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HomeMy WebLinkAbout026-080-065Willard Johnson 7078 Fulton Ave., Palermo y 1� - �j conte: Four Counties Roofing, Chico �ermit 1 #45.66-77B(built-u re-roof/SF) r 26-08-65 w " Contr: LaGrone Htg & AC �- -Q Permit #6708-78P,E,M('nst. htg & AC) & ele ser ch) SF n_4_11_l 026-080-065 01-0707 RODRIGUEZ, MARIA SAV 7078 FULTON AVE., PALE Ot,j,(j2 CONTR:'OWNER ROOF REPAIRS ON PORCH I� 026-080-065 01-1242 RODRIGUEZ, GUADELUPE .. 7078 FULTON AVE., PALERMO CONTR: - MHU 026=080-065 RODRIGUEZ, GUADELUPE 7078 FULTON AVE., PALERMO CONTR: MHI t i ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Guadelupe M. Rodriguez FROM: Thomas A. Parilo, Director of Development Services DATE: May 22, 2001 ADM 01-19 PURPOSE: Administrative Permit on Guadelupe M. Rodriguez026-080-065 for a temporary second dwelling to be located at 7078 Fulton Ave., Palermo, on property zoned AR -1. PERMIT REQUIREMENTS: Approval. for a temporary .second dwelling is subject to the following requirements: A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to brothers. An affidavit attesting to the relationship of the involved parties was submittedwith the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butt County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, .a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed, with the Planning Division, within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the Countyshall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts or omissions of the permittee in connection with the use authorized by said Permit constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. Permittee Signature Date Randy Wilso , Principal Planner Date May 7, 2001 Maria Guadalupe Rodriguez 7078 Fulton Ave. Palermo, CA 95968 RE: Building Code Violation 7078 Fulton Ave., Palermo A.P. # 026-080-065 Dear Ms. Rodriguez: BEAUTY 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the remodel and re -roof of a mobile home. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (3Q) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. *ncerelyi ira Manager, Building Inspection MCV:sk cc: Assessor PERMIT NO. 4566-77B PERMIT EXPIRES OWNER Willard Johnson CONTR. Four Counties Roofing, Chico LOCATION (A.P. 26-08-65 ' 7078 Fulton Ave., Palermo Temp. Power Pole Called PG&E _ Temp. Elec. Serv._ Iled PG&E _ T mp. Gas Serv. _ Called PG&E _ JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors T Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling - Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS wv ID �,- (W (NOTE: An entry must be made on this form each time you visit the job site.) i' COUNTY OF PUTTS - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — orpille, California 95965 Tel ephcdne`. 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X !- Nom Date Signature oof' Pf rniitl�ee or Agent Receipt No. �ffa d C/�" White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O -F PUBLIC WORKS B�y./ � Y�.Y � Date.�� Funding permit expires Date ��� 7 BUILDING Owner Willard Johnson SQ. FT. OCC.1 BUILDING VALUATION Mailing Address 7078 Fulton Avenue built-up re—r00 Palermo,California • Telephone No. Fireplace Contractor Four Counties Roofing Company Total Valuation$985-00 Mailing Address P.O. BOX 3215 Permit Fee Plan Checking Fee &/or Penalty Chl£co, California Tele )`+�=��'� Permit Fee $ Building Address 7078 Fulton Avenue PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Palermo, California Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. JNo. irW— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es FIreDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Built-up re -roof 1100V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD -L. 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ( DACCL BLDGLING OCCUP. &) 20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y Four Counties Roofing Company Ex. Occup(OUTLETS OR FIXTURES)50 @250 BAL@/ Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 252071 Classification B -1-C-39 Misc. Wiring 6.25 Fr ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ® I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Iermit is issued I shall not employ certify that in the performance of the work for which this p p y an y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE is 10 00 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X !- Nom Date Signature oof' Pf rniitl�ee or Agent Receipt No. �ffa d C/�" White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O -F PUBLIC WORKS B�y./ � Y�.Y � Date.�� Funding permit expires Date ��� 7 �77g-7g' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive — Oroville, California 95965 Tel ephgne: 5344541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner Mailing Address SQ. FT. OCC. BUILDING VALUATION Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach I Declaration I Parcel Map 1 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR LES SLESS 5.00 Main service 100 AMP ORS Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. AOD'L 100 AMP 2.50 ... Main service OVER a 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNST % ACCLBL GS.CCUP. S� 22sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTFt. (MULTI -OUTLET NON.RESID BRANCH CIRCUITS 2.50ea NEW C ON ST R. (POWER APPARATUS B. 1 NON-RESID. ,SINGLE OUTLET CIR. l1 50 Ex. Occuo(OUTLETS OR FIXTIIRES �BAL 1 FIXED APLNS Ex. Occup. (OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification ` Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534.4541 ' APPLICATION AND PERMIT BUILDING Owner • SO. FT. OCC. BUILDING VALUATION Mailing Address ,ga-e, Telephone No. Contractor ��•,�,�Y,_ l� ���L Mailing Address /OS/ .Sim/✓� /} 4/ Tele hone No. Q9 R, 3 iw Building Address 74 ^Je FU�� P <1 - A. P. No. f90'�� Zoning& Planning Fees W. C. Sanitation FireDept. FireZone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Im rovements Plans Declaration p p Bldg. Plans Rec'd I Parcel A rovol Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �r U If Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style%f: �e .9 - License No.23 75'a/ Classification G2 ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. J4�I have placed on file with the County of Butte a certificate .of Workmen's Compensation Insurance. s.p F -1Icertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws' V7 California. v I certify that I have read this application and state that the ab( V information is correct. I agree to comply to all County Ordinances,10 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. X Date Sign ture of Permitee or Agent Receipt No. I ?144471-7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Fireplace Total Valuation Permit Fee Plan Checking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE Permit Fee 10 'Jo I ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 DO Main service 600V OR LESS 100 AMP OR LESS 5 00 . o 0 Main service EA. ADD'L too AMP 2.50 Main service OVER soov 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING OC cup, 4) OR ADDNS. 1 ACC. BLDGS. 20sgft NEW CONSTR (MULTI -OUTLET NON.RESID BRANCH CIRCUITS/ 2.50ea NEWCONSTR./POWER APPARATUS 9' NON .RESID. `SINGLE OUTLET CIR. EX. OCcui)(OUTLETS OR FIXTURES 50@� BAL @ 100 FIXED APPLNS. OR EX. OCCU p• OUTLETS (RESID.) EA) 2.00 /e,70 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ , MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating yi2n A,7 I I Cgoling f�-51 I I I /-/ioe) til ''Hoo"d * 1 1,0.1 1 2.00 Permit Fee 1; I $ $ 11,Jq ,Land tDevelopment.Fee $ "TOTAL,PERMIT FEE $ , CJ 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. IRETO OF PUBLIC WORKS B Date V179 Building permit expires Date �T/,�Y'/ w 9'S'f"8'9'TlZVll!Ot1618'z Wd WY 8L61 T AON I/uu�j'OJ 510 9110nd dA 'ldIQ rano iv) AANneo •t r AND WHEN REC RDED MAIL TO: j BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2001-0022704 Recorded I REC FEE 18.00 Official Records I COPIES 1.50 Count Of I CANDACEJ.GRUBBSRecorder I ROSEMARY DICKSON I Assistant I Cindy 11:23AN 30 -May -2001 I Page 1 of 2 AORICULTUFAL STATEMENT OF ACKNOWLEDGMENT / FOR RESIDENTIAL DEVELOPMENT v Section 26-8 of the Butte County: ode rcquired this.a6mowledignent 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, p-sticides, and ferdiizers; and from the pirsuit o� agric-iltural operations includingbut not limite, to - itivafioq plowing, spraying, pruning, and harvesting which ocew-ionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes end residents within said zones and on adjacent property should be prepared W accept such 'zi onvenience o- disccmfort from normal, nocesury ;a -mi operations. All that real property situate in the County of Butte, State of California, described as follows: i.. Date _`?O v PROPERTY OWNERS: State of California ) County of On /�'1�`1 3°i off/ 7 before me, personally appeared--'774rrl GL :eruc t /. rpe �{mQ/-/ z====personally known to me (or prcved 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 we that helshelthey executed the same in his/her/their authorized capacity(les), and that ba' his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS hand and official seal. Signature Seal: TERAI k RUSTIN I It23$820 gomm esrion . f�iotary'PubNC A.P. # ��a - rr�5 xp�z4. 2003 EXHIBIT "ONE" The North 'half of Lot 5 in Block 83, as shown on that certain Map entitled, "Palermo Citrus Tract, Subdivision No. 1 ",'filed in the Office of the County Recorder of Butte County, California, on September 17, 1888. ' Assessor's Parcel No: 026-080-065 FA u COUNTY OF BUTTE BUILDING DIVISION i DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 101TW l CORRECTION NOTICE G PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please=contact this office immediately / 6J Date Inspector v REV 10/92 A solooj��Q.- main Assessor Inquiry Afer 23, 2001 02:58 vp Name RODRIGUEZ MARIA GUADALUPE Asmt # 1111011.91WHIM091117f Fee # 026.080-065.000 Status JACTIVE Status Date Addr1 7078 FULTON AVE - -------- Tax 000 NORMAL OWNERSHIP JTRA 092-000 Addr2 PALERMO CA 95968 Situs 7078 FULTON AVE Base Dt 04!07!2000 PAL Addr3 —,_ �� Addr4 ( Land 20,000 AgPres Structure25,000 fJ Etal Fixtures Notes 11 61 Comments 2608006500 -CONVERTED 09/08/88 Creating Doc# 1986190413000 � Date l J Growing J Bonds Total -- 45,006, Current Doc# 200080012462 Date 04/07/2000 L&I J Multi Situs Fix. RP 0 Killing Doc# _ �� Date Q Flagl MH PP 0 Asmt Desc �SuplCnt� J Flagg PP 0, Zoning EF Exemptell J Asmt PP Pen Acres 0.86,' NIC 026 Net J Tax PP Pen RIC# J Appeal Pending TIR Dt J Split Pending RIC Stat OWN-° EXP TAX ATT: HON SIT APR. PCL: E ► ►� :Find' - 2000 slightell, 09!18/200012:42:42 PM `° Lb-ud-b5 Willard Johnson 7078 Fulton Ave., Palermo contr: Four Counties Roofing, Chico {_ ermit 4566-77B(built-tin re-roof/SF) -. 26-08-65 Contr : LaGrone Htg & AC -� Permit #6708-78P,E,M nst htg &e AC) & ele ser ch) SF ma 31a ?� 1 X026-080-065 01-0707 RODRIGUEZ, MARIA 7078 FULTON AVE., PALERMO CONTR: OWNER. • ROOF REPAIRS ON PORCH 3 . f ' f l av--� f �'- Ai� I D COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �2 0"70 r7 ASSESSOR PARCEL NUMBERZONING 026-080-065 AR 1 - BUILDING PERMIT OWNER ROORIGUEZt MARIA TELEPHONE 532-1466 SO. FT. OCC. BUILDING VALUATION FSTOWNERS • MAIuNG ADDRESS AVE,7078 FULTON PALERM. CA 95%8 CONTRACTOR'S NAME 1Jwm TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SWIM' ESS AVE. PALE MO, CA 95968 Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF [J. Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O Installation ❑ Other O Describe Work: ETTAIR ROOF ON PORCH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 500VOR LE Main Service za.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do *the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractorsf 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: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for -by section 3700 of the Labor Code, for the performance of the work for which this .permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. t r, y `X 1 �l"1 �. ( (a �U �� Re U t r Date "1 � �l `- � Signature of Applice t-,rTOwner O Contractor O Agent An OSHA permit is required for excavations over 5'0" deep and demolition or consVuctio of structures over 3 stories in height. Main Service TO 46.00 NEW CONST. DWELLING LING OCCUCUP. SO OR ADONS. ( ; ACC, BLDS, 3.50 Fr. NON.gESlp MULTI -OUTLET @7,50 OWER APPARATUS 8 PSINGLE OurLE7 CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES aAL p .so AA 5.00 Ex. Occup.oUXT>Frs EM.OE Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling' t , Hood 6.50 Ventilation . PERMIT FEt $ Mobile Home In Fee $ Energy Inspection Fee $ OCC CONST. TYPE ,:- TOTAL FEE $ 35.00 HAz. D FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ich`fees have been paid. 4 6y Date PERMIT EXPIRES ON I Dere ReceiptNo. 315163/35.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No. (Rev.12/96) APPLICATION AND PERMIT 11/ 6 V( -)!z ASSESSOR PARCEL NUMBER 026-080-065 ZONING AR 1 - BUILDING PERMIT OWNER RODRIGUEZ MARIA TELEPHONE 532-1466 SQ. FT. OCC. BUILDING VALUATION EST 500. 00 OWNERS MAIUNG ADDRESS 7078 FULTON AVE. PALERMO CA 95968 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7078 FULTON AVE. PALERMO CA 95968 Energy Plan Checking Fee $ $ PERMIT FEE $ 35,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPAIR ROOF ON PORCH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600V OR UE Main Service OAORLESS 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason ` WORKERS' COMPENSATION DECLARATION 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 is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. � I J �X (' f/ e A01d)-d Date ""1 �`� Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructio4,4__,0 of structures over 3 stories in height.4A Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. sO OR ADDNS. ( . NON -RIO. T. MU LT0.OUTI ET @7,50 POWER APPARATUS 8 SINGLE OIfTIET CIR. Ex. Occup. OUTLET OR FIXTURES 20@'•00 BAL @ .SO FIXI Ex. Occup.DurLEEDTS R.ID.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abov for w ' ees have been paid. D e PERMIT EXPIRES ON — — 6 Date ReceiptNo. 315163/35.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ✓ l i 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. I personally plan to provide the ;;e] or and materials for construction of the proposed property improvement: NO[ ]. 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: t ADDRESS: CITY• PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following,-.pesons to provide the work indicated: NAME ADDRESS PHONE TYPE OF -WORK SIGNED:' PROPERTY OWNER: 01Q.� ��G -Cy Q dCf1 v P e, R-06-1'% �e 2 S ER: D4TE: l 20 D/ 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. 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 followin uon your benefit and protection: f 0 If you employ or oth ' engage an2�pe ns other than your immediate family, and the work (including materials and other costs) '�00 ofor the entire project, and such persons are not licensed as contractors or subco dors, then yo 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 insurancecosts, and unemployment compensation:contnbutions. 0 There may be financial risks*for'you if you do not carry out these obligations,'and.theseirisks 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 4 Industrial Accidents. If the structure is intended for sale, property owners who are not licensed. contractors -are allowed to perforin their work personally or through their own employees, without a licensed contractor of 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 your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned + lY, r N is el C, Vi ira, C.B.O. _ ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-751-6 PERF No. APPLICATION AND PERMIT . - 7' ?` (PA 12mo) Assmeoa.Acammem-� aor.a BUILDING PERMIT owra j -117_ VAR" o MM11C?�( SD. OCC. BUILDING VALUATION -10N �vRs WAN Cu N Tn er�oNe oorrteacToae WAM tooaos oorain.reTawusoa ' Fireplace �� tooeas Total Valuation = oa p10o'� uursa N0 Firma Fee t 20.00 Permit Fee = wrc,.ruT OR gmap ni waa+o ADORM Plan Checkina Fee = A00"ae Energy Plan Chocking Fe. _ i PERMIT FEE _ �- WT14 euaoHt sMw[ PAW.& MAP PLUMBING PERMIT FilingFe. 20.00 Each Tre 7.00 - USEOFSTRUCTURE SF plex DuO MobO.home O Other '~ Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O odd O In "2 -*n O Other O A h Describe Work: Gas piping rystem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home SGW @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fe. 20.00 Main Service =a I FDA3123.00 v *PERMIT FEE PAID SRA $ SHERIFF $ OTHER $ AMOUNT RECEIVED *RECEIPT NUMBER �I * TO BE PVT INTO COMPUTER Main Service xa To woos 48.00 NEW co.a . owl3tw occur. 3.59$ Far ADOU a ecce eu». rr. woero.' �uunovruT @7.50 roMr01 AMMATI� 1 a Ex. Occup. ovnsr ow muars SAL a ': Ex. Occu . o= aro a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Lisc. Wirin 23.00 i PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEE t Moble Home installation Fe. _ Energy Inspection Fee i occ CONST. T'"a TOTAL FEE $ .,,,Z a "a "' "'°°° �' "'"`a '° " au< This permit In hereby Issued under the applicable provisions of the Butte County Code and/or Resolution• to do work Indicated above for which lees have been paid. By Date ------— PERmIT EXPIRES ON A.P. # ® -LG -- -(D OWNER 6 0- Lk PERMIT # MH UTIL. CLEARANCE DATE INSPECTOR -w- ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE SIZE OTHER LOAD TYPE PIPE SIZE LENGTH YES NO YES NO G,OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive-,Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) - APLICATION AND PERMIT I _/a4 0, ASSESSOR PARCEL NUMBER 026-080-065 ZONING -1 BUILDING PERMIT OWNER RODRIGUEZ GUADELOPE TELEPHONE 532-1466 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7078 FULTON AVE. PAL _ CONTRACTOR'S NAME CONTACT TELEPHONE CONTRACTORS MAILING ADDRESS 532-0811 - CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER Al LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ QO BUILDING ADDRESS 7078 FULTON AVE. PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 5? Installation ❑ Other ❑ Describe Work: MHU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 12 1 N YF -@20.00 60 00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..A OR IES.' 23.00 3.00 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 for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00So CCU000A NEW CONST. DWEWNG OCCUP. I OR ADDNS. ( 8 ACC. BLDS. SO 3.50FT. T. NEW RAID. MULTI-OUTLETcu, @7,50 POWE. APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 00 BAL @ 1. 0 Ex. Occup. oFlxurLEEDTSA '(R9%.) OEE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 0.00 Misc. Wiring 23.00 PERMIT FEE $ 63.00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that f I should become subject to the_ workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. .n n O n Q / X 0" /i / O 7-R 0 J r t' %,e� Date o� ! Signature of Applicant - ❑ OwnerC6' onVactor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE T TAL FEE $ 166. V01 �HZ. p. FEES P ­1 FLOODCDF ___1' PARC ISSUcompensation This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatey above for which fees have been paid. ` /7 0 //�^ ate PERMIT EXPIRES O C ate Receipt No. 3oi ( D� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 538-754 7 County Center Drive • Oroville, California 95965 • Telephone (530) (Rev.1'2NPERMIT NO. APPLICATION AND PERMIT d/ is i ASSESSOR PARCEL NUMBER :D OWNER _I . BUILDING PERMIT e SlD"e SO. FT. OCC. BUILDING VALUATION OWNERS wr D� Do�Esa i I — q(0 WNTRAC TOWS MAIUNO ADDRESS CONSTRUCTION LENDER . LENDER'S "LING ADDRESS Fire lace ARCNRECT OR ENOINEFR LICENSE NO. Total Valuation E ARCHITECT OR ENONIEFAS MALINO ADDRESS Filing Fee $ Permit Fee S BUILDINGAD08ESS Plan Checkin Fee $ ✓ r mEnergy Plan Checking Fee E S LOTNO. SUBDIVISIONS NAMEPERMIT FEE $ PARCEL MAR PLUMBING PERMIT USEOFSTRUCTURE Each Tra SF ❑ Duplex ❑ Mobilehome Ij✓Other lar or heat um water heater Water i in SPECIFY TYPE OF WORK Each gas w t r heater or vent New ❑ Addition ❑ Remod Witie InsUlletion ❑ Other ❑ Gas i in stems - 5 outlets Buildin sewer Describe Work:_ �.'- )�C��(�n�Mobile Home 1�)m p 1_ 1�tl V) 5�3,3�- *PERMIT FEE PAID SRA -- SHERIFF OTHER AMOUNT RECEIVED *RECEIPT NUMBER * TO BE PUT INTO COMPUTER PERMIT FEE _ MECHANICAL PERMIT Heatin Coolina 20.001 ng Fee 20.00 23.00 3 UO 46.00 3.50 —Iso I @7.50 5.00 23.00 20.00 23.00 6.50 Is1L 20.00 PERMIT II t Mobile Home Installation Fee $ 1 Energy Inspection Fee S occ CONST. TYPE TO AL FEE $ cv • D. FEES I RAOD COF P EL NO 6SUE R= ts� This permit is hereby Issued under the applicable provisions i of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. i By Date PERMIT EXPIRES ON PERMIT FEE t ECTRICAL PERMIT in Service OR tESS kNEW 2'0" tow OR LESS in Service 200A TO 1000A CONST. DDNS. DWELLM OCCUP. NEW O NS i ACC. BLDS. NON-RESID. MULTF-OUTLET POWER APPARATUS 8 SN10LE OURET CIA. Ex. OCCU OUTLET oA FvaURES ' Ex. OCCU FIXE0 APPMS• OR . I OUTLETS ES10. EA i Tem orar Service i Mobile Home Facilities Misc. Wirina PERMIT FEE _ MECHANICAL PERMIT Heatin Coolina 20.001 ng Fee 20.00 23.00 3 UO 46.00 3.50 —Iso I @7.50 5.00 23.00 20.00 23.00 6.50 Is1L 20.00 PERMIT II t Mobile Home Installation Fee $ 1 Energy Inspection Fee S occ CONST. TYPE TO AL FEE $ cv • D. FEES I RAOD COF P EL NO 6SUE R= ts� This permit is hereby Issued under the applicable provisions i of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. i By Date PERMIT EXPIRES ON COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' . 7, COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: _C U/l ���b v �,�Z ASSESSOR PARCEL NUMBER: 05� 6— 00=0- 6,5 Proposed Building Use: N ti-�,� . / Building Insp�tor: Date: T- ;3. of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By I iiems have been submitted.------------------------------------------------------------------------------------- ot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ mplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ----------------------------------------------------------------------------------------- ❑ ❑anufactured Home data and installation instructions including Tie Down Specifications.------------------ 0. Fees of $ .1-6262.60 ------------------------------------------------- ----------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 3 . Flood elevation certificate.-------------------------------------------------------- -------- �-a-------------- (I q--------------- 4. Sanitation and plot plan approvaealth Department.--r------t�`------------------------- 0 ------' `—t7 ❑ 15. City of Chico plumbing permit. -----------------------------------------------------------I------------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- 4. Letter of signature authorization. -----------------------------------------------------------------"!-------------- t 5 . Recorded copy of Agricultural Acknowledgment Statement. -------------- ----------------------------------- -5-31-61 ❑26. Letter of intent on building use. ----------------------------------------------- ----------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑MaiLto contractor. 'eTelephone n' � . C F/ ( and hold for pickup at (3(6(1111-6 office. ❑ Deliver with inspector. Do(Q Fnri► ,uez_ p9 Z 9' C d.`j �9 ®% Applicant: r1 Q R� Z A0 YI 7lebate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ O er: L Date: By: 1. Index permit application for the above items numbered:DE— ❑ Plan Check List 2. Additional items required Contractor, designer, owner, was advised of the above required data by ❑ }phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Div'sion counter, by Date: Plans reviewed by: Date: Plans approved by: Date: v Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance lLA �,, at ILo l Owner ' Location Plan Approved for: Sewage Disposal Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Watar -qIInniv- E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sant to B.O. I. A ^ I� AP# Public Private Well fur Date RESIDENTIAL 026-080-065 J RODRIGUEZ, GUADELUPE 01-1242 7078 FULTON AVE., PALERMO CONTR: MHU SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address CHECKED BY GAS 1 Meter By Da � ELEC C Meter y D e I L- — – - -- _ --------- - JOB FINALED (Date) Signature J d = OK 0 = Not OK ' -= Not Rdy blt = Not Ready MOBILE HOMES Date MOB ME UTILITIES (Plans) OK except #'s 2. 1. g Requirements -Setbacks -Easements 3. Soils; Special MH Support Sketch 4. Sew • ocation•Test-Fall-C/O-Concrete 5. at ovation -Test -Easement Needed (Sketch) 6. lectricity; Location-Clearances-Grnd-/ /Amp -Concrete 7. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / ' `at._or/ /"L"ft./ PLPG i?.-V6II9e9Fance & Disconnect Date tility Clearance 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 12. Permanent Foundation Only; License Decal FINAL (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 tj cg 3 7 7oP A �7 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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 / = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring, 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils -Steel -Elea Grnd.-/ P' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Sfeel- Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders-SiIIs- Anchor Bolts -Joists- Vent s-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B -t Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Pane Is- Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring, 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Insild./Drive J Yes J NoMalks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Da -0 ` P7 0O W . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0;) .0 ---alt 7 County Center Drive • Oroville; California 95965 • Telephone (530) 538-7541, _ PERMIT NO, (Rev. 12/96 APPLICATION AND PERMIT `r ■iii ASSESSOR PARCEL NUMBER 026-080-065Z� Gl BUILDING PERMIT OWNER t'UAULLUYL iZoi)RIc'L)r;�, r . TELEPHONE So. FT. OCC. ..--- BUILDING VALUATION OWNER'S MAILING ADDRESS 7078 FULION AVE.. PAL1:Mt CA CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS WiIAGI PFAS0A?4 EGLU W'1 CONSTRUCTION LENDER 5s2-4811 Fireplace LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Total Valuation $ Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 7018 FULF014 AVE. PAt..E.3. V) Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome P Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationjp Other ❑ Describe Work: fj Cas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 20.AORLESS 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 for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ X 01 Cir-, /C! `�G .� r�e CV Q' Date C, 79 U Signature of Applicant - [03 wrier "❑ Contractor ❑ Agent-- An OSHA permit is required for excavations over 60" deep and demolition or constructionj{%; of structures over 3 stories in height. Main Service z To ,CCU000A 46.00 NEW CONST. DWELLING OCCUP. SO E OR ADDNS. ( d ACC. S.3.5¢FT_ fNjON.REOSID. T.MULTRANCI.OUTLET @7,50 Rs POWER APPARATUS d SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup. SAL .50 FIXED APPLNS. OR 5.00 Ex. Occu . ouTLETs RESID. EA Temporary Service3.00 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 $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 HA2 IMP FLOOD CDF PARCEL PO HD i ISSu This permit is hereby issued under of the Butte County Code and/or indicated .above for which fees have '/ By l/. '� PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date �! /� 1 5 (Date) ReceiptNo. c' i': .;�,l �•�� WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i �J'�,���'�._-.,_��`�:�_r-' r-�_-.^,...,,-.ice--' �-� ✓ ..-tip ,� w �,.r MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: Owner's Name:v Owner's Address: Mobilehome Manufacturer: Year of Manufacture: `4 L/ Serial Number orW N : Ufa„ Insignia or HUD Number f ` Official approving installation: Date: If the mobilehomelsimoved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE OROVILLE, CA 95965 - PHONE (530) 538-7541 APN: o PERMIT NO.: Owner's Name: Owner's Address: - /I 7r ."` l_l L .a r � jJ f � � 14t1c Mobilehome Manufacturer:: Year of Manufacture: Serial Number. or V. I.N.: v Insignia or HUD Number: } c:� ` ) r r'! kill �y ►) )n Official approving installation: Date: '1 r If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor Or # ' OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ;v 6 F 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) 1 APPLICATION AND PERMIT ASSESSOR PARCEL; 4. 026-080-06-5 ZONING 1AR1 BUILDING PERMIT owNEODREZ,-UADEWPE 532-146G TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7078 FULTUNAVE. 0 PALdMM CONTRACTOR'S NAME -q MCACT TELEPHONE CONTRACTORS MAILING ADDRESS 532-0811 CONSTRUCTION LENDER Fireplace . LENDER'S MAILING ADDRESS Total Valuation $ ARCHrrECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS t Plan Checking Fee $ 23.00 BUILDING ADDRESS 7078 IUL7,ON AVE. YALE MJ Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IA 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 Q Installation ❑ Other ❑ Describe Work: MHU S IN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.'*."A OR IESS 23.00 Z3 • 00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To ,000A 46.00 NEW CONST. DW ,"NG OCCUP. OR 3.5Qso CO MNSTULTICol�1TLS =R.,. @7.50 OWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 2CQ''50 BAL Q .SO R. Ex. Occup. oFIx�LEED�AES,o 1 RE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 • Misc. Wirina 23.00 PERMIT FEE 63-00 $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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. r 1 C } L / X ,f f'� (j %� / �'� �`1 130,41 ! Q u e 2 Date / Signature of Applicant - ❑ Owner WContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TQTAL FEE $ 166. Q01 t HAZ. D. FEES P FLOOD CDF PARC ISSU This permit is hereby issued under of the Butte County Code and/or indicatail above for which fees have R y` PERMIT EXPIRES ONW f!`% the applicable provisions Resolutions to do work been paid. Date /e,_7/9// Dete Receipt No. 3QLj L,I tfo ,C%t� WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN/-; 7 County Center Drive - Oroville, Cplifornii, 95965 - Telephone (530) 53PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ 026-080-065 ZONING AR 1 BU ING PERMIT OWNERTELEPHONE RODRIGUEZ GUADELUPE SO. FT. OCC. BUILDING VALUATION X%%�X % OWNERS MAILING ADDRESS 7078 FULTON AVE. PALERMO CA CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONTACT PERSON:DORA RODRIGUEZ CONSTRUCTION LENDER 532-0811 Fireplace LENDER'S MAILING ADDRESS Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 7078 FULTON AVE. PALF?MO Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R7 Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK r New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation1Q Other ❑ Describe Work: jvjE.jl Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service Zp.vA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service YooA To i000A 46.00 NEW CONST. DW011NG OCCUP. ( OR ADDNS.NEW 3.5Qso CONST. MUAiCTICOU�rLEi NON-FIESID. @7.50 APPARATUS a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 p I.00 BAL O .50 Ex. Occup. OUTS RES D,oEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,9of X rn q 1� / Q jj )9O�d r 1',q _f/e Z Date 0 S 21 0 l Signature of Applicant - ❑ Owner 43 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. , E IMP FLOOD COF PARCEL PD HD ISSU This permit is hereby issued under the Butte County Code and/or indi e bo for hich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date �v D. Receipt No. o� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "J COUNTY OF BUTTE - DEPARTMENT OF .7 COUNTY CENTER DRIVE - ORO NT SERVICES - BUILDIYG DIVISION 95965 - TELEPHONE (530) 5*7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL, iIUMBER: Proposed Building Use: Building Inspector: -'j- Date: , 5— �Cf32 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 the preparer of plans: t ----------------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 8 Hazardous Material Form. ------------------------------------------------------------------------------------------ actured Home data and installation instructions including Tie Down Specifications. ------------------ s11 . of -i- f$ ------------------- -------- fees as shown on the attached schedule. ----------------------------------------------- ----------------- rma Department of Forestry plan approval/ ees.--------------------------------------------------------- E 13. Flood elevation certificate. --------------------------------------------- 1114. -------------------------------------------- ❑14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: D }� (B) Parking: { 1118. Contact Land Development about ❑ Improvements, ❑ Drainage,Eqegal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --- Pre-inspection for required. Request to Building Inspector on Contractor's license information. (Number, Name Style, Classification). ----------------------------------- Workers' Compensation carrier and policy number.----------------------------------------------------------- Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - ------------------------------------= E-124 Zwrded er of signature authorization. ------------------------------------------------------------------------------- copy of Agricultural Acknowledgment Statement. ------------------------------------------------- El 26 Letter of intent on building use. ---------------------------------------------------------------------------------- YManufactured Home utility clearance. ---------------------------------------------- 028. Existing violations and/or expired permits.--------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: F�1 MEW . 0 WIIf I " 4a � (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone Jan%d hold for pickup ate office. ❑ Deliver with inspector. /:l1 J I/ J l Ct Applicant: h i Q RT C, 0 c� Y i uG Date: 0$ 220/ Copy of Haz-Mat sent ❑ Health Department, ❑ Fire Dep ent, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departure ❑ Other: 1. Index permit application for the above items numbered: V Ian Check List 2. Additional items required: a Contractor, designer, owiler, wAs advised of th ab required data by phone, ❑ 1� �idon counter, by Date: Contractor, desi o f +(� gn > �s� t irr�uirerl data by ❑phone, ❑mail, ❑ Building Dr Sion counter, by Date• 27 L l Contractor, designer, owner, w advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building /Division counter, by Date: Plans reviewed by: Date: Plans approved by: /Lr/✓. Date: Q12,11tj Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. v PROPOSED BUILDING USE M --t± _ 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ P 2. SCHOOL DISTRICT FEES ©TGl J < <� �- I�{eJi DA2 1415. 1. (paid at District Office) SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (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) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P.# 2 &_-0F© -665' DATE 2— — .- l 02— RECEIPT 2 RECEIPT # DATE REC. 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. APPLICANT )'" e z DATED 3 G 03 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) • x � BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM On forn per3Bu lding) School Districto V t 1 �(� � Building DepartmentN . A.P. Number a (o -0'Q o - Q r:, S' Jurisdiction: City County Property Owner 4 (A at) d � to if f 1� C-1 CA 0 6 FAIC?"1 o el7. t et to e � V Property Location/Address p� "70 � � r� lab� A,,t ��.t�r�� . Subdivision Lot No. Residential Development .................................................................................................................... Sq. Footage 1 y R No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): ................................................................................................................. Commercial/Industrial New Addition Building Department r,} trloor rians reviewea ov acnooi uistnct Sq. Footage Date (Including Exterior Roofed Areas) District Identification No. School District certifies that (Applicant) (Street Address) (Phone Number) C-47 - ` (City) (State) (Zip Code) has complied with the requirements of Resolution No. 7 `ed-t).5- by payment of $ p').� �• r7 , �d representing square feet. AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: 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 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA)• this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signatme. 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 ajor labor and materials for construction of the proposed property im rovement : YES NO 13 2. I HAVE HAVE NOT O 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: Ell ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO., I plan to provide portions of this work, supervise, and provide the major work: NAME: ADDRESS: PHONE: but I have hired the following person to coordinate, CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAI. SECURITY NUMBER DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be eompIeted oetd returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFOR1ti1ATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible 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 your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information abouty our 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 contactor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I4tMv,1ge'rC,BVui'1diZng y, l ViAra, C.B.O. Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Cods OVER Mobilehome Manufacturer..—j2�a K� of1�i (£ Manufacture Year: % If other than single wide, furnish Setup Model Number:C'a ( 1/ % ?l Width:�_(ft.) Length:._ 2 (ft.) Tagalong or Expando Sizer (ft.) x On all mobdehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location - SL`JGLE WIDE MULT WIDE 6/vim l; j Line l I Line 2 IIee 2 ................................................................................................ Main Beanu Uie 2 Line 1 I.me�3 Line 2 ................................................................................................ Main Beams Line 2 .............. Lme 1 ................................................. ine 3 Tag or Triple ine 4 ine I Line 1 Piers: Line 1 Openings /�- ,}( 3 a� Size minimum: r 92 1 x r /V-1. Size minimum: [A,t.; x [ Md. Spacing maximum: 1 — ` � ' ` Each side of openings From ends -maximum] ! 0 with width over: Line 2 Piers: 1.2 yY ® Line 4 Piers: Size minimum: x Size minimum: x Spacing maximum: Spacing maximum: ` From ends -maximum: 0 From ends -maximum: ` Line 3 Roof Loads: "'' " -nil ^ _ _ Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): 2 MIWV 7W= mmmm mm = bU-1TE' COUN1-Y OVER BUILDING DEPARTM EW APPROVED te,4 1. Owner's Name: M A_v_! 2. Assessor's Parcel Number: o a. % - D 2�0 — 0 6 3. Installer's Name:. 4. Is the site currently under permit? Yes[ /� No[ ] Permit No. 5. Is the site an existing site? Yes[/J No[ ] (If yes, furnish two plot plans). r 6. What is the electrical rating of the mobilehome? f kv 0 Amperes. 7. What is the mobilehome site circuit breaker rating? ­'� 2 0' Amperes 8. What is the electrical rating of the mobilehome site? /0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ i -r No[ ] If it is, what is the rating? Pt�QW/00 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ I No[.I'If yes, please identify the load and size: a) The mobile home site: Load- fO c--) Amperes- _/40 b) The main service: Load- 2 /0 y Amperes -"":p 0, it. Type of gas service at mobilehome site: Natural[ ] Propanevl,'�None[ 12. Size of gas pipe at the mobilehome site from the meter or tank: 3 it inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?o�4 (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 PERMTr APPLICATION May 1995 8.5 U E -Z TIE DOWN SYSTEM DESIGN LOADS: *WIND LOAD---- 15 PSF 1. THIS TIE DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. 2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATED—ASTM A36. BOLTS=ASTM A307. 6. THE E—Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS: OF E -Z 25" HT TIES 28" HT HEIGHT HORIZONTAL VERTICAL UPLIFT 4 4 18" 2010 (Ib) 6000 (lb 891 (Ib 6 50' f; 4 21 " 1825 Ib 6000 (lb) 801 �, 6 25" 1510 (lb) 6000 (Ib 664 �lb lb UP 4 28" 1419 Ib 6000 (lb) �lb� 629 (lb) 66' 4 36" 867 6000 (Ib) 385 (Ib) 8 70' 4 v - 6 - --- 7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED. z C V, 8. WHERE STAND IS PLACED ON EXISTING CONCRETE SLAB, 1/2" SLEEVE M ANCHOR BOLTS MAY BE USED TO SECURE PIER BASE PAD.O 0 "V O 9. ATTACHMENT METHODS FOR "C" & "J" BEAMS SHOWN ON SHT. #2. 10. THE LONG DIRECTION OF THE E.. Z TJ €. PAD (37") PERPENDICU MUST BE INSTALLED Z %� A IS"�"&AM. �` RC1`; �; � � n ^ �'• •;,� e' F`ln• 17910 '14 w1 ABESCO-GUS GUARD COMPANY °. 5851 FLORIN - PERKINS ROAD SACRAMENTO CA 95823 PH: (800) 382-8831 r �° �l��r �,• •;; FAX: (916) 383-5207 SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. VARIES 10'-70' EVENLY SPACED BETWEEN E- — - - -- U r ( I I LJ I I u l_J L -J 1 RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER 0 p (TYPICAL) ❑ 0 ,0 ❑ O 0 E—Z TIE SUPPORT PAD - r_i (TYPICAL) r-, II I I 0 l—J CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING AS REQUIRED BY THE HOME MANUFACTURER. LENGTH OF HOME, 18" HT NUMBER 21 " HT OF E -Z 25" HT TIES 28" HT 36" HT 40' 4 4 4 4 6 50' f; 4 4 4 4 6 60' ' 4 4 4 6 8 66' 4 4 4 8 70' 4 — 6— - 6 - --- _6_ fi -- --10 - d STATE APPROVAL ENGINEERED TIEDOWN SYSTEM APPROVED SUBJECT TO CORRECTIONS NOTED Approval does not authorize or approvo aoy omission or deviation from requirements of applicable State l yrs and regulations. Stote of Califrrnia Department of Housir.g an0 C::.: ^'ty Deve!cpment P! SIO" 0: CODES AND BY (Signature) SPA NO Ap:- T's 1 ZC2. C_ .._..__. This Plan Approval Expires THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUBSECTION (a). WAYNE T. POLVADO, PE -LISTING NO. 99001 SHEET 1 of 2"x2"x3/16" STL. ANGLE 3/8" CAD PLATED BOLT, NUT &. WASHER COUNTER BORED FLUSH WITH BOTTOM (8) REQUIRED DETAIL "A" CHASSIS FRAME - 1/4" GRIPPER PLATE -� (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH m 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE m 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES 1 ABESCO ABS PAD #503 STEEL FRAME - h \ 18 1/2" 1/4" STAND .BASE /— ABESCO ABS PAD #503 3/4" DIA. x 18" LG. (4) REQUIRED 36" MAX TO BOTTOM \ OF PAD 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE rr PIN I' J 10.50 �-- 10.00 -- { 0 0 10.00 O o 09/16 HOLE (TYP)- STAND BASE TOP VIEW 1/4"x1-1/4 TEK STS (2) REQUIREI 1/4" GRIPPER BASE 1/2" A307 BOL (4) REQUIRED 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 3821-8831 FAX: (916) 383-5207 1/2" DIA. HOLE (8) PLACES + ¢ ¢. 18.75 30.00 STEEL FRAME TOP VIEW 1 1/2"x1 1/2"x3/16 x2" T.S. (4� p -'S , (4) REQUIRED _ LCS SIDE VIEW / ;H ..C.� FRAME C -BEAM ATTACHMENT 'RIPPE ATE kNNEL --'-11J" FRAME 4"xI-1/4" EK STS I REQUIRED 11 A307 BOLT REQUIRED 1/4" GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED J -BEAM ATTACHMENT E -Z TIE ' DOWN SYSTEM WAYNE T. POLVADO, PE -LISTING NO.' 99001 SHEET 2 of 3 �In INSTALLATION INSTRUCTIONS E -Z TIE DOWN SYSTEM 1. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM. 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL. 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS- AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. I—BEAM 5. REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT PINS, PIERS CAN THEN TELESCOPE. RAISE THE TOP OF THE PIER UNTIL THE PLATE IS AS CLOSE TO THE BOTTOM OF THE CHASSIS BEAM AS POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTER PIN. 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM. 7. PLACE THE GRIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. C_BEAMS AND J—BEAMS 8. HEAD OF PIERS REQUIRES THAT TWO (2) TEK SCREWS BE PLACED THRU THE SIDE OF THE BEAM IN ADDITION TO ONE GRIPPER PLATE. "9. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THRU GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE. ALTERNATIVE: (2) 012 S.M.S. OR WELD (2) #12 S.M.S. ANGLE IRON 11/2 "X 11/2 'X 3/16 NOTE: USE STIFFNER IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER DETAIL ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CAWAYNE T. POLVADO, PE—LISTING NO. 99001 PH: (800) 382-8831831 FAX: (916) 383-5207 SHEET 3 of .I AND WHEN REl`Op;+DED,MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 G\ - ) ��+9 200 1 —0022704 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:23AM 30 -May -2001 REC FEE 10.00 COPIES 1.50 Cindy Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENTn / FOR RESIDENTIAL DEVELOPMENT v Section 26-8 of the Butte County Code required thisacknowledgment 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: Date3 UL PROPERTY OWNERS: 5/ !.-OWWRAW v - State of California ) County of i8u-#- ) On /y%-`> -30/ ate/ before me, personally appeared -A77, t rl o -;r 4ad6? & ge Kc2:;er-/'ag personally (mown 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 helshe/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS hand and official seal. Signature Seal: TERAI 11. RUSTIN Commission #123y820 A.P. # L)a(l)— O 9 0 (,105 Notary'Puf5lic U Butte County. California Niy Comm... xp. OCT 24, 2003 I EXHIBIT "ONE" The North half of Lot 5 in Block 83, as shown on that certain Map entitled, "Palermo Citrus Tract, Subdivision No. 1 ", filed in the Office of the County Recorder of Butte County, California, on September 17, 1888. Assessor's Parcel No: 026-080-065 2 EXHIBIT "ONE" The North half of Lot 5 in Block 83, as shown on that certain Map entitled, "Palermo Citrus Tract, Subdivision No. 1 ", filed in the Office of the County Recorder of Butte County, California, on September 17, 1888. Assessor's Parcel No: 026-080-065 2 BUTTE CO Phone Number:— L/ -- Other Comments: DEVELOPMENT SERVICES . I Inspector must draw a plot plan with all building locations: 0 Additional Comments from Inspector: 2 ---- — 26-08-65 Willard Johnson 7078 Fulton Ave . , Palermo „ conte: Four Counties Roofing, Chico G7G?��in> ermit 45.66-77B(built- re-roof/SF) 26-08-65 _Q 1 Contr : LaGrone Htg & AC 1 Per' mit #6708-78P.,E,M nst htg & AC) L& ele ser ch) 026-080-065 01-0707 . 4� RODRIGUEZ, MARIA t(011 ` 7078 FULTON AVE., PALEJO ,O2 i CONTR: OWNER H' 6 I ROOF REPAIRS ON PORCH TFULTON 01-1242 R, GUADELUPE 7AVE., PALERMO CM1 VIA 026-080-065 RODRIGUEZ, GUADELUPE 7078 FULTON AVE., PALERMO CONTR- MHI i F �� 1509 51' EXIyTitAb hpRoaCA I no' i 1 30# TPOF0560 I9-78 59' f ;L4r T9AILOP EXtSfi�(� t APPROVED �e+relopment Plan DATE. gaa9/o > USE PERMIT a,..... VARIANCE MINOR V.P. ADM.PERMIT � a -. PLANNING COMMISS. DIRECTOR OF DEVELOPMENT SERVICES EXIStIN�! SePnC th N y - pRoPo5&D LE hC4 FttcW / .NOTE: See The Attached Residential Constructior Reauirernents �— Pages kff QERf. RUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF l0 FT. FROM THE SIDF •Ai4B- -ZQFT. FROM THE REAR PROPERTY .;NES, AND -6�'r7r i=T. FROM THE ROAD CENTERLWE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT VE OVERHANG. F -XIS -r & LIEAc.N Sc ^ = ao' BUTTE COUNTY 3UILDING DEPARTMEN A,,PcL evw-o Oho—O$0—OSS APPROVED t�OR �i Ae i I Y5' pRoPo5&D LE hC4 FttcW / .NOTE: See The Attached Residential Constructior Reauirernents �— Pages kff QERf. RUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF l0 FT. FROM THE SIDF •Ai4B- -ZQFT. FROM THE REAR PROPERTY .;NES, AND -6�'r7r i=T. FROM THE ROAD CENTERLWE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT VE OVERHANG. F -XIS -r & LIEAc.N Sc ^ = ao' BUTTE COUNTY 3UILDING DEPARTMEN A,,PcL evw-o Oho—O$0—OSS APPROVED t�OR �i Ae i ' Y•, r�� �� ^' � P� i, �; ;1 y' j' �>� •- �:�, ..i ` .. � Z�g yr w W �� `O cel . ^i qzs�� C-4� 4 W J i'- 15 0. 51' EXISflRb ypgwa w �I 3 - iRof05ED sa, ;4. -r?A(LoR 00(1516 APPROVED S DATE /a9�nt Plan USE PERMIT ..,VARIANCE MINOR U.P.,ADM PERMIT PLANNING COMMISS. DIRECTOR OF DEVELOPMENT SERVICES . ED Butte County Environmental Health % ---- Date " Signature 1ANK J Ell IS- V4G LIES S� I - - -- x.80 CAE"=so' S � py0-0$0-0&oS PalevnL4 G. �J, .LV p