HomeMy WebLinkAbout027-350-1931
027-350-193 PERMIT#96-0858 r ';
NAVARRO, Gilberto
1&71 Cox Ln. Oroville
Mobilehome Utilities {
ELECTRIC
GAS LINE
COMPACTION TEST RE
SUPPORT,STRUCT REQ
E. 027-350-193 PERMIT 97-0277 j
NAVARRO, Gilberto/
1671 Cox Ln., Oroville / +
Mobilehome Installation
,
y
AP 77
OWNER�Qber /o MCA U A
PERMIT "it
M UT IL . CLEARA E DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc.
YES NO
Compaction
Test eq.
Service
Size"
Other
Load
Type
Pipe
Size
Length
YES NO
.L
I
I
A
RESIDENTIAL G,
027-350-193 PERMIT#96--9858
NAVARRO,, Gilberto
i 1G71 Cox Ln., Oroville
Mobilehome Utilities
s
04 , j AGY-[JULX
st
J.
r OFFICE COPY
a` Address
GAS
Meter
By
ELECBy Dat
Meter By
Date
a
JOB FINALED (Date) —
r
Signature .
y.
V=OK
(o!Gas; Location -Test -Wrap; / tUft.
/ /Nat. or /"L°ft G
O = Not OK
7. Well Clearance & Di nnect ylj {ij 2 ,L
= Not Applicable
`=Not
MOBILE HOMES
Ready
11. Ext.; Steps -Doors -Landings
Date
=HOME(Plans) OK except #'s
(Xotoning
Requirements - Setbacks - Easements
)
MISCELLANEOUS
_ Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
_ 1. Zoning Requirements -Setbacks -Easements
_ 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
(o!Gas; Location -Test -Wrap; / tUft.
/ /Nat. or /"L°ft G
7. Well Clearance & Di nnect ylj {ij 2 ,L
lily Clearance
11. Ext.; Steps -Doors -Landings
Date
b Card B-1 Date Card B-1
Date ��G�_
Card B-1 Date'w��J 9iFi Card B-1
Date '
MOBI OME INSTALLATION Plans OK except #'s
i Date
Zoni equirements- Setbacks Easements
s; Size -Spacing -Marriage Line
• MH Test -Demand VaNe-Connector
fE city; MH Test -Crossovers -Breakers -Clearances
{
MH Test -Fall -Flex Connector
. W , MH Test -Regulator -Connector
. Water and Sewer Connected -C/O to Grade -HD Approval
and Elecvicity Tagged
Tie wns-Type Installation Cert.
xns p. -Sketch
4 -'Cert of Occupancy
9. Health Department Approval
10. Plumb.; Cir. Test -Water Suppty Test
Date
Dat
Card B-1 Date Card B-1
Card B- Date Card B-1
Shthg: Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
Date Card B-1 Date Card B-1
8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; NailingVeneerStucco-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
i 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 in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Suppty Test
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single
=
Date UNDERFLOOR (Plans) OK except If's Date
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main;'Soils-Elec. Grnd.-/ /" Ftg. Depth
& Duplex)
FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
------------
48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
----------------- ---- --
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
-----------------------------------
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
-- -- ----------------- ----------------------
53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg'., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Bfockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation -
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
--------------------
18. D.W.V : Test -Fittings & Anchor -Nail Protection
19. Shower Pan: Test, First Floor -Tub Access
--------------------------------- ---------- - - - - - --- -- - -
20. Test Tub & Shower. Second Floor -Tub Access
---------------------------------------------------------------
21. Gas Pipe: Size & Anchors
--------------------------------------------------------------------------------
Date Card B-1Date Card B-1
----------------------- ------------------------- - - ------------ ---
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
------------------------- --------------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
- -
24. Size Boxes & No. of Conductors -Stapled
---------------------------------------------------------- _ .- . --
25. Romex Installed Close to Edge of Studs & C.J.
-------------
- --.. ------------------------------------------------
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
----------------------------------------------- - ----- -------- -------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
----------------------------------------------------- --
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
--------------------------------- ------- -- -- -- -- -...-----... ..
29 Range Circ. r � ga. Cu or At -Oven Circ. ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
- ----------------------------------------------------------- ----------..._. ..
30. Service -Riser Conductors & Ground -Main Disconnect
- ----------_._...---._.. --............. ..._...
31. Equip Clearances Panels-Motors-Mech. Equip.
-------------. _--------- ----- - --------.._. ------- . ....... ..
32. Clothes Closet Light -Shower Light -Spa Light
-
-------------------------------------------
33. Smoke Detector
................................ .................. ....._ .. ..._ ..
Date Card B-1Date Card B-1
------------ .... _... _.............. . _........- ---..... ...... ... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL,(Permit) OK except P's
34. A.C. Ducts Insulation & Support
------------------------_----- .........................
----------------...--------......................---.... .... ... ... .
35. Vent Fan: Exhaust above insulation
36. Condensate Drain & Overflow: Size & Grade
-- - ---------- . --. . ........ ...............
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-
-- - ----- ...... ....... ... _ ... ..
38 Attic Access & Platform if Furnance in Attic
------- -- -- -- - -- __._... -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except tr's
39. Sils. Proper Material & Anchors
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
...... ....... ... ... .. ...
41. Bearing Walls over Girders & Floor Nailing
....... .. ........... . ............... ... .
42. Draft Stop in Walls (rat proof)
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
--------------- ------
._. .. ..
44. Headers & Beam -Size & Bearing
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
____________ 57. -Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: -Nailing-Bolts
------------- - -
59. Insulation -Walls -Ceilings
----------------------------
60. Infiltration -Walls -Windows
-------------------- I --------------------
- --
Date Card B-1 Date Card B-1
- - ---- ---------------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except a's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
----- -------- .---------------------------- - -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
-------------------------
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
----------------------
67. Stairs & Rails
------- -
----------- ----------------------
68. Fireplace or Stove: Clearances -Hearth
-------------------------------------
69 Elec. Outlets at Wood Panel: Int. & Ext.
------------------
70.
----------------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
.. ..__....--- --------------------------- -----
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
._ .. - ----------------------------------- ------
-----
75. Plb _ Elec_ & Mech. Equip. Listed for Location
--------------------------------- -
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
--- -------------------------------------------
7-,
-- ---------------- ------------------7-, Insulation -Foam -Looked in Attic ❑ Yes
---------------------------------------
78. Guard Rails & Deck Construction -Post Caps
--------- -------------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
--------------------------
--- ---
80. Following
insticl , Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
--------------------------------------------
81.-
------------------------81. Stucco: Brown -Finish
.
. ......_..---------------------
------------------
82 A C.Unit: Disconnect. Electrical. Plumbing
... ... ... ... .....------------------------------------------
83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to
Openings
..- - - . _ ..- - - - - -- --- ------------------------------
84 Water Wetl: Disconnect. Electrical. Plumbing
. ..------------------------- ---------------
85 Exterior Elec. Trim: G.F.I. Receptacle -Underground
- - ------------------------------
86 Ventilation Throughout House
-----------------------------------
67 Glass Protection
.... _ -------------------------------
88. Corrections from Previous Inspections
... ... .. --- .- ------------ --------------------------
89 Gas Test -Meters Tagged: Gas -Electric
------------------------------------------------
90
----.--------------------------------------
90 Water & Sewer Connected -C/O to Grade -HO Approval
-
-------- -----------------------------------
91 Energy Compliance Certificate -Other Certificates
-- -- -------
.- ---------
Date Card B-1 .-Date-.---.
Card B-1
.._. --- - -------------
Date Card B-1 Date Card B-1
-------------------------------
Date Card B-1 Date Card B-1
Comments at Final:
V�
141
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 99965 - Telephone (916) 538-754 ER 140.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 027-350-193
ZONING A5
BUILD14,h PERMIT
OWNER GILBERTO NXKX NAVARRO
TELEPHONE
SO. FT. OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS 5974 DEREE RD LIVE OAK
CONTRACTOR'S NAME OWNER
695-1943
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UN OWN
Total Valuation Is
Fling Fee $
20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
23-00
ARCHrTECT OR ENGINEER
UCENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Penalty $
BUILDING ADDRESS
COX LANE
PERMITFEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump Water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome §l Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublities EK Installation ❑ Other ❑
Describe Work: —
920.00 60.00
Mobile Home CANN
11 1
PERMITFEE
30,00
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Service OOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 herebX affirm under penalty of perjury that I am exempt from the Contractors License
Law)& the following reason:
ff I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCURS0.
OR ADDNS. ( a ACC. BLDS. )
3.52 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. /
Ex. Occup. (OUTLET OR FIXTURES )
BAL ®1:00
Ex. Occup. FIXED
OUTLETS . OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
2o.00 20.00
Misc. Wiring
23.00
PERMITFEE $
63.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
g
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shallTOTAL
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
w kers' compensation provisions of section 3700 of the Labor Code, I shall
hwith comply with those provisions.
e
Ji . _ Date _LZ --_�
n ure of Applicant - O Owner Contractor ❑ Ag nt
kAnOSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee is
occ
CONST. TYPE
FEE $ 166.0
I
HAZ. D. FEES
P FLO
CDF
P C PD HDIS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By ate
PERMITEXPIRESON X9 -I
at
r-
Receipt No./,?J9
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION.
DEPARTMENT OF DEVELOPMENTgSERVICES'
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
A/01 ek
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please co act this office immediately.
IV �/ems ; �� /00
,� �.� �� ; ,✓
4 -
Date I- / �o Inspector C:t'50c j I
REV 10/92
COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES.- BUILDING DIVISION '
7COUNTYCENTERDRIVE -OROVILLE,CALIFORNIA95965-TELEPHONE(916)538-7541 /
PERMIT APPLICATION DATA SHEET
V
OWNER GZ Q ;-t-4
Proposed -Building Use
AA. P. No. 2 %—
Building Inspector 6A Date_
U—
At time of permit application, I was advised the following data must be submitted, prior to permit processing and/or issuance:
DATE RECEIVED BY
items h been submitted . ....................................... .
lot plans sets, signed by preparer of plans.
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 `sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details ah1d layout in duplicate (required prior to plan check). ....
9.. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $........................................ .
Impact fees as shown on attached schedule..
alifornia Department of Forestry plan approval/ ee/..........
1 lood elevation letter (100 year flood) by C 4Z ornia Engineer .......................
.
Sanitation and plot plan approval �"OV r Health Department. .
City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
Contact Land Development.a bout (A) Improvements (B) Drainage. .
Driveway permit (construction approval required prior to occupancy). ..
to Bunspec,,n reque
20. Pre -inspection for ;, required. . to Bu'�din I Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ...............
ertificate of Workmans Compensation Insurance . ...........................
Owner -Builder Verification. (Given to owner ,Mail to owner �. ............
Recorded copy of Agricultural Acknowledgement Statement ...................
. Letter of signature authorization . ................................:...... -
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..
27. Letter of intent on building use . ................. ................7``�..
28. Mobilehome utility clearance. v '
29. Documentation of legal access. ''
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits. `-
32. Plan check list . .................................................... .
33.
34.
W n
you issue the &r it ro ss as follows: Mail to owner. _
\Telephone6p7% 6� and hold for pickup at Op --
Other
Parcel Creation
Acreage 2<Applicant�
Mail to contractor.
- office. Deliver -with inspector.
—Z L •— e9 —
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted priorer )t issuarIce: (Circle new item not checked above).
1. Index permit for above items No. I�fi
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone._ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Cr%(3goht s Date L4 -a -13-q(; Plans approved by (.:-r �,f4 ,.l Date
:Sets of plans on hold in File cabinet AP folder
Copy - DeartmentofPublic4Works 1+
R.HxsBw
Flat Phu Asea
Flaw Flan Amts a
,t sat to D.D. i_
To: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP//
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
91M
OWNER
COUNTY OF BUTTE -
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
A
A.P. # e>Z--7 --3Sy-M3
DATE z
# ATE REC
PROPOSED BUILDING USE
U
aL
REC.
1. SCHOOL DISTRICT FEES
(paid at District Office)
SHERIFF FEES (paid. at Building Division)
esidential...... x =$
unit amt.
x =$
3. URBAN AREA FEES
(paid at Building Division)
Residential (per unit).
#units
Commercial (sq.ft.). .
sq.ft.
x =$
amt.
x =$
amt.
4. RECREATION DISTRICT FEES
(paid at District Office)
5. THERMALITO DRAINAGE DISTRICT FEES
$400.00 (paid at Building Division)
A 9) INSPECTION AND -PLAN CHECK
$89.00 aid at Building Division)
7. WATER TENDER FEES
(BATTALION # )
$200.00 (paid at Building Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT DATE
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your.building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major 1„gbor and materials for construction of the
proposed prolxy improvement: 2IS 1 I NO[ ].
2. I HAVE[ ] HAVE NOT[ ] signed an application for a .building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER,,:` 6-A
IN
SOCIAL SECURITY NUMBER:
DATE: L/` 7 2—
NOTE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information'for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are.performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors_ State License
Board in vour community or at 1020 N Street, Sacramento. CA. 95811.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerel ,
Michael C. Vieiia, C.B.O.
Manager, Building Inspection
NOTE: This O%Nmer-Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
1. Owner's Name:
2. Assessor's Parcel Number: Z 7— 3- O l
3. Installer's Name: r,5 fI rAd /U9 Vf% R 2 C)
4. Is the site currently under permit? Yes[ ] No(A Permit No.
S. Is the site an existing site?, Yes[ ] No[X4 (Ifyes, furnish two plot plans).
6.. What is the electrical rating of the. mobilehome? S-0 Amperes.
7. What is the mobilehome site circuit breaker rating?_1 0 D Amperes.
8. What is the electrical rating of the mobilehome site? 7-&C 7,;�Amperes. .
9. Is the main service remote from the mobilehome site? Yes[P1_1*"No[ ] If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[>6 No[ .j If yes, please identify the load and size:
a) The mobile home site:
Load- I%A, Amperes- /D D
b) The main service:
Load- Amperes- is
11. Type of gas service at mobilehome site: Natural[ J Propane[
1V] None[ ]
12. Size of gas pipe at the mobilehome site from the meter or '
tank: inches.
13. What is the gas pipe length from the meter or tank to the mobilehome?-ZE(ft.).
14. What is the mobilehome gas demand? B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
BUTT
VED
May 1995
H.I.- 2-
Mobilehome Manufacturer: 0 6 &-la o Manufacture Yea r:— -7o
furnish e
If other than single wide, rnHi.tup Model Number:
Width.ggaiQL (ft.) Length: Tagalong or Expando Size ._(&)x
On all mobilehomes manufactured after October 7,- 1973, furnish manufacturer's
installation manual and structural setup sheets. -
FOOTINGS: - Wood pressure treated or foundation grade[ yf0ther:
SUPPORTS: Concrete block[ Alf Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGIZWME MULTI -WIDE
Line I I
Line 2 Line 2
.................................................................................................
- Main Beano
Line 2 ............ e 2
Line
Line I Line 3
L
Line 2
................................................................................................
Main Beams
......... ....................................................................................... fLine 2
Line.1
................................................. 5
Tag or Triple 4
................................................. rine I
Line I Piers:
Size minimum: r I x r 1.
Spacing maximum: I &
From ends -maximum: 4
Line 2 Piers:
Size minimum: x
Spacing maximum:
From ends-maximum:l 1 tfp
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum: '
Location (from front):
Line I Openings
Size minimum: x
Each side of openings
with width over:
Line 4 Piers:
Size minimum: x
Spacing maximum:
From ends-maximum:1
OVER
i1
:1
This set of plane and specifloations MUS be
kept on the job at all times and it is unlawfUl to '
make any ohanges or alterations on same vvithout J
written permission loin the Department Qt J +
Works, Count of Butte.
NCXM-,-All Materials E Workmanship Shall Be In
Aaaordanee with.Recognized wood Practices and
,of a Quality Pregcribed for the Specified use
in the Uniform Building, Plumbing & MechanicaJ
Cedes and the ATational Electrical Code.
I
! Aj = !I
QpnoVED
Butte County
Environme%tal Health
+�; ���;,►� �3Y
6LiT'c -J. LSE?T.
CALIF. DEPT. of
�!
approved as submitted
rO vn ro ed with conditions
ca�
r �:`:'t._zched Seat.
Z3 �
_-------Tt AND EQUIPMENT ,NCL:;DING
Signature ALL STRUC t .JRE..
OVERHANGS SHALL 8E CLEAR OF ALL E.ASE:,611E%7S.
3() r: ; ;, . ; � L."- ANDP. SET EAuK OFF7. FRr
3
A• i
r �.,�. • c/..T�fti Lvl:j.i c•ai-1d 1 G:'
CLE Ara vi= t' Q
FOR A 2 r T. Er;ti.a
i 1, t'
JO00*
i
COX
f
i-
BU�1f� COUNT Y
BUILDING DEPARIiIMEINOT
APP - Ob ED
_FILE. COY
77 , • ��� ops
nay-�sd-�A�
CDF FIRE SAFE REQUIREMENTS
Z7 -3S - t93 'F1'- o8SB
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will,be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the .Butte County Building Department for
compliance.
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be.provide for by the land owner.
Driveway.Standards
1273.02 Surface. All driveway surfaces and structures (bridges,
,1 1273.07 culverts and other app irte-sant -structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
1273.03 Grade. Not to exceed 16 percent unless.paved.
/ 1273.04 Driveway Radius
1. No roadway shall have a horizontal inside radius of
/ curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[`{1 2. The length of vert -i: -tel curves in roadways exclusive
II of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on,each end.
�] 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical mlck)
IV
feet along its entire length.
0UILD1, 'Na RST
AP # PERMIT # 'NAME
1273.10 Turnouts. Driveways exceeding 150 feet in length, but
11 less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[k] 1273.10 Turnaround. A turnaround shall be provided'at all
// building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
1. Gate entrances shall be at least two feet wider than
// the roadway it serves.
Ni 2. The gates must be'located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
r/ 3. Where a one-way road with a single traffic lane
// provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01
Setback for Structure Defensible Space.
[�]
1. All parcels l acre and larger shall provide a mini-'
mum 30 foot setback for buildings and accessory
buildings from u1] property lines and/or the center
of the road.
2. For parcels less than i acre, local jurisdiction.
shall.provide for the.same practical effect.
.See
Other Requirements below.
[}(j 1276.02
Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction,. road and driveway construction and fuel
modification. shall be completed prior to completion of
road construction Pr fi_ial inspection of a building
permit.
BUTCE COUNTY
Page 2 of 3 BUILDING DEQAR EN 1
AppOE
OP
2-'7 - 35-�3
AP # -
PERMIT #
Other Recquirements •
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
/llml'la" &<1LA6P�D
AME
[ l If Building Setback is. Less 'Than 15 Feet
Choose any 3 of the following:
- Metal.or no doors on side toward property line with insuffi=
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed'10% of wall area toward property
line with insufficient setback
Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of. 3 BUTTE COUNTY
MOM DEPARTMENT
A _ u� E
LAND DEVELOPMENT
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No.
Msot
OWNERS�/� �� NUMBER: Da --7 `.330. ! 9 t
NAME: y
PRINT LAST NAME RBST
COUNTY ZONING ,/
DESIGNATION: FLOOD ZONE: >C FLOOD MAP: 4 5U
APPROVED:
DEED INFORMATION:
DATE OF CREATION:
CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROV
PARCEL CREATION BY DEEDS
OR MAP ?a
DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
COMMENTS/CONDITIONS:
MAP INFORMATION:
DATE OF RECORDING
LOT
3
V AL&WC /A T/z,4c-r
BOOK % PAGE S
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES _� NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED.
1,. Maintain a 50 ft. building setback from centerline of road.
2. Maintain a ft.building setback from right-of-way/centerline of
3. Maintain a 100 ft. leachfield setback from all existing wells.
4. Maintain a ft. leachfield setback from
_ 5. Pay water tender fees in the amount of $—
to Battalion Number of the Butte County Fire Department.
k6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
7. Connect to a public water supply.
8. Connect to a public sewer system.
_ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the 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 Fire Department
specifications, serves the parcel.
10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
— 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See'phone number below)
12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game'at 916-355-7010.
_ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to Me ft m ing Dhdsibn.
_ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 16. Pay school impact mitigation fees.
X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article Il of the Butte
County Code.
_ 18. 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.
19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate mitigation measures.
20.
21
22
23.
24,
25
'AIQ 1N3Q013A3O ONVI
3.Une J0 A1Nnoo
9661 b Z ddd
GA1303H
LD 9/95 - C:\WP51TORMS.K\BLDGPERM.CLR
96-0210971 Rec Fee 9.00
I COP 1.50
Recorded I Cash 10.50
Official Records I
And when recorded mail to: County o f I
B u t t e 1
Building Division
Candace J. Grubbs I
#7 County Center Drive
Recorder � I
Oroville, Ca. 95965
11:54am 6 -Jun -96 I PUBL XX 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires 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:
PROPERTY OWNERS:
State of California )
County of )
On C
C'- beforeme,
personally appeared 1(� - ' ersonallc
known to me (or proved to me on the basis o satisfactory evident to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and
that by his/her/their sidnat re(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted.
executed the instrument.
WITNESS my hand and official seal. DENISE TERRIAH
• tam slon 31073963 Mfr CAS 1
o
ry. Ublic
i� f.: .
` e. lc BatteCounfy California
Signature
MY Commisslpn Em. SEPT. 30, 1999
A.P.#
Pte—......._ --= ,�-.._:_..._._._ - _ _ .__......._._.._.....-----.,....:.._....m mac..
ORDER NO. BU -132469-3
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
LOTS 3, 4 AND 5, AS SHOWN ON THAT CERTAIN.MAP ENTITLED, "VALENCIA
TRACT, SUBDIVISION NO. 1, BUTTE COUNTY, CALIFORNIA", WHICH MAP
WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF.
BUTTE, STATE OF CALIFORNIA, ON AUGUST 11, 1913, IN BOOK 7 OF
MAPS, AT PAGE(S) 58.
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
y.- ~ DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION ---7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --PHONE (916) 538-7541
APN:Z �—�)ra
PERMIT N9
v`j
-7 7
Owners:
1�
�''2��t�i'�%��!�✓!+�"'v
Name:
i..
Owners:
Address:
Mobilehome
Manufacturer �� ---� �C% [! �� G v
i!`
Year of
Manufacture:
Serial number
E
Insignia or
or V.I.N.
HUD number:
Official approving; installation-
�(ry
Date:
�/X�/A�
1
If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become i aiid. This form shall
not be used when the mobilehome is installed on a foundation system.
5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor
.Y-
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7•County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541ERMT �q
(Rev. 12/96) APPLICATION AND PERMIT �a
ASSESSOR PARCEL NUMBER 027-350-193
A5 ZONING
BUILDING PERMIT
OWNER GILBERTO NAVARRO
TELEPHONE
SO. FT. OCC. BUILDING VALUATIO
OWNERS MAILING ADDRESS
5974 DEREE RD LIVE OAK
CONTRACTOR'S NAME
OWNER
TELEPHONE '
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
NONE
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
$ 20.00
—FilingFee
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
1671 COX LN
Energy Plan Checking Fee
$
OROVILLE
$
PERMIT FEE
S 43.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome b Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1Y Other ❑
Describe Work: MMU #96-0858
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoos oa'ss'
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law fo he following reason:
0-1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS.
s0
3.5¢FT.
NON-RESNDT MAUNLCTI OUTLET
@7.50 _
POWER APPARATUS
8 SINGLE OUTLET CIR.
OUTLET OR FDRURES
Ex. Occup.BAL
20 @ 1'00
@ .50
Ex. Occup. ouTrs RE.SID.OEA
5.00 1
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
�/of one hundred dollars ($100) or less.)
kT 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
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
with comply with those provisions.
Date
IVgnatur oApplicant - ❑ Owner ontractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction3
of structures over 3 stories in height.
Mobile Home Installation Fee
$ inn n
Energy Inspection Fee $
OCC
CONST. TYPE
I TOTAL FEE $
HAZ.
D. F IMP
_
F oOD
CDF
PARCEL PD
_
HD
ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
Q"y
Date
9,.D
f(Dt,)
Receipt No. 20989/
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
L� COUKT OFrB'UTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
%4
OWNER v ►V C t^ f0 _!V Cc vG r r o �A.}P�0.
Proposed Building Use Building Inspector C�`� Date a g
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ................. :........................
2. Plot plans, 3/4 sets, signed by preparer of plans': ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
.6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions,,2 sets. ...........
�T 10. Fees f$ .......................... ,................
-� `11. Impact fees as shown on attached schedule . ................. ..............
12. California Department of Forestry plan approval/fees. ........:. `............. .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City, of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ...n:q.
'Fre�nspection ue�
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ):
...........
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... r
27. Letter of intent on building use . .........................................
2$ Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..............
. ....
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ........... .... .
31. Existing violations/expired permits . ......................................
32. Plan check list . ................... I..................................
33.
34.
W n you issue the r it, roc ss as follows: Mail tp-Qwner. Mail to contractor.
Telephone �� ��'Y13 and hold for pickup at U. O ✓ � -e_ office. Deliver with inspector.
Other
Parcel Creation�
Acreage Applic �g`"" Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone -mail ounter by _ Date
Plans checked by Date Plans approved by Date 3--3 -fZ
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
�F:':.','}.. i. 'iF'+7$*11:.,? l F,rt7'j�yYyRzjt�'r7'.jy,'�.i"?:rat`GILyr��i�y�.ria�,r�+�+",ry` Tri►`w1y;<f;1.yM1Y�r-..ty�y��9_�,,��.5h�'"-t.;,curw;r,t�4;"irt
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541.
SCHEDULE OF FEES DUE
OWNER
i z Q ✓'/^� A.P.
PROPOSED BUILDING USE XH—L DATE
REC # DATE REC
1. BUILDING PERMIT FEES
-- Balance Due ..... ...... $
-- Additional Fees Due ........... $
-- Additional Fees Due ........... $
-- Revised Plan Checking Fee ....... $
_&<2. SCHOOL DISTRICT FEES
(paid at District Office)
Q1<3. SHERIFF FEES (paid at Building Division)
C� Residential ........ I x $360.00 = $ j&0,00
Units
Commercial (sq.ft.)... x $0.03 = $
Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x = $
#Units Amt.
Commercial (sq.ft.) .. x =$
Sq.Ft. Amt.
5. RECREATION DISTRICT FEES
(paid at District Office)
6., THERMALITO DRAINAGE DISTRICT FEES
$425.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
a' /
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above ,fees are required to be paid prior to issuance of the
building permit. These fees may be changed during the plan checking process.
APPLICAN ` DATE 72_,
Original -Owner Copy -Building Div. (Rev. 12/96)
/3 a� #. FO
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (�
(One Form Per Building) 7
School District (Q-ra ,( w► ; e) n N 1S Building Department No.
A.P. Number 002-,�J Jurisdiction: City [] County
Property Owner 9-f / 6,rlo A V-0 ✓' i0
Property Location/Address Mo
Subdivison
Residential Development
No. of living HI
Units
4h _ Ord vA
Lot No.
0 Sq. Footage
Addition (Group R)
Sq. Footage
(Including Exterior
Roofed Areas)
Date
Commercial/Industrial 0
New Addition
(Floor Plans reviewed by School District Personnel)
D)zo
ct Identific�at' No. 970087
School District certifi s-F�fj
(Applicant)
(St r ess) - (Phone Number)
(City) (State) _ (Zip Code)
has compk d with the requirements of Resolution No. /L6 ��J by payment of $ l ,
representing square feet. AB 2926 $
FULL MITIGATION
School District Represents ive Date
Paid by Check # Remarks:
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm
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Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide -the major la r and materials for construction of the
proposed prop rty improvement : YES" NO[ ]. '
—2..-1 HAVE[ HAVE NOT[ ] signed an application for a building permit -for the
proposed work
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER: < �- (/ %� �_L ti_c L
SOCIAL SECURITY NUMBER:
DATE:2 /. ,5�7
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner-builder" you are the responsible parry of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are. required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for oo� bethe�th and
dyaur i�mme:diate family, and the work (including -
0 If you employ or otherwise engage any pe
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you muse register with the State and Federal Governments as an employer and you are
and federal income tax withholding, federal social security
subject to several obligations including state
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
red to be signed by property owners unless they are performing their own
personally. Building permits are not requi
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95314.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
matters. The building permit will not be issued until the verification is returned.
that you are aNvare of these
Since rel t
N icha4l C. Vieiia, C.B.O.
Manager, Building Inspection
NOTE: This 0%,,ner-Builder Information is required by Section 19830 of the California Health and Safety Code.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, C*- (916) 872-6307
CORRECTION NOTICE
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Pti
<yK
.k
f
Date Inspector
RE /92
END TIE -DOWN
#406 PIER
BOLT—ON TOP
CROSS DRIVE TIE -DOWN
CHASSIS
SIDE TIE—DOWN
0
STRAP 14 STL. b 60 66 #606
STEEL
STRAP
2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP
AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG.
CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES.
CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE
IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH CONCRETE
AS SHOWN IN DETAIL "A".
NOTE:
IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN 'TWO CROSS
DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE—DOWN. BOTH CROSS DRIVES MUST BE
ENCASED IN CONCRETE AS SHOWN IN DETAIL "A", WITH EACH ONE BEING INDEPENDENTLY CONCRETED.
...........................................................................................................................................................................................
CONCRETE TIE -DOWN INSTALLATION
END TIE -DOWN ---
#406 PIER
BOLT—ON TOP
CHASSIS
SIDE TIE—DOWN
#604 DRY
1. CONCRETE MUST BE A MINIMUM OF 3 1/2"
THICK AND IN GOOD CONDITION.
2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28
SQUARE FEET.
3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM
OF 12" FROM ANY EDGE.
#615 WET
1. PLACE CONCRETE ANCHOR INTO WET CONCRETE.
2. ALLOW CONCRETE TO PROPERLY DRY.
CHASSIS CONNECTION
1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER
SHOWN.
2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF
EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL
STRAP IS SNUG.
END TIE—DOWN
#406 PIER
BOLT -ON TOP-�
e
0
e e
r
�... : TIE -DOWN
"I" BEAM CHASSIS
SEE "I" BEAM CHASSIS
NOTE u5, SHT. 1 FOR
TIE—DOWN INFORMATION
IDE' TIE -DOWN
,#614 STL.
STRAP —
#606
STEEL
STRAP
(TYPICAL)
DRILL 9/16" HOLE AT
MID HEIGHT OF BEAM,
INSTALL 1/2" A307
BOLT
:'C" BEAM CHASSIS "RFC" BEAM CHASSIS
SEE "I" BEAM CHASSIS SEE "I" BEAM CHASSIS
NOTE #5,. SHT. 1 FOR NOTE #5, SHT. 1 FOR
TIE—DOWN INFORMATION TIE—DOWN INFORMATION
oo, 0
1
Y:k
INSTALL GROUND ANCHOR
INTO GROUND, LEAVING
8"-12" OF SHAFT EXPOSED.
SPLIT BOLT
& NUT
GROUND LINE
am
DETAIL "A"
(TYPICAL)
INSTALLATION
INSTRUCTIONS
1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT
DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE,
UNTILL HEAD IS FLUSH WITH STABILIZER PLATE.
ANCHORS SHOULD BE INSTALLED BELOW FROST LINE.
2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS
STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS. SNUG.
CONTRACTORS WARNING:.
CHECK FIRST FOR UNDERGROUND UTILITItz).
PLACE STABILIZER PLATE
NEXT TO SHAFT BETWEEN
ANCHOR AND CHASSIS
BEAM, AND DRIVE INTO
GROUND.
M
FINISH TURNING ANCHOR
INTO THE GROUND UNTIL
ANCHOR HEAD IS FLUSH
WITH STABILIZER PLATE.
THIS PROVIDES SECURE
PROTECTION AGAINST LATERAL
MOVEMENT.
CONTRACTORS VERIFICATION -
I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS.
I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE.
COMPANY NAME: _------------------- —
--- CONTR RS LIC.
—
DATE:J =2___Z� SIGNATURE _j