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078-080-015
ROBERT OLIVER+#�R , N/S`Wheeler AVe app 800'W of Upper E Palermo,'Rd, Oroville - Eye Pe'rmit#4937-80E(ei4;'r.f0r well: fut �I !ure lot dev3ment) i 00-07 AG VAUGHT, LENONARD +. AGRICULTURAL, EXEMPT PERMIT y r � O 0`7?-- 080-0 B07-1321 078-080-015 PLAINT TO IlJ5PECTOP NSF 1020' VAUGHT, DANIEL�� 04-1879 VAUGHT, DANIEL 1 OPHIR RD, OROVILLE "' ROBERT OLIVER+#�R , N/S`Wheeler AVe app 800'W of Upper E Palermo,'Rd, Oroville - Eye Pe'rmit#4937-80E(ei4;'r.f0r well: fut �I !ure lot dev3ment) i 00-07 AG VAUGHT, LENONARD +. AGRICULTURAL, EXEMPT PERMIT STORAGE OF HAY & AG EQUIP O 0`7?-- 080-0 B07-1321 078-080-015 RESIDENTIAL SFD-Custom/Model NSF 1020' VAUGHT, DANIEL�� i ra yi uPPere- ?4LE-W-0-to h BUTTE: ('OUNTY AREA DEPARTMENT OF DEV=ELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-76")6 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538 X2140 Website:www.buttecounty.net/dds . i Permit No: B07-1321 Issued: 07/13/2007 Address: 2535 Wheeler Ave Area: Oroville Owner: VAUGHT, DANIEL or DAAPN: 078-080-015 Applicant: VAUGHT, DANIEL or DAMap Page: Permit Type: SFD-Custom/Model Description: NSF 1020' (to replace ex mobile home) Flood Zone- .& SRA Area: No Na F(.00b CERT- Eo SETBACKS Front Setback: 20' Side Setback: 10' Rear Setback: 10, Other Setback: - Minimum Setback From Centerline of Street: 4 ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 0C_ aS-o1 Foundations / Footings 111 Pool Final Pier/Column Footings 122 802 Grade Beams 114 Stucco Brown"', Eufer Ground api(:XEgpts 216 Setbacks Forms/Steel/Holdowns 122 504 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 C- '7.31-&1 Gas Test House 404 aC q -&1.0 Gas Test Yard 404 pc-- Masonry Grout 120 132 Masonry Bond Beam 119 Tiedown/Foundation System Underfloor Framing 149 137 Underfloor Ducts 319 Manometer Continii Y y OFFICE COPY Skirtings' Bldg Permit'. �` Address: Manufalj Tit, Date of 11, ModelNK GAS By: .. ` Date: 1 Serial Nr, Date:2-4 ,} Length x Electric By: Insignia:'L Shear Transfer' 136 Under Floor Plumbing 412 Under Slab Plumbing 411 DC- -K Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B. W.P. -Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install'Siding/Stucco or Roofing Until Above Signed Rough Framing 128 fi -) C"(_ Rough Plumbing 406 C -{ _01 Rough Mechanical 316 6C Rough Electrical 208 oe- Gas Piping .403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final . 803 Mechanical Final "809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type 1 IVR I INSP I DATE Do Not•Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 J, Do Not Cover Until Above Signed T -Bar Ceiling/ RC 145 Stucco Lath `.. _ 142 Stucco ,Scratch' ,;. 143 Stucco Brown"', 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster, 1 507 Manufactured Homes Setbacks 132 Blocking/Underpining .: 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas. Test Yard 404 Manometer Continii Y y OFFICE COPY Skirtings' Bldg Permit'. �` Address: Manufalj Tit, Date of 11, ModelNK GAS By: .. ` Date: 1 Serial Nr, Date:2-4 ,} Length x Electric By: Insignia:'L Public Works Final 538-7681 Fire Department/CDF 538-6837 c t 169 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 1 801 C-3 C_ I 10 -1 - I"-rro,ecc rma, ,s a i-cruncace m occupancy ,or txeswenuai only/ PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR RENEWAL 30 DAYS P`ci!OR TO EXPIRATION Inspector Copy �)-7 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT - 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2535 Wheeler Ave Owner: Permit N0: B07-1321 APN: 078-080-015 VAUGHT, DANIEL or DARREN Issued Date: 07/13/2007 By KEJ Permit type: RESIDENTIAL 1078 OPH.IR RD . Subtype: SFD-Custom/Model OROVILLE, CA 95966 Expiration Date: 07/12/2008 Description: NSF 1020' (to replace ex mobile home' (530) 534-8780 Occupancy: Zoning: AR 2.5 Contractor Applicant: Square Footage: SMITH IRA CONSTRUCTION VAUGHT, DANIEL or DARRE Building Garage Remdl/Addn PO BOX 5131 1078 OPHIR RD 1,020 OROVILLE, CA 959666 OROVILLE, CA 95966 Other Porch/Patio Total (530) 370-4891 (530) 534-8780 1,020 FEE INFORMATION DB R3 Dwelling -Custom, Model $943.30 DB R3 Dwelling -Custom, Model $1,414.96 DBEH Building Review Fee $75.70 DBSMIP Residential $6.63 Total Charged: $2,440.59 Fees Paid: $2,440.59 Balance Due: $0.00 Receipt No: B3882 LICENSED CONTRACTOR'S DECLARATION X, OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SMITH IRA CONSTRUCTION 761703 / B / 04/30/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed , I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 07/13/2007 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION - 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Cartier: Policy Number: Exp. Date: (This section need not be competed if the permit is for one hundred dollars ($100) or less.) I�I I AM EXEMPT under Section B. 8 P.C. for this reason: Fl ❑ I THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS [� ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 07/13/2007 compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those Owner's Signature Date provisions. X .07/13/2007 t I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. CiONSTRUCTION LENDING AGENCY 07/13/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) t Owner ❑ Contractor OR. Agent for Owner DAgent for Contractor INSPECTOR COPY Lenders Address City state zip Review Type'Building Reviewer ,Craig Buttermore (7/311200711:30 KLW) Flood zone portion of parcel does not effect the building site. NO ELEVATION CERTIFICATE REQUIRED. Add Std Comments ± Add Comment Cade Search Link Done ULATION CERTIFICATE IRA Name BUTTE County DESCRIPTION OF INSTALLATION 1. ROOF Material: Thickness (inches): 2. CEILING Job Number:) 9733 2535 WHEELER AVE., OROVILLE CA Job Address (street, city, state) Subdivision Name Lot Number Brand Name: Thermal Resistance (R -Value): I Batt or Blanket Type: 1 Fiberglass I Brand Name: I Knauf Thickness (inches): 12 Thermal Resistance (R -Value): 38 Loose Fill Type: Fiberglass f Brand Name: Knauf Minimum Installed Weight/ft M .569 lb Minimum Thickness: 13 inches Manufacturer's i installed weight per square foot to I achieve Thermal Resistance (R -Value): N 38 j 3. EXTERIOR WALL Frame Type: M A. Cavity Insulation t Material: Fiberglass Brand Name: Knauf Thickness (inches): 1 31/2 ! Thermal Resistance (R -Value): 1 13 B. Exterior Foam Sheathing Material: ! Thickness (inches): r 4. RAISED FLOOR Material: N Thickness (inches): j 5. SLAB FLOOR/PERIMETER Brand Name: Thermal Resistance (R -Value): I Brand Name: Thermal Resistance (R -Value): I Material: �� Brand Name: Thickness (inches): ( Thermal Resistance (R -Value): Perimeter Insulation Depth Inches: I 6. FOUNDATION WALL Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): I DECLARATION 4 I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. XX� 2 Chico Insulation &Fireplaces Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date I Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R. Site Address Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (Me �.. information provided on this form is required) After completion of final inspection, a copy must be.provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type (pkg. heat CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency t (AFUE• etc.) ZCF-1R value Duct Location attic etc. Duct or Piping R -value Heating g Load ti/hr Heating g Capacity hi/hr ��1.t7.�AC.t^c. 1uplAo4otlrtZ-� ` 8D v C. [o •.L AO ODU 1 Cooling Equipment Equip Type (pkg. heat um CBC Certified Mfr. Name and Model Number # of Identical systems Efficiencyt (SEER or EER) 2CF-IRvalue Duct Location . attic etc. Duct R-value(Btu/hr) Cooling Load Cooling Capacity hVhr z� zSf A- I t1�i•oo E A l L Co t-� Z4 0o C-) 1. > symbol reads greater than or equal to what is indicated on the CF -1R value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. I, the* undersigned, verify that equipment listed above is: 1) is the' actual equipment installed, 2) equivalent to or more � efcient than that specified in the certificate of compliance (Form -CF -IR) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. 4 Z�-o7(vtS NC? A-11 Signature, Date Installing Subcontractor (Co. Name) —' OR General Contractor (Co. Name) OR Owner COPY TO: Building Department HERS Rater (if applicable) Building Owner at Occupancy Residential Compliance Forms January 2005 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Pagel of 8) . CF -4R Project Address n -sem 5a Duct Pressurization Test Results,(CFM @25 Pa)�n� Builder or Installer Name ".1 � ' Orryrte C#1.S �c Builder or Installer Contact Telephone Plan/Permit (Additions or Alterations) Number ` 'T 70 a 1. , HERS.. '" -) Lam- Telephone . .. Sample GroupNumber I 1,' �1 Compliance Method (Prescriptive) Climate Zone 'I Certifym .Si tore ..Date Sample House Number as ❑ Fail0 ZI d 7 . Firm HER rovider r 41 t� Street dress: City/ tate/Zip: 0 1(d/ r c "5-. Lopies to: BUILDER, HERS PRUVIDER AND BUILDING DEPARTMENT HERS RATER CO 11XPLIANCE STATEMENT The house.was: ✓ Tested ✓ ❑ Approved as1paAf sample testing, but was not tested. r , •As,the HERS rater providing diagnostic testing aridyfield.vernfication, I�c'ertify that the house identified on this form complies with the diagnostic tested compliance requirements as`check6'&Vq`on tlus�forin. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is u edi'beeffore iKGF17 4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completedand signed CF 6R has been received for the sample and tested buildings'.x t` ,1x l� he installer has providedFa copy of�CF 6R (Installation Cerhficate� y . rs�tfo: __New ducts are fully ducted.(i �doe�s�ot,,use btii dmg cavities aas pnu lemsi plarm returns in lieu of ducts). Q New ducts with cloth backed; rubberradhesive'duct tapeds installed; mastic and dray✓ bands are used in combination with it ':-'s% .n VI siu��t.� cloth backed, rubber adhesive, gvg1gape;ta sealyleaks at duct connections l w L: „ ✓ '(31MIMUM REQUIRM&&TS FORLDiJCT'ILEA11 Procedures for field verification and diagnostie`iestu g of air Duct Diagnostic Leakage TesfmgR�`ersults WP-EIANCE CREDIT available in RACM, Appendix RC4.3. NEW CONSTRUCTION:kr'y"�» w n -sem 5a Duct Pressurization Test Results,(CFM @25 Pa)�n� Measured ".1 � ' Values w I , Enter Tested Leakage Flow 3N a 1. , 2 ;' Fan Flow: Calculated (Nominal; ✓ice oolu g ✓�� H�atuig) or"��D�IVleasured �� zoo ii Enter Total Fan Flow in CFM: :" 3 '' �m) Passt if Leakage Percentage. < 6% [ 13e /(Line # 2)]] as ❑ Fail0 ALTERATIONS: Duct System and/or IIVAC Equipment Change -Out 41 Enter Tested Leakage Flow in CFM from CfE Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 1i Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System gy y DuctS tem Alterationand/or E ui ment _ v , `` =M111,41 `"n5 zfor M " { 6 t' Enter Reduction in Leakagefor Altered Duct System's: (Lme #'4)"Muus e # 5)] (Onlyf Applicable) I�' r�"S= r,7i . ` 'F u�•d ?*'t Y:.: ats:s .:Yh ( •'+*tet. 7 ! Ente #Tested Leakage Flow; m CFMto Oiitsideg(Only if Applicable) = R.1 �: 8 { Entire New -Duct System Pass if I eakage Percentage < 60/, ` x y� '' ❑pass Fail 100 x Line # 5 / Lme±# 2 ;. TEST OR VERIFICATION STANDARDS"".For Altered Duct System And/ o`r HVAC Equipment Change -Out ✓ Use one of the followin four Test or Verification Standards for compliance: 91! Pass if Leakage Percentage < 15% [100 x L(Line # 5) / (Line #•2)]] ❑Pass ❑ Fail 10 Pass if Leakage to Outside Percentage x L_( < 10% [100 Line # 7) / (Line # 2)]] ❑Pass ❑Fail Pass if Leakage Reduction Percentage > 60% [100 x [ (Line # 6) / (Line # 4)]]1. Pass ❑Fail. 11 and Verification by Smoke Test-and:Visual Inspection .0 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection •_ ❑ Pass ❑ Fail Pass if One of Lines # 9 through # 12 passIf, W014 N,�,`' ❑ Pass ❑ Fail Compliance Forms December 2005 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) 538-7785 Facsimile www.buttecou ntv. net/dds :oma srrg; Y REQUEST TO USE PEX WATER PIPE Building Division approval required prior to the installation of PEX water pipe PermitNumber: ' l 3 a A.P.N. t� rl - 0�� ^{��^Date: - -o,,7 Property Address: _a53 s �vti� P.le('�City (`nl )L �j�P Zip YK916/4 PEX Manufacturer: (2, Yl J Manufacturer's Phone Number:�f Installer's Name: Tf i/t � .�Y Installer's Phone Number: 1. request approval to use PEX water pipe at the above address. Print Nar3e 9�io� Owner' Date i C/7O� Contractor's Signature. Date License Number Under Section 301.2 of the California Plumbing Code (Alternative Materials and Methods) the Administrative Authority may allow the use of PEX tubing for both hot and cold potable water distribution. After careful review of all the information submitted and additional surveys of other jurisdictions allowing the use of PEX tubing, we have come to the conclusion that PEX tubing is a viable alternative under the following conditions and requirements: 1. ,All PEX piping must be listed and approved by ICC, IAPMO or other nationally recognized. testing and/or listing agency. 2. All PEX piping installations must comply with the manufacturer's listing/s and installation instructions. 3. A copy of the installation instructions must be made available to the field inspection staff on site. 4. All PEX piping. shall be kept clear of recess light fixtures, heat conducting flue vents, ducts or other materials that could cause physical damage. 5. All penetrations in or through fire rated assemblies shall be protected with an approved listed system. Submit evidence of such listing prior to the installation of all piping. (Including manifold/s installed in the garage occupancy separation or firewall). ; Approved by: � 0-'`a`4-� C(1AA\ ' c�x-� — Date: C? "ate? . Administrative Authority Distribution - Building File — Property Owner - Contractor COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 r., CORRECTION NOTICE OWNER J PERMIT N0. A routine inspection indicates that the following vi of Butte County Ordinances exist at the above address and should be corrected ease call for re -inspection when correction of work is completed. If you have any qu ions pertaining to this matter, or need additional explanation, please contact the Buildi Inspector as indicated below. Date Z% ` Inspector REV &/05 Phone # pig a`. a FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 I ...,..,COUNTY OF BUTTE_, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive -, Oroville, CA * (530) 538-7541 CORRECTION NOTICE OWNE:t PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any; questions pertaining to this matter, or need additional explanation, please contact the Buildihg, Inspector as indicated below. r i j p Rou(Dc 60'u'g7( U S6 or (Zo ki (o 'STUD CCf"IPW C,017 -H 7/7C6. 417-P i;06F AIA le__ PR/ O/z To 900FIAIC /Ikl _5T19 -j Date S-0-0-7 ln4ectorL)�ftA N CA 9ffA(7L1x_ REV 4/05 Phone # 'S� 9 O 2— FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 . . . . . . . . . . . ... . . . COUNTY OF BUTTE T�j BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive * Oroville, CA - (530) 538-7541 CORRECTION NOTICE - A OWNER PERMIT NO..' - A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Or VOCA -7—� (�PMO GA S P(P� nel ------------------- _21 Datel�_�� REV 4105 Phone #i FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COPY of Document Recorded 29 -Nov -2004 2004-0072749 RECORDING REQUESTED BY: Has not been compared with original BUTTE COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 i 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 19551. 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. DANIEL H. VAUGHT REAL PROPERTY OWNERILESSOR 2955 MANGE AVE. MAILING ADCRESS OROVLLE BUTTE CA 95966 CITY COUNTY STATE ZIP 1078 OPHIRR.D. INSTALLATIO-J MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER lif also property owner, write "SAME") SAME I 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 04-1879 530 538-7541 BU ING RMIT N0. TELEPHONE UM ER SIGNA RE (W LOCAL AGENCY O CIAL DATE FLEETWOOD S OF OROVILLE DEALER NAME (if not a dealer sale, write "NONE") 1061581 DEALER LICENSE NO FLEETWOOD HOMES WA. 2004', HIGHLAND PARK/7714P MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER WAFL431A/B/C18554-HP13 70' 8" X 40' WAS0093933/4/5 SER AL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) i REAL PROPERIY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 036-280-073 HCD FORM 433(A) REV. 8/91 DESCRIPTION ORDER NO. BU -166344-3 THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER AND THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 33, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M. EXCEPTING THEREFROM THAT PORTION DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE CENTERLINE OF WHEELER AVENUE, 574.7 FEET EAST OF THE LINE BETWEEN LOTS 1 AND 2, IN BLACK 115, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ADDITION TO SUBDIVISION NO. 1 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 23, 1888, AS WALL MAP NO. 14; THENCE NORTH 280.0 FEET; THENCE EAST, PARALLEL TO SAID CENTERLINE OF WHEELER AVENUE, 810.0 FEET TO THE CENTERLINE OF COUNTY ROAD; THENCE SOUTHERLY ON A CURVE TO THE RIGHT, ALONG SAID CENTERLINE OF COUNTY ROAD, 305.0 FEET, MORE OR LESS, TO CENTERLINE OF WHEELER AVENUE; THENCE WEST ALONG SAID CENTERLINE OF WHEELER AVENUE A DISTANCE OF 703.0 FEET TO THE POINT OF BEGINNING. ALSO EXCEPTING THEREFROM THAT PORTION CONVEYED TO THE COUNTY OF BUTTE BY GRANT DEED RECORDED MARCH 3, 1975, IN BOOK 1971, PAGE 243, OFFICIAL RECORDS, AND DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SAID SECTION 33; THENCE SOUTH 88 DEG. 53' 26" WEST, ALONG THE NORTH LINE OF SAID SECTION, 1, 621.62 FEET TO A POINT ON THE WEST LINE OF UPPER PALERMO ROAD (UPPER OROVILLE-PALERMO ROAD) AND THE TRUE POINT OF BEGINNING; THENCE SOUTHERLY ALONG SAID WEST LINE SOUTH 33 DEG. 34' 43" EAST, 205.15 FEET; THENCE SOUTHERLY ALONG THE ARC OF A 970 FOOT RADIUS CURVE, CONCAVE TO THE SOUTHWEST, THROUGH A CENTRAL ANGLE OF 32 DEG. 50' 13", A DISTANCE OF 555.92 FEET; THENCE SOUTH 0 DEG. 44' 30" EAST, 114.42 FEET TO A POINT OF ':USP WITH A TANGENT CURVE CONCAVE TO THE SOUTHWEST HAVING A RADIUS OF 1,270 FEET (RADIAL LINE TO SAID CURVE OF THIS POINT BEARS NORTH 89 DEG. 15' 30" EAST); THENCE NORTHERLY ALONG THE ARC OF SAID 1,270 FOOT RADIUS CURVE, THROUGH A CENTRAL ANGLE OF 29 DEG. 25' 13", FOR 652.12 FEET; THENCE NORTH 30 DEG. 09' 43" WEST, 216.88 FEET 1'0 THE NORTH LINE OF THAT CERTAIN PARCEL OF LAND DESIGNATED CONVEYED TO ELIZABETH A. FLEMING BY JUDGMENT OF FINAL DISTRIBUTION ON WAIVER OF ACCOUNTING UNDER WILL RECORDED OCTOBER 23, 1970, IN BOOK 1640, PAGE 338, OFFICIAL RECORDS; THENCE NORTH 88 DEG. 53' 26" EAST ALONG SAID NORTH LINE, 4.08 FEET TO THE TRUE POINT OF BGINNING. ALSO EXCEPTING THEREFROM THAT PORTION CONVEYED TO GEORGE H. WILLIAMS, ET UX, BY GRANT DEED RECORDED FEBRUARY 8, 1950, IN BOOK 526, PAGE 413, OFFICIAL RECORDS, AND DESCRIBED AS FOLLOWS: CONTINUED ORDER NO. BU -166344-3 ;PTION - CONTINUED LL TRIANGULAR PORTION OF THE NORTHWEST QUARTER :AST QUARTER OF SECTION 33, TOWNSHIP 19 NORTH, RANGE WA..,.". & M., LYING NORTHEASTERLY OF THE NORTHEASTERLY OROVILLE-WYANDOTTE COUNTY ROAD. OF THE 4 EAST, OF THE ALSO EXCEPTING THEREFROM THAT PORTION CONVEYED TO THE COUNTY- OF BUTTE BY GRANT DEED RECORDED FEBRUARY 22, 1988, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 88-05683 AND DESCRIBED AS FOLLOWS: A.) BEGINNING AT A POINT ON THE EASTERLY LINE OF LOT 2, IN BLACK 119, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ADDITION TO SUBDIVISION NO. 1 OF THE PAZZRMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 23, 1888; AS WALL MAP NO. 14, SAID POINT ALSO BEING 40 FEET LEFT OF ENGINEER'S STATION "L" 130+64.50 P.O.T. AND FROM SAID POINT OF THE NORTHEAST CORNER OF SAID LOT 2 BEARS NORTH 1) DEG. 08' 39" WEST, 609.43 FEET; THENCE ALONG SAID EASTERLY .LINE OF BLACK 119 SOUTH 0 DEG. 08' 39" EAST, 85.38 FEET TO A POINT ON THE EASTERLY LINE OF LOT 1, IN BLOCK 119, OF SAID PALERMO CITRUS TRACT, SAID POINT ALSO BEING 45 FEET RIGHT OF ENGINEER'S STATION "L" 130+56.51 P.O.T.; THENCE NORTH 84 DEG. 29' 08" EAST, 678.50 FEET; THENCE NORTH 5 DEG. 30' 52" WEST, 5•.00 FEET; THENCE NORTH 84 DEG. 29' 08" EAST, 1378.48 FEET TO THE BEGINNING OF AN 1840 FOOT RADIUS CURVE, CONCAVE TO THE NORTH (FROM WHICH POINT A RADIAL BEARING BEARS NORTH 5 DEG. 30' 52" WEST); THENCE EASTERLY ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 15 DEG. 13' 52" A DISTANCE OF 489.13 FEET TO THE BEGINNING OF A REVERSE CURVE CONCAVE TO THE SOUTHWEST, HAVING A RADIUS OF 35 FEET (THROUGH WHICH A RADIAL LINE BEARS SOUTH 20 DEG. 44' 44" EAST); THENCE SOUTHERLY ALONG THE ARC OF SAID CURVE A DISTANCE OF 53.77 FEET, THROUGH A CENTRAL ANGIZ OF 88 DEG. 01' 26"; THENCE SOUTH 22 DEG. 43' 18" EAST; 72.99 FEET TO A POINT ON THE WESTERLY 30 FOOT RIGHT OF WAY LINE OF UPPER PALERMO ROAD AND LOWER WYANDOTTE ROAD AS DESCRIBED AND DEEDED TO THE COUNTY OF BUTTE AND RECORDED MARCH 31, 1975, IN BOOK 1971, PAGE 243, OFFICIAL RECORDS, AND FROM SAID POINT THE NORTHEAST CORNER OF SAID SECTION 33, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M. BEARS NORTH 69 DEG. 42' 05" EAST, 1485.01 FEET, SAID POINT ALSO BEING ON A 1270 FOOT RADIUS NONTANGENT CURVE, CONCAVE TO THE SOUTHWEST (FROM WHICH POINT A RADIAL BEARING BEARS SOUTH 75 DEG. 18' 28" WEST) ; THENCE: NORTHERLY ALONG THE ARC OF SAID CURVE AND SAID 30.00 FOOT RIGHT OF WAY LINE THROUGH A CENTRAL ANGLE OF 14 DEG. 21' 28", A DISTANCE OF 318.25 FEET; THENCE LEAVING SAID 30 FOOT RIGHT OF WAY LINE SOUTH 22 DEG. 03' 05" EAST, 94.85 FEET TO THE BEGINNING OF A 35 FOOT RADIUS CURVE, CONTINUED i E ORDER NO. BU -166344-3 DESCRIPTION — CONTINUED CONCAVE TO THE NORTHWEST, (FROM WHICH POINT A RADIAL BEARING BEARS SOUTH 67 DEG. 561F S5" WEST); THENCE SOUTHERLY ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 91 DEG. 21' 29111 55.81 FEET TO THE BEGINNING OF A COMPOUND CURVE, HAVING A RADIUS OF 1760 FEET CONCAVE TO THE NORTHWEST (FROM WHICH A RADIAL BEARING BEARS NORTH: 20 DEG. 41' 37" WEST); THENCE WESTERLY ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 15 DEG. 10' 4511, 466.27 FEET; THENCE SOUTH 84 DEG. 29' 08" WEST, 2043.98 FEET TO THE TRUE POINT OF BEGINNING. TOGETHER WITH UNDERLYING FEF; INTEREST, IF ANY, APPURTENANT TO THE ABOVE DESCRIBED PROPERTY IN AND TO THE ADJOINING PUBLIC WAYS. B-) COMMENCING AT A POINT ONy THE; EASTERLY LINE OF IAT 2, IN BLOCK 119, AS SHOWN ON THAT .CERTAIN MAP ENTITLED, "ADDITION TO SUBDIVISION NO. 1 OF THE`PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF TZ -3 RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON, JULY 23, 1888, AS WALL MAP NO. 14, SAID POINT ALSO BEING 40,FEIs'T LEFT OF ENGINEER'S STATION "L" .130+64.50 P.O.T. AND FROM SAID POINT THE NORTHEAST CORNER OF SAID LOT 2 BEARS NORTH 10 DEG. 08' 39" WEST, 609.43 FEET; THENCE ALONG SAID EASTERLY LENE OF BLOCK 119, SOUTH 0 DEG. 08' 39" EAST 85.38 FEET TO AiPOINT ON THE EASTERLY LINE OF LOT 1, IN BLOCK 119 OF SAID PALERMO CITRUS TRACT, SAID POINT ALSO BEING 45 FEET RIGHT OF ENGINEER'S STATION "L" 130+56.51 P.O.T.; THENCE NORTH 84 DEG. 29' 08" EAST, 678.50 FEET; THENCE NORTH 5 DEG. 30' 52" WEST, 5.00 FEET TO THE TRUE POINT OF BEGINNING; AND FROM THE TRUE POINT OF BEGINNING THE NORTHEAST CORNER OF SAID LOT 2 BEARS NORTH 47 DEG. 17' 18" WEST, 920.86 FEET; -THENCE NORTH 84 DEG. 29' 08" EAST, 240.00 FEET; THENCE SOUTH 5 DEG. 30' 52" EAST, 3.30.00 FEET; THENCE SOUTH 84 DEG. 29' 08!' WEST, 240.00 FEET; THENCE NORTH 5 DEG. 30' 52" WEST, 130.00 FEET TO THE TRUE POINV OF BEGINNING. TOGETHER WITH UNDERLYING FEE INTEREST, IF ANY, APPURTENANT TO THE ABOVE DESCRIBED PROPERTY IN, AND TO THE ADJOINING PUBLIC WAYS. BUILDING.PERMIT NUMBER: 04-1879 Address or location of unit: 1078 OPHIR•RD. OROVILLE,,CA. 95965 Legal Description of Real Property: AP#: 036-280-073 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18.551. Owner's name: DANIEL H. VAUGHT Owner's address: 2955 ORANGE AVE. OROVILLE, CA. 95966 INSIGNIA OR HUD NUMBER: WAS0093933/4/5 SERIAL NUMBER OR V.I.N.: WAFL431A/B/C18554-HP13 MANUFACTURER'S NAME: FLEETWOOD HOMES OF WA. YEAR: 2004 OFFICIAL APPROVING INSTALLATION: ��• -64 DATE: PHONE: (530) 538-7541 H.C.D. 513C o��tENT oFpOG�yc MC�6, STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTWNT OF HOUSING AND COMMUNITY DEVELOPMENT ' - DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM TYDE�MANDFACTURER CERTIFICATE OF NUMBER: 871.068® ORIGIN [:].CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING r XXX NUMBER OF LJ SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS __ 3 COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: FLEETWOOD HOMES OF WASHINGTON, INC. #031 MF1082465 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: 21.1 5TH STREET. WOODLAND WA 98674 (Street) (City) " (State) (Zip) W MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: HIGHLAND PARR 7714P 2004 06 /01/2004 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: FLEETWOOD RETAIL CORPORATION OF CALIFORNIA TRANSFEREE DESIGNATION: DBA: FLEETWOOD HOMES OF OROVILLE 10615 81 nr,-Ini DEALER OR TRANSFEREE ADDRESS: 2243 FEATHER RIVER OROVILLE (Street) (City) (State) CA (zip) 95965 INVENTORY CREDITOR NAME: FLEETWO.OD.RETAIL CORP INV DITp� A EPESS: & I DEPT - MSO DESK 2150 WEST 18TH ST SUITE 300 HOUSTON (Street) (City) (State) TX (Zip) 77008 SECTION MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT (1-6) (INCHES) (INCHES) (POUNDS) 1 WAFL431A18554—HP13 WAS0093933 848 3-6-0- 29,20E) 2 WAFL431B18554—HP13 WigQQ919114 49 3 WAFL431C18554-HP13 848 166. 32,000 TRANSPORTER NAME: WESTSTAR SYSTEMS I TRANSPORTER ADDRESS: (Street) (City) (Stale) (Zip) DESTINATION FOR UNIT DESCRIBED ABOVE: (NAME) (Street) (Cit) State (zip) I certify under penalty of perjury under the laws of the State of California that the above facts are true and correct. Executed on 06/01/2004 at WOODLAND (Date) (Ci (County) (St SIGNATURE OF AUTHORIZED AGENT: /V a acv a. Hama -ger DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE'UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCYMT� DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS I,nr REGISTRATION AND TrrLING PROGRAM STATEMENT OF FACTS This unit is a: ❑ Mobilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper Dezal (License) No.(s) LfWe, the'undersigned, hereby state: 15- Yevl �eD e- 6�z' - . Serial No.(s) �10i�1e � hc 1vol' 1,%-2e* I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of . the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjurythat the foregoing is true and correct. Executed on C/ =�_�at ��/C �G1G L? (Date) oA/1 urn 476.6 (REV 9/91) (City) Printed names State (State) the real property in the City of UNINCORPORATED AREA County of BUTTE State of California, described as SEE ATTACHED LEGAL DESCRIPTION l PATRICIA K. OLIVER, TRUST DATED l SEPT011BER 1, 1994 Dat 1 STATE OF CALIFORNIA A COUNTY OF BUTTE I ) JUNE 5, 1998 before me, ANGELA D. � TE -NOTARY PUBLIC personalty appeared PATRICIA M. OLIVER 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(les), 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. WITmy hand and official seal ANGELA Dic . MASTELOTTO commission ell)34s,, Q 81m Oou*, catsom,, - M!y Commission Exp. SEPT. 16,1 W8 � . �• � . (II I�'I II I) III I III I�I I �II''I'l l'I ' I990-010Z4I59 A.6cord at the Request of Recorded I REC FEE 19, 00 Mid Valley Tule & Escrow Company Official Records TAX 194.70 Order No. County Of I Escrow No. 166344AM CNd)ACEu J. GRUBBS I Loan No. Recorder I WHEN RECORDED MAIL TO: I Cindy 11:17AM 10 -Jun -1998 I Page l of 5 DANIEL H. VAUGHT 2535 WHEELER AVE. OROVILLE, CA 95966 SPACE ABOVE THIS LINE FOR RECORDER'S USE i MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $194.70 Computed on the consideration or value of property conveyed; OR SAME AS ABOVE Computed on the consideration or value less lens or encumbrances remaining at time of sale. ThA Ltndprcienpd Ckantor dpclam-g signature of Declarant or Agent determining tax - Firm Name GRANT DEED 036-280-068 036-2s0-069 FOR A VALUABLE CONSIDERATION, receipt of which is'hereby acknowledged, PATRICIA M. OLIVER, TRUSTEE•FOR THE PATRIICIA M. OLIVER TRUST DATED SEPTEMBERI, 1.994 hereby GRANT(S) to DANIEL H. VAUGHT, A MARRIED KM AS HIS SOLE AND SEPARATE PROPERTY' the real property in the City of UNINCORPORATED AREA County of BUTTE State of California, described as SEE ATTACHED LEGAL DESCRIPTION l PATRICIA K. OLIVER, TRUST DATED l SEPT011BER 1, 1994 Dat 1 STATE OF CALIFORNIA A COUNTY OF BUTTE I ) JUNE 5, 1998 before me, ANGELA D. � TE -NOTARY PUBLIC personalty appeared PATRICIA M. OLIVER 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(les), 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. WITmy hand and official seal ANGELA Dic . MASTELOTTO commission ell)34s,, Q 81m Oou*, catsom,, - M!y Commission Exp. SEPT. 16,1 W8 � ILLEGIBLE NOTARY :TEAL DECLARATION GOVERNAMSIT CODE 27361.7 I certify under penalty of perjury that the notary' seal rnn the. document: to which this statcmew is attachod : reads as follows: :Nance, of Notary AdC- Conmission LD.# ) ,. 11-1 Nlaaufactucet'a; LD. # . C 4°: d County State 4 - Place of cwcudon of this declaration: 0 A4 r.' t4. Dec /DU. Signature (Fnm if any) MEMORANDUM COPY FROM: Jim Pulling Butts County Treasurer DATE: SUBJECT: CREDIT DEPOSIT CHECK A check deposited by your department has been returned by the bank and cannot be re -deposited. A copy of the check is enclosed. It will be charged back to you on a credit deposit within the next week. Within the next three (3) working days, please provide all information as to which Fund (s) to charge. If we are not provided with the information from you, we will charge the check to a fund we feel is correct. The credit deposit can be verified when received and if the fund is incorrect, you must process a transfer with the Auditor's office. This procedure has become necessary because of the lack of response to this memo by some departments and the time involved in making follow-up telephone calls. Reminder: There is a $25.00 special handling fee on all returned items per County Ordinance #2967. ' If you have any questions please call me at 538-6916. Also, you may FAX this information to us at 538-7648. TO: Jim Pulling BUTTE COUNTY TREASURER FROM'- �p aprnon�% cC : cc�o (Department and Name) DATE: CHECK NUMBER: Thank you for your cooperation. FUND TITLE OR DESCRIPTION: FUND CODE: DEPT CODE: ACCOUNT CODE: CASH CODE: AMOUNT: BUTTE COUNTY RECEIPT 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 k Receipt Number: B3882 Permii Number: B07-1321 APN:078-080-015 Paid By: VAUGHT, DARREN Date Paid: 7/13/2007 Received By: KEJ Pay Method: Check 1777 Printed: 8/2/2007 10:31 am Fee Description Account Number Fee Amount .DB R3 Dwelling -Custom, Model DBF DW LNG CSTM/MDL N Permit Fe 0010-440001-4210500-1010 $1,414.96 DBSMJP'Residential 1001-0-280-1011298 $6.63 Total Fees' Paid: $19421.59 I 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 (330) 538-7785 Facsimile Www.buftecounty.net/dds www.buttegeneralplan.net ADMINISTRATION * BUILDING * PLANNING August 2, 2007 Darren Vaught 2535 Wheeler Avenue Oroville, CA 95966 APN: 078-080-015 RE: Returned check for B07-1321 Dear Mr. Vaught: Our office received notice today that your check, number 1777 dated July 13, 2007 for. the amount of $1,421.59, was returned due to non -sufficient funds. We require full payment to issue building permits. We will require the amount of the check $1,421.59 and a returned check fees of $25.00 for a total.of $1,44.6.59. This will need to be submitted in the form of a cashier's check, money order or cash. Until these fees are received no inspections will be made. If you have any questions concerning this matter, please contact Diane Lewellen or myself at (530)538-7601. Thank you. Sincerely, 1 Alice Mefford Supervisor, Permit Center Cc:. Daniel or Darren Vaught, 1078 Ophir Road, Oroville, CA 95966 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2535 Wheeler Ave Owner: Permit N0: B07-1321 APN: 078-080-015 VAUGHT, DANIEL or DARREN Issued Date: 07/13/2007 By KEJ Permit type: RESIDENTIAL 1078 OPHIR RD Subtype: SFD-Custom/Model OROVILLE, CA 95966 Expiration Date: 07/12/2008 Description: NSF 1020' (to replace ex mobile home' (530) 534-8780 Occupancy: Zoning: AR 2.5 Contractor Applicant: Square Footage: SMITH IRA CONSTRUCTION VAUGHT, DANIEL or DARRE Building Garage Remdl/Addn PO BOX 5131 1078 OPHIR RD 1,020 OROVILLE, CA 959666 OROVILLE, CA 95966 Other Porch/Patio Total (530)370-4891 (530)534-8780 1,020 FEE INFORMATION DB R3 Dwelling -Custom, Model $943.30 DB R3 Dwelling -Custom, Model $1,414.96 DBEH Building Review Fee $75.70 DBSMIP Residential $6.63 Total Charged: $2,440.59 Fees Paid: $2,440.59 Balance Due: $0.00 Receipt No: B3882 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SMITH IRA CONSTRUCTION 761703 / B / 04/30/2009 Law for the following reason (Sec. 7031.5),, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect, of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 07/13/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is forts for on�llars ($100) or less.) 111 AM EXEMPT under Section B. & P.C. for this reason: 24,/CE, RTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 07/13/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Signature Date provisiOwner's X07/13/2007 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 SigrWure Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Countyjo enter the above mentioned property for inspection purposes. I hereby certify that I am the p�wneauthorized to act o the property owneee ehalf. U-VdL 07/13/2007 CONSTRUCTION LENDING AGENCY Waffie of Permittee [SIGN] Print Date 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) Owner Contractor for Owner ❑ OR. DAgent Agent for Contractor FILE COPY Lender's Address City State Zip . �%3Tr BUTTE COUNTY PERMIT 0 0 DEPARTMENT OF DEVELOPMENT SERVICES o �� o BUILDING PER MIT APPLICATION � 67-C� ° o OFFICE' #: (530,538-7541 FAX #: (530) 538-2140 0 -=-. o 0 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: cwww.butteco.unty.net/dds BIN # . OutN4 l --*PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name a ' I Mailing Address city ��t, StateG Zip?C-1 ' Phone !�;3�5�3 y� yso Fax E-mail 1 )l�Qi APPLICANT INFORMATION CONTRA OR Name° ;% Address X stat city am` Stat Zip Phone 3 L Fax E-mail Fax Lic. # ` 6 Open Class 13 1 )l�Qi APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Addtess Zip City Fax State Zip Phone Fax E-mail Open State License Number 1 )l�Qi APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail PROJECT LOCATION AP# - Q �O0 —;0/ Property Address l/ e, e r city WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address SCOPE OFs/WOR , ��DESCRIPTION—OR, Flood Zone SRA Yes No Occ. Type Const. -rgA 0_q AGO? Sq FT- Living`®w arage Open ❑ Structure Built without Permits ❑ Proposed Change of Occupanc (Note previous use): 6� V For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. -rgA 0_q AGO? Tle, 01j190 � 0 p qil6f�5 Y�-36 /0'i 66-6.�-65137 t If 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. O 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 (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1321 Location: Parcel Number: 078-080-015 Owner Name: VAUGHT, DANIEL Date: 6/15/2007 Phone: (530) 534-8780 Description: NSF 1020' r Signature of Property Owner: Date: 6/15/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecountY-net/dds National Pollutant Discharge Elimination System (NPDES) Phase 1I Construction Storm Water Permit and Storm Water Pollution,Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1321 Date: 6/15/2007 Location: By: GLB Parcel Number: 078-080-015 Sub Type: SFD-Custom/Model Owner Name: VAUGHT, DANIEL Phone: (530) 534-8780 Description: NSF 1020' By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts'of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: I w FILE Date: 6/15/2007 BUTTE COUNTY FEE SUMMARY Permit Number: B07-1321 Job Address: 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Contractor: SMITH IRA CONSTRUCTION PO BOX 5131 OROVILLE, CA 959666 Printed: 6/15/2007 1:44 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DB R3 Dwelling -Custom, Model DBF DWLNG CSTM/MDL N Permit F( 0010-440001-4210500-1010 $1,414.96 DBF DWLNG CSTM/MDL N Plan Rvv 0010-440001-4210500-1010 $943.30 6/15/2007 $943.30 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 6/15/2007 $75.70 DBSMIP Residential 1001-0-280-1011298 $6.63 2,440.59 $1,019.00 Printed By: Gwyn Benedict Balance Due: $1,421.59 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These s y e during the plan checking process. Signature: Date: 6/15/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). BUTTE9OUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 07c,- O06D 015 Building Permit Number V' VK Property Owner (s) Project Location /Address Subdivision Name Assessable Sq. Ftge (� Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued Comments: OR Building Department Representative. la� Date verified by Building Department w'►A 10.0 cn . 4. ❑ FRRPD ❑ CARD 0 PRPD 0 DRPD certifies that: Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: I —31:- d v Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Checl No: Park District Representative aid by Cash: per unit for a total of $ per sq foot for a total of $ Receipt No: 7_`5—(::� Date - _ _, a « ,. a �.;.,., - �_,.�,. _ 'K q.., ..,;,,.%-�, Y ti:. . ,ha ... r; � j .+w.yNR..r.•. : •7.. '�.✓'. �..x.*.,--.•-. � nR i I 3a' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School C'istrict r it I e �' (n► on Building Department No. Ta/ate Area No. A.P. Number.(1 - (0. 'NE Jurisdiction: City County Property Owner Property Locationl r _ I n 142- Ohl Subdivision Lot No. Residential Development ; ............................................................................................. Sq. Footage No` of— wing Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # Cr. Demo - ( n ) . :..................................................................................................: *(No foundation inspection) ': existing sq. ft. see attached Net total sq. ft. -0 Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Q New Addition Sq. Footage (Including Exterior Roofed Areas) !Z- 0 I - or/ Date District Identification No. 08 ®f) `-•' ® L u h i IA- School District'certifies that 0- \% C4N� (Payor) C � `5 �� � r D ryv:� � __ (�S Co � 3- I 09,-Q_ (Street Acdress) (City) I (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. /' u 5 "� V by payment of $ representing /Uc) 0 square feet. ! B 2926 $ ..,r,...�,7N $ Date Paid by Check # ./� Remarks: U 1r 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 cha lenging the imposition of the fees in any court action. If, subsequert to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by thq 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 iti impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12v06)dmm Butte County Department of Development Services TiM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1321 Date: 6/15/2007 Location: . By: GLB Parcel Number: 078-080-015 Sub Type: SFD-Custom/Model Owner Name: VAUGHT, DANIEL Phone: (530) 534-8780 Description: NSF 1020' 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 DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑. Feather River Recreaction & Park District; 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: FILE Date: 6/15/2007 '! i i i 8 f g i � R "a PW A" - AT F FLOOR PLAN i n?n CA R x007-0033344 AND WHEN RECORDED MAIL TO: Recorded I REC FEE 13. 0- k! Official Records I BUTTE COUNTY BUILDING DIVISION County of 1 COPIES .3, 00. 7 COUNTY CENTER DRIVE Butte i OROVILLE, CA 95965 CPNIDACE J. GRUBBS 1 County Clerk-Recorderl I LV 12:35PN 11 -Jul -2W I Pane 1 of 3 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or.discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. . All that real property situate in the County of Butte, State of California; described as follows: Date 71 1 b 1D 7 State of California County of�« On LL 01 -5--066 PROP RTY OWNERS: before me, 0-1 personally appeared --L� 4I�-A -0U ' V ate -64 v personally kaow*4o-me (or proved to me on the basis of satisfactory evidence) to be the persons) whose namepfis/are subscribed to the within instrument and acknowledged to, me that he/she<they executed 'the same in his/her/their authorized capacity�eb , and that by his/hertlheir signature(,s%f on the instrument, the person(w) or the entity upon behalf of which the person(g) acted, executed the instrument. WITNESS my hand and official se " JUDITH`M. WILGAMS . ` _�C.�� � ,�- comm.*MO459 Signature Seal: NOTARYPUWJC OCAUFOMA BUTTE COUNTY / Comm. Exp. APRIL 25, 2010 A.P. # ,} G/ S� >1f ESCMW NO.: 05.107476 -CC Locate No.: CAMMs8-09°..8-9001-0=07476 Title No.: 05 -107476 -BD EXHIBIT RA" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER AND THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 33, TOWNSHIP 13 NORTH, RANGE 4 EAST, A.D.B.&M. EXCEPTING THEREFROM: THAT PORTION DESCRIBED AS FOLLOWS: BEGINNING ATA POINT ON THE CENTERLINE OF WHEELER AVENUE, 574.7 FEET EAST OF THE LINE BETWEEN LOTS AND 2, IN BLOCK 115, AS SHOWN ON THAT CERTAIN MAP ENTITLED, 'ADDITION TO SUBDIVISION NO. l OF THE PALERMO CITRUS TRACT, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON July 23, 1888, AS WALL MAP NO. 14, THENCE NORTH 280.0 FEET; THENCE EAST, PARALLEL TO SAID CENTERLINE OF WHEELER AVENUE, 810.0 FEETTO THE CENTERLINE OF COUNTY ROAD; THENCE SOUTHERLY ON A CURVE TO THE RIGHT, ALONG SAID CENTERLINE OF COUNTY ROAD, 305.0 FEET, MORE OR LESS, TO CENTERLINE OF WHEELER AVENUE; THENCE WEST ALONG SAID CENTERLINE OF WHEELER AVENUE A DISTANCE OF 703.0 FEET TO THE POINT OF BEGINNING. ALSO EXCEPTING THEREFROM: THAT PORTION CONVEYED TO THE COUNTY OF BUTTE BY GRANT DEED RECORDED MARCH 3, 197!;T~BOOK 1971, PAGE 243, OFFICIAL RECORDS, AND DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SAID SECTION 33; THENCE SOUTH 88°5326" WEST, ALONG THE NORTH LINE OF SAID SECTION, 1,621.62 FEET TO A POINT ON THE WEST LINE OF UPPER PALERMO ROAD (UPPER OROVILLE- PALERMO ROAD) AND THE TRUE POINT OF BEGINNING; THENCE SOUTHERLY ALONG SAID WEST LINE SOUTH 33'3443' EAST, 205.15 FEE=T, THENCE SOIRHERLY ALONG THE ARC OF A 970 FOOT RADIUS CURVE, CONCAVE TO THE SOUTHWEST, THROUGH A CENTRAL ANGLE OF 32050'13", A DISTANCE OF 555.92 FEET, THENCE SOUTH 0°44'30° EAST, 114.42 FEETTO A POINT OF CUSP WITH A TANGENT CURVE CONCAVE TO THE SOUTHWEST HAVING A RADIUS OF 1,270 FEET (RADIAL LINE TO SAID CURVE OF THIS POINT BEARS NORTH 89015'3(r FAST); THENCE NORTHERLY ALONG THE ARC OF SAID 1,270 FOOT RADIUS CURVE, THROUGH A CENTRAL ANGLE OF 29°2513" FOR 652.12 FEET, THENCE NORTH 30009'43' WEST, 216.88 FEETTOTHE NORTH LINE OFTHATCERTAIN PARCEL OF LAND DESIGNATED CONVEYEDTO ELIZABETH A. FLEMING BY JUDGMENT OF FINAL DISTRIBUTION ON WAIVER OF ACCOUNTING UNDER WILL RECORDED October 23,1970, IN BOOK 1640, PAGE 338, OFFICIAL RECORDS, THENCE NORTH 88°5326" EAST ALONG SAID NORTH LINE, 4.08 FEET' O THE TRUE POINT OF BEGINNING. ALSO EXCEPTING THEREFROM: THAT PORTION CONVEYED TO GEORGE H. WILLIAMS, ET UX, BY GRANT DEED RECORDED February 8, 1950, IN BOOK 526, PAGE 413, OFFICIAL RECORDS, AND DESCRIBED AS FOLLOWS: A SMALL TRIANGULAR PORTION OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 33, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B.&M., LYING NORTHEASTERLY OF THE OROVILLE-WYANDOTTE COUNTY ROAD. ALSO EXCEPTING THEREFROM: THAT PORTION CONVEYED TO THE COUNTY OF BUTTE BY GRANT DEED RECORDED February 22, 1988, UNDER BUTTE COUNTY RECORDER'S SERIAL NO.1988-OSM AND DESCRIBED AS FOLLOWS: (A) BEGINNING AT A POINT ON THE EASTERLY LINE OF LOT 2, IN BLOCK 119, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ADDITION TO SUBDIVISION NO.1 OF THE PALERMO CITRUS TRACT', WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON July 23, 1888, AS WALL MAP NO. 14, SAID POINT ALSO BEING 40 FEET LEFT OF ENGINEER'S STATION "L' 130+64450 P.O.T. AND FROM SAID POINT OF THE NORTHEAST CORNER OF SAID LOT 2 BEARS NORTH 0°08'39" WEST, 609.43 FEET; THENCE ALONG SAID EASTERLY LINE OF BLOCK 119 SOUTH 0008'39" EAST, 85.38 FEET TO A POINT ON THE EASTERLY LINE OF LOT 1, IN BLOCK 119, OF SAID PALERMO CITRUS TRACT, SAID POINT ALSO BEING 45 FEET RIGHT OF ENGINEER'S STATION'L' 130+56.51 P.O.T.; THENCE NORTH 84029'08- EAST, 678.50 FEET; THENCE NORTH 51-30'52" WEST, 5.00 FEET; THENCE NORTH 84°29'08'FAST, 1,378.48 FEET TO THE BEGINNING OF AN 1840 FOOT RADIUS CURVE, CONCAVE TO THE NORTH (FROM WHICH POINT A RADIAL BEARING BEARS NORTH 5030'520 WEST); THENCE EASTERLY ALONG THE ARC OF SAID CURVE THROUGH A Init{als: CENTRAL ANGLE OF 15013'52"A DISTANCE OF 489.13 FEETTO THE BEGINNING OF A REVERSE CURVE CONCAVE TO THE SOUTHWEST, HAVING A RADIUS OF 35 FEET (THROUGH WHICH A RADIAL LINE BEARS SOUTH 20°44'44" EAST); THENCE SOUTHERLY ALONG THE ARC OF SAID CURVE A DISTANCE OF 53.77 FEET, THROUGH A CENTRAL ANGLE OF 8rOl'26"; THENCE SOUTH 22°43'18" EAST, 72-99 FEET TO A POINT ON THE WESTERLY 30 FOOT RIGHT OF WAY LINE OF UPPER PALERMO ROAD AND LOWER WYANDOTTE ROAD AS DESCRIBED AND DEEDED70 THE COUNTY OF BUTTE, AND RECORDED MARCH 31, 1975, IN BOOK 1971, PAGE 243, OFFICIAL RECORDS, AND FROM SAID POINT THE NORTHEAST CORNER OF SAID SECTION 33, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.S.&M. BEARS NORTH 6904YOS' EAST,1,485.01 FEET, SAID POINT ALSO BEING ON A 1270 FOOT RADIUS NONTANGENT CURVE, CONCAVE TO THE SOUTHWEST (FROlM WHICH POINT A RADIAL BEARING BEARS SOUTH 75018'28" WEST); THENCE NORTHERLY ALONG THE ARC OF SAID CURVE AND SAID 30.00 FOOT RIGHT OF WAY LINE THROUGH A CENTRAL ANGLE OF 14021'28, A DISTANCE OF 318.25 FEET, THENCE LEAVING SAID 30 FOOT RIGHT OF WAY LINE SOUTH 2rM'05" EAST, 94.85 FEET TO THE BEGINNING OF A 35 FOOT RADIUS CURVE, CONCAVE TO THE NORTHWEST (FROM WHICH POIN'A RADIAL BEARING BEARS SOUTH 67°5655" WEST); THENCE SOUTHERLY ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 91021'29", 55.81 FEET TO THE BEGINNING OF A COMPOUND CURVE, HAVING A RADIUS OF 1,760 FEET CONCAVE TO THE NORTHWEST (FROM WHICH A RADIAL BEARING BEARS NORTH 20041'37' WEST); THENCE WESTERLY ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE 15010'45", 466.27 FEET; THENCE SOUTH 84°29'08" WEST, 2,043.98 FEET TO THE TRUE POINT OF BEGINNING. TOGETHER WITH UNDERLYING FEE INTEREST, IF ANY, APPURTENANT TO THE ABOVE DESCRIBED PROPERTY IN AND TO THE ADJOINING PUBLIC WAYS. (B) COMMENCING AT A POINT ON THE EASTERLY LINE OF LOT 2, IN BLOCK 119, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ADDITION TO SUBDIVISION NO. l OF THE PALERMO CITRUS TRACT', WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON July 23, 1888, AS WALL MAP NO. 14, SAID POINT ALSO BEING 40 FEET LEFT OF ENGINEER'S STATION 1" 130+64,50 P.O.T. AND FROM SAID POINT THE NORTHEAST CORNER OF SAID LOT 2 BEARS NORTH 0°08'39". WEST, 609.43 FEET; THENCE ALONG SAID EASTERLY LINE OF BLOCK 119, SOUTH 0°08'39" FAST 85.38 FEET TO A POINT ON THE EASTERLY LINE OF LOT 1, IN BLOCK 119 OF SAID PALERMO CITRUS TRACT, SAID POINT ALSO BEING 45 FEET RIGHT OF ETTGINEER'S STATION "L" 130+5651 P.O.T.; THENCE NORTH 84029'08" EAST, 678.50 FEET; THENCE NORTH 5°3t Sr WEST, S.00 FEETTO THETRUE POINTOF BEGINNING; AND FROM TRUE POINT OF BEGINNING THE NORTHEAST CORNER,'OF SAID LOT 2 BEARS NORTH 4701718" WEST,'92O.86 FEET; THENCE NORTH 84°29'08" EAST, 240.00 FEET ;,THENCE SOUTH 5°30'Sr'WT,130.00 FEET; THENCE SOUTH 84'29'08" WEST, 240.00 FEET; .THENCE NORTH 5°302" WEST,13Q.00 FEET TO THE TRUE POINT OF BEGINNING.: . J. TOGETHER WITH UNDERLYING FEE INTEREST, IF ANY, APPURTENANTTO THE ABOVE DEED PROPERTY IN AND TO THE ADJOINING PUBLIC WAYS. ALSO EXCEPTING THEREFROM: THE PARCEL OF LAND DESCRIBED IN THE DEED TO COUNTY OF BUTTE, RECORDED October 28,1999, AS INSTRUMENT NO. 1999-45741, OF OFFICIAL RECORDS. Initlals: H O M E S Fiy�RoN Highland Park Series Model 7714P -Io 4 Bedrooms • 3 Baths • 2,748 Square- Feet '0011A1,®9� 'G' -B" WALK-IN WALK-IN 1 OPr. LINE CLOSET LL05ET _ WALK-IN OPi. ' CLOSET OOR BEDROOM 44/ LIVING ROOM I M• BEDROOM A13 OPT- STUDY 29-o"x IZ-1o" / BA7 n'-4"XIZ-1o^ BAT 1r-e^x12-e° z DOUBLE SHELVE5 WALK-IN i CLOSET OFT. CEILING I I pANlRY L-- I t _ OPT. FIREPLACE - i 1 I 1 CAe6 i I 1$'-8" x 1$'-4" MASTER _ I 1 BEDROOM '0^DOOR _ & SINK ..1.�— OPT CEILING I S N 0FAN m t BATlI� WALK-IN \ �� LL — aoSEr1� KITCHEN IJ I I 1 FAMILY ROOM 16-2"x28'-0" 0 1 v "FOYER DININGBEDROOM#2 AREA 11'-O"X 12'-f0" 1$'-O"X 12'-10° RETREAT X DOUBLE SHELVES 1 1 I WALK-IN CLOSET 1 1 2; _ CRCVILLE, CA 95905 (530) 532-330.1 Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, -may vary from the actual home. All dimensions are nominal and approximated. Square footage is -measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is ."iuor length only. The length of the hitch'is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. HP/31 /NOV03 E✓ F TAW, I� Cid A ' 70 77 ES Exterior Fiber cement siding built to resist weather damage'.. 2" x 6" exterior wall construction provides a sturdy frame • Transverse floors with 2" x 6" floor joists for better support • Class "A" fire -rated, dimensional shingle roof for long-lasting, low maintenance performance • -Vented roof cavity allows hot air and condensation to exhaust for improved energy efficiency • Inswing front entry door with deadbolt, peephole and brass knocker for your family's safety. - • Inswing rear door with deadbolt and window add natural light • Low -E coated dual paned vinyl framed windows for better energy efficiency 1 • Porch lights at front and rear entries for your safety Interior • W drywall tape and texture in all areas (excluding closets) adds style to your interior • Rounded sheet rock corners in living areas soften your decor • Standard 18 oz. carpet in all living and bedroom areas for high performance and low maintenance - 100% nylon to prevent fuzzing and shedding - Multi -colored dye technique minimizes tracking And spotting ' - Treated with StainTech- for easy cleaning • Glass ceiling fixtures brighten your home's interior Vaulted ceiling throughout provides an open look and feel • White lined overhead cabinets for easy maintenance • Solid wood cabinets add quality and natural beauty to your kitchen and bathrooms • Metal mini -blinds for your privacy • Hollow core closet doors are durable and provide convenient access If. • Waterfall style door trim throughout Baths • Easy -care laminate countertop with hand laid, 4" ceramic tile backsplash provides attractive color accent • Recessed medicine cabinet provides convenient storage space in each bath • Master bath has a large one-piece oval tub/shower for a relaxing bath or -convenient shower • Guest bath has a one-piece 60" fiberglass tub/shower comfortable molded design and easy maintenance • Ceiling exhaust fan provides extra ventilation in each bath • Moen® metal single lever shower faucets - "Buy it for looks. Buy it for life.'- • Moen® 4" metal dual lever faucets - "Buy it for looks. Buy it for.life"- Bank of three drawers in the master bath for handy storage • Extra large vanity mirrors with Hollywood lights in both bathrooms provide an expansive viewing area Kitchen • Whirlpool® appliances provide confidence and hassle -free service - 30" free-standing electric range - 14 cubic foot frost -free refrigerator-,- • Moen® metal single -lever metal faucet - "Buy it for looks. Buy it for life" - Bank of 4 drawers provides convenient storage for your utensils • Double cell porcelain sink adds flexibility in kitchen activities • Congoleum® no -wax, vinyl flooring for easy care • . Elegant crown molding provides a finishing touch to overhead cabinets • Choice selection of 4" ceramic tile backsplash provides attractive color accent • Tile self -edge provides a finished look • Two pull-out pot and pan drawers provide easy roll out.storage convenience Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary.from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. O01996 Utility, Safety and Energy Features • Shut-off valves at all plumbing fixtures for your convenience • Overhead utility shelf for added storage space • Insulation package for energy efficiency, includes:' white vinyl framed, dual -paned windows, R-22 ceiling, R-19 wall, R-22 floor. The higher the R -value, the better the insulation • 30 gallon electric water heater is efficient and requires low maintenance • Coleman® electric furnace provides name brand confidence and hassle -free service • • Plumb/wire for washer and dryer provides convenient hook up Optional Features • Dishwasher and garbage disposal for quick and easy kitchen clean-up • Skylights of various sizes brighten any room • Refrigerator and range upgrades meet your culinary needs • Deluxe carpet selections for increased performance and beauty h" rebond carpet pad extends the life of your carpet • Ceiling fan circulates air for a "spring breeze" feeling all year long • Overhead utility cabinets expand your storage space • Recessed fluorescent lights give your kitchen a contemporary look • Sliding glass exterior door welcomes more natural light into ,your home • ,California gas package includes: 30 gallon gas water heater, gas range and gas furnace. , ak\\ FLEETWOOD FLEETWOOD HOMES of WASHINGTON, INC. a subsidiary of Fleetwood Enterprises, Inc. 211 5th Street Woodland, WA 98674 y. (360) 225-9461, HP/31/DEC.02 r4kr Butte County Department of Development Services www.buttecou nty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile October 22, 2004 -Danny Vaught 2955 Orange Avenue Oroville CA 95966 ; .RE: Incomplete permit process for, HCD 433A (mobile home on a permanent foundation) 1078 Ophir Road, Oroville CA Ap# 036-280-073; Permit 04;1879 Dear Danny Vaught; ! r Your check, payable to HCD is being returned to you; due -to failure_to_ complete the i"permit process as referenced above You will need to contact our office, and talk to one of our Permit Application Assistants. Who will assist you in determining what you will need to finish the permit process. This process must be completed before the mobile home can be removed from California State license rolls and added to Butte County rolls as real property. If you have any questions regarding this process, please call (530) 538-7541, and ask for a Plan Application Assistant. Thank you, Gwyn Benedict Office Assistant II August 3, 2004 Daniel Vaught 531 Silverleaf Dr. Oroville, CA 95966 Re: 036-280-073 Dear Mr. Vaught: ffu county LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 I was unable to notify you by phone.because the number that I had was disconnected. This letter is to notify you that the building permits you applied for on 6/25/04 have been approved. You have several items on the data sheet to. complete prior to the permits being issued, they are listed below. Building Permit #04-1879 (Mobile Home) Encroachment Permit. (This permit can be obtained through the Butte County Public Works Department, 7 County Center Dr.,. Oroville) Recorded copy of Agricultural Acknowledgement Statement. 3. Plot plan indicates mobile home on property — no permits in file. We will require a letter of intent to remove the existing mobile home or a building permit will be required. If the mobile home was installed prior to 1972 then we will not require a a8 permit. However, you will need to provide Assessor's record showing that it was installed prior to 1972. Daniel Vaught AP #036-280-073 Page 2 Building Permit #0404-1880 (Garage) �( 1. Balance of fees due $77.74. Ai2()A9 If you have any questions please call us at 538-1541. Sincerely, /� R Paula Atterberry Plan Application Assistant II t NOTES 4. RESIDENTIAL 4 . PERMIT N0. 136-280-0'73-- 04-1880 _ VAUGHT, DANIEL OPHIR RD, OROVILLE I ` CONT: OWNER NEW PRI DET GARAGE i 4 4 J i� { SPECIAL CONDITIONS CHECKED BY SRA FLOOD C_E_RTLF_lr_n=G- OFFICE COPY Address GAS Da/e Meter BY ELECTRIC Date Meter By OFFICE COPY Address 4 GAS Meter By--6Date I ELECTRIC Meter By D e { JOB FINALED (Date) Signature J=OK 4. 0 = Not OK 2. - = Not Applicable . = Not Readead;•. - MOBILE HOMES Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Date 4W MOBILE HOME UTILITIES (Plans) OK except #'s 7. 1. Zoning Requirements -Setbacks -Easements Elec.; Enclosures; Conduit Entries -Terminals -Listed 2. Soils; Special MH Support Sketch Utility Clearance 3. Sewer; Location -Test -Fall -C/0 -Concrete MISCELLANEOUS Date PEC!4, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Z ing Requirements -Setbacks -Easements ootings; 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 Windows -Doors 7. Electric w 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 4. Water; Location -Test -Easement Needed (Sketch) 2. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 5. 7. Well Clearance & Disconnect Elec.; Enclosures; Conduit Entries -Terminals -Listed 8. Utility Clearance 8. s 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 Date 12. Enclosure; Fencing -Alarms 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 MISCELLANEOUS Date PEC!4, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Z ing Requirements -Setbacks -Easements ootings; 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 Windows -Doors 7. Electric w 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. s Elec.; Grounding; Equip. w/5'.Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche - 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o = NotOK Applicable - =Not Applicable RESIDENTIAL (Single & Duplex) . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 6. Stemwalls, Garage; Steel- 8lockouts-Wrapped Garage Fire Protection Framing -RC Channel 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, Steel -Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 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 65. 18. Water Pipe; Test & Anchor -Nail Protection 66. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 67. 20. Shower Pan; Test, First Floor -Tub Access 68. 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 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes ❑ No Clearance Looked under Floor O Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 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 89. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53, Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: E BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041880 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: 08/09/2004 APN' 036-280-073-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1078 OPHIR RD ORO Date: Contractor. Map Index: Description: GAR(960) OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: VAUGHT, DANIEL H. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 531 SILVER LEAF DRIVE signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant'' VAUGHT, DANIEL H. Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 531 SILVER LEAF DRIVE such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.): I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License O 1 aam� Exempt under Article of nd Professions Code Date: 'J L Owner: Z License #: WORKERS' COMPENSATION D CLARATION 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 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 policy number are: Carrier: Total Square Ft: 960 S. F. Valuation: $23,040.00 Census Code:. Policy #: jp 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 the workers' compensation laws of California, J / and agree that if I should become subject to the workers'y}�rJj Section 3700 the Labor Code, I shall ' (.�9/ compensation provisions of of forthwith comply with those.provisions. l / 7l/� r Date: Applicant: / WARNING: Failure to secur 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 peit is hereby issued under the applicable provisions of the Butte Count Coda anN4r ' 'n 'cated v have been I hereby affirm that there is a construction lending agency for the Resolu todo work a f r which fees paid. �j performance of the work for which this permit is issued (Sec 3097 Civ.) Name: B�v'L Date: rr// C� PERMIT EXPIRES ON: Address: Dat ❑ I 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 o his project: ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authoriz 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 ny o 'tial f o ment of Butte County. I hereby authorize represe tativ/es of Butte County to entef upon the>welMentioned property for inspection purpos �< Print Name: I t� r 'G Signature: Date: 0 Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2+®Irt�4—��'r+8274 Recorded I REC FEE 13.00 Official Records I CONFORM 1.00 CountTE f I CAMCE J. GRUBBSReco I ROSEMARY DICKSON I Assistant I Alyce 11:10AM 09 -Aug -M4 I Page 1 of 3 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of But State of California, described as follows: &e' C-Jqe(J Date -t�0G( State of California County of ?P On '1 AW) /-/% (V-1 before in personally appeared 1){Ni WI, k -t • V IkkXatfl' p"seually known to me .(Or proved to me on the basis of satisfactory evidence) to be the persod("hose name(s) isMre subscribed to the within instrument and acknowledged to me that he4keAherexecuted the same in hisAter/their authorized capacity(), and that by Vs/4eWsheirsignature(f+on the instrument, the person(4or the entity upon behalf of which the Derson(4 -acted, execuked th/f nstrument. Signature \ !0Z Seal: TARA L. CARSON Commission +14725330 a Notary Public - California T v Butte County My Comm -Exp. FEB. 24; 2008 .rj Fn 3N I bgbiosgH MPOW3 i abtopsR iei:)illG i 30 vinvoo t 3TTUH M1 Y �•��"✓•.r-•fie• T.. +�.r,\�•v��+�+' HER' t 339M i ti'bro��R 1 VIG3}t7IQ Yr�AS�3�Cf; 9�v1� ( 3flbf2t2Fi'1 L to 1 3pb4 I ASS-puit-E'S MA01:11 L' dr' r •. a -.;.ft�+� fiVif� F .?._, :(�i�•i r:,ief1 .>���t�J��j1�!+°�,(!�„, V;,►,s ^C�rg� �MAD "•�+ k"M ti M1 Y �•��"✓•.r-•fie• T.. +�.r,\�•v��+�+' dr' r •. EXHIBIT "A" PARCEL 3 Being a portion of the Northeast one-quarter of Section 33, Township 19 -North, Range 4 East, M.D.M., also being a portion of the County of Butte Assessor's Parcel Number 036-280-069, and also being shown on that certain County of Butte Right of Way Map labeled Right of Way Map at the intersection of Ophir Road, Lower Wyandotte Road and Upper Palermo Road dated June, 1999 on Sheet 1 of 1 on file in the Office of the Butte County, Department of Public Works under File No. E-2438, and being more particularly described as follows; COMMENCING at the Centerline intersection point of the intersection of Lower Wyandotte Road, Ophir Road, and Upper Palermo Road being shown on that said County of Butte Right of Way Map, and also being shown as Engineers `L' -line Centerline Station 156+61.48 (Ophir Road) and Engineers `L' -line Centerline Station 139+25 POC Lower Wyandotte Road and Upper Palermo Road, and also being shown as Engineers `C' -line Centerline Station 10+00.00 for Lower Wyandotte Road to the East; THENCE South 68039'35" West, along said Ophir Road centerline, a distance of 55.82 feet to a point at Engineers `L' -line Centerline Station 156+05.65PT, as shown on said Right of Way Map E-2438, said point also being the beginning of a curve, concave to the Northwest, (to the Right), having a radius of 1800.00 feet; THENCE Southwesterly along the arc of said curve through a central angle of 12°27145", a distance of 497.17 feet to a point at Engineers 'L' -line Centerline Station 151+08.48 PC, as shown on said Right of Way Map E-2438; THENCE leaving said Engineers `L' -line Centerline Station 151+08.48PC, South 05030152" East, a distance of 40.00 feet to a point on the existing southerly Right of Way line of Ophir Road as shown on .file in the Office of the Butte County Department of Public Works Right of Way Maps E-1696, E-2109, and E-2438, and said point also being the beginning of a curve, concave to the Northwest, (to the Left),'having a radius of 1840.00 feet; THENCE Northeasterly along the arc of said curve through a central angle of 12027145", a distance of 400.22 feet to a point (from which a radial bearing bears North 17°58'37" West, said point being 40.00 feet Right of Engineers `L' -line Centerline Station 155+00.00 as shown on said Right of Way Map E-2438, and said point also being on the existing southerly Right of Way line of Ophir Road, and also being the TRUE POINT OF BEGINNING; THENCE leaving said existing southerly Right of Way line of Ophir Road,. South 17°58137" East, a distance of 10.00 feet to a point being 50.00 feet Right of Engineers `L' -line Centerline Station 155+00.00 as shown on said Right of Way Map E-2438, said point also being the beginning of a non -tangent curve, concave to the Northwest, (to the Left), having a radius of 1850.00 feet, (from which a radial bearing bears North 17°58137" West); THENCE Northeasterly along the arc of said curve through a central angle of 02053'52", a distance of 93.57 feet to a point (from which a radial bearing bears North 20'52'29" West, said point also being 50.00 feet Right of Engineers `L' - line Centerline'Station 155+91.04 as shown on said Right of Way Map E-2438; 2 THENCE South 65005135" East, a distance of 27.35 feet to a point being 50.00 feet Left of Engineers 'L' -line Centerline Station 138+52.44 as shown on that certain County of Butte Right of Way Map labeled OPHIR ROAD EXTENSION, Lincoln Blvd. To Lower Wyandotte dated 10-85 on Sheet 3 of 3 on file in the Office of the Butte County, Department of Public Works under File no. E=1696, said point also being the beginning of a curve, concave to the Southwest, (to the Right), having a radius of 1250.00 feet, (from which a radial bearing bears South 71051123" West); THENCE Southeasterly along the arc of said curve through a central angle of 02018140", a distance of 50.42 feet to a point (from which a radial bearing bears South 74°10104" West), said point also being 50.00 feet Left of Engineers 'L' - line Centerline Station 138+00.00, as shown on said Right of Way Map File No's E- 2438 and E-1696; THENCE North 74010104" East, along said radial line, a distance of 16.69 feet to a point on the existing westerly Right of Way line of Upper Palermo Road as shown on said Right of Way Map File no's E-2438 and E-1696, said point also being 33.31 feet Left of Engineers 'L' -line Centerline Station 138+00.00;• THENCE North 22°43118" West along the existing westerly Right of Way line of Upper Palermo Road as shown on said Right of Way Map File No's E-2438 and E-1696, a distance of 47.53 feet to a point being 38.00 feet Left of Engineers `L' -line Centerline Station 138+48.63 on the existing westerly Right of Way line of Upper Palermo Road to a point (from which a radial bearing bears South 67016146" West), also being the beginning of a curve, concave to the Southwest, (to the Left), having a radius of 35.00 feet; THENCE Northwesterly along the arc of said curve through a central angle of 88°0112611, a distance of 53.77 feet to a point of reverse curve, concave to the Northwest, (to the Right), having a radius of 1840.00 feet, (from which a radial bearing bears South 20044'36" East), said point also being 40.00 feet Right of Engineers 'L' -line Centerline Station 155+86.98 as shown on said Right of Way Maps E-2438 and E-1696, said point also being on the existing southerly Right of Way line of Ophir Road; THENCE Southwesterly along said existing southerly Right of Way line of Ophir Road and the arc of said curve through a central angle of 02°46'07", a distance of 88.91 feet to the TRUE POINT OF BEGINNING. Said Point of Beginning bears South 55°59105" West, a distance of 167.86 feet from the said centerline intersection point of the intersection of Lower Wyandotte Road, Ophir Road, and Upper Palermo Road as shown on said Right of Way Map File No. E-2438. Containing 0.05 Acres (2106 square feet). more or less. 3 BUTTE COUNTY ► DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041880 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: 08/09/2004 APN' 036-280-073-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1078 OPHIR RD ORO Date: Contractor. Map Index: Description: GAR(960) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: VAUGHT, DANIEL H. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 531 SILVER LEAF DRIVE signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their , sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant' VAUGHT, DANIEL H. ' Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 531 SILVER LEAF DRIVE such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). fjD I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon! • and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License L ). ❑ I aam: Exempt under Article of nd Professions Code " 9 Owner: Date: License #: WORKERS' COMPENSATION D CLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintainworkers' compensation insurance, as required by Section 3760. !he Labor.Code, for the performance of the work for which this permit is issued./ Nly workers' compensation insurance carrier and policy number r are: ; ,. sr Carrier: Total Square Ft: 960 S. F. Valuation: $23,040.00 Census Code: Policy#: IQ 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. (h' 7/ �� ql(e ��wi l Date: Applicant: WARNING: Failure to securi workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one , yam( hundred thousand dollars ($100,000), in addition to the cost of ` ' I compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY Thispe it is hereby, issued under the applicable provisions of the Butte Count CodR snrivor I hereby affirm that there is a construction lending agency for the Resolu to 40 work 'n 'cated v or which fees have been paid. �y performance of the work for which this permit is issued (Sec 3097 Civ.) %j Name: Date: v PERMIT EXPIRES ON: Address: —fi� I(Datfifl ❑ 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 o his proj t- ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authoriz 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 ny o 'tial f o ment of Butte County. I hereby authorizerepres tativespoI Butte County to ent upon the a entioned property for inspection purpos Print Name: Ci r 'G Signature: Date: liff Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name irs a Address '✓ City We., State 1 Zip©3- l Phone Cax E-mail A 1J1/ F Name Address 1 City (/ Zip Phone APPLICANT NAME ARCHIT CT/ENGINEER Name Address Me - City (/ Zip Phone Fax E-mail a icense Number APPLICANT NAME Name VA wh< Address 53Ze#l- It City ® o StatM Zip Phone F61— Fax E-mail For office use only: Zoning Prope10-7Ks g kA Flood Zone Cross Street D&^ SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. [/N BIN # LOCATION AP# 036 9�00 0 Prope10-7Ks g kA City Cross Street D&^ WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage 9 O ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS LL KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received b4w Amount: Receipt #: LW&S f Date: (Y X5_ 6 q SRA Sheriff MIP Other REV 6-16-04 SUBMITTAL REQUIREMENTS CO- . The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (1VO FAXES!). '❑ 4. Letter from Engineer or Architect for truss design review. _ ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-si ied by the en 'neer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation..plans. ❑ 6. Sanitation and site plan'approya from the Environmental Health Department. 117. 2 Flood Elevation Certificate, w t -stamped and signed (if required). Commercial, New, Additions and Remodels: r ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 T. . ^ 4I �60 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 1) PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician:$Jv� Date: t!Jk;i L Ite%s<Fequired in order to appifi for a permit. II boxes MUST be checked OR marked NA in order to apply: 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ / 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. C� 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 AIC 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 e❑ 12. Letter of intent for non-residential buildings 13. Detached Accessory Building Form filled out by the owner d 14. Hazardous Material Form Gtl 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. �j 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............................................7S.,�Q. ..... At� ... 21. Fees as shown on the attached Schedule of Fees Due Sheet&*P:0W ;. El 22. City of Chico Plumbing permit........................................................................ 0,,, 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval (A) Use6)Parking: (C) Parcel Check:- ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation 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. 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 infotmed of he above items and requirements for obtaining a building permit. �I Applicant Date: r 1. Index permit application for the above items numbered: Plan ChecLetipr 2. Additiorat items r Conlractoi., desig r, wner s advised of the above data by ❑ phone, grmail, ❑ counter, by Y W Date. Contractok designe , was advised of the ve data byY phone, ❑ mail, ❑ counter by Date Plans reviewed by: ' Date: &, 'U Plans approved by: Date': Structural -eviewed by: Date: Structural approved by:. Date: Note transfer by: Date: Yellow: Building Division EPW��T �UTTFok 0 o � 0 d \\ 0 0 \\ cOl1 NI A�etic WOR�y Department C o u n t y 4 f Public o f B u t t 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 I Construction Storm Water Permit and Storm Water Pollution )Preventio I Plan (SWPPP) Acknowledgement n g (LESS THAN 7 ACRE% Project Description: r(qO Project Location and/or Parcel Number: 036- ;-t,?d— ©o 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. t 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: 6 Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 ` (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING - OWNER'S STATEMENT OF USE " , Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked fot residential use. Exception: Garages and Carports. Owner: Phone: Mailing Address �D ���1.�� Z64jp Site Address: (i'rrl f(- n �U Assessor's Parcel Number: 036- :7J © c9%3 Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL LNFORML ATION: 1. Is there a primary dwelling on the property? Yes ® No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ® No ❑ 3. Will items produced in this building be offered for sale? Yes 0 No 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No go SITE CONDITIONS: T 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No ® . 7. Is any portion of the structure located closer than 20' to your front property line? .. Yes ❑ No (II S. Do you plan to add a driveway or modify existing access to a county maintained road? YesX, No ® CAI 9. Will the proposed structure encroach within any recorded easement? Yes L No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink -?Yes ❑ No 00 14. Will this building have a water heater? .. . Yes ❑ No 15. What type of floor covering NNill the building have? Coclee LL, `I 16. What type of «•all covering will the building have? OVER 1 of 2 PROPOSED USE• *oncx) 1. ❑ R idential Storage Shed — I will be storing in this building and it will not used for any other purpose (no bathroom and t g 2. Private Garage — "A building or a portion of a build' g not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept" A earaee door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #4, please check the uses below which best fit this building ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office Q Workshop' Home Occupancy' ❑ Other— Use 1. rx=<rbe type orwort,tap If / X i N(r 1,h- be approved by the Bu Cot y Planting r,,,.jm, Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or,character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Ou-ner's Name: Please Prink___ Owner's Signature: Date: 2of2 JIM PURSELL Page 1 Date 5/20/04 CIVIL ENGINEER RCE 60924 Job Number: 104-05-97 Job Name: Danny Vaught Assessor Parcel No. 036-280-073 Analysis: 2001 CBC Dead Loads Live loads Roof t Comp 6.0 . 1/2" O.S.B. 1.5 Framing 5.0 Insulation 1.0 1/2" Gyp 2_5 16 psf. 16 psf. Wall. Siding 2.5 Framing 3.0 1/2 gyp - 2.5 { Insulation 1.0 9.0 psf. Floor Flooring 3.0 Subfloor 4.0 Insulation 1.0 Steel frame 4_0 ; 12.0 psf. 40 psf. Lateral loads Wind P = Ce Cq q I where Exposure B Ce = 0.62 @ 15 feet Cq 0.3 in/ 0.9 out windward roof q = 14.5 psf @ 75 mph 0.67 @ 20 feet 0.7 out leeward roof I = 1 0.72 @ 25 feet , 0.8 in windward wall { 0.76 @ 30 feet 0.5 out leeward wall Seismic V=2.5CaIW/1.4R Ca=0:36,. I=1, R=5.5/4.5 Soil Bearing. Lateral Sliding Lateral bearing 1000 psf Coeff. = 0.35 200 psf/ft. . 0 3 All ls oc) mnc)o �� ®- 5 eD •- - Imo/ -A 7 //S -R �so p F<:>--�jXG,<, . 0 3 -1 Vaught Page 3 Lateral Analysis Improtance Factor 1 = 1 Wall A = Wall B Wind Seismic Roof: Windward Leeward q .1 P Roof Weight: (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 Pitch = Rise:Run Pitch Factor P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 3 : 12 = 1.03 P(20)= '0.67 0.3_ 0 0.7 0 14.5 1 = 0 P(15)= 0.62 0.3 200 0.7 200 14.5 1 = 1798 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) 1.03 x 1526 x 16 = 25167 Wall: Windward Leeward q I P Wall Weight: (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) (Area)x(Wt.(psf)) = Wt. (lb).* P(30)= 0.76. 0.8 0 0.5 0 14.5 1 = 0 885 x 9 = 7965 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 Floor Weight: P(20)= 0.67 0.8 0 0.5 0 14.5 _ 1 = 0 (Area)x(Wt.(psf)) = Wt. (lb)' P(15)= 0.62 0.8 283 0.5 283 14.5 1 = 3307 1413 x 12 = 16956 P (Total) = 5105 Ca = 0.36 Total Wt.(Ib) R = 4.5 W = 50088 ' Base Shear (lb)' SEISMIC GOVERNS V = (2.5 x Ca I x W)/(1.4 x R) = 7155 % Wall 1 = Wall 2 Wind Seismic Roof: Windward Leeward q I P Roof Weight: (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 Pitch = Rise:Run Pitch Factor P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 3 : 12 = 1.03 P(20)= 0.67 0.3 0 0.7 0 14.5 1 = 0 P(1.5)= 0.62 0.3 0 0.7 4 14.5 1 = 0 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib). 1.03 x 1526 x 16 = 25167 Wall:. Windward Leeward q I P Wall Weight: (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) (Area)x(Wt.(psf)) = Wt.(Ib) P(30)= 0.76 0.8 0 0.5 0 14.5 1 0 885 x ' 9 = 7965. P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 Floor Weight: P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 (Area)x(Wt.(psf)) = Wt.(Ib) P(15)= 0.62 0.8 220 0.5 220 14.5 1 = 2571 1413 x 12 = 16956 P (Total) = 2571 Ca = 0.36 Total.Wt.(Ib) R=4.5 W =._ 50088 Base Shear (Ib) ^; L)Gt �y P E5�7.3qs- IIA K r -SST L•,7-p����Gv �� �� C _ w _. �. .� i I Ar i i 5 r f i `Oi NITY OF BUTTE - DEPARTMENT OF DEVELOPMENT 7 County Center Drive, Oroville Phone: 916-538-7541 a LENORARD,VAUGHT 10 OAK AVENUE ' OROVILLE,:� CA 95966 RE: ! A.P. # 036-280-069 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm SERVICES, BUILDING DIVISION CA 95965 DATE: 20 JANUARY 200C Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following informationprior to permit processing and/or issuance: Permit application signed andicompleted where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. ,Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form I Energy Design Compliance and supporting documentation. Statement of .Intent for Non -Heated and A/C.Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. ' Fees of $ , payable to Butte County Treasurer. lImpact fees paid. California Department of Forestry plan approval/fees. F!E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit! Plot plan and business license approval from City of Biggs/Gridley. Planning approval for I Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural lAcknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road: Letter of intent on building use. Mobilehome utility clearance Documentation Documentation of legal access.4 Documentation of 50%- subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. + Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of ',way to a public road Other: YOUR PARCEL LIES IN FEMA FLOOD HAZARD -ZONE 'A' PLEASE PROVIDE A DETAILED PL)T PT AN SHOW TNC TNF T-nC'ATTnN Op THE PRnpncFn cUPLIC ME IN RAT TIQNSNlp PUM ONE r Should you have of this. office. MCV:ahb I any questions concerning the above, please contact -- ^ . it 1 C.1 Vieira, C.B.O. r, guilding Inspection j BUILDING DIVISION G COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. , - L, I7 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements,1 hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARC�LNC3� /��� �, ` L ZONING OWNER PHONE NO. 41 OWNER'S ADDRESS •� � r (J ofirt= ti��uc aau LOCATION OF BUILDING r✓� r�v�• vr� &7 - USE OF BUILDING � � '� IL(i fes' SIZE OF STRUCTURE �j� i X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING �51e ROOF COVERINGS ed FLOOR TYPE n 2� I ESTIM%Aj�TE/D�, COST OF CONSTRUCTION $ -q1 t1l.�-i.J AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County s as follows: S 5 I f d-- Ordinances /0WK i FRONT ' SIDES 9D `'`�� REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS, Datum. I declare under penalty of perjury that the building will. be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner�i Permit Fee= $60.00 The above described AG Building is a from ing permit. FL OO ARCEL P.D. ROOF ISSIX Receipt No. ail` U Manager Building Division By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant it 1j Ir BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM % Date: ., i AP#: Owner: �Ab u I E Zoning: c Address: v General Plan: Supervisorial District #: iw% Complaint[Violation Location: ol 33S �1 U6� Q K olzool I s TYPE: { } Building { } Health { } Planning Housing Complaint Taken By: I� r i COMPLAINT: I Caution:,. { ),Yes Why:.. . Permit -History;on File { } None. { } See Attached Tenant: ' r Descriptio'" of Violation: INSPECTOR'S REPORT I Address: Approx. Size of Bldg/MH: I Approx. Age of Bldg/MH: a { } Occupied Has Electricity { )Yes {i } No Has Gas/Propane { } Yes { } No { } Vacant Has Sanitation { } Yes fl } No Obvious Sewage Problems { } Yes { } No Under Co"struction { ) Yes { ) No Built by/for { } Present Owner { } Previous Owner Hazards: ' { )No { )Yes (explain) Person Contacted: Describe Action Taken: INSPECTOR MUST ATTACH A COPY OF THE CORRECTION NOTICE!! Inspector: Date: { } Information Only, File I i ('n nnlaint TTnfmmriPri I ACTION RECOMMENDED { } Hold for Days i i nthP.r � , II „ I ai a I l 4 RECORDING REQUESTED BY: ' II I �f AND WHEN RECORDED MAIL TO: ;i BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 k ;i 2004-0072749 • Recorded Official Records County Of BUTTE C'ANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:08PM 29 -Nov -2004 REC FEE 16,00 CONFORM 1.00 Kathyh Page 1 of 4 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY j NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 1 I 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 Section48551. 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. DANIEL H. VAUGHT BUTTE COUNTY BUILDING DIVISION REAL PROFERTY OWNERILESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 2955 ORANGE AVE. I 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATEZIP CITY COUNTY STATE ZIP 1078 OPHIR RD. I 04-1879 530 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT I BUIL IN RMIT N0. TELEPHO"��`UMBER, OROVILLE BUTTE, CA 95966 ( I I " � 7 ' Q CITY I COUNTY STATEZIP SIGNA URE r LOCAL AGEN Y 0 FICIAL DATE SAME'.' lk FLEETWOOD HOMES OF OROVILLE UNIT OWNER (if also property owner, write "SAME") DEALER NAME (if not a dealer sale, write "NONE') SAME ` J 1061581 MAILING ADDRESS I DEALER LICENSE NO. SAME if CITY COUNTY STATE ZIP I 1� UNIT DESCRIPTION „ 1 II FLEETWOOD HOMES WA. 2004 HIGHLAND PARK/7714P MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER WAFL431A/B/C18554-HP13 70'8" x 40' WAS0093933/4/5 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) I ' d ;i REAL PROIPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 036-280-073 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. I q 1 ,h.i HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. I _11$ ;ED CALIFORNIA, COUNTY r ORDER NO. BU -166344-3 I TO IN THIS REPORT IS SITUATED IN THE STATE OF OF BUTTE,IAND IS DESCRIBED AS FOLLOWS: THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER AND THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 33, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M. EXCEPTING THEREFROM THAT PORTION DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THEICENTERLINE OF WHEELER AVENUE, 574.7 FEET EAST OF THE LINE BETWEEN LOTS 1 AND 2, IN BLOCK 115, AS SHOWN ON ITHAT CERTAIN MAP ENTITLED, t "ADDITION TO SUBDIVISION NO. 1 OF THE PALERMO CITRUS TRACT", WHICHIMAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 23, 1888, AS WALL MAP NO. 14; THENCE NORTH 280.0 FEET; THENCE EAST, PARALLEL TO,SAID CENTERLINE OF WHEELER AVENUE, 810.0 FEET TO THE CENTERLINE OF COUNTY ROAD; iTHENCE SOUTHERLY ON A CURVE TO THE RIGHT, ALONG SAID CENTERLINE OF COUNTY ROAD, 305.0 FEET, MORE OR LESS, TO CENTERLINE OF WHEELER AVENUE; THENCE WEST ALONG SAID CENTERLINE OF WHEELER AVENUE IA DISTANCE OF 703.0 FEET TO THE POINT OF,IBEGINNING. U ALSO EXCEPTING THEREFROM THAT PORTION CONVEYED TO THE COUNTY OF BUTTE BY GRANT DEED RECORDED MARCH 3, 1975, IN BOOK 1971, PAGE.243, OFFICIAL RECORDS, AND DESCRIBED .AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SAID SECTION 33; THENCE SOUTH 88.iDEG. 53' 26" WEST, ALONG THE NORTH LINE OF SAID SECTION, 1, 621.62 FEET TO A POINT ON ITHE WEST LINE OF UPPER PALERMO ROAD (UPPER OROVILLE-PALERMO ROAD) AND THE TRUE POINT OF BEGINNING; THENCE SOUTHERLY ALONG SAID WEST LINE SOUTH 33 DEG. 34' 43" EAST, 205.15 FEET; THENCE SOUTHERLY ALONG THE ARC OF A 970 FOOT RADIUS' CURVE, CONCAVE TO THE SOUTHWEST, rHROUGH A CENTRAL ANGLE OF 32 DEG. 501 ) 13", A DISTANCE OF 555.92 FEET; THENCE SOUTH 0 DEG. 44' 30" EAST, 114.42 FEET TO A POINTJOF CUSP WITH A TANGENT CURVE CONCAVE TO ;THE SOUTHWEST HAVING A RADIUS OF 1,270 FEET (RADIAL LINE TO SAID CURVE OF THIS POINT BEARS NORTH 89 DEG. 15' 30" EAST); THENCE NORTHERLY ALONG THE ARC OF SAID 2,270 FOOT RADIUS CURVE, THROUGH A CENTRAL ANGLE OF 29 DEG. 25' 13", FOR 652.12 FEET;'THENCE NORTH 30 DEG. 09' 43" WEST, 216.88 FEET TO THE NORTH LINE OF THAT CERTAIN PARCEL OF LAND DESIGNATED CONVi.YED TO ELIZABETH A. FLEMING BY JUDGMENT OF FINAL DISTRIBUTION 01.1 WAIVER OF ACCOUNTING UNDER WILL RECORDED OCTOBER 23, 1970,1IN BOOK 1640, PAGE *338, OFFICIAL RECORDS; THENCE NORTH 88 DEG: 531 26" EAST ALONG SAID NORTH LINE,. 4.08 FEET TO THE TRUE POINT OF B3GINNING. ALSO EXCEPTING THEREFROM THAT PORTION CONVEYED TO GEORGE H. WILLIAMS, ET UX, BY GRANT DEED RECORDED FEBRUARY 8, 1950, IN BOOK 526,, PAGE 413, OFFICIAL RECORDS, AND DESCRIBED AS FOLLOWS: f CONT:CNUED f ORDER NO. BU -166344-3 DESCRIPTION - CONTINUED A SMALL TRIANGULAR PORTION OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 33, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., LYING NORTHEASTERLY OF THE NORTHEASTERLY OF THE OROVILLE-WYANDOTTE COUNTY ROAD. ALSO EXCEPTING THEREFROM THAT PORTION CONVEYED TO THE COUNTY OF BUTTE BY GRANT DEED RECORDED FEBRUARY 22, 1988, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 88-05683 AND DESCRIBED AS FOLLOWS: A.) BEGINNING AT A POINT ON THE EASTERLY LINE OF LOT 2, IN BLOCK 119, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ADDITION TO SUBDIVISION NO. 1 OF THE PA:=MO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 23, 1888;. AS WALL MAP NO. 14, SAID POINT ALSO BEING 40 FEET LEFT OF ENGINEER'S STATION "L" 130+64.50 P.O.T. AND FROM SAID POINT OF THE NORTHEAST CORNER OF SAID LOT 2 BEARS NORTH 0 DEG. 08' 39" WEST, 609.43 FEET; THENCE ALONG SAID EASTERLY .LINE OF BLOCK 119 SOUTH 0 DEG. 08' 39" EAST, 85.38 FEET TO A POINT ON THE EASTERLY LINE OF LOT 1, IN BLOCK 119, OF SAID PALERMO CITRUS TRACT, SAID POINT ALSO BEING 45 FEET RIGHT OF E:NGINEER'S STATION "L" 130+56.51 P.O.T.; THENCE NORTH 84 DEG. 29' 08" EAST, 678.50 FEET; THENCE NORTH 5 DEG. 30' 52" WEST, 5.00 FEET; THENCE NORTH 84 DEG. 29' 08" EAST, 1378.48 FEET TO THE BEGINNING OF AN 1840 FOOT RADIUS CURVE, CONCAVE TO THE NORTH (FROM WHICH POINT A RADIAL BEARING BEARS NORTH 5 DEG. 30' 52" WEST); THENCE EASTERLY ALONG THE ARC OF SAID CURVE THROUGH P., CENTRAL ANGLE OF 15 DEG. 13' 52" A DISTANCE OF 489.13 FEET TO THE BEGINNING OF A REVERSE CURVE CONCAVE TO THE SOUTHWEST, HAVING A RADIUS OF 35 FEET (THROUGH WHICH A RADIAL LINE BEARS SOUTH 20 DEG. 44' 44" EAST); THENCE SOUTHERLY ALONG THE ARC OF SAID CURVE A DISTANCE OF 53.77 FEET, THROUGH A CENTRAL ANGIZ OF 88 DEG. 01' 26"; THENCE SOUTH 22 DEG. 43' 18" EAST; 72.99 FEET TO A POINT ON THE WESTERLY 30 FOOT RIGHT OF WAY LINE 'CIF UPPER PALERMO ROAD AND LOWER WYANDOTTE ROAD AS DESCRIBED AND DEEDED TO THE COUNTY OF BUTTE AND RECORDED MARCH 31, 1975, IN BOOK 1971, PAGE 243, OFFICIAL RECORDS, AND FROM SAID POINT THE NORTHEAST CORNER OF SAID SECTION 33, TOWNSHIP 19 NORTH,, RANGE 4 EAST, M.D.B. & M. BEARS NORTH 69 DEG. 42' 05" EAST, 1485.01 FEET, SAID POINT ALSO BEING ON A 1270 FOOT RADIUS NONTANGENT CURVE, CONCAVE TO THE SOUTHWEST (FROM WHICH POINT A RADIAL BEARING BEARS SOUTH 75 DEG. 18' 28" WEST); THENCE: NORTHERLY ALONG THE ARC OF SAID CURVE AND SAID 30.00 FOOT RIGHT OF WAY LINE THROUGH A CENTRAL ANGLE OF 14 DEG. 21' 2811, A DISTANCE OF 318.25 FEET; THENCE LEAVING SAID 30 FOOT RIGHT OF WAY LINE SOUTH 22 DEG. 03' 05" EAST, 94.85 FEET TO THE BEGINNING OF A 35 FOOT RADIUS CURVE, CONTINUED 'DESCRIPTION - CONTINUED ORDER NO. BU -166344-3 'f CONCAVE TO THE NORTHWEST, (FROM WHICH POINT A RADIAL BEARING BEARS SOUTH 67 DEG. 56' 55" WEST); THENCE SOUTHERLY ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 91 DEG. 21' 29111 55.81 FEET TO THE BEGINNING OF A COMPOUND CURVE, HAVING A RADIUS OF 1760 FEET CONCAVE TO THE NORTHWEST (FROM WHICH A RADIAL BEARING BEARS NORTi 20 DEG. 41' 37" WEST); THENCE i WESTERLY ALONG.THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE E OF 15 DEG. 10' 4511, 466.27 FEET; THENCE SOUTH 84 DEG. 29' 08" WEST, 2043.98 FEET TO THE TRUE POINT OF BEGINNING. TOGETHER WITH UNDERLYING FEF: INTEREST, IF ANY, APPURTENANT TO 4 THE ABOVE DESCRIBED PROPERTY IN AND TO THE ADJOINING PUBLIC WAYS. B.) COMMENCING AT A POINT ON THE: EASTERLY LINE OF LOT 2, IN BLACK f 119, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ADDITION TO SUBDIVISION NO. 1 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS I " RECORDED IN THE OFFICE OF TI -3 RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 23, 1888, AS WALL MAP NO. 14, j SAID POINT ALSO BEING 40 FEET LEFT OF ENGINEER'S STATION "L" 130+64.50 P.O.T. AND FROM SAID POINT THE NORTHEAST CORNER OF i SAID LOT 2 BEARS NORTH 0 DEG. 08' 39" WEST, 609.43 FEET; THENCE ALONG SAID EASTERLY L:LNE OF BLOCK 119, SOUTH 0 DEG. 08' 39" EAST 85.38 FEET TO A POINT ON THE EASTERLY LINE OF LOT 1, IN BLACK 119 OF SAID PALERMO CITRUS TRACT, SAID POINT ALSO BEING 45 FEET RIGHT OF ENGINEER'S STATION "L" 130+56.51 P.O.T.; THENCE NORTH 84 DEG. 29' 08" EAST, 678.50 FEET; THENCE F NORTH 5 DEG. 30' 52" WEST, 5.00 FEET TO THE TRUE POINT OF 14 BEGINNING; AND FROM THE TRUE POINT OF BEGINNING THE NORTHEAST CORNER OF SAID IAT 2 BEARS NORTH 47 DEG. 17' 18" WEST, 920.86 FEET; THENCE NORTH 84 DEG. 2:9' 08" EAST, 240.00 FEET; THENCE 7 4 SOUTH 5 DEG. 30' 52" EAST, 3.30.00 FEET; THENCE SOUTH 84 DEG. 29' 08" WEST, 240.00 FEET; THENCE NORTH 5 DEG. 30' 52" WEST, 130.00 FEET TO THE TRUE POIKT OF BEGINNING. TOGETHER WITH UNDERLYING FEE INTEREST, IF ANY, APPURTENANT TO } THE ABOVE DESCRIBED PROPERTY IN AND TO THE ADJOINING PUBLIC WAYS. y a o- it ENCROACH �p a NT PERMIT p o _inj m� County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: 530 Oy' I$ g O DET ( ) 538-4356 CdARAGE \� Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit NumberDistrict Phone (530) 538-7157 Ext. 2016 G j% G ,�'3' APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways all in a cordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: / la. Company Name: 2. Address: `215 r CIO" C-71IW4�6 3. Phone:0 / _ 7pCjb 4. Assessor's Parcel Number /Done (( ((}} S. Location of Work to be / t 6. Applicant's Signature 7. Date: CONTRACTOR'S INFORMATION 8. Contractor's Nam 9. Address 10. Phone: / 11. Fax: 12. Contractor's License Number-"-' ==— 13. Certificate of Insurance: yes 5k'�NO: ❑ 14. Contractor's Signature: 14a. Date Signed: _ 15. Authorized A e TYPE OF WORK TO BE DONE 16. Please Check: Curb: El El El 17. If Driveway List Type: 18. Other Work - Describe: 19. Plans Attached: ❑ Yes gNo PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is ereby granted. 20. Conditions A t i X A0 'Dr' Co. I V dL%l v e. --t Underground Service Alert U.S.A. must be notified two working days prior to,any excavation. 800-227-260 21. L All work shall conform to accompanying: Detail X Plan C ditions 22. Date Issued Ja O� 23. Expiration Date: �J 24. Surety: 25. Date Paid: 26. Amount Pai • 27 v: s� 28. ReceiptNo.: Chet �C S/Crt�ZB Mike Crump, Director of Public Works By: 29. Final Inspection Date: y 30. Inspected By: Completed - OK ❑Completed —Not OK �B O S %L —� ❑Additional Comments Attached On� ty. 31. Comm nts: Note: If permits are faxed to anu --h— 1—;A— icim c')o —z ..--, ti—y — uciaycu up w UnG WGGK. Page l of 2 NOTES THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. .n SPECIAL CONDITIONS CHECKED BY - SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER • ._ � Jl 'JOB FINALED (Date) it�✓� ' Signature .✓� i RESIDENTIAL -v PERMIT NO. U3G-280-073` (- 04=1879 NAUGHT, DANIEL ' } OPHIR RD. OROVILLE ; ' CONT: DEC.ANN, PHIL: NEW MH ON PERJM FND THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. .n SPECIAL CONDITIONS CHECKED BY - SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER • ._ � Jl 'JOB FINALED (Date) it�✓� ' Signature .✓� i J=OK 0 -Not OK . = NotReadyabte MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch .3. Se er; Location -Test -Fall -C/O -Concrete at ; Location -Test -Easement Needed (Sketch) ect - ity; Location -Clearance -Grnd-/ /Amp -Concrete as; Location -Test -Wrap;-/ 4qp L 'ft. / P Nat. or/ P' 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.-Zofting Requirements -Setbacks -Easements t-ootings; Size -Spacing -Marriage Line Gas; MH Test -Demand -Valve -Connector Electricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector J! h \ 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) ming Requirements -Setbacks -Easements Z,wFootin ; Size -Spacing -Marriage Line Aetp-W9 Qas; MH Test -Demand -Valve Vricity; MH Test ; MH Test IL-1 70T 1 ;*"Water and Sewer Connected s and Electricity Tagged xits License Decals 11. Verify #'s with Office Date I I M A 4ard B-1 ate Card B-1 Date Card B-1 Date Card B-1 4'3 S 3 3����s; w Irl AF4- q3��a/�c�i�s���-�t3 CP,o`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-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 13-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready I RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 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 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 64. 17. Water Htr.; Vent -Access -Combustion Air Baffle 65. 18. Water Pipe; Test & Anchor -Nail Protection 66. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 67. 20. Shower Pan; Test, First Floor -Tub Access 68. G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access 69. 22. Gas Pipe; Sixe & Anchors 70. 23. Fire Sprinkler; Test 71. 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 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect _ 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 36. A.C. Ducts Insulation & Support Glass Protection 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 95. 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 Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection. 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-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: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE I' OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the X above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Ok ase conj4ct. this office immediately. { ! � 5 .11 Mki yl e le cfr, L SeWl a A-0-�- W Inspector f I/ W le. REV 10/92 BUTTE COUNTY DEPAWAIiJT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION#: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds I PERMIT NO. BP041879 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' - 08/09/2004 APN: 036-280-073-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1078 OPHIR RD ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State; License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct,' alter, improve, demolish, or repair any structure, prior 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 State 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).): I. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code:' The Contractors' 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law. ❑ lam Exempt under Article 3 of e B i rofessions Code Date: Owner: WORKERS' COMPENSATION DPLARATION 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 workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: �I 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 com I withhtthose provisions.. Date: 7�itiili14 Description: NEW MH ON PERM FND NEW SITE(2748) Owner: VAUGHT, DANIEL H. 2955 ORANGE AVE OROVILLE, CA 95966 530-533-7009 Applicant: VAUGHT, DANIEL H. 531 SILVER LEAF DRIVE OROVILLE, CA 95966 Contractor: DE CANN, PHIL 169 BARDOLINO LANE OROVILLE, CA 95966 (530)534-7670 License M 670920 Architect: Engineer: PURSELL, FRANK JAMES Total Square Ft: 2748 S.F. Valuation: $178,620.00 Census Code: WARNING: Failures to s re orkers' 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 attorneys fees. j CONSTRUCTION LENDING AGENCY This pe it is hereby issued under the applicable provisions of the Butte County. odR nNo• I hereby affirm that there is a construction lending agency for the Resol i s to dework indicated ab for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) L Name: Date: Address: ! PIRES ON: ate ❑ 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 8 Safety Code is not applic4bleheduled construction of this proj ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am thly aut e g 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 subicialauthorize represe tives of Butte County o ente u on the above me ned property for inspection ument of Butte County..I hereby ' Print Name: rSignature: Date: 1 >fii Owner 13 Contractor 1 ❑ Agent for Owner ❑ Agent for Contractor y t1'r `BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION - AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME QFPfL1�AT,I�N CQNTRACTOR Name 31M Name C ji M Address• 3 e '` eO AW City ©W/1 t Zip I Stat. Zi Phone 53)--.3� State License Number O Fax E-mail Lic. # Class AR HITECT/ENGINEER Name 31M Name Address [� JDGiG Address City State 0A Zip I Phone �-33--�113 Fax E-mail State License Number O For office use only: APPLICANT NAME Name Address 71-1 City Type Const. State Zip Phone Lot # Fax E-mail For office use only: ZoningI Flood Zone AIN i 714sm I Yes 71-1 Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # LOCATION P# ' f) d o2 Pro Address Cros tr. JL C� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name 422 Address De cr'ption orScope of Work: wil *7Z /lIe- �Lh�W0.1/-;0'0C1 - �iPiSl Sq. Footage ❑ Structure Built volhout Permits ❑ Proposed Change of Occupancy r (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received byte Receipt #: Date: Amount 5 Bldg 2 v Sheriff • SMIP Other C / `f Total K;\FORMS\BUILDING FORMS\B1dgApp1SubRgmts.doc ' Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND W INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (1VO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. 3. 4. 5. 6. 7. 8. ❑ ) 9. ❑ 10. ❑ . 11. 2 Engineered truss details and layouts (if required) (NO FAXES!). Letter from Engineer or Architect for truss design review. 2 Energy compliance design and supporting documentation (if required). 2 Flood Elevation Certificate, wet -stamped and signed (if required). Statement of Intent for Non -heated and A/C (if required). Metal Buildings: (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. Letter of intent. Hazardous Material Form. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR.BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 /-PERMIT APPLICATION DATA -SHEET OWNER: ¢ SSESSORPARCEL NUMBER-6-f-1- Proposed UMBERG3•Pro osed Building Use:kho �Cu ter Technician: aDate: • U�A a Items required in order to apply for a permit. A I boxes MUST e eR d_ NA in orde t apply. ' 1. Site plans, 3 or 4 sets, signed by the reparer of the plan ❑ 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. `l ❑ 6. Energy compliance design and supporting documentation in duplicate.Cj ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ✓✓✓���,,, 8. Manufactured homes) Data sheets and installation inst, ( Marriage line in Floor Plan,J Tie down or fnd plans, all in duplicate. P' ❑ 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. f,/ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs y ❑ �., 12. Letter of intent for non-residential buildings C11.3. Detached Accessory Building Form filled out by the owner d , ❑ 14. Hazardous Material Form i p 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ ;r 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items, t ❑ 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........................................................................ a 23. California Department of For t plan approval ❑ paid. Sent by: 24. Planning approval (A) Use: C� (B)Parking: (C) Parcel Check: -� !- 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept...O.fc..6$SE...... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number ...................?..................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization ..........................:. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility clearance........................................................... i... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction.. ............................................: �:........................... ._ . 37. rant Deed, iftei5tatement of Facts, e�w ,� heck to H.C.D. $ 38. Other: p Other: o i ie- home.© le - V39. When issued Tele a and holdf r pickup. f'y7 been !nfirmgfi of tAlPove items and requirements for obtaining a building permit. Applicant: 1TV ` TV ' 1. Index permit application o e above itemsere 2. Additional items re Contractor, designe , owneVas dvised of the above data by ❑ p one, mail ❑ counter, by Contractor, designe , dvised of the abo a b phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Check Date: b J v Date: Date Date: ►°�`�'' ? I T0: ' Building Department FROM: Environmental Health I e E-WzMSE 0"LY plot plan AttNano*. -- Floor plan At-c"d SUBJECT: Sanitation Ciearanc l� /L AP# G . Location Ower Private Well Plan Approved for: Sewage Dispose - water Sup�Y � Pudic — _ _ .l_ . dwelling. Other Clearance for Q Hold final for: Final clearance O.K. for: NOTE: Environmental Hea 8196 jk -us Date s COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7,COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 9 SCHEDULE ;OF RECEIPT OF FEES OWNER i +VJ PROPROSED BUILDING USE 1. BUILDING PERMIT FEES I v --- Balance Due ..................... $ i --- Additional Fees Due............ $ --- Revised Plan Checking Fee.... $ ��I 2. SCHOOL DISTRICT FEES O I n a (pai at School District Office) (form available after Plan Check) i 3. SHERIFF FEES (paid at Building Division) Ij Residential............ X $360 00 - -$ �. Units Commercial (sq. ftg.)..... X $0.03 Sq.Ftg. A URBAN AREA FEES A.P. # ��- -0-73 DATE RECEIPT # DATE REC. (paid at Building Division) Residential (per unit)..... X _ $ # Units Amt. ' Commercial (Sq. Ftg.).... X I = $ I Sq. Ftg. Amt. I 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) ,i m. THERMALITO DRAINAGE DISTRICT FEES S510.00 (paid at Building Division) .. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) jI S. WATER TENDER FEES BATTALION # I $200.00 (paid at Building Division) S. NORTH CHICO SPECIFIC PLAN (paid atBuilding Division) Residential Zone x I = $ Zone #Units Amt. Comm i ercial (sq. ftg.) ......... }� I — $ J Sq. Fig. Amt. 10.OTTHHEE,R,,SM P At 'me ofpermit application, I was may be changed duriAg the plan a l/0:7 9 are required to be paid prior to issuance of the permit. These fees APPLICANT, DATE Pursuant to Government Code Section 020, you are hereby notified tha i items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original-Bui'ding Division Yellow -Applicant Pink -Owner (rev. 2/2003) • 7 rol2rnu IkV-8E: (U£Z) TAOHq-,IJ3T ZOORO A7 ,JJJ1`JOAO ,.-"JI9ICI 3f3TY.3'J Y-1 ✓IUO-) C aTAG ,:►ifi��!q � T�2�8 t mxa v.O Tq'3". ,u i0 lli4�H7� IN.1(11I'JN Q3zO59oA'! d 23;� Ti I/1N,rYY J �t itl.ilt.J S , f E......... ...........U',JU .. ,tlQ 79 J 1 ,btlOt)ibSJA , _ _T 2 ....9oTt �nt:l�.Jrl) uul9 69zrv�A --- ONO U i�ia�ti7 nslg i9fts 91d..l►a;vt; miv31(oIT3C► l'.tr?tci looti'�z rf; btr.q} � , (aloi- iviCl gnibli iEl it: bi,;q) MT4 .i llfi:+f'i2 .F. 00.06Q X ..........l�ttu _..$ N OZ Y - —_ _ .....(.,fi ,pd) IG'71:.ntt707) rN od r woia.,iG Sniblfufi )c i iac� 8:d'I : t-.3SiA ViAlig J 4 s � = _ X __ .•...(iiuu t;,q) tf:,?n9t;.+�A lstaz=mu ) Z33'4 T�)DTMU 9tds;tcvs Jmo3} (:::iI,, 1 J7tT1EtQ rtoitu:,Y39A tc b.aq) II 3'JOTLI.AMAJUT .d— ,_ (nr,i"ci"»CI ,Qtu :buil rr: bisct) 00.0lU 33 3 tl7IIiI ,^A.3Y (14A YtOI -r, SII �iSil t SIS .� -�-- — �_ _ (aoiatvsCI gnibiiuS is L•aq) Q0.�1t�' __ #t AOIJAT'1'1,,S c!33`1 N: CQ%:i'C A `TJ,W .A �— (not ivtC1 nt&:rtrf.I la bl;eg100.002 (nut :tvrCl gri;bltuff In birq) 4AJ(l ')rgMa`12 0'71HJ HTHOA .P X .J.�rA Y�ir:.l a SrtuS __ X . •.•.•.. 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(G iG.rc�.id 'Ivt.*�7• ^�,I )7r.:tinn.;J.,, r,r 'r,ft�„�^fr stz� o:� !E(YvS'� v�,j rrra(1-rnrY lcr:.a,`9QI.•av'.ai r��, .r(I;n�SfuSi-Isni,r,J 4 COPY of Document Recorded 09-Au4-2004 2004-0048274 AND WHEN RECORDED MAIL TO: Has not been compared with ;{ I 'original BUTTE COUNTY BUILDING DIVISION r 7 COUNTY CENTER DRIVE BUTTE, COUNTY RECORDER OROVILLE; 4CA 95965 - Ir 1 ry AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT !� FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or,included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including,lbut not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, splaying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operation' S.4 4 All that real property situate in the County of Butte, State of California, described as follows: Date / 1 PR ERIY it l If. -In �. State of California County,of 134WC 11 personally appeared .Vftyi-1L �t . V &U(a{{f, 11V lra�e�vn-to= ne(or proved to me on the basis of satisfactory evidence) to be the persor`(s-whose name(s) isfare subscribed to the within instrument and acknowledged to me that he4ha4hvrexecuted the same in hisgwrk#reir authorized capacity(4e , and that by gs/4erA4eirsignature(s}on the instrument, the person4or': the entity upon behalf of which the person(4.acl4d, execulted t"e strument. E Signature u , i r ' � j Seal: TARA L. CARSON y Commission #1472533 0 a Notary Public - California v , Butte County My Comm., Exp. FEB. 24; 2008 EXHIBIT "A" PARCZL 3 Being a'portion of the Northeast one-quarter of Section 33, Township 19 *North, Range 4 East, M.D.M., also being a portion of the County of Butte Assessor's Parcel Number 036-280-069, and also being shown on that certain County of Butte Right of Way Map labeled Right of Way Map at the intersection of Ophir Road, Lower Wyandotte Road and Upper Palermo Road dated June, 1999 on Sheet 1 of 1 on file in the Office of the Butte County, Department of Public Works under File No. E-2438, and being more particularly described as follows; COMt4ENCING at the Centerline intersection point of the intersection of Lower Wyandotte Road, Ophir Road, and Upper Palermo Road being shown on that said County of Butte Right of Way Map, and also being shown as Engineers `L' -line Centerline Station 156+61.48 (Ophir Road) and Engineers `L' -line Centerline Station 139+25 POC Lower Wyandotte Road and Upper Palermo Road, and also being shown as Engineers `C' -line Centerline Station 10+00.00 for Lower Wyandotte Road to the East; THENCE South 68°39135" West, along said Ophir Road centerline, a distance of 55.82 feet to a point at Engineers `L' -line Centerline Station 156+05.65PT, as shown on said Right of Way Map E-2438, said point also being the beginning of a curve, concave to the Northwest, (to the Right), having a radius of 1800.00 feet; THENCE Southwesterly along the arc of said curve through a central angle of 12°27'45", a distance of 497.17 feet to a point at Engineers `L' -line Centerline Station 151+08.48 PC, as shown on said Right of Way Map E-2438; THENCE leaving said Engineers `L' -line Centerline Station .151+08.48PC, South 05030'52" East, a distance of 40.00 feet to a point on the existing southerly Right of Way line of Ophir Road as shown on file in the Office of the Butte County Department of Public Works Right of Way Maps E-1696, E-2109, and E-2438, and said point also being the beginning of a curve, concave to the Northwest, (to the Left), having a radius of 1840.00 feet; THENCE Northeasterly along the arc of said curve through a central angle of 12027145", a distance of 400.22 feet to a point (from which a radial bearing bears North 17°58137" West, said point being 40.00 feet Right of Engineers `L' -line Centerline Station 155+00.00 as shown on said Right of Way Map E-2438, and said point also being on the existing southerly Right of Way line of Ophir Road, and also being the TRUE POINT OF BEGINNING; THENCE leaving said existing southerly Right of Way line of Ophir Road,. South 17°58137" East, a distance of 10.00 feet to a point being 50.00 feet Right of Engineers `L' -line Centerline Station 155+00.00 as shown on said Right of Way Map E-2438, said point also being the beginning of a non -tangent curve, concave to the Northwest, (to the .Left), having a radius of 1850.00 feet, (from which a radial bearing bears North 17058137" West); THENCE Northeasterly along the arc of said curve through a central angle of 02°53'52", a distance of 93.57 feet to a point (from which a radial.bearing bears North 20052129" West, said point also being 50.00 feet Right of Engineers `L' - line Centerline Station 155+91.04 as shown on said Right of Way Map E-2438; 2 THENCE -South 65005135" East, a distance of 27.35 feet to a point being 50.00 feet Left': of Engineers '`L' -line Centerline Station 138+'52.44 as shown on that certain Countylof Butte Right of Way Map labeled OPHIR ROAD EXTENSION, Lincoln Blvd. To Lower Wyandotte dated 1045 on Sheet 3 of 3 on file in the Office of the Butte County, Department of Public Works under File no. E-1696; said point also being the beginning of a curve, concave to the Southwest, (to the Right), having a radius,of 1250.00 feet, (from which a radial bearing bears South 71051123" West); l THENCE Southeasterly along the arc- of said curve through a central angle of 02018'400, a distance of 50.42 feet.to a point (from which a radial bearing bears South 74°10104" West), said point also being 50.00 feet Left of Engineers `L'- line''Centerline Station 138+00.00 as shown on said Right of Way Map File No's E- 2438 andjiE-1696; THENCE North 74010104" East, along said radial line, a distance of 16.69 feet to' a point on the existing westerly Right of Way line of Upper Palermo Road as shown on said Right of Way Map File no's E-2438 and E-1696, said point also being 33.31 feet'Lefi of Engineers `L' -line Centerline Station 138+00.00; THENCE 'North 22043118" West along the existing westerly Right of Way line of Upper Palermo Road as shown on said Right of Way Map File No's E-2438 and E-1696, a distance of 47.53 feet to a point being 38.00 feet Left of Engineers `L' -line Centerline Station 138+48.63 on the existing westerly Right of Way. line of Upper Palermo Road to a point (from which a radial bearing bears South 67°16146" West), also being the beginning of a curve, concave to the Southwest, (to the Left), having a'iradius of 35.00 feet; THENCE Northwesterly along the arc of said curve through a central angle of 88°01'26", a distance of 53.77 feet to a point of reverse curve, concave to the Northwest, (to the Right), having a radius of 1840.00 feet, (from which a radial bearing. bears South 20044136" East), said point also being 40.00 feet Right of Engineers `L' -line Centerline Station 155+86.98 as shown; on said Right of Way Maps 'E-2438 and E-1696, said point also being on the existing southerly Right of Way line�'f Ophir Road; THENCE Southwesterly along said existing southerly Right'of Way line of Ophir Road andtthe arc of said curve through a central angle of 02046'07", a distance. - of 88.91 'feet to the TRUE POINT OF BEGINNING. Said Point of Beginning bears South 55059105" West, a distance of 167.86 feet from !the'' said centerline intersection point of the intersection of Lower Wyandotte!Road, Ophir Road, and Upper Palermo Road as shown on said Right of Way Map File No. E-2438. Containing 0.05 Acres (2106 square feet). more or less. Q SITE PLAN REVIEW APPLICATION Date: 2 3 D AP# ,3 0 D=®-7 3 Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: a fT hf% ��L (_Pvc"D S It -73 Owners Address:' ' Telephone No.:'*''� �g' `` 7 1 - • c I l l- i 4 Situs Address: atQo'�IGL� Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile-Home ' ❑ Residential Accessory i - PerniarientTSecond'D.weling7 ❑"'Temporary Mobile Home (Aunt Minnie) - - ❑ Temporary Travel Trailer ❑ Multi-family - Non-residential ' ❑ New Commercial ❑ Commercial Addition' ❑ Commercial Remodel ❑ New Industrial - . , . ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ' ❑ Well ❑ Agricultural Exempt Building ❑Agricultural Buffer Form ❑''Applicable E]N/A � ther;--- . Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) - W Approved '' ' ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Sit Ian Stamp d Approved By Date Page 1 of 5 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑Verify residence can be built per contract F1 Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain:' '(See attached) 1 �� • Flood Zone: K • Flood Panel No.: 0607C 0,78-5—,D* Index Date: eo 2,e>&b ❑ Sacramento River Reclamation District (Approval must be obtained from the Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ "Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: -k K— — Z Vz Applicable Building Setbacks: ' ' ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 2z, Side D r Side Street Rear D ' Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* - ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage " F-1. NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage'Area ' ❑ Thermalito Urban Area ❑ Other --------------------------------------------------------------'-------------------,----------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with scliool district'to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. i ' r Parcel Created Byy°A t �(�'D� .: ���� 1� 5��cr �TlWv 1! ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: , . 1 Legal Access Required - ❑ No ❑Yes Parcel Frontage on Publicly Maintained Road: �❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No F] Yes Comments: • l 4 r ' Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger, El -Obtain a Lot Line Adjustment, ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ -Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. u Page 4 of 5 Summary of Specific Requirements: i i i This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl .doc Page 5 of 5 i iFJ i Summary of Specific Requirements: i i i This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl .doc Page 5 of 5 i ADDI,'F_ S MISCELLANEOUS BUILDING RECORD DESCRIPTION OF BUILDINGS `f3 PARCEL .• -.. SHEET=� OF — SHEE Bldg. /Va _ Structure Size/' -Found. - -ball 8 Exterior---- Roof . - - -Floor- In _ Second -Story --or Loft' - Year BuilP=Life; £st. T -Type Interior_.Defail_ Cover - . 19 `0 c Area r-�- Cost Good R. N. Cost Cost 6 L. R. N D. Cos rr A •e S A r13 9:�4 e Cost ST+e Good R. N. L i 43 Z 7,00 �,.k_eal 14C)t.. - _5� Zr o 4 �t1� iJ ���.: i.l M. C✓�.r �- o��i�. �r0 �r� zogoo ci� zo - sem :5 COMPUTATION -Appraiser -Dote -SL - 4 ` -/ 7 19' -D 3 . 19 `0 RNog• Area Un it Cost Good R. N. Cost Cost Good L. R. N D. Cos Cost (good R.N. d Cost Cost Good R. N. L i 43 Z 7,00 2s 7S (, - _5� Zr o , 25 oo 1-7aa a.a t4 00 i �r0 -7,60 zogoo zo - sem :5 1 I / 7 ' ct G(n. ✓ a' o /C! Pia 52.Z. -6 g Total 1 a 3s`� Appraiser -Dole �� 33 /a-� 19 9� t�K 3-Z4 194 `1` 19 :`, f0/e_ 9 Bldg. No. Area Unit Cost 2 R. C. N. Un t Cost o Unit Cost �/ R. C. N. un+t--- os R.C. N. R , { — - v/J Z w e �,1 • _ _ oAl 14� ., > a� /�-4:z _ 27 M Or- A/ I+/F� D t. p l .s ca F lei- U_._6 This unit is a: STATE OF CALIFORNIA Bt L:SS, .TRANSPORTATION AND HOUSING AGENCY - ' PARTIvIENT OF HOUSING AND CO •DIVISION OF CODES AND��ARDEVELOPMENT. o REGISTRATION AND TITLING PROGRAM*+ncc•�`r STATEMENT OF FACTS Mobilehome ❑ •Commercial Coach ❑ Floatin Home 1 g ❑ Truck Camper Decal' (License) No.(s) �) Trade Name S enal No.(s) '01 ' i I/We, ,,the undersigned, hereby state: ' THE ABOVE DESCRIBED MOBILE HOME HAS BEEN INSTALLED ON AN APPROVED PERMANENT -FOUNDATION SYSTEM AND IS PRESENTLY IN ESCROW WHICH WILLCLOSE WITHIN 45 DAYS. I/We further agree to indemnify and save harmless the Director of Housing and Community Development, of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. a I/We certify under penalty of perjury that the foregoing is true and correct. Executed on t/' at iLQ t t_. u t� _ (Date) — r (City) (State) Signa ! re ) � Printed name(s)' A Address 4 City 2b to 1 L State HCD ,476.6 (REV 9/91) D e p_a'r. t m - e n4 PuWie B 'u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive eCIC; WORD Oroville. CA 95965 ' .(530) 538-7266 (FAX) 538-7171 ,National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention ,Plan (SWPPP) Acknowledgement [LESS THAN 9 AC REI Project Description: _ �i 0 Project Location and/or Parcel Number: ©39 — i�eV —tl- ;i 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 ' Neater 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 fora 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: D Date: (r Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM `1 (One form per Building) t' ZviSchool District �Q Building Department No. Y A.P. Numb* p�eo"Jurisdiction: City ©County E:�] t . Property Comer Property L•3cation/Address Commercial/Industrial Q Q A New Addition `' n Department Representative I'M o4�g�9 �................. .� ........................Sq. Footage � L16 Addition/ 'Supplemental to (Group R) Conversion Permit # *(No foundatlon inspection) ........................................................................1......................._..., Deed Restricted Sq; Footage (Attach a signed.copy of Deed Restriction and Notice of Limited Use Facilitydocument) s t Sq. Footage 3 (Including Exterior Roofed Areas) ` Date District Identification No 05,000 , 14-Y CA_ School District certifies that (Street Address) n (City) (State) has complied with the requirements of Resolution No.S representing 4 �� square feet. Representative Paid by Chack # Remarks: fon in 1 e t /.6 vG h �- (Appli9hnt) (Phone Number) (Zip Code) iJ by payment of $ wSJAB S Sl 4 2926 $ FULL MRIGATION $ Date Notice: You may protest the imposition of the fess Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), wlddn 90 days from the date fees are paid. Failure to submit a timely written protest wll'prohlbit you from challenging the Imposition of the hes In any court action. if, shibseghrend to the School District Representative signing this Butte County Schools Impact Fee GnHNatlom Form, the School District Is notillsd by the applicable Local Planning Agency ghat this project Is being revlewed under the California Environmental Quality Act (CEQA), this protect may be subject to additional school hes to fully mltigms. No Impact on the school dlstrlcle schools. White (applicant), Yellow (building department), Pink (school district) feeform.hds (10/03)dmm Subdivision Residential Development ' No of Living Mobile,Home Units Installation Commercial/Industrial Q Q A New Addition `' n Department Representative I'M o4�g�9 �................. .� ........................Sq. Footage � L16 Addition/ 'Supplemental to (Group R) Conversion Permit # *(No foundatlon inspection) ........................................................................1......................._..., Deed Restricted Sq; Footage (Attach a signed.copy of Deed Restriction and Notice of Limited Use Facilitydocument) s t Sq. Footage 3 (Including Exterior Roofed Areas) ` Date District Identification No 05,000 , 14-Y CA_ School District certifies that (Street Address) n (City) (State) has complied with the requirements of Resolution No.S representing 4 �� square feet. Representative Paid by Chack # Remarks: fon in 1 e t /.6 vG h �- (Appli9hnt) (Phone Number) (Zip Code) iJ by payment of $ wSJAB S Sl 4 2926 $ FULL MRIGATION $ Date Notice: You may protest the imposition of the fess Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), wlddn 90 days from the date fees are paid. Failure to submit a timely written protest wll'prohlbit you from challenging the Imposition of the hes In any court action. if, shibseghrend to the School District Representative signing this Butte County Schools Impact Fee GnHNatlom Form, the School District Is notillsd by the applicable Local Planning Agency ghat this project Is being revlewed under the California Environmental Quality Act (CEQA), this protect may be subject to additional school hes to fully mltigms. No Impact on the school dlstrlcle schools. White (applicant), Yellow (building department), Pink (school district) feeform.hds (10/03)dmm JIM PURSELL Page 1 Date 5/20/04 CIVIL ENGINEER RCE 60924 Job Number: 104-05-97 Job Name: Danny Vaught Assessor Parcel No. 036-280-073 + Analysis: 2001 CBC Dead Loads Live loads Roof Comp 6.0 1/2° O.S.B. 1.5 Framing 5.0 Insulation 1.0 1/2" Gyp 2_5 16 psf. 16 psf. Wall. Siding 2.5 Framing 3.0T' 1/2 gyp 2.5 na , Insulation lA 9.0 psf. Floor he Flooring 3.0 No Subfloor 4.0: PYP Insulation 1.0 * Steel frame 4.0 .sTgT� 12.0 psf. 40 psf. `Y4 Lateral loads' " Wind P = Ce Cq q I where Exposure B Q = 0.62 @ 15 feet Cq = 0.3 in/ 0.9 out windward roof q = 14.5 psf @ 75 mph 0.67 @ 20 feet 0.7 out leeward roof I = 1 0.72 @ 25 feet 0.8 in windward wall 0.76 @ 30 feet 0.5 out leeward wall Seismic V=2.5CaIW/1.4R Ca=0.36, I=1, R=5.5/4.5 Soil Bearing Lateral Sliding Lateral bearing 1000 psf Coeff.=0.35 200 psf/ft. dile �p`d- N - .-,z 7 N Wall 1 = Wall 2 P (Total) = 5105 SEISMIC GOVERNS 1n Roof: - Windward Leeward Vaught I Lateral Analysis (Coef.) (Coef.x A + Coef. x A) (@75) Improtance Factor I = 1 Wall A = Wall B 0.7 0 14.5 1 = 0 P(25)= Wind 0.7 0 14.5 Roof: Windward. Leeward q I P 14.5 (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.3 0 0.7 , 0 14.5 1 = 0 P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 P(20)= 0.67 0.3 0 0.7 0 14.5 1 0 P(15)= 0.62 0.3 200 0.7 200 14.5 1 = 1798 Wall: Windward Leeward q I P 14.5 (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.8 0 0.5 0 '14.5 1 . = 0 P(25)= 0.72 0.8 0 0.5 0 14.5 1 0 P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 P(15)= 0.62 0.8 283 0.5 283 14,5 1 = 3307 Wall 1 = Wall 2 P (Total) = 5105 SEISMIC GOVERNS 1n Roof: - Windward Leeward q I P (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.3 0 0.7 0 14.5 1 = 0 P(25)= 0.72 0.3 0 0.7 0 14.5 1 = 0 P(20)= 0.67 0.3 0' 0.7 0 14.5 1 _ 0 P(15)= 0.62 0.3 O. 0.7 0 14.5. 1 = 0 Wall: Windward Leeward q I P (Coef.) (Coef.x A + Coef. x A) (@75) (lbs) P(30)= 0.76 0.8 0 0.5 0 14.5 1 = 0 P(25)= 0.72 0.8 0 0.5 0 14.5 1 = 0 P(20)= 0.67 0.8 0 0.5 0 14.5 1 = 0 P(15)= 0.62 0.8 220 0.5 220 14.5 1 = 2571 P (Total) = 2571 Page 3 Seismic Roof Weight: Pitch = Rise:Run Pitch Factor -3 : 12 = 1.03 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) 1.03 x 1526 x 16 = 25167 Wall Weight: (Area)x(Wt.(psf)) = Wt.(Ib) 885 x 9 = 7965 Floor Weight: (Area)x(Wt.(psf)) = Wt.(Ib) 1413 x 12 = 16956 Ca = 0.36 Total Wt.(Ib) R = 4.5 W = 50088 Base Shear (lb) V=(2.5xCaxIx"/(1.4xR)= 7155 Seismic Roof Weight: Pitch = Rise:Run Pitch Factor 3 : 12 = 1.03 (Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib) 1.03 x 1526 x 16 = 25167 Wall Weight: (Area)x(Wt.(psf)) =Wt. (lb) 885 x 9 = 7965 Floor Weight: (Area)x(Wt.(psf)) = Wt.(Ib) 1413 x 12 = 16956 Ca = 0.36 Total Wt.(Ib) R=4.5 - W = 50088 Base Shear (lb). V=(2.5xCaxlxW)/(1.4xR)= 7155 69� ass �3 3_3 C��.� L,`j�P!-�S � Sit �✓� (�1P�L,►c��-�n� s Z,7 - S7(5 ~PERMIT NO. , 1720-82B,P,.E ' /. PERMIT EXPIRES 9 OWNER Ebert Oliver S & H MH S OrO Ville CONTR. erV, ASSESSOR PARCEL 36-28-56 (� LOCATION N/S-Wheeler Avenue, app 800' W. of � I - Upper Palermo Rd,•Broville I I - 1 I 44 I ;( Temp. Power Pole 3' Called PG&E I I M A Temp. Elec. Service I Called PG&E. Temp�a>� 5ervi ce Cal led PG&E _ pf'; —" � i JOB FINALED (Date) Z_ Signature J = OK y 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANE01.1 Date MOBILEHOME UTILITIES. (PO4) OK except k's mooning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) U. zcept N 1, Zoning Requirements—Setbacks—Easements t s; cial MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors ew; cation—Test—Fall-C/0—Concrete A -later; Location—Test-Easement Needed (Sketch) 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg. -(?racing ectricity; Location— ear nce r / /.Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc.usires 6. Gas; Loc T / /"L"ft./ /"Nat. or/$,q'L"ft A"LPG 6. Carports; Windows—Doors i3!Gility Clearance 7. Elec. a Card -BI ate p+ /l Card -BI Date Card -BI Date Card -BI, Date Gard -BI ate Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's o ing Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability, Al-�as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4 Electricity; MH Test—Crossovers—Breakers—Clearances r 4• Elec.; Receptacles and Lighting; Distances—GFI rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed %_.A er and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and,Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit % Exits; Insp.—Sketch 10. Cert. of -Occupancy 9, Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date — z and -BI Date Card -BI -Date Card -BI Date - - - Card B -I Date Card -BI Date Card -BI Date Card -BI Date 9 i A r, d=0�.. a 0 = Not OK - = Not Applicable RESIDENTIAL (Single cind Duplex) * = Not Ready }: Date UNDERFLOOR (PVs) OK exce tit's Date FRAMING (Continued) 1 oning requirements -Se backs -Easements 48. Property Line Firewall & Openings g., Main; Soils -S el-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3._E1g__,GArage; Soils -Steel- / -/" Fig. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4-ZUjrPbrches & Decks; Soils -Steel- / /" Ftg. Depth 5. temwalls, Main; Steel -B lockouts -Wrapped -S lab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C -BI Date Z. i and -BI Date Date FINAL (Plans) OK except tt's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date _ PLUMBING 14. Date Card -BI Date (Permit) OK except N's Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting ' 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size ,& Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date , ELECTRICAL Permit OK except tt's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following inDrive E] Yes ❑ No; Walks El Yes E) No; Planters Yes CJ_ No ' ❑Ye 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79, Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICA L'(Perrrit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -- --- Card -BI Date Card -BI Date Card -BI- _Date -_ Card -BI Date Card -BI Date Card -BI Date Card-$I Date Card -BI Date Card -BI Date Card -61 Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders & Floor Nailing_ Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type AFlue-Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) •COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 7 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. .r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number -7,2 2— for the following location: s Owner Owner's Address-,-;""� MobilehomeMfg.-��-iice" Moder "� -{�r� Year Insignia No. i�V_ e!/ 'i Serial No. %V fW W V-16 It is hereby certified for occupancy at the above described location and may be occupied. 1 , Director -of Public Works-- 3 Date, �` --,,2 L� By, _!---� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 4, out c2 Lt E --J-.i/fes s ' VV • — COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville, California 95965x- Telephone 916/534-4541 /y BPPI IrATlniki epin'DCDUIT I ASSESSOR PARCEL NUMB ER� '" '' OWNER Z NTNG H CA BUILDING PERMIT 0 &L V ELE H NE S.Q. FT. OCC. BUILDING VALUATION OW ER'S AIL ADD 10-e 1 o- c CONTRACTOR'S MAILING RESS C NTRACT R'S NAM TPTotal CONSTRUCTION LENDERU$ Fireplace Valuation LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Penalty $ Permit fee $ y^ �� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 / LOT NO. SUBDIVISION NAME PARCEL MAP Repair drainage or vent piping 5.00 Water piping Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome;K Other SPECIFY Building sewer Lawn sprinkler system 5.00 EEi — TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ nX InstallatioOther ❑ Describe Ark:_ �'IV xG1-l` libh t =% ext / ��� ((( Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR 00 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de are er penalty of perjury (check one): KI I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess io s Code anj y license is in full fo a and effect. License No. Classification � ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors, (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST LING CCUP.) 20 sq ft OR ACDNS. (ACCLBLDGS.y NEW CONSTR. TI -OUTLET NON_RESID BRANCH CIRC ITs 2.50 ea NEW CONSTR. ( POWER APPARATUS 61 NON-RESID. SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES s0� BAL@1 og FIXED APPLES, OR EX. OCCUp.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. o-Lkiave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way ccrue agai st id County in consequence of the granting of this permit Date Signature of A plicant – Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ �,Of� TOTAL PERMIT FEE $ r OCCUP. GROUP TYPE OF CONST. PARCELJ PD7� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT 0 PUBLIC By PE EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Datoz—/q -?3 —/�p .! — !T 113 Receipt No. 247-% WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASS ESSOlP-A' �L � ZO GAe*,(__ BUILDING PERMIT � goeT p/A e - 61A TELE (J}�HONE SQ. FT. OCC. BUILDING VALUATION OY(r45 S MAILINGDRESS�/&tl�:T CONT. CTOR'S NAMa- ���` /J� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION JENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR EN INEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �y ILDING9DDRE L615 Wjy� �, `f�U�CL� PLUMBING PERMIT Filing Fee 10.00 N.5 !ry /�/SaO� ��C Each Trap 2.00 Solar Water Heater 20.00 p PPS Fame Qnee (1/LbL Water piping 5.00 LOT NO. SUBDIVISION NAME JP ARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: �� SE� _ Aii4 17 ZO - Z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00V OR L 1 100 AMP OR OR LESS 10.00 0 , Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. and License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I a -n exempt under Sec. , Business and Professions Code for this reason NEW CO ID R BRANCH CIRCTLETlrS 2.50 ea NE CONSTFL / POWER APPARATUS &) NON.\SINGLE OUTLET CIR. Ex. OCCu 20@500 P�ouTLETs OR FIXTURES SAL®300 APPLNS. OR Ex. QCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /S_(70 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions cr this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again County in conseque e o e granting of this permit. X ( Date �� Signature of Applicant — Owner ❑ Contractor EJAgent❑ 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions f the Butte County Code and/or wor dicated ab for which 1 ECZTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2-4 43 // Receipt No. q&6�7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT KID FOR -1 413 This 1'f0'r! 4,5;to be. completed at the tine a building permit is issued for the `installation of a mobilehome on a foundation t•system'pursuant to Section 10551 of the Health and.Safe,ty Code. A copy is to be immediately transnitted to- the department with a copy of the building permit and fees in amount of $11 for each transportable section of the mobilehome. See instructions. TO: THE DEPARTMENT OF HOUSING AND CONHUNITY OEVELOPMENT Division of Codes and Standards, Nobilehome Section' P.O. Box 31, Sacramento, CA 95801 (916) 445-3333 FROM Butte County Building Dept.: 1720-82 : _ t;iame of to^_al agency issLing 'building permit Building Pernit No. 7 County Center Drive, Oroville CA. 95965 6-28-82 ,kidress Uate Permit Issued Oroville Butte 95965 916-534-4541 (City) ounty 'IP(Telephone) K\ LEAVE THIS SPACE RLAN rr•+.}r}►}r.r.a w'+*.r *.�*+*.; *a*+�r.i*. .>.*+ +.+..r}*}+}*y.«*+*}s}a+*�++a{:r}*iw�a �w+*.}*t++a+*+*}*}"'+*f `04,11ERSHIP INFORMATION - 1908I' EHO: All .that certain real property situate in the County of Butte, State of California, described as follows: The Northeast quarter of the Northwest quarter and the -Northwest quarter of the Northeast.quarter of Section 33, Township 19, North, Range 4 East, M.D.B. & M. EXCEPTING THEREFROM that portion described as follows: BEG LIV1VlI`'u' at d point on ' he centerline of Wheeler Avenue, 574.'7 feet. East of the lire between Lots 1 and 2 in Block 115 of ADDITION TO SUBDIVISION NO. 1 of the PALERMO CITRUS TRACT,.according to the Official Map thereof, filed in the office of the Recorder of the County of Butte, State of California, July 23, 1888; thence North 280.0 feet;' thence East, parallel to.said centerline of Wheeler Avenue, 810.0 feet to the centerline of County Road; thence Southerly on a curve to the right, along said centerline of.County Road, 305.0 feet, more or less, to centerline of Wheeler Avenue; thence West along s.aid centerline of Wheeler Avenue a dista.nce.of 703.0 feet to the poi.nt of. beginning. ALSO EXCEPTING THEREFROM that portion described in the Deed to the County of Butte, recorded March 3, 1975, in Boo.k.1971 of Butte County Official Records, at page 243. PURCHASE GIRDER Cal. CC 9203 (c) Adams Manufactured Homes DMV • TR 874 761 Oro Dam Blvd. OROVILLE, CALIFORNIA 95965 i7 PHONE: SOIDTO L.iJ.7y'�LY DATE:.%% — ADDRE5S�J' ; 3- Z. '/21664-�-iG' ....� :i N `. G __" sACESMAty l Subject to the terms and conditions stated on both sides e9 this agreement Seller ag es to sell and the Purchaser agrees to purchase the fallowing described property: MAKE MODEL B. ROOMSJ APPROX. STOCK NUMBERS W 4t.1l SERIAL NUMBER NEW COLOR PROPOSED LIC. NO. T n `c " pi,�, DELIVERY DATE . . TNO. USED - C1 USED CUSTOMER MAY CHOOSE PERSON FROM WHICH INSURANCE IS OBTAINED. PRICE OF UNIT oZ• ' INSURANCE COVERAGE NUMBER OPTIONAL EQUIPMENT r NO COVERAGES EXCEPT AS SHOWN BELOW OF MONTHS $ ❑' MOBILE HOMEOWNER'S Lp !1 COST OF SET-UP PARTS — ❑ FIRE AND THEFT - CAC ❑ FIRE AND THEFT - COMPREHENSIVE SUB -TOTAL j.jp_ wG ❑ PERSONAL EFFECTS SALES TAX ❑ Othef Insurance (Describe) NON-TAXABLE ITEMS 1�C' } TOTAL PREMIUM for insurance coverages on the commodity if obtained from or DMV (If cash sale) q through seller COST.OF INSURANCE INCLUDED IN CONTRACT BALANCE (ITEM 4) $ C (1) CASH PRICE $ -� Plecse purchose the coverages checked above ° :" _ `- USED TRADE-IN SIGNED .�U T - h tCl 1 c .' ALLOWANCE $ I/We hereby voluntarily choose LESS: BAL. DUE $ as Agent or Broker to procure the Insurance listed above. The choice of above Agent or Broker was ON ABOVE not made a condition precedent to this sale. NET ALLOWANCE The name of the Agent or Broker must be filled in by Purchaser INITIAL DOWN „ in his own handwriting. PAYMENT RECD bVJARNING: UNLESS A CHARGE IS INCLUDED IN THIS AGREEMENT FOR PUBLIC LIABILITY CASH AGREED BEFORE BEFORE DELIVERY OR PROPERTY DAMAGE INSURANCE, PAYMENT FOR SUCH COVERAGE 6NOT PROVIDED BUYER'S DOWN PAYMENT BY THIS AGRPEM=NY. Sec. 2984.1 Calif. Civil Code. 3. UNPAID BALANCE OF CASH SALE PRICE Contractor is required by law to be licensed and regulated by the Con. tractors State License Board. Any question concerning a contractor 4. OTHER CHARGES maybe referred to the registrar of the board whose address is 'Con- Official Fees $ tractors State License Board, 1020'IN" St., Sacramento, CA 95814 a (Specify) ........ -' VSI $ CONTRACTOR'S LICENSE NUMBER 331482 -Bi b. Insurance on Commodity .....$ w c. Credit Life Insurance ......... $ d. Credit Accident&Health ...... $ - f3C- e- s 194e U F PA26 E,,—J'T e. Taxes (Not incl, above) .......$ f. License Fees $ BALANCE CARRIED TO OPTIONAL EQUIPMENT $ _ (Total) Regist. Fees $ DESCRIPTION OF TRADE-IN U Certif. of R Title Fees $ ' GO $y�.s- CG MARE MODEL BEDROOMS TOTAL OTHER CHARGES (a+b+c+d+e+f).: ':.$ ' - TITLE NO. SERIAL NO. COLOR 5. UNPAID BALANCE -AMOUNT FINANCED (3+4) ..4i 33 6.FINANCE CHARGE: :`:.' - 't'1 :�. AMOUNT OW ING: To WHOM ACCOUNT NO. Notice to the -buyer. (1) Do not, sign.•this-agreement before you read it.,or if it contains.any blank spaces to be filled-in. '(2) You are entitled to'a completely- filled in copy of this agreement.-• (3) Un- 7. ANNUAL PERCENTAGE RATE der the law; you have. -the right to pay oft, int advance the full -amount due •and. under -certain conditions- $ to obtain a partial. refund of the finance charge—(4) .If.you. default in the. performance: of your obliga-• -B- TOTAL OF PAYMENTS (5Te)..�.:.:..... tions under this agreement, the vehicle may be repossessed and you may be subject to suit and lia- 9..TOTALDEFERRED PAYMENT PRICE bility for the. unpaid indebtedness evidenced by this. agreement. Section 2982, ph.,18, sub a,:.Calit. (1 r4 6) �.$ Civil Code.;,•<:':}'....,, :.ti•- '.h; ;;::,; y., -sem.. ., .., iii:` '� ._icy T a l:"i _ :. �id E_• month) installments of S- .3 �� S` <!'a Payable in Y .... ach _ r and one finalinstallment of $ °� 'all payable the like dote PARTIES TO THIS TRANSACTION UNDERSTAND THIS FORM IS IN NO - of each successive month commencing 119 WAY A CREDIT AGREEMENT AS DEFINED'iN REG. Z. A SECOND INSTRU- THROUGH:'. PAENT, KNOWN AS A SECURITY AGREEMENT, IS THE REQUIRED REG. Z IT IS MUTUALLY UNDERSTOOD THAT THIS AGREEMENT IS SUBJECT TO CALIFORNIA CREDIT AGREEMENT. NECESSARY CORRECTIONS, AND ADJUSTMENTS INCLUDING CHANGES IN NET PAYOFF TO BE MADE AT THE TIME OF SETTLEMENT. (Z226.6f). Purchaser•st certify that, Lal I twe- have,reod the matter printed on the back hereof and agree to it as a part of this agreement, the some as if it were printed above my lours signatures; ibt 1 $we - am tare, 21 years of age or older; or have been legally emancipated; 1cl I (We) have voluntarily purchased the above described trailer, mobilehome or vehicl 'e, the optional -equipment and accessories thereon, the insurance as described and have agreed to all the terms of the financing arrangemenls;lrhol the property I !Wei am laret trading in is free from all encumbrances whatsoever, except as noted above. Purchaser agrees each paragraph and provision of this contract is. severob`e; if one portion thereof is invalid the remaining portion shall, nevertheless, remain in lull force and effect. RECEIPT OF A FILLED-IN COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY THE PURCHASER. ADAMS MANUFACTURED HOMES A DEALER Q� SIGNED PURCHASER of Vatid Unless S' ned on ccepted by an Officer of the Company—•-- -- •�•'•°�'•'•^^'�•`•-^'- s � - By ,G11 ut/ A roved. Subiect to occ prance of financing by bank or finance. company., ;I- ';,'? �= �;; _SIGNED ' PURCHASER V NOTE ADDITIONAL TERMS REVERSE SIDE FORM 1 OOC-3 1111 s Mobilehcrne Printers. Copyright 1915 . Mascoutah, Ill. s CALIFORNIA REE54EVERING ACTi DEALER'S COPY 1- 11 A RECORDING REQUESTED GY Orovill-e Title Company AND WHEN RECORDED MAIL To Name Mr. Mrs. Robert Oliver .Street 12622 8th Street ,ddress `''sl & Qard.ne'Grove,.California Stat L 92640 MAIL TAX STATEMENTS TO - F Name Street 'Adress Same -as above City & Slate L 71 I 1 OFFIC-!A -her? 'lis 'By L) ROVILLE TITLE CC). Ali 197 C�,RK A, t OLERK' RECORD" 49693 SPACE ABOVE THIS LINE FOR RECORDER'S USE— Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS A. P. N. The undersigned grantor(s) declare(s) Documentary transfer tax is 48,95 81;�_ ) computed on full value of property conveyed, or XX computed'onlull value less value of liens and encumbrances remaining at time of sale. Unincorporated area: City of and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, DONALD A. FORD and-,CAROLE A. FORD, husband andwife hereby GRANT(S) to ROBERT T. OLIVER and PATRICIA M. OLIVER' husband and wife as Joint Tenants .the following described real property in the unincorporated County of Butte State of California: see attached.description Dated . Uovember 8, 1979 ' OF CALIFORNIA COUNTY OF 5S. Oil hefore Ine., the linder- si.Lrned. a Notary Public in and for said Sizite. personally appeared known to me to be the person-whnse name - subscribed to the within Instrument and acknowledged that -executed the'sainc. WITNESS my hand and official sea]. Si&natLire Donald A. Ford. X_ Carole A. Ford e (This arra for official notnrial seal) Title Order No. _._17',crow or Loan No. MAIL TAX STATEMENTS' AS DIRECTED ABOVE 10 9.011111 Li. r TO 1923 CA (12.74) 71 I 1 OFFIC-!A -her? 'lis 'By L) ROVILLE TITLE CC). Ali 197 C�,RK A, t OLERK' RECORD" 49693 SPACE ABOVE THIS LINE FOR RECORDER'S USE— Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS A. P. N. The undersigned grantor(s) declare(s) Documentary transfer tax is 48,95 81;�_ ) computed on full value of property conveyed, or XX computed'onlull value less value of liens and encumbrances remaining at time of sale. Unincorporated area: City of and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, DONALD A. FORD and-,CAROLE A. FORD, husband andwife hereby GRANT(S) to ROBERT T. OLIVER and PATRICIA M. OLIVER' husband and wife as Joint Tenants .the following described real property in the unincorporated County of Butte State of California: see attached.description Dated . Uovember 8, 1979 ' OF CALIFORNIA COUNTY OF 5S. Oil hefore Ine., the linder- si.Lrned. a Notary Public in and for said Sizite. personally appeared known to me to be the person-whnse name - subscribed to the within Instrument and acknowledged that -executed the'sainc. WITNESS my hand and official sea]. Si&natLire Donald A. Ford. X_ Carole A. Ford e (This arra for official notnrial seal) Title Order No. _._17',crow or Loan No. MAIL TAX STATEMENTS' AS DIRECTED ABOVE 10 9.011111 '0H D �E R id0. 113246' SCHEDULE C The land referred to herein is described All'that certain real property 'situate of California, described as follows: as follows: in.the County of Butte, State The Northeast quarter of the No'rthwest quarter and'the-Northwest quarter of the Northeast quarter of Section 33, Township 19, North, Range 4East, M.D.B. &M. EXCEPTINIGTHEREFROM that portion described As follows: BEGINNIN'G at, apoint on the C enterlir ie of Wheeler Avenue, 574-7 feet East of, the line between Lots li. and -2 in Block 115' of ADDITION TO -SUBDIVISION NO. I of the PALERMO CITRUS TRACT, according to the Official Map,,thereof, filed in the offic'e.of the Recorder of the County of Butte,, 'State of California, July. 23, 1.888, thence North 280.0 feet; thence -'. East, parallel to.said centerline of Wheeler Avenue, 81Q.O'feet to- the,'centerline of County Road; thence Southerly on a curve to the right,- along said centerline o.f County Road, 305 -0 -feet', more or less, to centerlin-:- of Wheeler Avenue; thence West alongsaidcenterline of Whee'ler Avenue a-distan*ce of 703.-0 feet to the point of 6.'eginning'.. ALSO EXCEPTING THEREFROM thatportion described in the Deed to the County of Butte, recorded March 3,'1975, in:Book 1971. of Butte County Official Re.cor.ds, at page 243.;: •To 1950 CA (8-74) (Witness — Individual) TITLE INSURANCE �ANDTRUST STATE OF CALIFORNIA S, COUNTY OF j butte ATICOR COMPANY � November*15, 1979 On—.----,- r`before . . tile, the undersigned, a Notary Public, in and for said State, personally appeared._ George Johnson known to nic to be the peirson whose name is subscribed to the within Instrument, ' intent, as a Witness theretowho being by me duly sworn, deposes and says.- W x That -...-he- —, resides in___B_U.t_te W and that- was present :fnd saw _j Donald A -..- Ford _and Carole A. Ford< a. -- lici-somilly-krim'yn Io- - .-him to be the saille'i)crsolls V) dCSC1_ihCiI in an ' I whose naniLS subscribed to the wilhin and anrie..xcd instrument CXCCt11C the ";MIC: :tlld he 1O.Said affiant that they.x,,:tjj,,j the s;1,11c.: DONNA M. EARL NOIANY' 11jilil.1 U CA and that alli int I subscribe(L ..nanie thereto as a i - II 1`01MIA BUTTE COUNTY' Witness to said rxectitiOn. &1y COAINIIS'NON C(PIRES.Ak 3, 1980 WITNESS my'hand -and officlial S�ial. Signature, (This area for official notarial sea]) CIS ZK 0=4 OF DOCLAM" R , o �e cor.:plet at the ti.;u a building por�ilss~►s I;Lsued for inst.1l`2ti;n of a roJileho-c on a four tion ,ys.tel�. pu.rsu.nt to Section nd Saiet C0:1 C. copy 1; Co•9e -1:.ne(i"i'?'t'cT" ransliit"te of t7_ health d Y r_ t dCp rtr:?nC with a• C9py of the bu iI,In•J p^..r.mit a ���CtB'►Yd)FDiI'j • e;:c!t trarSee ;portible sec: ion of the r.,cJil no.:e. a THE OEP;4RTi!EI;T OF HOUSING AND CO,i`1UNiTYOEVE 0.?i1E.iT Oe ° ♦,►..`�+..•_+.�.+r.•;IiO.11(.;wy►}.•.`rw+«.t:•}•Y.F.+'I}•.f..,.{o.,.�a+w+s}'•4r-a,s.,,aT.v+,y 9 Divis;o., of Codes and S_endards, 'IoJileho�e (9i6) 4 r r 501443/7j . [OEGTIFICAiION INFO„!AT10t' M031LEH0 P.O. Box 31, Sacramelto, CA 95EOi _ Butte County Building Dept. �7`�--' ._,e or to^al a,epcy issLing'bui1din, per�ii Zutlding Perri[ tlo. e or 5 6-28-82 �tlodel Rzr:, /tiunber 7 County Center Drive,•0rovi.11e CA. 9 9 LENGTH X ��,:rss';- —_ —�L'ate Perri• [ssue'�` the rear Oroville Butte 95965 916-534-4541 1r� E PlrANt' FA THT S. QC __ rl.tY� L0unt}� --- — ylp�.— (ierepno,ej--- ..}•`..,.F.,.,..•.«+••>. -,•r �ILICZl1SE/OEC,?L /`''�M — !E°SHIP iaiFO2MATI0t1 - 110EI!„!:. rit 5'ij: i `/<.-c / --L=— -- 1e,l�j-p.,ner _ .__rJ.aner — s me t,d _ iti t2r _ s .ar.,a� .: ..._ :,_r's '!aiiinq Addrzss - rs (Le•;al O:+ner s,v>>,I1n:J.�Cde .n (,C'oar,ty)�---�SCa[el (Ctt�3 LE TT ES _ --__, -_--- e, c L= .i—_-- rine ? F of Co �� oSil_1o,ae ai 11 be Owner s ipe P.csi::_r.r.c_ ) �` _ ...,.,,..+•+' --.. •..+r..,•+,a+r.F�+y .y•}•+'a •.y •♦ w.}a+w}.+.+•}• �•,+.+r�•i .air}r+w.,•}r+r+r., •., * • _ SLS ti C.i $riI° I`iFO.^r1AT lOt1 - REAL PRO?cPRT Y — r ['.tr-, r --- of') S� ASO �`-S�AP.CcL 11UM3SER he liar_ s V lst 4o [gage Holder's lime 2nd liortgage llolderl v i ailin Acdress) z-1 1 Prop _r r __ - /, ,.Address Address ity) County Stace)'-(ZJp.:).... —.—'. ?ro2 JiZe?' L`ength x 1,idth or (zip) (Ci[y) -; Van—Rate-(Ter„sl at. rLo izChod of Verification? Dead, etc ) egal Cescription of the Real Prop_rty•,' - a w yl 0 _k w ,�1r4r, tY`j Y'Y a';. �,-; ",'�' YK4Y�N; • • ♦ • 1 4'. • 1P ► - • ♦,►..`�+..•_+.�.+r.•;IiO.11(.;wy►}.•.`rw+«.t:•}•Y.F.+'I}•.f..,.{o.,.�a+w+s}'•4r-a,s.,,aT.v+,y . [OEGTIFICAiION INFO„!AT10t' M031LEH0 _ /,• - [iac•te - L Le of tlanuficIture) �tlodel Rzr:, /tiunber cturer s [i0. (VI..) I[iSIGiIIA/LABEL NO. LENGTH X WIDTH OMV NO,(F.rcn the rear ScRI:,L n .,'� X JL �ILICZl1SE/OEC,?L /`''�M — of the mob; i e- rit 5'ij: i `/<.-c / --L=— -- hog--, facing � r - Unit C" Uni• 0" Unit X X Buil Lin Coo%t^p? 1',)i{:'r:l-_' 1� To'.il NO. R0••�? _ xtcri�r 1:all Co`.,_ ing. r .8ttil,tin QJe.n e for `�11 ThiC:..•_��. —,�_— j. Built.in Microwrav::? front, the unit is the on: at your left. Next is wB", 'C•, etc) / Builtin Trish Ca'P3r-tnr? — *0_. Fa:,tily/�.:n _1 C^il ink H:ig-'? Util ity? / _ Builtin Oi;h N sh^r' 1 Othor? b,, ��l.vrl / 0ispo.:a17 To -.i ear Re --04,2d? <:?----- . Other? r..le F;^•7 —L .' .�. ,,., .,. .a.,r �+_ ♦rip}'' >;• :M•rar SALES INFC!:;!,tT I"I' - ti0c31LZH0:lE 2EF. 7`%'�OC�, oa — LisC Cit'' 1CtRs ar.d CO r. value: or ar.y ----_— --- u r Cn - Gtr' Ot GeLr�1 cr�:..1�p�u?•-'aI i' -e,::; ln:�u!CJSn t`.e '— -.cTh.i_rLz�rY_e price oc ^uren,sr[nr' �— + ••I �•+ e;1 r.,.71i1'_ho,^ or. t`.e re.1l pro;i +r. .-.•..-_-i'�`•'r'' Che drove dzscrih ., CCC'J;'AiCt' Installation of izCcJ an a/_nit eerCifiea_ C:'i[r'IC;,:E 0� .rl�. t. ,.ri�c,' h^reon h..t: b. Cu''D p,,rCi:.ul• _ LOC 1—'.' Oo C �— W co .2 O al- _ _ Qv w . 0 a I j �U d for o`'a rjJ y s n Sj fp. i ti; I y tran f r. 0 y Co J c A :opy is Coto � e i C5^. b -.i i 11 d i n p r m i t e nd f C h d C 0 ;Y 0 ' t U! 0, t nc� S - , iin r tjC *1 1 Or ch Era SCLC I C!, LJ SW C -1-11y, J.i ! _ . -i E?: r 0': P"U S 1 -3 C G: 1 T M C Fr A Div C 0 J e S ane 11:1 ar C S t�i ci n c r �.m e n C A 9 0 4. c' d 3 1 . S, 4 Coun�:Y o[ Butte':�T rr—Flr�T 7 County Center Dr Drov i 11 e Butte 95965 916-5 34-456.1 cU"'ro L L EAV f T H I S or. �E! N"' T Bank of Amr-ri.ca (L n a r! s LjL e -1 -2 r 5 a A r s Chico, C;11 959�.16 k co -,j (I z yo L!! I ter, --e;:: . . . +�, - .-*+- P I - P - - I ;d7 PC i I f7 5 V; P* cons; t Acc rt + REAL. PROPERTY 036-2T-0-1 65-0 fj Esso" S7PAP.CEL NU, Of zcer 11 .-A T I S tj OTC —9a TE: .4 o i d C r I property 5a i I ing A gess) P.O. Box 322 z I p Address TAdjreSST ounry -I L Pal,enmo Ca. TC—, ty� -(1-�-a —te LL -elf- _— 7) , ml -L Y-1— 3 —Ea C- T L —Eh � i d ET 0 r A —cr e S r oJ e r y ' � - —0 Lo,n/ j_ r; s Ra:T erms) 7 2 _`OOf 12- fi1.tioOe2d, etc.) Parc-1 2, as shown on h:a nr+tain pprrpl Ma -11 o f eyal Cescripric., 0', the Kt.:al Property?) the southwest quarter of Section 26, Township 19 North, Range 4 East - M. D. B. Moap was filed in the office of the R-2corder of the Ccunty of Butte, -cel Maps, at page 4. —ne �7 —,J 5,-- 0.� in Boo! 77 of Pai rq u !!I rcl� erra, J7 fD qZ C utility ..ity- purpof:,e-9 a:: shown pf, MO��IILEHOME DF- riTIFICATT R( I M,.) n ar�c h 68'- 1 1, e, 13 1981 orb — ; u., Lancer mzme SE JECAL 110. a: tu I' er x WIDTH 01IN-LIC61 I L NO IfiSIGNIA/LASEL NO- LENGTH (Fram the rear Sc 12 5 -X of the ma.�ile- 5 facing home. f to VQ n! -7 x 1 2 6851 B front, + tn Unit U.1it 1� th, Unit V Unit ctcricr 4311 Cova:-ing? ?-Yjf cavcrirg? E,-,erior Will F. 2:1 t i ri 1 %rd r r Lr ? C ccil ink H:iii-- T r Total N'0- R0Cr--5? Pe Eedrc:11.15 ? Dining? Utility? V_ Oth:r? X X ouiltin Cco'k-tcP? 3- r guiltin Ov--'? Buil Lin iC]-0w-W2? ou i I t: in T,,,,.,h CCrP,1CtDr? 6 ., , i I L i n Di ;h I " t , h --- r ? cni at your JE!rl. I'lext is .18". 'C". etc) L/ '—=--c^----- cc) .0% U LE 5 F G'3 1 cl EG ar)ool lar vaic_s o arty er ict.� J of C P r I C e 0 r trC rool C.,j U: Lk t. U - , . j, . + '4- I n -EY 0 P,': h� ic dcsc- i r., j Z) i I t, h r 'r-ste 1 1 2 t i crl 3, e L c e r ',r-C'J?A:":y :7 :1 1 C 07 y r s bz h,.,•2 un on 0 f 0 A 0 o l C I June 229 1982 Butte County Bldg. Dept. ;`7 County Center Drive Oroville9 Calif. 95965 Dear Sir9 Please accept.this letter as our knowledge that Mr. Robert Oliver will be placing his new mobile home on a permanent foundation. Somerset Serial # S14-61420 Yours truly 9 FIRST INTERSTATE BANK J. ESLICK 25070 ASSISTANT VISE, PRESIDENT Return to DPW i AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Hi �-,•f-:.,,�. _ ' FOR RESIDENTIAL DEVELOPMENT�C�_��: Section 26-8a of the Butte County Code requires this acknowledgement Joh Z '� 1IPH MR; be recorded prior to issuance of a building permit. CIp • /nfi(y /. � i I described herein'is adjacent to land or included URANOJn ♦ t<.r 4 y r. it CL RARE AD,A The within property an"area zoned for agricultural purposes, and residents of ' W this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals; including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally "generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority -use for productive agricultural purposes, and ca 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-Califorriia, COD described as follows: I i Date: �I/ I PROPERTY OWNERS: Y da ofd-:,P� , 19 On this thO —51 J ,-_ Y before me, th undersigned ary public, personally appeared knownito me to be the person(s) whose name(s) subsc3 to the within instrument and acknowledged that executed the same for the purposes - therein cot ed. IN WITNESSEOF, I hereunto set my hand and official seal. Notary Public i State of ) SS. County of plemnleeleeeleiuteeeeeeneeelleeueeweea11111eleleel�7 OFFICIAL SEAL MELISSA M. NIXON •-� ' NOTARY PUBLIC - CALIFORNIA _ COUNTY OF BUTTE My Commission Espires April 12, 1985 - flpoll 1te1e111e01111111e11111AKill 1tell 111111111111111Ilia a Present A.P. END OF DvCU1'vSEN1 CIO o� -11 W -C Gm's The Northeast quarter o Quarterof the Northess Range 6 Bast, N D"0 i EXCEPTING 'THEREFROM that BEGINNING at a point on ,the East of the line between - SUBDIVISION no. 1 of tf,, `PAS Map thereof, filed in'',Lhe oT State of California, July East, parallel to said the centerline of Countrlel`on'at�e right, along said centar.'line c to c:nterline of Wheeler Av- nuf Of Wheeler Avenue a distarte a ALSO EXCEPTING THEREFROM that County of Butte, recorded Mart Official Records, at pate 24. W+Loo S*ate i Yk _ tM 'Mortbmat uuD 19, North, '..'�• 574.7 feet Illsor ADDITION TO %V`-V'Nle8 to the Oracle l ►�r�de1`^ 0�, the County or butte, !r�lortb -?b0.0 rNt; thence ApitAue, x10.0 het to rljon a curare to the ioS.O feet, yore or less, said centerliine P the polat or :04 Inning. pN In the Deed to the Book 1971 or Butte Corny r COUNTY OF BUTTE -l _PARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT i PERMIT NO V ,1h ASSESSOR PARCEL NUMBER Z BUILDING PERM% CIANER /�' ' / W08�% % p/' Tel &11' /�. �Z� V TELEPHONE FT. OCC. BUILD% G V UAT 9SO{. / ✓ jO�N ,OV OWNER'S MAILING A DRESS COAOT AP R'S AME TE� PHONE CONTRACTOR'S MAILING ADDRESS / rJ2. 50 1(% SQ. 33 _�`� — Fireplace Cj]�JSTRUCTION LEN ER ^ /�� UNKNOWN Total Valuation v Q© Filing Fee -' $ 10.0Q LENDER'S MAILING ADDRESS I�7'/�`'j,'Av/ O ^ �� �/ �� ,�LV ,v- //W/7 �� Permit Fee $ , ARCHITCT R ENGINEER �� iPL� /� 0� LICENSE N Plan Checking F e $ , Penalty y $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL TNG A ESS A�Q �Q� PLUMBING PERMIT Filing Fee 10.00 ��� Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping S-00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 'S• 0 0 USE OF TRUCTURE SF ❑ Duplex ❑ Mobilehomep Other SPECT F -Y Building sewer ��- 1C0 Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities: Installation❑ Other Describe work: ��D 1�� �-� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS /0. 010 Main service//EA. ADD'L 100 AMP 7 2.50 Z, tNEW CONST. OR ADDNS. IACCLBLDGS.DWELINGCCUP.y�1 / 20sgft CONTRACTORS LICENSE LAW I dell �ae under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' ns Code and my license is in full rce, and effect. License No. Classification "% (� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWNON-RESID R BRANCH CIRCTITS 2.50 ea NEW CONSTR. / POWER APPARATUS S) NON.RESID. %SINGLE OUTLET CIR. SO @ as Ex. OCCUp(OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR Ex. OCCUp.�OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Z'Z-S Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iia'lities, judgments, costs, and expenses which may in any way accrue onse�ence permit. the granting of this agains aid County fi 6-� X Date Signature of Applicant - Owner ❑ Contractor [IAgent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Moble Home Installation Fee $ + TOTAL PERMIT FEE $ Lk l D v OCCUP. GROUP I TYPE OF CONST. [_1PA;;�o[PD HD 99U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OA OF rP By4 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. LIC WORKS Date 4— Receipt No. 69S7/7__ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Rqturn to DPW AGRICULTURAL STATEMENT OF' ACKNOWLEDGEMENT 2? r FOR RESIDENTIAL DEVELOPMENT, sa Ic P, Section 26-8.1of the Butte County Code requires this acknowledgementCA� be rEcorded' prior to issuance of a building permit. JL14 Z2 12 j Pt i►n!q,., EIL E A NOR The property described herein is adjacent to land or included CLERK within an area zoned for agricultural purposes, and residents ofDER this property may be subject to inconveniences or discomfort arising'SZ-18731 from the use of agricultural chemicals, including, but not limited to herbicides,, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- turalzones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should'Ibe prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property sit=uate in the County o . f Butte, State of California, described as follows: _!W9 All that'certa�-LrNia of Call fornia ;Ir descr 10-11-MMvk,�,, The N0 rthea3 :,quarro Quarter 'of ',the,, North Range 4 East, M.D-W EXCEPTING THEREFROM BEGINNINGpoint at a oin t 0n_.theji,celtl East of the line between.Lo_ti'*V SUBDIVISION NO. I ofxthe�JALERR�( Map thereof, filed in,:thi,16ff1ji State of California,'JulyM East, parallel to said -,'_Kcint4iF1J the centerline of County Road 4j right, along said centerline' ' 'of` to centerline of Wheeler *Avenue ;N of Wheeler Avenue a distancetof" ALSO EXCEPTING THEREFROM that -)p .County of Butte, recorded March Official Records, at page 243. I tua 0 0 ft, awcmntykorButte, State A_ thtx - -ot-to 1 '.1orthvest ht --13 WV.-To V19,�North, venue* 57407 feet -.of ADDITION TO THU M, to the orricial ,N u I r3he County or Butte, r�o W�280.0 feet; thence net beler venue, e10.0 reef to T. her on a curve to the Coni %0040i'e305.0 root, more or less, -o'oe , 3t';along said centerline V01.101reet"tolthe point of beginning. M" i.7 rtionf o3crl�il in -the Deed to the 3j'4419?5;,V1n-ftok 19?1 of Butte countr I r � . r Y"T"� ".`. #+�`•e'1•'A•!+. �,wr--�+sY"'-�xa+apW.t`.aw,.rk.,n..WY •tit •...-o ...� All I Date: PROPERTY OWNERS: I{ - State of +,(�C�" ) On this the��z� day of ---<.Pi 19 , SS. before me, the undersigned Wary Public, personally County of 1.7,1 ) appeared / known to me to be the person(s) whose name(s) subscTV.Ixx/o tthe within instrument and acknowledged @i7mrn111Ae199e99t1ee1s119tAt9tlgsA91et919A9t9ac9s9s9A9AC� that executed the 'same for the purposes OFFICIAL SEAL a therein con ained. °i MELISSA M. NIXON NOTARY PUBLIC -CALIFORNIA IN WITNESS HEREOF, I hereunto set my hand and official r- % COUNTY OF BUTTE seal My Commission Espires April 12, 1985 m �/IIItt1Al1119!''It01tA1A10119A1It90t011t11t111t1111111A111® ' Notary Public u iNNlYwaue�+.+.a.mrsvaeF.Saar.x,wrw..v+•w.x.y�.,m...r...�........,..........,............:...._,...: ......P_':.45_-.^'C"NY-: ,..-:s:,f - w - - - S: G,ILY, T 1 g.N • R • 4 E , M. D. B• E� • GMla E OR t; BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION:SHEET 1. Owner's name: 2. Installer's name: 1 1\IC U 1 I %%-Ai 3: Is the site currently under permit? Yes No (If yes, furnish permit number ) OR. • .... Is the site an existing site? Yes / / No (If -yes, furnish two (2) plot plans.) is the mobilehome electrical rating? ----------------------- A, 'Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of.' all setbacks. and easements? Yes / t,/''No (If no, clarify ) 12. What is the mobilehome gas demand? ------------------ BTU (This information not required ifpipe.length less than 6.ft, on, natural gas or less than 50 ft, on LPG.) 50- What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? '---------- I Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No / / (If yes, identify the load and size: (Load) 'fit (Amps) 9. What is the mobilehome site'gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural /% /37/ /LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.).. 12. What is the mobilehome gas demand? ------------------ BTU (This information not required ifpipe.length less than 6.ft, on, natural gas or less than 50 ft, on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.Fo -4 furnish Setup Model No. Year Width c (ft.) Box Length �`t.`� (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (.if not on file with the County of Butte). ' All cen orts measured from front of Etfe--Ih1 of-erwr i r f(check one) aJ V �C; 1�.),.� ngle - Wood either pressure;treated or rr foundation` grade. rin.. 2. Other: (specify) (ft.)(in:) (❑ Center support Clocations* f Supporta one) Fi�—r. Concrete block. ❑ .2: Other. (specify) (ft.)(in.) (ft. (in.) (in.) (in.) x (in.) (in.) 1--;;�+71 --Tagalong or Expando,• show support details. x Z1< -- Typical Support in.) Footing Size �v -- Max. Pier Spacing x -- Max. Overhang (in.) (n.) (ft. )(in.) 7 BUTTE COUNTY BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above, draw in -locations, spacing,. and dimensions. �y i 1 1 ,ci977 Qw-�� ?3 7,, Vo F • % ^COUMFY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANO PERMIT ASSESSOR PARCELUMBER _ 3C& - ty,- (o ZON NG A BUILDING PERMIT OW' E 10 -% aL.l ;/E k TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME 11 G)"C TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 1'! LICENSE NO. Plan Checking ,Fee ,� $ Penalty $ ARCHIT CT OR ENGINEER'S MAILING ADDRESS - Permit fee $ BIILDI'NG ADDRESS .. - �I%/S 1f,�LE k fI v E-. 1I ��f• s�C1G bT PLUMBING PERMIT Filin 9 Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 (r < (�� yt✓ L� Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other �- �' S£kV r! �- SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New [�;' ddition ❑ Remodel ❑ Uti lities ❑ Instal latio ❑ Other Describe work: � ���'�� & "`6�- CLL' — /177, %< [ j i, � �(,✓[i;1�/. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee / 00 Main service 100 AMP OR00V ORLESS5.00 �1(j Main service EA. ADD•L 100 AMP 2.50 7,50 NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS & j NON•RESID. (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES B AL AL @ 10S FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 9.049 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 / f�_- j�G'N'Y /. G& Permit Fee $ , S 0 Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 — Ventilation permit Fee $ — - — Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize.representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against -said County in consequence of the granting of this permit. / ,� / X L g:i4 / /:/�/ _ Date �-..� =�J1 Signature of Applicant — Owner lam- 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I JPARC9LJ ' PDi f ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOjJOF PUBLIC r 1 By ;- 'L--^- PEEAM` T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date % Receipt No. `! 5 J 41TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Qalifor� is 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT AE60R PCEL�BER 4K''�/e— BUILDING P RMIT Oy�po F�`�� OL..f Vr� K ��Jj/'!!{/�s���' TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNS MAILING ADDRESS %�w/��r/�//�1/^yv/7��s.�,%�[/�P�]'/�Gp►�y/��1 *ar :51-- `-7'//`-'aw�lry 7�V✓r /V CONTRACTOR'S NA/®��TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTR CTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 6 Permit fee $ B D ADDRESS B_U�I DING ADDRESS Q�/�^ Fe , /�PP 20 • pi' PLUMBING PERMIT Filing Fee 3.00 ,T P/i O Each Trap 2.00 Repair drainage or vent piping 2.00 p Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE � SF ❑ Duplex❑ Mobilehome❑ Other &C-6 � �1�-G SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New �dition ❑ R'emodeI ❑ Utilities ❑ Instaliatio Other WwContractor Describe work: -� �116-C rVA9— ��6& 1. VT vE1 Permit Fee $ ELECTRICAL PERMIT Filing Fee /6100 Main service 11V OR 00 AMP ORSLESS 5.00 .Qp Main service EA. ADD'L t00 AMP 2.50NEW CONSDWELING O OR ADONST ( ACCLBLDGS.CCUP,&) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed Contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET 2,50 ea NON -RES,., CIRC ITS NEW CONSTR POWER APPARATUS &\\ NON-RESID. (SINGLE OUTLET CIR. 1 Ex. Occup(OUTLETS OR FIXTURES 50@25C BAL@10a FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) / 2.00 g,.®G Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 I / P PeW Permit Fee $ e50 Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag Id County in consequence of tqe granting of this permit. 161 A-.,# e�a _ OyS �/,,�� Date �I Cay � Signature of Applicant — Owner L,rT , 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 $ Land Development Fee $ TOTAL PERMIT FEE $ :?C), �7® OCCUP. GROUP I TYPE of CONST. [FZW;C�7P ND esaE This permit is hereby issued under sions of the Butte Count Code and/or work indicated above for which DIRECT O PUBLIC By PEWIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �) Q Receipt No. 3 3 J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT AGRICULTURAL BU ILD ING i Exemption from Permits k owner of the property located at (please print) , l Assessor. Parcel ��� --�Z �� intend to construct an agricultural bui ding on, -this property. that isynot subject to permits. ' ' Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain' poultry, .livestock, or other horticultural products: This structure shall not be •a place i of human habitation or a place of -employment where agricultural products are processed, treated, or packaged, norshall it be a place used by the public. ,I understand that if I change the use or occupancy of this building in the future, that I will be subject to'the necessary permits, inspections, and approvals 4 from the Butte County Building Department. Signature of Property Owner Date �"'_ r ' i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC. WORKS 7 County Center Drive - Oroville, California 95965-.Teiepnone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. I: � l� VALUATION AS cF ORP �,C EL N �MBF_R S —" �O BUILDING PERM! K'�fl) Fpjly,' `/ J� O �/ %C--/ QLIV �• TEl_EP'FIGNE .._ C�. FT. 0 BUILDING OWNER'S PAA LING ADDRESS, sr CONTRACTOR'SNAMEELE, ONE i CONTRACTOR'S MAILING ADDRESS F-- -- CONSTR ICTION LENDER, UNKNON%N Fireplace LENDER'S MAILING ADDRESS Total Valuation $`— Permit $ RCHITECT .�R ENGINEER _ARCH')�,Fr��i' LICENSE NO. �! _Fee _ Plan Checking Fee ---�� $ P airy $ ITECT 7R ENGINEER'S MAILING ADDRESS Per. it fee $ El U'U'Nv AC -DRESS / , /IPP- 9010 / ��� � 1 ALUM Rib c9 q�IT �IVVff tV PERMIT 1 Filing Fee 3.00 rap - 2.00 R::pair drainage or vent piping 2.00 •-- •--...-•` L.cr�i Water piping LO? NO. SUBDIVISION NAME 1P_ ARC:E' MAP Each qas water heater or vent 2,00 Gas piping system 1 - 5 outlets Building sewer — USE OF STRUCTURE SF ❑ ❑ &�C-(_ Sc*_ ❑ Dupex Mobilehome Other_ERE --�_—� Lawn sprinkler system - 2.00 TYPE OF WORK New A dition❑�� RRe//m��odel❑ utilitii�es❑ Inst at' n`. tither Describe wo:k: SI Ct//66 Permit t=ee-- $ µ�- Contractor ELECTRICAL PERMIT —FilingFea /S00 Main service 100 ,AMR ORSLESS 5.00 f blain service EA. ADD -L 500 AMP 2.50 2t�� CONTRACTORS LICENSE L W 1 declare under penalty of perjury (check on ❑ I an licensed under provisions of a t. 9, Div. 3 of the Uusiness and Professions Code and my licen is in full force and effect. License Pilo. f lassification _ 1, as the owner, o4w, es with wages as their sole compen- ;0114sation, will do the structure is not intended or offered sale. (Sec I, as the net,y contracting with licensed contract- ors.(Sec 044) arr a mpt undeBusiness and Professions Code for tb reason NE'N CONST. DWELLING OCCUR.& OR ACDNS. ACC. BLDGS. ' 2d sq It NNEW ON-CONSTR. EiRANCH CTRCTITS 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. r Ex. Occup\OUTLETS OR FIXTURES Bo L zsc BAL@t0. Ex. OCcup.(OLITL ETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00for Misc. Wiring 6.25 % /�� �� /pPI Permit Fee $ Contractor ~ OR MEN'S COMPENSATION INSURANCE I declare undo pen t of perjury (check one): 1 The permit i for $100.00 (valuation) or less. ❑ I have placed file with the County of Butte Building De(artment a C=rtificate of Workmen's Compensation Insurance or a Certificate of Gonsent to Self -Insure. �j I shall not employ any person in any manner so as to become subject to the V/. C. laws of California. l Plotice to Applicant: If after making this statement, should you become subject to th_ W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 _ Ventilation -- permit ,��� — Contractor $ I certify that I have read this application and state that the above information I is corre::t. I scree to comply to all County Ordinances and State Laws relating to building ccnstructiun, and hereby authorize representatives of the Countyot Butte to enter upon, the above-mentioned property fer inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag b Id County/in consequence of the granting of this permit. ?-lr/�r1'��-tom Date° _ Signature of Applicant — Owner[I! Contractor [J Agent I I 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. $ Land Development Fee $ TOTAL PERMIT FEE $ �Q cccup, GROuP TYPE of CON 5T, PARCEL PO HO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By — — PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. Y_LLOW-ASSESSOR, PIVK-INSPECTOR, GOLDENROO-APPLICANT A 07 X eL.- 9 h 'A,: INA i i 'r F � q �. Y, F � "�� *S� Hr t � t�'` r�aF � ,.a ,�,s � t � %•� p Sa • 5 t � '• ` � `i'� . imp ���e\/ N• i� _ cl l'1 /�•/� a�,r D 'fY..= ` 5 .ltQ - �� '� l�Yt <�`: + - P ` i' �w �r . .ynD i •w co pO • T11-1 X OD o . "� J. • ` A f r i t � -01 1 F.1 UAW &OAD __ ,.,ate-�, .. _:zc RFy � amour/>✓'A lc.,.' � 24-'x.18' G,4.-5•,�- SP.t E ''__S y.. PROVr - L ccAT- Vct� . CC.240;7i C•^�i Sn,_tE AS�J �lcNTILATIOh_: O`Jc P./`T GY'�"�,•v'/NO� 'N/ _oc-ire r1 ;v E.�,'D �/JALL _ TEy u - t GRA"E a ( Gu,�owT_O �2A'ff- o� Alf C:? -� �r.o; o.e iSc ;'-'-� rid' risa:. 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