 & FOOTING SPACING PER MOBILE COACH MANUFACTURER'S OPTION IIF . INSTAUA77ON MANUAL WITHOUT MANUFACTURER'S INSTALLATION MANUAL, xj W 4 - 114 TEX STS COACH C OR J BEAM I L� 1/4'x2'X4' 3' x PLATE QG ANGLE 3' WIDE S. FOR TRIPLE WIDE COACHES. FOLLOW SAYE PLACEMENT PATTERN AS ASHOWN ON THE 4 BOLTS SEISMIC I DOUBLE. WIDE MOBILE COACH PLAN. - PIER CC) (T. 8. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS PLAN OR REFERENCED ABOVE. F" � -TYPICAL BEAM CONNECTION 4 o Not to Scale T T �z !'..14', OR I PLAN SINGLE RIDE MOBILE COACH Scaler: 1' - 10' t2 So IN OVERSIZE FOR CHIPPING AND OR CORNER BREAKAGE S/B' XSTAI�ir f'-L5L, 4x4 -4x4 VVF-J I' PRECAST FOUNDATION PAD 31`x31 FM HOLES FOR 1/2' x 2 1/2. CA 18'x24'%3/4' PLYWOOD 38'IMAX Not to scale 3^4'�PLYVOODTSHEETS � NER VITH FMWS ALTERNATIVE PLYWOOD FOUNDATION PAD NOT TO SCALE REVISI GENERAL NOTES: REFBRENCE:CALLFORNIA CODE' OF REGULATIONS, TITLE 20 AND U.H.C. 1994 EDITION. 1. :tMGN LOADS: UBC FISMIC COACH SIZE OF 11 UK ZONE _r SINGLE WIDES 3o Ps! 40 PsfTM B 4 DOUBLE WIDES 30 Pd 40 Pd 80 B 4 TRIPLE WIDES 30 Psf 40 PafB 4 0 2. THE DESIGN LOADS SHALL BE CONSISTENT WITH ROOF LIVE LOAD, WIND LOAD. AND SEISMIC ZONE AS ESTABLISHED FOR PERMANENT BUILDING WITHIN A SPECIFIC LOCAL AREA. - c o 3. THIS PLAN IS CONSIDERED TO CONSITI'UM A FOUNDATION SYSTEM. F u 4. ALL FOOTINGS ARE TO BE SUPPORTED BY FIRM, UNSATURATED. UNDISTURBED 2. FOUNDATION PADS SHALL. BE PLACED ON LEVEL. UNDISTURBED SOIL 3 SOI. FOOTINGS ARE DESIGNED FOR 1000 PSF TOTAL LOAD SOIL PRESSURE W � N AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. ,n th S.STRUCTURAL VyN1 A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLLTE WEIGHT CONCRETE. SHALL C0� RM TO ASTM A36 Fy 38 EM MINIMUM. z U • b. SHALL BE FABRICATED ACCORDING TO RISC SPECIFICATIONS. c. SHALL BE WELDED ACCORDING TO ALIS SPECIFICATIONS: M '-N CD L. ELECTRODES: EJO r O c LWU.ST�ANDAARRD ASTM A307 Iv. THREADED ROD: COLD DRAWN IOW CARBON WELDABLE U O d d. ALL METAL COMPONENTS INCLUDING NABS h SCREWS ETC. ARE TO BE C. WHERE FIELD CONDTIONS REQUIRE PAD ROTATION. NO MORE THAN HALF OF THE PROTECTIVE COATED. c Cl 8, THE PIER SUPPORT ASSEMBLIES SHALL BE COATED WITH SHERRMAN WILLIAMS E81 -RC2 PADS IN A TRAVERSE IDNE CAN BE ROTATED SO, THAT THE LONG DIMENSION OR APPROVED EQUIVALENTT.1(A�I, Tn 7. CONSULTING SERVICESSSEISMICPIER FOR T E FOLLOWING Q: BY CERTTt1�D TESTING. AND V L , ; 2 e. LATERAL 1700 LBS. ULTU[ATE LOAD/ 4. PRESSURE TREATED FOUNDATION PAD b. VERTICAL : 13000 ULTIMATE LOAD g c S. THIS FOUNDATION SY3lFJI IS POR PINGING YANUFACTURI!D HUIID1LiG9 CON3IRLLCTED WITH IONGiTUDilNAL A. 3/4 INCH A.PA. 48/24 EXTERIOR P.S.I.-83 CC. PLUGGED. NEI-QA397.PRP-108. 3 OR CR039 JO y+ 9. THIS FOUNDATION SYSTEM PIAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL. xj • SITE WITH NO EXISTING SOIL PROBLEMS, IF SETTLEMENT OCCURS DUE TO POOR 3011. r , IA SEE NOTE 11. CD z Io. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR W E THE LOAD AS SHOWN IN' THE MOBILE HOME INSTALLATION INSTRUCTIONS. 0 IIAN AREAS WHERE DIFFER MAL SETTLEMENT (D.§.) CAN OCCUR, MANUFACTURED HOMES E -I N SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4. OR WHEN IT WILL ADVERSELY AFFECT y THE USE OF THE MANUFACTURED HOME.O W CO 0 12. STANDARD' PIY31 & FOOTING SPACING PER MOBILE COACH MANUFACTURER'S A. 8 FEET FOR SINGLE WIDE COACHES. �. INSTAUA77ON MANUAL WITHOUT MANUFACTURER'S INSTALLATION MANUAL, xj W SPACING OF STANDARD PIERS AND PAD SUPPORTS TO BE DETERMINED BY r1t L� STATE MOBILE HOMES PARK ACT. V y 13.TH3 SYSTEM IS ADAPTABLE OtTH HOLLOW MASONRY BLOCK PIERS. FOUNDATION PAD NOTES: e? a% In OD I N OD m CD CD In D` Q U a H 0- Q W A V) J W Y U W Or a. to n o' I. THE FOUNDATION PAD SHOWN ON THIS PIAN IS A PRECAST CONCRETE FOUNDATION PAD. � 1Tr I THE PLYWOOD r)UNDATTON PAI, ':AY BE UDED AS AN !.1."LPWATE. t(7 2. FOUNDATION PADS SHALL. BE PLACED ON LEVEL. UNDISTURBED SOIL ' 3. CONCRETE FOUNDATION PAD A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLLTE WEIGHT CONCRETE. C7 B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS THAT THE LONG DIMENSION i OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PIAN). C. WHERE FIELD CONDTIONS REQUIRE PAD ROTATION. NO MORE THAN HALF OF THE ' PADS IN A TRAVERSE IDNE CAN BE ROTATED SO, THAT THE LONG DIMENSION W OF THE PADS ARE PARALLEL TO THE COACH BEAM. E"' 4. PRESSURE TREATED FOUNDATION PAD � A. 3/4 INCH A.PA. 48/24 EXTERIOR P.S.I.-83 CC. PLUGGED. NEI-QA397.PRP-108. y+ 0 COACH SIZE NOTES: 1. MAXIMUM LENGTH OF SINGLE WIDE COACH 88 FEET. Z CD z 2. MAXIMUM LENGTH OF DOUBLE WIDE COACH 70 FEEL'. N-4 O 0 3. MAXIMUM LENGTH OF TRIPLE WIDE COACH 70 FEET. Z� , 4. UNLESS APPROVED' BY THARP & ASSOC.. FLOOR TO RIDGEHECHT NOT TO EXCEM' (/� W CO d A. 8 FEET FOR SINGLE WIDE COACHES. �. Z m In B. 10 FEET FOR 20 FELT DOUBLE WIDE COACFM W_ L� z C. 12 FEET F'OR' 24'..28'. 28' & 32' DOUBLE WADES a ALL TRIPLE WIDE COACHES 0 C) S. FOR TRIPLE WIDE COACHES. FOLLOW SAYE PLACEMENT PATTERN AS ASHOWN ON THE LIN VI- Z Q DOUBLE. WIDE MOBILE COACH PLAN. - CC) (T. 8. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS PLAN OR REFERENCED ABOVE. F" � LAYOUT SHALL BE REVIEWED AND APPROVED BY THARP R ASSOC., INC. Q O W �z cn rn pB c;,0 1DComJ�J10►f2 NOVNDATXle STSTs1 x 'BA`s"AI�=A`to COUN w co x v, A?Pr�V D'B�,DNB°°�'ggUT`TE xUx =lo OmU', CITom NOITD 1 1 y 1 N PA`J AIIb1ALp�1A7TAUf11011>salleblaAfl em°srsama+oxNxryolor,oar Amimia rfxm LAWS Aro mmA RIT R. Lam'. Q A=4 xr <GAlotb pkat Darr DB m6NDAWG 4r1tIr-1 �RraAAwx� 4xN,1.�LLZ 6 k DATE, 11-07-02 SCALE, AS SHOWN DRAWN, YMW JOB #1 95-36-80 SHEET, q S.P.A. 30-5F OF 1 SHEETS ou -o XIN i � tit 6 � b s W f L 0 0 O o \a i O O N \ -- i, C&rr NOTE W, s ��e attached f. ..� �atbtC� Pages ELECTRICAL, MECHANICAL, AND PLUMING CONSTRUCTION : ( NOT PLAN CHECKED ) ISHALL COMPLY WITH CURRENT EDI-nON OF NEC, UMC A.",D UPC. pq-o2a7q mc� BUTTE COUN1 r AUILQING DEPARTM.. P P R 0 V r �Du.ndctfic�--, e-7� Or dig r4 c 0� :/ -- 5 Qb U 4WIV ar 1W 06001W &Wv amp" -s set 0 s MUST o �.� oo� and spe6ification lawful , 11 times and it is un n Neoany c nges or alterations on some withoui R written permission from the Department ofPu, Warks, County of Butte. t5 A10:6 anship Sh & NOTE:—All MOfer Accordance wil,L Recog Good Practices cw4 cyor e Specifieuse in of a quality prosc!rib_ Codes Vn Uniform Building, Plum.�ing mecho mcad l Cod' tho National Electrial C e. c �/' • K 10 4" % le - Ste rw UP Location of structures & equipment shall be as & dew d 811 Gas9merft 4;r M A* /000 .NPO' to.- dr AhmW Ar % fig .00 UVED APPS 1W 4?r Ze slop - 2V