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028-390-007
M o b J. tom""- " � do•.r•.o,r4 � LaIQ �Z i 28-39-07 Cert. of Compliance 28-39\07 3952 90P,E(MH) CULET, Ben 84 Sunny Hills Rd, Oroville (util, MH) -� ELEC '300 r�-/� GAS COMPACTION TEST REQ o r� SUPPORT STRUCT REQ—- '/ 0 "I - --- -6- = � 28-39-07 1393-91MHI ' STOKER, Diana 84 Sunny Hills Rd, Oroville (installation/mh) 028-390-007 PERMIT#95-1421 CULET'Ben 84 Sunny Hills Rd., Oroville MHI Ex Site 028-390-007 / 05-0809 ELLER, KARI 84 SUNNY HILLS RD, BANGOR CONT: OWNER 4 NEW SINGLE FAMIL DATE: f BP# - EXPIRES: WAL 028-300-007 AG02-227 GARY LEWIS 84 SUNNY HILLS RD., BANGOR AG. BLDG. (20'X 40') 07 NOTES RESIDENTIAL t. 7,220,0-7 4- f• 1 r PERMIT NO. _ 028-390-007 05-080— ELLER, KARI 84 SUNNI' HILLS RD, BANGOR CONT: OWNER NEW SINGLE 1~ANIILY PEX- BP# RENEWAL DA� Ol0 EXPIRES:C7 SPECIAL CONDITIONSS' CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address • 'ti GAS•-- Meter By Date ELECTRIC^� Meter By � I _ DateZ-Z- •r a r t' t w t 9 1 r PERMIT NO. _ 028-390-007 05-080— ELLER, KARI 84 SUNNI' HILLS RD, BANGOR CONT: OWNER NEW SINGLE 1~ANIILY PEX- BP# RENEWAL DA� Ol0 EXPIRES:C7 SPECIAL CONDITIONSS' CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS•-- Meter By Date ELECTRIC^� Meter By � I _ DateZ-Z- 'JOB FINALED (Date) Q Signatur J=OK 0 = Net OK Not . = NotReadyable Card B-1 Date MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch Carports; Windows -Doors 3. Sewer; Location -Test -Fall -C/O -Concrete 8. 4. Water; Location -Test -Easement Needed (Sketch) 3. Blocking 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 4. Gas; MH Test -Demand -Valve 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or / P' L "ft./ P LPG 5. Electricity; MH Test 7. Well Clearance & Disconnect 6. Water; MH Test 8. Utility Clearance 7. Water and Sewer Connected 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit Date 9. Card B-1 Date Card B-1 Date 10. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Light Niche 1. Zoning Requirements -Setbacks -Easements 12. 2. Footings; Size -Spacing -Marriage Line Card B-1 3. Gas; MH Test -Demand -Valve -Connector Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1. Zoning Requirements -Setbacks -Easements Carports; Windows -Doors 7. 2. Footings; Size -Spacing -Marriage Line 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 3. Blocking Siding; Nailing -Veneer -Stucco -Mesh 10. 4. Gas; MH Test -Demand -Valve 11. Ext.; Steps -Doors -Landings 5. Electricity; MH Test Braced Wall Panels Elec.; Pool Lighting; 15 Volts-GFI 6. Water; MH Test 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Exits 9. Health Department Approval 10. License Decals 10. Plumb.; Cir. Test -Water Supply Test 11. Verify #'s with Office 11. Light Niche 12. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready Date UND F OOR (Plans) OK excep ing-Setbacks-Easement food -Slope tg., Main; Soils-Elec. Gr .-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. F ., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5 t2mwalls, Main; Steel-Blockouts-Wrapped 6 S emwalls, Garage; Steel- Blockouts-Wra ed 6 old Downs and Special Anchors 7. 21ab, Steel -Wrapped Eiers-Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. �F, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 1 Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 1 . ers-Sills-Anchor Bolts-Joists-Vents-Crippies 1 Access & Ventilation 16. Insulation 11 RESIDENTIAL (Single & Duplex) t #'s I Date FRAMING46ont Date bjQ j02 -Card B-1 ,G.% Date Card B-1 Dam // /e9fCard B-1 Date Card B-1 Date ' ' PLU MPermit) OK except #'s 1 .W.V.; Test Fittings & Anchor-fZ'XM21 ofection U`7 (.v Shower an; Test, First Floor -Tub Access 'Z 1 21. �ub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT AL (Permit) OK except #'s i re & Transformer Clearance -Ins. Protection lec ceptacles Spacing Lights at Doors 40 j06 ize Boxes & No. of Conductort Staple 27. Ro Installed Close to Edge of u s & C.J. qWW.1�_round made up w/Mech Fasteners -Bond Gas & Water A nce Circuits in Kitchen & Conductor Size GFI .(� .ubfeed w Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. S % -Riser Conductors & Ground Main Disconnect E . Clearances Panels-Motors-Mech. Equip. lobes Closet Light -Shower Light -Spa Light 3 Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHA AL (Permit) OK except #'s ucts Insulation & Support Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39 -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. 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 41 Sills Proper Materials &Anchors 4 ails St s -Nailing Spacing & Braces -Plates -Sound 43 ring Walls over Girders & Floor Nailing 44 Draft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 6 Headers & Beams -Size & Bearing ��inaJeist-Rftr. Ties- Purl in- Roll Brac.-Truss-Shtina.-Rtna. 42f, replace Ties or Type A Flue -Fireplace Throat Clearance 0. A5 cess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 152. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext eors-One 3' -Check Garage 3rd Story, 2 Exits Stq • Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding-Nailingo Veneer S Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 . lazing Area -Glass Protection -Skylights -Plastic 6K Shear Walls; Nailing -Vs vJ 61. Brace Interior/ExterA Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls indows Date Card B-1 Date Card B Date - e;f, Card B-1 Date Card B - Date INAL ns) K exept #'s xt. Steps -Door & Sidelight Protection -Landings 68�.moke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting G.F.I. ath Fixtures & Tub Access -Spa c. Trim & Subpanel, Breaker Sizes & Labels 7 tairs & Rails 7 ireplace or Stove, Clearance -Hearth 72 -17e -c Outlets at Wood Panel, Int. & Ext. 73e -KIT: Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7�E ec. Outlets & Receptacles at Kit. Counter 75r Garage Fire Door; Swing -Landing -Closure 76, A C_.Duct in Garage -Damper 777. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. i e; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 79. ceptacles in Garage (FF.I.)-Romex Protection 8 . sulation- Foam- Looked in Attic Guard Rails & Deck Construction -Post Caps 2 ents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish C. Unit Disconnect, Electrical -Plumbing ents ove Roof, Plbg-Appliance-Fireplace-Clearance to Openings at Well, Disconnect, Electrical, Plumbing E r Elec , G.F.I. Receptacle -Underground Ve ion Throughout House lass Protection Corrections from Previous Inspections 92,. Gas Test -Meters Tagged, Gas -Electric 93.. V Tater*Sewer Connected -C/O to Grade -HD Approval 4. Ene mpliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Dat Z. -j. V17. Card B- Date Card B-1 Dateand B 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at -the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. On C Qx_ 10P vc►..t' c1 r �• ,) S. to a � r . 1 S r� _ t0✓ I: c G s 5 stn ✓, r n rn { G lei o O ��s v v Date Inspector �� REV 4/05' Phone # X76 - r -TG i FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE'''-': BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 Date Inspectori2/J REV 4/05 Phone # .^r FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 5 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and work is completed. If should be corrected. Please call for re -inspection when correction of you have any questions pertaining to this matter, or need additional 7 , explanation,, please contact the Building Inspector as indicated below. 124,&Z-11- AW 7 ZLw d�I i> ,I &71 A—k 6;' e } Date Inspectori2/J REV 4/05 Phone # .^r FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 5 ER ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES } 7 County Center Drive • Oroville, CA • (530) 538-7541 / CORRECTION NOTICE „ oy 4 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. /i Date Z6)—Inspector �C �X � � � L/./2!L% a L REV 4/05 Phone # �` �3i _ 'T'vi amu. FOR RE-INSPECTION:CALL: 538-7636 OR 891-2834 = COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive 9 Oroville, CA* (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of _work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector aoindicated below. Date Inspector REV 4/05 Phone #fy FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 � � BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO5080.9 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION _< I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/25/2005 APN: 028390-007-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 84 SUNNY HILLS RD,BAN Date: • Contractor: Map Index: Description: NSF (1408) COV (56) OPEN (1184) OWNER -BUILDER DECLARATION ' 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LEWIS GARY W ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a ELLER KARI A signed statement that he or she is licensed pursuant to the provisions of P 0 BOX 489 the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or ELK GROVE CA 95759-0489 , she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the / applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and -the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LEWIS GARY W ETAL Code: The Contractors' State License Law does not apply to an ELLER KART A owner of property who builds or improves thereon, and who does such work himself or herself or through his. or her own employees, P 0 BOX 489 provided that such improvements are not intended or offered for ELK GROVE, CA 95759-0489 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ I am Exempt under Article 3 of the usiness and Professions Code Date: °?$�� Owner:�� License M 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 2648 S.F. Policy#: Valuation: $104,256.00 j I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0. Date: '�J : 7? Applicant:- WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is eby issue8 der t a p icable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution o do work.iri Gated a v 'fgr which fees have been paid. — ^� performance of the work for which this permit is Issued (Sec 3097 Civ.) L�< �I • By: Date: Name: _ SI ` 2 PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑i Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that 1 have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby buthorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Z L l_e _ Signature: Date: Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP05080.9 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION 4 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/25/2005 APN: 028390-007-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 84 SUNNY HILLS RD.BAN Date: Contractor: Map Index: OWNER -BUILDER DECLARATION Description: NSF (1408) COV (56) OPEN (1184) 1 hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LEWIS GARY W ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a ELLER KART A signed statement that he or she is licensed pursuant to the provisions of P 0 BOX 489 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or ELK GROVE, CA 95759-0489 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and • the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LEWIS GARY W ETAL Code: The Contractors' State License Law does not apply to an ELLER KAKI A owner of property who builds or improves thereon, and who does such work himself or herself or through his. or her own employees, P 0 BOX 489 provided that such improvements are not intended or offered for ELK GROVE, CA 95759-0489 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article=ofess and Professions Code Date: aZ!5_& Owner:��� WORKERS' COMPENSATION DECLARATION License #: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work'for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation - insurance carrier and policy number are: Carrier: Total Square Ft: 2648 S.F. Policy#: Valuation: $104,256.00 j I certify that in the performance of the work for which this permit Is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' ^ I compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D�v Date: ��J : " Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is eby issued der t a p icable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution o do work-i� ated a ove f • which fees have been paid. performance of the work for which this permit is Issued (Sec 3097 Civ.) �S d Name: By: Date: Address: PERMIT EXPIRES ON: G Dale ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 119827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby buthorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. oo Print Name: /�/9�/ A L_L�,6 Signature: Date: /15 Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor LO 0 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538.7601 Telephone 130) 538.7785 Facsimile TO: FROM: 1 SUBJECT: DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford�buttecounty.net Plans Transmittal For Review Per Contract 4/1/2005 Applicant: Eller, Kari Permit No: 05-0809 Project Type: NSF/Cov/O en APN: 028-390-007 100% 70% Plan Check Fees $ 1,000.34 $ 700.24 $ 1,000.34 $ 700.24 WILLDAN Fee $ 700.24 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET G li�,� L L OWNER: 1 r ASSESSOR PARCEL NUMBER (50� • 39 Proposed Building Use: /I Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ez 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. j2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. 4r ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Rem inin items needed to issue the permit. (May require additional plan review upon receipt of the following items.) /15. " anitation and site plan approval from the Environmental Health Department in ❑Chico ❑ Oroville, as applicable �/ t). ❑ C� ire Sprinklers .............. . ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑_, 19. Erosion Control Plan Required........................................................................ Ikr/ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 1. City of Chico Plumbing permit........................................................................ 22. Site plan and business license approval from the City of Biggs...... ... California Department of Forestry plan approval'�aid. Sent b . �J - 24. lanning approval for (A) Use:�(B)Parking: (C) Parcel ✓.. �S / "❑ 5. Contact Land Development about _ Improvements, _ Drainage ................... . 26. NPDES Form ............................ ........................................................ jI.. IST 27. Encroachment Permit for drivewayfrom the Public Works Det ❑ 28. Contractor's license information. (Number, Name Style, Classification).......... 29. Worker's Compensation Carrier and Policy Number................................. :Z ' 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .................. T�_ ❑ 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... 35 ❑ Legal description, ❑ M.H. Title, title search, registratio�or CO ... .............. 36 then. D r 11 i ❑ 37. Other: When issued Telephone Ylq ' O $�� and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: a/Iti Date: aj=OS� 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by -Date: Structural reviewed y: Date:Structural approved by: _ 1 VI- Date: _ Note transfer by: Date: . Yellow: Building Division E.H. USE ONLY Piot Plea Anached Hoot Man Anschad Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Wz 4-e—:5 Oecd Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for ✓ dwelling. Other 04-5'd R-0071-1 "—) /. 9 Af, i .DLL/J AV A j A /,i 9,1^ -.,#4 —Vo -, .c. 4 oe_t7611—Jo, v� m a O Aa-' . Hold final for: Final clearance O.K. for: NOTE: Environmental Health 8/96 ,7 a-o*,5- Date SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 1. Site plans,,3 or 4 sets, signed by the preparer of the plans. No graph paper! 2. Complete plans, 3 or -4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 3. Engineered truss details and layouts in duplicate (if required). No faxes! 4. Energy compliance design and supporting documentation in duplicate. 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie'down orfnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds,can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 e14 d-00-', 4'* As-zo' ss - DEPAFBUTTE COUNTY TMNT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION O . ✓ n Website: www.buttecounty.net/dds J` "PLEASE PRINT CLEARLY" 1QO�Q0 APPLICANT SIGNATURE X For office use only: CONTRACTOR OWNER Last Name L D irst N , Address —P0 2?O X i City T Fax States Zip Phone O&Z E -mail Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name LC Address D City \ State Zip Phone T Fax E mail Phone Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHIT QCT/ENGINEER Name LC Address �� D City \ Address G 1, G� City T Stat Zips S Phone s) Fax - E -mail State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name LC Address �� D City OX? Stater Zip Phone KE Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning 1,85 iFlood Zone Cross Stre t / SRA s 1 No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 65- v'� bQl BIN # LOCATION AP# Ogg -"_5F0 --00 7 Property Address v i it �9 NGQ�2 Cross Stre t / WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address f-Vio n or Scope of Work: co V Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b : Amount: " Bldg I SRA Receipt #: L4 521110I Sheriff SMIP Dat :Jg� //\\ Other /�V , ` Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 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 . { PR SED BUILDING USE 1. BUILDING PERMIT FEES y� ] Balance Due ....................... $ 1 ✓fib ` l A.P. # O$� ✓ t�' U�� DATE. " �✓ RECEIPT # DATE REC. Additional Fees Due ................. $ Additional Fees Due ................. $ 1?Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES , (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK 0 (paid at Building Division) a-D*-01Z� 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE 9$2500.00 (/paid at Building Division) , r� 10.) At M�4 � () - `� =) 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 DATE c, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) �QPSTMENT 6U T TF ° C �� �oi1Nti A %mcokwo— 5 'tuc wo00` Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN 1 ACRE] Project Description:�S,�J.✓ Project Location and/or Parcel Number:���Sa�✓�vy f�/lis �%,A�/, tDaB - 5 ZJ &V 7 0 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water. Permit from the State of California Regional Water Quality'Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or.other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 I On �ERxILDERI.'I IO:', it,w�'slii:'`•s+�.r12::�s':iira.,`.w^'....:a:�'Kd`7o'�::.. �2.;ti, n,;nci.i�;.p`Li�:: ;.-0n� isas:+aX'i: S:...._ ....�.r.::�<'£:.3��^ ..::. �.�. ':�:: Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES ] NO [ ]. 2. I HAVE HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Revd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS *.PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their 'own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Mic el C. Vieir4 C.B.O. Malager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Butte County Department of'Developinent Services ��T r� 7 County Center Drive \\ '�� ' ° Oroville, CA 95965 ° (530) 538-7601 Telephone ° ° (530) 538-7785 Facsimile c0U144 �y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I ant required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the pen -nit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: ��iG E,� APN: f1o7r�� 0390-�� Building site address: !Ez L5U- � fl/GL,s Z/ Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGN TURF OF APPLICANT DATE .,,, Annlir�nf/FI1/Filr K:Forms/BldePetmitwithoutClearances 020705 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM XFEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) _007 Building Permit Number t;y> Assessor Parcel Number (s)00 Property Owner (s) Project Location /Address Subdivision Name Ew koor Assessable Sq. Ftge / �/O 8 Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: Representative ❑ FRRPD ❑ CARD 0 PRPD ❑ DRPD certifies that: Date Applicant Name Phone Numoer 1710 23 o x 77 Mailing Address city State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: Paid by Cash: Recreation and Park District rnWxAQ\Ab_ et—i—ri fnrm rev l.doc per unit for a total of $ Z0,66g U0 per sq foot for a total of $ Receipt No: I� \(_4 t . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM a (One form per Building) School District 0 Q D 14160, 13A -NG o/Z 61ZA06— Building Department No. 2 g - 30 007 A.P. Number Jurisdiction: City County �gi�a�o8a9 'Property Owner Property LocatlonlAddress . ( Subdivision Lot No. .........................._.................................................................._...: Residential Development Q Q Q Sq. Footage No of living Mobile Home Addition/ 'Supplemental to Units Installation Conversion Permit # *(No foundation inspection) .................................................................... ..................._..., Commercial/Industrial Q Q New Addition Building Department Representative (Group R) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) D'stIdent�cation� No. 040308 c Ki=' w, MLSc ool District certifies that has complied with the requirements of Resolution No. representing l� I vU square feet. School District Paid by Check # Remarks: Sq. Footage (Including Exterior Roofed Areas) 5-2.3-05 Date N E)1 -U"--,.-- (Applicant) I� OF87 (State) (Phone Number) (Zip Code) by payment of $ +i W 2926 $ FULL MITIGATION $ Date Notice: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, In compllance with GovernmentGovenNnt Code Section 66020(a), within 90 days from the date fess aro paid. Failure to submit a timely written protest wlil'prohibit you from challenging the imposition of the foss In any court aWom K, subsequent to On School District RepresentativeSults county signing this Sucounty Schools Impact Fee Cartlflatlon Form, the School District Is not! by the applicable Local Planning Agency that this project Is being rsviswad under the California Environmental Quality Act (CEQA) this project may be subss Jset to additional school fen to fully mtti e.Its Impact on the school dh&kft schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis I10/03)dmm SITE PLAN REVIEW APPLICATION Date:/ci�U/0 �j� AP# :3 %a—OO 7 Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: / _ o. 6 -ox, 7 Telephone No.: 6 7/— 61?r-7 r Situs Address: ?-C/ ," /4&,, , /( Proposed Use: Residential ® New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved - ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 0 Site Plan Stamped Approved Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) Aj SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: •O(,G -7e, 0a 5D Index Date: L% ,ZO ap ❑ Sacramento River Reclamation District (Approval must be obtained from the alifornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------- —---- —------ ------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A `�; Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front ;Z0 : 301 Side Side Street Rear •�✓ Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 y( Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By 12 Deeds: Date of Creation: /_4 —lag —" Legal Access Provided: ❑ No Eyes Deed of Reference: -2 4(p -y49 / Legal Access Required ❑ No 01, Ye Parcel Frontage on Publicly Maintained Road: El No ' Yes, Road Name: Complies with County Standards for Deed Creation:❑ No Yes U Comments: �Iy'G 0' Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Man/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision MapfUse Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa ISO Page 4of5 x 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:TarrysU3uilding Permit Site Plan Reviewl.doc Page 5 of 5 WILLDAN Serving Public Agencies May 11, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville,/California 95901 530/749.2373 fax 530/749.2199 www.wilidan.com Willdan Project No: 14353-1530 Jurisdiction Job No: 05-0809 Assessor's Parcel No: 028-390-007 Description: Eller-NSF/Cov/Open Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: ➢ Plans: Two (2) copies dated 3/15/05 by Cash Colby ➢ Energy Calculations: Two (2) copies dated 3/22/05 by Barry Rubanoff ➢ Truss Calculations: Two (2) copies dated 3/17/05 by Endeavor Homes The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. A WILLDAN Serving Public Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as CBC • Part 3, known as the California Electrical Code and abbreviated herein as CEC • Part 4, known as the California Mechanical Code and abbreviated herein as CMC • Part 5, known as the California Plumbing Code and abbreviated herein as CPC • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as CECS CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans and permit documentation. Specific Type of Type of Sprinklers Stories 1" Floor 2° Floor Total Use Occupancy-ru Constction S9 Ft Sq Ft Sq Ft MUM NOW Dwelling R-3 V -N No 1 1200 208 1408 Open U-1 V -N No 1 988 NA 988 Deck Covered R-3 VAN No 1 56 NA 56 Porch CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sin re , aac Kuster Plans Examiner Ce: Alice Mefford, E-mail: amefford@buttecounty.net Kari Eller, P.O. Box 77, Bangor, CA 95914, Fax: (530) 679-0887 Page 2 of 2) County of Butte Permit Number 05-0809 Wifldan Project Number 14353-1530 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT P RMIT NO. 4Z-1 7 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 00 ZONING 159 _S' OWNER N��S PHONE NO.� _ oSO OWNERS ADD ESS 0, 20 2L( Z LOCATION OF BUILDING .e - LAS C USE O BUIL ING ice_ r SIZE OF STRUCTURE —'XSO. FT. TYPE OF CONSTRUCTION: WOOD FRAME =4= STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING -. FLOOR TYPE r ES MATED COST CO %TRUCTION ��OF `ii $ lf AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 5'e7 `i»rAv �d �1► -✓ 2 D o FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of'6 feet<from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 'Z —z— ermit Fee - $60.00 Receipt Nor CUL Signature of Owner. f " ^ The above described AG Building -It exempt from a building permit. Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant �� Date `2 d _'2_ -" RESIDENTIAL 028-390-007 PERMIT#95-1421 CULET, Ben 84 Sunny Hills Rd., Oroville MHI Ex Site Si yo � 4 v 14 Ag�A� T, �k OFFICE COPY ' Address s , GAS 1 Meter By f- Date ELECTRI + Meter By Dat JOB FINALED ( te) , a Signature ` — V=OK - 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a f 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fell -C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /'L"ft./ /"LPG 7. Well Clearance 8 Disconnect 6. Utility Clearance Date/Initials MOBILE HOME INSTALLATION Plans OK except #'s 1: 49ning Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line ,. s; MH Teat-Demand-Valve—Connector 4. E city; MH Test -Crossovers -Breakers -Clearances Draip-MH Test -Fall -Flex Connector to Grade -HD Tnsp.-Sketch of Occupenc MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Graders and/or Jolsts-Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posta-Beams-Rftrs:Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing i 11. Ext.; Steps -Doors -Landings { � Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining i 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip :Pool Lghtg. Boxes-Enclosu res -Pane lboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK - = Not Applicable RESIDENTIAL f = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec.'Grnd.-/ P' Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: IJ .Z. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 If the mobilehome '1moved 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 A?1v Oc9 Owner's: Name: Owner`s:"� Address: 4 it/ rU L L _S Mobilehome Mariufacturer- t' -,-r-� - .44. k -i c� Year of IManufacture: Serial number Insignia or or V.I.N. HUD number: Z_ Al- 1 71 rk proving installation: Official approving Date: If the mobilehome '1moved 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 COUNTY OF BUTTE -DEPARTMENT OF DEVELOOMENT SERVICES -BUILDING DIVISION '�• 7 County Center Drivet Oroville, California 95965 - Telephone (916) 538-754 PERMIT No. APPLICATION AND PERMIT -� ASSESSOR PARCEL NUMBER 028-390-007 AS ZONING BUILDING PERMIT ril OWNER BEN CULET TELEPHONE 533-8892 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 1082 OROVILLE, 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 84 SUNNY HILLS PERMITFEE $ 43,00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. 7 SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome h Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ INK EXISTING. IT 2 BEDROOM Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service do OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 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 NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLDS. ) So. 3.50 FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FDRURES) 20 (1.00 BAL .50 Ex. Occup. FIXED . OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) [ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X j� � ____ Date 00' 2 __ Signature of plicant - ❑ Owner ❑ Contractor A Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee$ 100.00 ___ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 141. nn HAZ. D. FEES IMP FLOOD F PARCEL PD o 1s This permit is hereby issued under the of the Butte County Code and/or indica above fo which fees have � BY PERMITEXPIRESON '/ applicable provisions Resolutions to do work been paid. Datp - IAP (Date) ReceiptNo. 180239 WHITE-D.D.S.-B. D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J INSTALLER/CONTRACTOR CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING STRUCTURE. COMPANY NAME:CONTRACTORS LICENSE # t - DATE: G��.: %�' �_`�� SIGNATURE PAGE 9 ,r'�'r�'"+'�P+fir'G�.w`-rt::.r—v`*•yciP�°"�`'r't-�'ti-r�s—�:,,v�.,;�-4,.. �. ���7IeF.. ;tiZ!•.fi'Y lr `'°„3: ,..y�..�i�i`^: •+�}fi�t'��'+✓�^Jiti'�t k�G ?'^r•. -y"-1 ,T.., •�—i+H �•�•y ,'��,. '.— r'_ T; . COUNTYOF BUTTE - DEPsARTM;ENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916)538 -7 --Al PERMIT APPLICATION DATA SHEET OWNER l_ t/ [� A. o. 2, Proposed Building Use�Building Inspector Date C 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 prepare* of plans : .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form..X.......................................... . 6. Energy Design Compliance and supporting,documentation. .................. 7. Statement of Intent for Non-Heafed and A/C Buildings. �...........:....... . Engineered truss details and layout in duplicate TfAuired prior to plan check). ... . g. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... eesof $ ......................................... . 11. Impact fees as shown on attached schedule -54— (VQ L ................... . 12. California Department of Forestry plan approval/fees.................. . Flood elevation letter (100 year flood) by California Engineer...... .......... . 14. Sanitation and plot plan approval Health Department . ............ )5. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from -City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required -prior to occupancy). . . Pre -Inspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner, Mail to owner ........... q. Recorded copy of Agricultural Acknowledgement Statement . ................. Letter of signature authorization ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance. ......... .............................. . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ......... ''.... . 31. , Existing violations/expired permits . .................. ......... . Plan check list. ........ ....d�... ................. ....... 34. ` When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone - and hold for pickup atk� office. Deliver with inspector. Other Parcel Creation // G% Acreage ,;, Applicant 1_ ti c_ Date / A 77'�_r Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: t • . Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by DateL Sets of plans on hold in File cabinet AP folder 7 i E;IS Copy - Department of Public Works c TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �� ��, C. Lam. � `� Sv ti� �-�.•C � s R�.P Owner Location/ Plan Approved for: Sewage Disposal C/ Water Supply: Public Clearance for d-- bedroom mobile home. Other E.H. USE ONLY Pbt PI= AURched FIm Phw Attached Scat to B.D. p) -V 3?•-oo-2 AP# Private Well Hold final for: Final clearance O.K. for: NOTE: 411f. Gc',4A a f719 �' �- M' A c,.. �L. GLS. oT-WN 9 '( - En ' nmental Health Specialist 8/92 Date. BEN CULET P. O. BOX 1082 OROVILLE, CALIFORNIA 95965:1 611--2 7/,�- REGARDING: A -P- gyi' y- 61 SIGNATURE BUTTE COUNTY SCHOOL•S:IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District (62 �//� �7�— _ Building Department No. A. P. NumberoC�,�`/y— Opw%Jurisdiction , City County Property Owner _/(/ ^ 6 _ Property Location/Address Subdivison • Lot No. Residential Development Sq. Footage No. of Living HI Addition Units Commercial/Industrial New Addition (Floor Plans reviewer 950160 i�rict Identificdo o.*. A A T% _ , District certifies that (Street Grou R) Sq. Footage (Including Exterior oofed Ar s) Date .;r ( plicant) (Phone Number) (City) (State) (Zip Code) has complied with th quirements of Resolution No. _ _ U by payment of $ representing square feet. AB 2926 FULL MITIGATION School District Representative Paid by Check # _ _ Remarks: Bank Number Paid by Cash w If, subsequent to the School District Representative signing this tjutte county 5cnoois,impact ree Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm t This Set of plans and sp®c kept on the job tion$ XMIT lie at all make any a or altera d it ie uniavrW t® written periniesion $°om the Irks, CQurity o� on . D �e w'ithout apartment of Public of Butte. NOTE: Ail Materials & Wo anship Shall Be in Accordance with Recogniz d Good Praatims and of a QuaiitY prescribed for ha Specified use In the Uniform Building, Pl bing & Mechanical Codes and the National Electrical Code. ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CL EAR OF ALL EASEMENTS. A SET BACK OF FT. FROM THE,,SSIDP )ANIS .6- FT. FROM 'THE REJ R PROPERTY- INES.AND�' ,7. ,j;:2 FT. FROM THE RO D CENTERLINE -8 AOLLBE CLEAR OF STRUCTURES AND EQUIPMENT &CE�f , FOR A 8 FT. EAVE OVERHA 4G. Butte County Environmental Health Date 7_ 5•-� Signature FILE COPY COUNTY BUILDING DEPARTMENT APPROED- ; 1 surro11('r un'rn ` /9 if other than single wide year c` J furnish Setup liodel No. 0 Hob ilehome .Mfr'; - Et • X_ --ft. width l____(ft •) Box Length—so— (ft.) Tagalong or gxpando Size sh ion all mob ilehomes manufactured.after October 7, 1973ftlleiCountyuofcButte)9 installation manual and structural setup sheets (if not Oil file with2. Other (specify) �--� 1, wood -pressure treated or Foundation grade. Fo0TjjICS (check one ✓ , 2• Other (specify) SUp— ppoRTS (check one) ✓�1• Concrete block. 9. OR- EQ Tit=- DOW N K -WIDE Line l ►1�_ s__t_.,_ Main Bases� main Seems L Tag of Triple Line 1 �. Ilne,� 1 Plart:::...............I .. ..I S l: '*-Min. 1-----a ---_ . Size -Min. .•. •..•.•. .k 11 Each Side oI Openinga Spacing -Max..... ......- filth Width Ova"'• - • , 11 from Enda-Max........ ll {nae[ai (Under Beating Nall Only ' Ina 2 plea: „x Size -Nin. I� Ix ! Spaeing Nax. �. 1 spacing -max.............. ' froe Coda -Max. . Prom Ends -MAX - Size -Kin . nda•MAX.Slza•Min. .......... x Location'(ftom front) '- lie p1af Under aaaring Na l• On y -- I lS 1: ( Ilner� Slze•Mln----------- ....... 'k Size -Min. Spacing Nax. '. Spacing -Max........:. 1 from Ends -Max. Prom Ends -Max.•• Inc Roof o&ds: „x 11 Ilx 91re•Mln. — „x ••... ..z �eJ 1 Location '(prom front) I �a--- -�.UI�G DEPr% ART EMT APP.RO� D __viLECOP� • V ' /� ka-i -� A PO-3F-ly BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive, Oroville,_ CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner ':s Name : Ck 2. Installer's Name:." 3. ` Is the'site .currently under permit?, .YesF1U No ET. '.--:(If yes, furnish permit number ) OR Is the site an existing site? Yes G No, (If yes; furnish two plot "plans.) 4.• Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5.' What is. the .mobilehome' electricalrating?--------------- Amps 6. What is the mobilehome site service rating?.------------- IZ 5r Amp Am 7. What is the mobilehome site circuit breaker rating? ---- S Amps' 8. Is there any other electric load to be served by the -1 mobilehvmesite service?-----------------„____________� No;._ Yes (If yes, identify the load and size: _ Load) (Amps) 9. What is the mobilehome site gas pipe size?� '(in.) 10. What is the type of gas service? ---------------- Nat r 1 u a ..... _.. LPG a 11. What is the gas pipe length from meter or tank to the mobilehome?..-.----------. -------------- --------------��I * 12. What is the-mobilehome gas demand? -------- (BTU) *(This:information not required. if pipe length less than 6'ft.,on natural gas or less than 50 ft, on LPG.) TRI STATE TESTING - MEMPHIS, TENNESSEE A CALIFORNIA APPROVED LISTING AGENCY .•'s: ,:: �{ TIE DOWN ENGINEERING CALIFORNIA APPROVED ANCHORING PRODUCTS MANUFACTURED HOUSING AND COMMERCIAL COQ% o INS 'e ?"'`'s INCLUDES SCHEDULES, DIAGRAMS FOR :, a• SINGLE/DOUBLE/TRIPLE/QUADRUPLE WIDE UNITS ~!} •* -Or ate - "• .4 Pi.t. cri[[ Is/ may' n. .•:+, # , 7 c•!tv✓, mow^•,--•. ��. ...,T.1'r. _t•. `''�:.- ' I . PRODUCTS DESIGNED FOR A. SOIL ---1,000-4,000 AND UP PSF SOILS (CLASSES 1-4 200-550 INCH POUNDS AND UP TOR UE VALVE P Ile (CLASSES. 1-5, UBC -CALIFORNIA) SOIL � � 1 an GENERAL DESCRIPTION OF SOILS Blo,u Count Test Probe 1 ALLOWABLE PRESSURE (ASTM D15861 Torque Value 2 (Pounds Per Square Foot) SOIL TYPE No allowance made for overburden based on the unified pressure, embedment depth, water classification system table height or settlement problems rock or hard pan 4,000 and u Sandy Gravel or Gravel 2,000 Sand, Silty Sand, Clayey Sand, . (b) Cetah Silty Gravel, or Clayey Gravel T 500 Clay, Sandy Clay, Silly Clay, or 7,000 Claye Silt - stiff sets & clays Uncommitted Fill Special analysis is required. Peat or Oroanic Clays I Soecial analysis is required. Type, of Soll Blo,u Count Test Probe 1 (ASTM D15861 Torque Value 2 1 Hud rock NA NA 2fa1 Vey-0en+e and'. cemented +and+. coa.•s. Steve] and cobble,, mort than preaad,d slit,. and clays 40-.jp 550 lbs. Inch mart than . (b) Cetah 40 -up 550 lbs. inch 3 Watun ee coats, sand,. sandy grave,, very. , 350 to - stiff sets & clays 2139 549 lbs. trrh ' 4 Loose to mednen dense • sand,. rim to still clay, & 200 to • silts. aD.,*u. fill 1423 379 lbs. b,ih 5 concrete slab ` Tensioning devices for us. In cener,re ped. runner. etc, shall be tested Is— as and spea8estion, a, to PJ and we am of tonere.. reinfort.mmt. she. and ' thtttkness of conceit. ase and dq;h of bob We. typt and kind of shkld 0 pem,issible. Minimum distance at uAlch ttnsiming device can be Wtaned from edge a and of slab. . pad. runner. tee. shelf be speci5ed. buvucYons shipped with each r.mioning device 0a0 lne6d. the above. B. WIND—ZONE 1, 85 MPH EXPOSURE "C" ' ,ANG/NEf./�.O J�/EDGI�iV Sy6T,E/>> APPROVED SUCJECI TO CORs!ECTIONS NOTED 4pprovnl doa5 not t•t,thorize of approve any omission •o, deviceflon Iran reyv:rernenls o•' anplicnbie State laws and •v!lulo0C1*. Slate o! California Uuprrfinent a! Huusir,¢ and Ccmrnunily Develepmenl DIV310 1 •D CC.%:S A;+D STANDARDS Date-/t1I� gnutu,e) .SPA NO.__.,- 7 �:-�1.f' N'3,s Plant Aplir7vr.( Expires.l FTL9 EISM C—ZONE 4 COPY (a) The test probe Is a dw(ce fa treasuing the torque value of sods to a„In to wathating the holding capability of the sad in which the a,uha, is placed. The test probe he, a hall. on b. The ovarad krngth of the heetal section Is 10.75 a+dxs: the meja dia ,,ter k 125 Inches: the mina diameter is 0.81 Inches; the pitch 1.75 Inches. The shaft —I be or suttabk knglh for anchor dryl,. (b) A measure synmymous with nomas of a force when distributed around the shaft of the test probe. ' (c) &love that value. • prof , ional ,,gin— should be tonsuftd a addlito al anchor, added. Design Wind -load Zones:. Standard Wind Zone 1 15 psf Horizontal 9 psf uplift' Hurricane Zone II _39 psf Horizontal 27 psf uplift Hurricane Zone III t47 psf Horizontal 32 psf uplift net uplift Note - psf: pounds pdr•square foRt- couivr A�� Reference -- ManufacturEa HoIne C�%v�nstructio. and " t� Safety Standards (MRCSs) 24 CFR 3280.3050:(2), Latest edition 2. CAPACITY OF ANCHORS - EACH GROUND ANCHOR, WHEN INSTALLED, SHALL BE CAPABLE OF RESISTING AN ALLOWABLE WORKING LOAD AT LEASE EQUAL TO 3,150 POUNDS PLUS A 50 PERCENT OVERLOAD (4,725 POUNDS TOTAL) WITHOUT FAILURE. 3..-. CAPACITY OF STRAPPING - TIE DOWN ENGINEERING GALVANIZED STEEL STRAP MEETS OR EXCEEDS THE NCSBCS/ANSI 225.1-1994 AND THE ASTM -D 3953-91 SPECIFICATIONS FOR 1-1/4"X.035 (MIN.) TYPE 1, FINISH B, GRADE HOT DIPPED GALVANIZED STRAPPING. a CONFORMS TO SB -750 REQUIREMENTS SECTION 1336.3 OF THE CALIFORNIA CODE OF • . REGULATION TITLE 25, 18613.4 OF THE HEALTH. AND SAFETY CODE. PAGE 1 Side Frame Ties Must Be No More Than 2' From Each End Of Unit. Other Ties Spaced.. Side Tles ' Evenly. Thoughout Wind - Zone I The Length Of. Unit, -) I- 2' Max• -I I- 2' Max. (85 MPH'- Exposure "C") Seismic - Zone 4 /Frame End Ties ~ ';ngle�TW�de� U"ni=t_ Required Number Of Tledowns For Each Side And Each End Unit Length 20' 30' 40' 50'---. , 56' 60' 62' 66' 70' Tledown Locations Side End Side End Side End , Slde- End .. Side End Side End Side End Side End Side End Singlf. Wide.. 4 2 4 2 Total Number OF 12 12 T�edorns _ 5 2 tE 6 2." 7 2 14 16�,_ 18 7. 2. 18 8 2 8 2 20 20 8 2 20 Side Frame Ties Must Be No More Than 2' From Each End Of Unit, Other Ties Spaced Evenly Thoughout The Length Of Unit. Wind - Zone I (85 MPH - Exposure "C") Side Ties . Seismic — Zone 4 —I I— 2' Max. —I. I— 2' Max. :Double," Wide Unit End Ties Required Number Of. Tiedowns For Each Side And Each End* -- Unit Length 20' 30' 40' 50' 56' 60' 62' 66' 70' Tledown Locations Side I End Side I End Side J End Slde End' Side End Side End Side End Side I End Side End Single Wide 4 4 4 1 4 5 4 6 4 7 4 7 4 8 4 8 4 8 4 Total Number of 16 16 18 20 22 22 24 24 24 Tieda�ns a M W Side Frame Ties Must Be No More- Than 2' From Each End Of Unit. Other Ties Spaced Evenly Thoughout The Length Of Unit. Wind - Zone I (85 MPH - Exposure "C") Side Ties Seismic — Zone 4 —I I— 2' Max. —I I— 2' Max. Triple Wide Unit . End Ties Required Number Of Tiedowns For Each. Side- And Each End Unit Length - 20' 30' 40' 50' 56' 60' 62' 66' 70' Tiedown Locations- Side End Side End Side End Side End Side End Side End Side End . Side End Side End - Single Wide -� .4 6 4 6 5 6 6 6 7 6 7 6 8 5 8 6 8 6 Totoi71=.ns NU bur Of 20 20 22 24 26 26 28 28 28 ' '13 D M v, Side Frame Ties Must Be No More Than Z' From Each End Of Unit. Other Ties Spaced Evenly Thoughout The Length Of Unit. Wind - Zone I (85 MPH - Exposure "C") Side Ties Seismic - Zone 4 —I I— 2' Max. —I I— 2' Max. Quadruple Wide Unit End Ties Required Number Of Tiedowns For Each Side And Each End Unit Length 20' 30' 40' 50' 56' 60' 62' 66' 70' Tledown Locations Side End Side End Side End Side End Side End Side - End Side End Side End Side End Single Wide 4 8 4 8 5. 8 6 8 7 8 7 8 8 8 8 B 8 8 otnl Number OF Tledo�ns 24 24 26 28 30 30 32 32 32 -E-ngineering C-a�cula-tions 85 MPH Wind EXP "C" . P LAT=(1.06)(1.3)(17)(1)=25.6 PSF W LAT=(25,6 PSF)(13')=333 PLF , 85 MPH Wind EXP "C" Vs. Seismic Zone 4 333 PLF=0.186 C(32.5)( Lnglh ,,,l, )+1601 50,8'=D 51' Seismic Zone 4 V=0,186(DL) V=0.186 C(10 PSF)C``ate)+C +10 Psf)<``Dr th )+(2 WALLS)(8')(10 PSF)] %,h wk, ---Wind - Zone 1 (8.5, --..MPH Exposure "C") Seismic - Zo.ne 4 Width Length Load Tr/Lorid ans Trnns Total Load (Trans)' Total Load (Long) fl Trans T.D. Side Ties n Long T.D, End Ties Single Wide - Wi14' To 40 FT. 333/333' 13,320 LBS. 4,662 LBS, 5 2 50 FT. 333/333 16,650 LBS, 4,662 -LBS. 6 2 60 FT. 333/392 19,980 Lbs. 5,488 LBS. 7 2 70 FT. 333/453 23,310 LBS. 6,342 LBS. 8 2 Double 40 FT. 333/333 13,320 LBS. 9,324 LBS. 5 4 50 FT. 333/333 16,650 LBS. 9,324 LBS. 6 4 Wide Wi28' 60 FT. 333/392 19,980 Lbs. 10,976 LBS. 7 4 To 70 FT. 333/453 23,310 LBS. 12,684 LBS. 8 4 Triple 40 FT. 333/333 13,320 LBS, 13,986 LBS. 5 6 50 FT. 333/333 16,650 LBS. .13,986 LBS. 6 6 Wide TO 42' 60 FT. 333/392 19,980 Lbs, 16,464 LBS, 7 6 70 FT, 333/453 23,310 LBS. 1 19,026 LBS. 8 6 Quad Wide Wi50' To 40 FT. 333/333 13,320 LBS. 16,650 LBS, 5 8 50 FT. 333/333 16,650 LBS. '16,650 LBS, 6 8 60 FT. 333/392 19,980 Lbs, 19,600 LBS. 7 8 70 FT, 333/453 23,310 LBS. 22,650 LBS. 8 8 to w Q a TIE DOWN ENGINEERING INDEPENDENT TESTING RESULTS NOTE: ALL ABOVE TESTS WERE CONDUCTED BY ATEC ASSOCIATES, PRODUCT TESTING, INC. AND GALLET & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE MADE AVAILABLE UPON REQUEST. PLEASE FORWARD YOUR REQUEST FOR THIS INFORMATION TO: TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 PAGE 7 ULTIMATE MODEL NO. DESCRIPTION OF TEST STRENGTH TEST DATE MI2H VERTICAL PULL-OUT IN MOIST SILTY CLAY. 6,13311 9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS - M122 VERTICAL PULL-OUT IN SILTY SAND AND GRAVEL . 5,733# 9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE 550 INCH POUNDS (AVG.). AND MORE-, - MRA VERTICAL PULL-OUTIN LABORATORY FIXTURES 5,567# 3/2/93 FOR SIMULATION. UNCONFIRMED ROCK WAS NOT AVAILABLE. MICS2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200# 3/24/94 CONCRETE._ TEST STOPPED AT 5,200 POUNDS. MIJ2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200#, 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MIT2 VERTICAL PULL-OUT IN 2;500 PSI CURED 5,20011 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MLH64 VERTICAL PULL-OUT IN SILTY CLAY. TEST PROBE 5,200# 10/6/93 .(59250) TORQUE VALUE BETWEEN 200-340 INCH POUNDS ML 45 DEGREE PULL ON -STABILIZER PLATE IN SILTY 6,067# 8/5/92 (59292) CLAY. TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS - NOTE: ALL ABOVE TESTS WERE CONDUCTED BY ATEC ASSOCIATES, PRODUCT TESTING, INC. AND GALLET & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE MADE AVAILABLE UPON REQUEST. PLEASE FORWARD YOUR REQUEST FOR THIS INFORMATION TO: TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 PAGE 7 TIE DOWN ENGINEERING ANCHORING SYSTEM MI2H (5/8"-3/4") 48" LONG ANCHOR —12. PAGE 8 NERAL STABILIZER PLATEB.UCKLE/W STRAP MI22 (5/8"-3/4") 30" LONG ANCHOR SIDE FRAME TIE (MBU) J J MLFT (END FRAME TIE) (SIDE FRAM£ TIES STRAP`BOLT,& NUT ,. se EL es MLFT (END FRAME TIE) WARNING BEFORE BEGINNING GROUND ANCHOR INSTALLATION, -MAKE SURE THE ANCHOR LOCATIONS WELL NOT BE CLOSE . TO ANY UNDERGROUND ELECTRICAL CABLES, WATER LINES, SEWER LINES OR GAS LINES. FAILURE TO DETERMINE THE LOCATION OF ELECTRICAL CABLES OR GAS LINES MAY RESULT IN SERIOUS INJURY OR DEATH. 1. PARTIALLY INSTALL APPROPRIATE GROUND ANCHOR ALLOWING TENSION HEAD TO MAINTAIN APPROXIMATELY 14" TO 16" MINIMUM GROUND CLEARANCE. 2. USING OVERSIZED HAMMER, VERTICALLY INSTALL STABILIZER PLATE BETWEEN FRAME AN9) ANCHOR. THE TOP SECTION OF THE STABILIZER PLATE MUST BE DRIVEN FLUSH WITH THE GROUND TO INSURE SURFACE SOIL COMPACTION. 3. FULLY INSTALL GROUND ANCHOR UNTIL TENSION HEAD BOTTOMS OUT AGAINST STABILIZER PLATE. 1) c m �, ` 2) ,14 t 0 '� •fin• �f INSTALLER/CONTRACTOR CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING STRUCTURE. COMPANY NAME: DATE: CONTRACTORS LICENSE # SIGNATURE PAGE 9 U U LS TESTING SERVICES, INC. September 28, 1994 Mr. Locke M. Jones Tie Down Engineering 5901 Wheaton Drive Atlanta, GA 30336 Dear Mr. Jones: LISTING NUMBER: TIE -942609 Having completed the in-house audit of quality control, quality assurance, procurement,. welding procedures, etc., Tri-State Testing Services in compliance with the rules and regulations of the Department of Housing of California lists the .following products: MODEL NUMBER PART NUMBER M12H5/8 M12H3/4 IV0225/8 M1223/4 MIT2 MIJ2 MICS2 59250 ,MRA)% MIC2 59292 MGRB MIDH MIS2 6756 B'UC'KLES COVE PAGE 10 59080 59085 59090 59095 59115 59120 59125 59250 59110 59096 59292 59145 DESCRIPTION 5/8" X 58" DOUBLE HEAD ANCHOR W/6" AUGER 3/4" X 48" DOUBLE HEAD ANCHOR W/6" AUGER 5/8" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS 3/4" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS 3/4" X 8" DOUBLE HEAD THREADED ROD PATIO ANCHOR 5/8" X 12" DOUBLE HEAD J -ROD SLAB ANCHOR PATIO ANCHOR W/EXPANSION BOLT 3/4" X 36" DOUBLE HEAD ANCHOR W/6" & 4" AUGER CROSS. DRIVE ROCK ANCHOR 3/4" X 30" ROD 5/8" X 30" CORAL ANCHOR LATERAL STABILIZER PLATE GALVANIZED ROOF BRACKET 59100 DOUBLE HEAD ONLY 59105 SWIVEL ADAPTER HEAD ME,mpi-IIS, TN 381 33 901-385-1 1 99 r -Ax 901-386-6614 Tie Down Engineering Page 2 September. 28, 1994 BCS MBU MBUS BISB MS33 MS35 MS37 M S42 MS60 MS600 MHT6 MHT7 MHT8 MHT10 MHT12 MHT15 MBU6 MBU7 . MBU8 MBU10 MBU12 MBU15. 59175 CRIMPING SEAL FOR 1-1/4" STRAP 59140 GALVANIZED STRAP BUCKLE 59139 SPECIAL GALVANIZED STRAP BUCKLE 59135 SLOTTED BOLT AND NUT 59149 1-1/4" X 33' GALVANIZED STRAP 59150 1-1/4" X 35' GALVANIZED STRAP 59155 1-1/4" X 37' GALVANIZED STRAP 59160 1-1/4" X 42' GALVANIZED STRAP 59165 1-1/4" X 60' GALVANIZED STRAP 59170 1-1 /4" X 600 GALVANIZED STRAP 59185 1-1/4".X 6' FRAME TIE W/HOOK 59190 1-1/4".X 7' FRAME TIE W/HOOK 59195 1-1/44" X 8' FRAME TIE W/HOOK 59210 T -1/4".X 10' FRAME TIE W/HOOK 59211 .1-1%4" X 12' FRAME TIE W/HOOK 59050 1-1/4" X 15' FRAME TIE W/HOOK 59137 1-1/4" X 6' FRAME TIE W/BUCKLE 59141 1-1/4" X 7' FRAME TIE W/BUCKLE :. 59142 1-1/4" X'8' FRAME TIE W/BUCKLE 59138 1-1/4" X 10' FRAME TIE W/BUCKLE` 59144 1-1/4" X 12' FRAME TIE W/BUCKLE 59143 1-1/4" X 15' FRAME TIE W/BUCKLE If you have any questions or if we may be of further help, please call us. Sincerely, TRI-STATE TESTING SERVICES, INC. William E. Jac son Manager TRI-SWE TESTING SERVICES, It PAGE 11 "'t_. STATE OF CALIFORNIA - BUSINESS. TRANSPORTATION AND HOUSING AGENCY PETE WILSON. Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT q ,11"T Or DIVISION OF CODES AND STANDARDS m 1800 THIRD STREET Suite 260 P.O. Box 1407 SACRAMENTO, CA 95812-1407 a. (916) 445-9471 FAX (916) 3274712 TDD 800-735-2929 II....I:`'fp September 29, 1994 O OCT 05 1994 William E. Jackson, Manager Tri-State Testing Services, Inc. 6756 Buckles Cove Memphis, TN 38133 Dear Mr. Jackson: This is to confirm that the California Department of Housing and Community Development has approved your firms application to become an approved testing and listing agency for load bearing supports 'and structural components used with manufactured homes, mobilehomes and commercial coaches. This approval is for the listing and labelling of structural components used in the manufactured housing industry in accordance with the standard established by your firm. Please note the Department may require design calculations and test data be submitted to substantiate a design when the listed system or component does not appear to conform to your approved standard. We may also request -this informatibn for the purpose of routine monitoring or complaint investigation. Revisions to your approved standard as well as listed designs may be necessary in the future as a result of amendments to current statutes and/or regulations. Thank you for choosing to become an approved listing and testing agency. If in the future you have any questions or need to discuss a particular issue, you may contact either myself at (916) 445-9471 or Mike Rosenberg at (916) 255-2501. Sincerely, Chris L. Anderson Mobilehome Parks Program Manager cc: Mike Rosenberg PAGE 12 r. Butte Counq',.- Environmental He-alth L Date 22 -ir i Signature I//q IAI 7 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and.issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the m labor a d materials for construction of the proposed property improvement (yes or no) 2. Iav /have not) signed an application for a building permit for a ^proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Sec rity Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the.California Health and"Safety Code. This verification must be completed and returned to -our office before,we are per- mitted to issue.the permit._ ` BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: Inspector must draw a plot plan with all building locations: Additional comments from Inspector: � -�J R. r.- ' 'too ��.�• r';'>l/ tlt - - 40 - .. 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N 89 ° 47' 51 " E 1.14 (RS 64-4) STATE OF CALIFORNIA - BUSINESS. TRANSPORTATION AND HOUSING AGENCY PETE WILSON. Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT `"�rT°`" DIVISION OF CODES AND STANDARDS m - 1800 THIRD STREET, Suite 260 P.O. Box 1407 SACRAMENTO, CA 95812-1407'TM�'�` (916) 445-9471 FAX (916) 3274712 TDD 800-735-2929 n September 29, 1994 O LOCT_ 0 5 1994. William E. Jackson, Manager .00 1 j.0 Tri-State Testing Services, Inc. --------------------- 6756 __ ___ 6756 Buckles Cove Memphis, TN 38133 Dear Mr. Jackson: This is to confirm that the California Department of Housing and Community Development has approved your firms application to become an approved testing and listing agency for load bearing supports and structural components used with manufactured homes, mobilehomes and commercial coaches. This approval is for the listing and labelling of structural components used in the manufactured housing industry in accordance with the standard established by your firm. Please note the Department may require design calculations and test data be submitted to substantiate a design when the listed system or component does not appear to confonn to your approved standard. We may also request -this information for the purpose of routine monitoring or complaint investigation. Revisions to your approved standard as well as listed designs may be necessary in the future as a result of amendments to current statutes and/or regulations. Thank you for choosing to become an approved listing and testing agency. If in the future you have any questions or need to discuss a particular issue, you may contact either myself at (916) 445-9471 or Mike Rosenberg at (916) 255-2501. Sincerely, . ( - TO"A�� Chris L. Anderson Mobilehome Parks Program Manager . .cc: Mike Rosenberg PAGE 12 RESIDENTIAL 28-39-07 3952-90P,E(MH) cuLET, Ben 84 Sunny Hills Rd, Oroville (util, MH) JOB FINALE Signature J=OK O = Not OK NotNo Applic Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK ' - = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral O Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive O Yes ❑ No; Walks 0 Yes O No; Planters 11 Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; PIbg.-Appliance-Firep lace. -Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 71� RMIT NO 7 County Center Drive - Orov.jlle, California 95965 - Telephone: 916/538-7541 � /f' APPLICATION AND PERMIT 1 ASSESSOR PARCEL NUMBER p—ig—m ZONING ,, If 1 BUILDING PERMIT OWNTEN CULET T �3�3_Vg62 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9596S CONTRACTOR'S NAME ownpr PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ VVINTCY10Yv AA'tYA�i1'f1 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILD4ING ADDRESS 8Sunny Hills Road, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each gas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[]X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Mobilehome Utilities _ Permit Fee 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP V OR LESS 10.00 10,0[0 Main Service EA, ADD -L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 1 F License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGs. ) , 2/z¢sgft NEW NW CRESIDONSTR. BRANCH CIC ITS ULTI.OUTLET ON -R 2.50 ea /POWER APPARATUS &) -SINGLE OUTLET CIR. ) Ex. OccU OUTLETS OR FIXTURES P 20050Q eALoao FIXED EX. OCCUp- OUTLETS PIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree e, indemnify d keep harmless the County of Butte against all liabi ' es, ju ments, c and expenses which may in ny wa accrue again said my in con ence of the granting of this perm' � X cf �i J� J �v Date Signature of Ap can L. Owner ❑ C tractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h 'ght. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 2.50 HAz ,— CUA _ PARK — SCHL — FLo PAR PD HD IssuE This permit is hereby issued unser sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By r PEF,66 EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date///—z, IPP, �% Z/�7•�% Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER1 ^ � Z — 3 1 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS Z , a ® b CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ —16-0_ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15,0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 k�N i d Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF [IDuplex[]MobilehometCN-11, Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home O.00e . v 0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities N Installation[]. Other ❑ Describe work:— A�l4Z [I Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main servicej00 AMP OR101 ORSLESS 10.00 /0001 Main service EA. ADD'L 100 AMP 2.50 0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. _ _ Classification ❑ . , as the owner, or �my• employees with. wages as their sole compen- sation, will do the work,and the structure is not intended or offered for, sal e..(Sec..7044)Mobile ❑ .1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)-57.0-0' ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& ( ACC. BLDGS. OR ADONS. , /2dsq it NEW CONSTR MULTI -OUT LET NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eAL030 2AL@30 FIXED Ex. Occup. OU LETS ((RESID )APPLNSREAJ 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring 15.00 / Permit Fee $ 3 S -D WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this, permit. _ "" Date Signature of Applicant — . Owner❑' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition Or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST PE 71� TOTAL FEE $ HAZ I CUA PARR SCHL FLD I PAO PD HO ISSUE This permit is Hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable pro_ resolutions to do have been paid. WORKS Date - Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE .OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER r. U4 A.P.—No. Zq - 317_ Proposed Building Use ZV AV �-C Building Inspector J -E 7 Date �/ — 1Y- b At time of permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance: . DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............... 14. Sanitation approval from O R -o Health Department /,c — 4� —2'0 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement .........r 25. Letter of signature authorization ..................................., 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 53 g�. � �and hold for pickup at - ® Q► - office. Deliver w./inspectpr. M1, Other I (� Appl ican Date //AO,() / ,() Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent ___Health Dept. _Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone--mal 11—counter by ..date „ Contractor, designer, owner, was advised of above required data by—phone—mall ounter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO r Buildinq Department Environmental Health SUBJECT: Sanitation Clearance L/ (5�L V S � Owner, Lo ation AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Final clearance O.R. for: Clearance for bedroo mobile home. NOTE *** Other Water Supply Water Supply Sanitarian D to = C'uCeE 1n�est� Inc COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this. information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued -until this verification is received. �1. I personally plan to provide the ma' abor andta erials for construction of the proposed propert. i rovement6:5,�r_no) �(/ �. I ha ave not) y signed an ap ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work,, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property 0 ner Social c r' y Numbe Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. t9Op48g35 Return i:o DPW' AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT i" FOR RESIDENTIAL DEVELOPMENT SecLJ.on 02 . 14 .cif the Butte County, Code requires this acknowledgement be recorded prior to issuance of a building permit. ' , The property described herein is adjacent to land or included within an area zoned 90-048935 I Rec Fee 00 for agricultural purposes, and residents Cash ;7'. 7.00j,� of this property may be subject to incon- veniences or discomfort arising from the Official Records I • ' use of agricultural chemicals, including, but not limited to herbicides, pesticides, County,of and f-ertili.zers; and from the pursuit Butte z , Candace J Grubbs of agricultural operations including, ; ,1 Recorder .� but not limited to cultivation, plowing, 10: 55am 14 -Nov -90 i_ X:. 2' spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established ;1gr i cii l,- tura.l zones which have as a priority use for productive agricultural. purposes, and residrni s within said zones and on adjacent property should be prepared to accept such i nconvell i cnc e or disconform from normal, necessary farm operations. All. that real property situate .in the County of Butte, State of Cal.i.for.ni'a, desc r i be(I ;is f ol.lows: IqPar oy- 7 Date: / I Ic] %(J PRO PF TY 0 NERS: 9 State of. On this the lzj�! day of 19 ?!, , he Co rc mrr , �) SS. the undersigned Notary Public, personally appeared County of OFFI EAL Personally known to me. 9Proved to me on the basis Nopjwo- i Jt of satisfactory evidence.i�Ri�r be the person(s) whose name(s) IAp00rtM11.8rp.Aup 21,1scribed to the within instrument and acknowledged khat. kL-_ cuted the same for the purposes therein contained. I.N WITNESS WHEREOF, I hereunto set my hand and of eha1. sell.. Present A.P. No. owvl'Publ i c 1. Property location: at the Northwest �or4e �� 4imy Gulch Road and La Porte Road. Bangor area. 2. Assessor's Parcel Number: AP 28-39-07. Description : All that certain property located in the County of Butte, State of California, more particularly described as follows: A portion of Section 33, Township 18 North, Range 5 East, M.D.B. & M., more particularly described as follows: Commencing at the Northwest corner of said Section 33; thence North 870 08' 47" East, along the North line of said Section 33, a distance of 2977.01 feet to the true point of beginning for the parcel of land herein described; thence from said true point of beginning, South 2° 11' 38" East, 660 feet;'thence South 87° 08' 46" .East, 330.69 feet.; thence North 2° 11' 10" West, 660 feet to the North' -..Line of said Section 33; thence South 870 08' 47" West, along the North line of said Section 33, a distance of 330.78 feet to the point of -beginning. TOGETHER WITH rights-of-way of record recorded in Book 1873 of Butte County Official Reocrds at Page 396'and in Book 2870 of Butte County Official Records at Page 603. Leet etc mr-1IMEN I c: 1 7904► Return,t,:o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT .Section 26-8.1'of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to'land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as.a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: _" _------- 91-01790.4 1 Rec Fee I Cash , :7.'•00 �� / Recorded 1 Y s Official Records I t, County of Butte Candace J. Grubbs I Rec:or--der 1 12i56pm 7=May Date: to PROPERTY OWNERS: 1 State of ) On this the 129 day of , • 1991, before SS. me, the undersigned Notary Ppb ic, perso ally appeared County of /personally known to me. /r/ Proved 'to me on the basis FIOFFIC176EAL of satisfactory evidence. RUBY J.BOAZE to be the persons) whose iiame(s) _/s ubscribed to f m fomia the within instrument and acknowledged that WM COUNTY executed the same for the purposes therein contained. oomm.E�.l1up.2t,t992 IN WITNESS WHEREOF, I here my han and official seal. N6tary Publ Present A.P. No. / roucy ivumner ovi.00— { Order Num r / YZ5U25b- 7 90 3 SCHEDULE C �# -y The land referred to in this Policy is described as: All that certain real property situate in the County of Butte, State of Calif- ornia, described as follows: A portion of Section 33, Township 18 North, Range 5 East, M.D.B. & M., more particularly described as follows: Commencing at the Northwest corner of said Section 33; thence North 87°08'47" East, along the North line of said Section 33, a distance of 2977.01 feet to the true point of beginning for the parcel of land herein described; thence from said true point of beginning, South -2°11'38" East, 660 feet; thence South 87°08' 46" East, 330.69 feet; thence North 2°11'10" West, 660 feet to the North line of said Section 33; thence South 87°08'47" West, along the North line of said Sec- tion 33, a distance of 330.78 feet to the point of beginning. TOGETHER WITH a non-exclusive easement for road and public utility purposes over a strip of land 30 feet in width, lying 15 feet on each side of the following described centerline: Beginning at the Northwest corner of the above described parcel;.thence"South 2° 12'06" East, a distance of 660 feet to the end of said centerline. ALSO TOGETHER WITH a non-exclusive easement for road and public utility purposes over a strip of land 60 feet in width, lying Southerly of and adjacent to the following described line: Commencing at the Northwest corner of said Section 33; thence North 87°08'47" East, along the North line of said Section 33, a distance of 673.11 feet to the �! point of beginning for the herein described line; thence from said point of be- ginning, continuing North 87°08'.47" East, along the North line of said Section 33, a distance of 1316.56 feet.to the end of the herein described line. ALSO TOGETHER WITH AND RESERVING THEREFROM a no easement for road and public utility purposes over a strip of land 60 feet in width, lying.30 feet on each side of,the following described centerline: Commencing at the Northwest corner of said Section 33; thence North 87°08'47" East, along the.North line of said Section 33, a distance of 1989.67 feet to the point of beginning for the herein described centerline; thence from said point of beginning, South 02013'02" East, a distance of 670.04 feet; thence North 87° 34'09" East, a distance of 656.34 feet; thence North 2°12'06" West, a distance of 14.88 feet; thence North 87°08'46." East, a distance of 1322.76 feet to a • point on the East -line of the Northwest quarter of the Northeast quarter of said Section 33 and the end of the herein described centerline. ALSO TOGETHER WITH a non-exclusive easement for road and public utility purposes over a strip of land 60 feet in width, lying Westerly of and adjacent to the -following described line: Commencing at the Northeast corner of the Northwest quarter of the Northeast quarter of said Section 33; thence South 02010'15" East, along the East line of the Northwest quarter of the Northeast quarter of said Section 33, a distance of 66'0 feet to the point of beginning for the herein described line; thence from said point of beginning, continuing South 02010'15" East, along the East line of the Northwest quarter of the Northeast quarter of said Section 33, a distance of 322.0 feet, more or less, to the Northwesterly boundary of the LaPorte County. Road and the end of the herein described line. END OF DOCUMENT 330. 7�✓ A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment excW fora 2 ft. eave overhang. C.Q11-a,14 - � � NOTE.—All Materials & Worr rnanship Shat Reco.,:i�ed �0 , o� onGood Practiees, 4 Accordance with of a quality prescribed for the Specified use Uniform Building, Plumbing & Medhanicaf Cady and the National Eieel Imo= this sot of ptpns and specifications MUST (dept on the jab c4 aM trines and it is urJa fell to ftake any changes or &Wray iops on same pithocO wmften permission from Ae Department of PWDIk Work Countv of BU++A• �11s 1 Q) L .. ..... T. l8 NR. 5 E., M. D. B. � M. �' �' SE CTION 33 , T . .� .. ' �� EGtsCM•Pw� d ... ' 40 / � �, (N 87°08 47 E per De d� ' 2646.,55 C �[ L L 86-591 3 i. N 89015 20 E 29 1 28 (P:`l a 591.07 - lJ0.78 78 330.78 330.77 N 89014'16 E ,'3ze.z J r 1UGl /4 r '1 tllfr ;;r ma nr a� 32 �I OpI, I�i�•'� oo Op'1 C I�AO 10to O ge 61 i• 1; `O 76AC //.. n m 10 10 lJJ7. 4 N rn I I I }, :I ¢ �lt 11/ 1 49 g%Y S 1 N 10 AG I e L�.L'''9 -I �P'•, 4-JJ0.69 1D I I) AC n �11 �i�,�.. •• •/:r' -R'' 330�,q. - •- - - . ^ n i` 7 2 eh�i; _ ^•y - 686'.`73 O 656.34 • 0,... 13J1.B9 y0 1� N S1�1i��1 20 M6 1.89 I I /u/� ' 'Llb1M9 p o y1• n i m f%% ? I C� ��i�j1N� 14 5 x e L� ' 9 m ^_ $6.57 I ' 12 V n O O 10 5 ;C I / 56.25 16 1 0 19 m -6110. QC% I 671.30 N to to 'D ^ /� 21 r A CIn lefj Qxr r 1 I e 15'i I t� 13 " (�O OAC• 318.00 543.43 J I O 11 J 328.08 318.00 / I � 656.16 328.08 1179.43 . __--662.94-- 13!2.32 i� I 1 I I 671.30 - 330.04)} 1 v -332.10 - v 28 $.96 AC 1 133x.50 333.30 , °� r: I ' I I N 26 to Ac In I I I 50+ I I I w I 22 23 24 h e 25 to ° 29 9.6 AC i Z I to b D I D y 27 10 ACIn QI I I _I I 5 331.85 330.55 1 1 I 3J4.25 333.0 v .8.24 AC I I I v j I I I I o i 34 10 AC M 36 1 IV N In In W n ^ I n 0-" I o I 7.89 ACIn 0 �In 31 6 32 O 3 5 1 o Ac 1 2 1 I I n O I 995 05 I J I I LENOX WAY 1311.61 1 I 330.26 I J28.SB .653.06 . o tJ I -334-00- - 337.80 - 331,60 - - - 1330.17 P 7. 71 AC Q �-Q- Or- -- - --- - i I .5Ac 44 54 I I -,J 42 10 43 " 15 AC ► 1 I P 38 39 40 41 e I O � I 45 : 55 7.71 Ac u D o 10 I I n I I I I I CHIEFS TRACKLNC �- 653.03 1, 1 329.87 -330-15 - - 326.57- 33435 JJJ.16 331 55 _ _ _ _ - _ _ - 326.99 326.04 / 56 5.2 AC m ° I O" e S2 53 1 60 o 48 49 N I 50 I , W Ico 46 47 to I ° 1, 57 aaC J 1 46.26 AC I�10 10 J I I _ -SS-3.-6 - S ' - .317.07, 3 - - 26.06 - - --- JJJI -sti -6 (5- - - 3J.1.G0 31.50329.71 P R0::0 GULCH GRIMY 67 1 631t tt 37 11 .39 1 . 40 42 41 ' `10.41 AC. 10.25 A C. 10.41 AC. 1 1 1 . 10.41 AC. 10.41 AC. , I - •(J 72 1, 68 1691 , . 70 �-� 47 48 -• 45 46 1 43 44 ' 6.95 -AC. RD 10.4/ AC. 3? 10.41 AC. OROBISH - - _ _ 5282.24 (RS 64- 4) r.� _------- ------N89047'51 E f!I 7 7/"r RESIDENTIAL :.�. . a 28-39-07 1393-91MHI� STOKER, Diana 84 Sunny Hills Rd, Oroville (installation/mh) OFFICE a- JOB FINALE Signature OFFICE COPY I t i Address GAS Meter By:g�: Dated ELECTRIC �� Meter By Dat/ J=tlK O=Not OK Not ' = Not"Ready Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG ! 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE KQAfE INSTALLATION (Plans) OK except #'s oni Requirements -Setbacks Easements 2. ottgs; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector ctr oy; MH Test -Crossovers -Breakers -Clearances ain; MH Test -f all*1ex Connector .-Water-and Sewer Connected -C/O to Grade -HD Approval ,as lectricity Tagged its 'Sketch ielc—ert. of Occupancy Dates / Cerd B- Date Card B-1 Date Card B-1 Date Card B-1 z MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 6. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK t - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Ong. Joist-Rftr. ties -Pu rlin-root Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances'Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 -outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearino 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58, Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive 0 Yes ❑ No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIA, OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N®.l 3U-9 I' Address or location of mobilehome Owner's'name �)'CDAL r, Ye— , )1 Owner's addres6� kgl�t Vhf Insignia or hud number ' Manufacturer's nameI t,Lf /,�0"i es, Serial number of V.I.N. IC ) (-J 4 s1n, Year of manufacture IV (Offieic pproving nstdk ation) (Date) IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATI01 ACCEPTANCE SHAL•L.BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN TH MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. �3^ 513B White.. Owner, Yellow = Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. • 7 County Center Drive - Orovllle,,Callforwe Ones - Telephone; 010/838-7541 APPLICATION AND PERMIT 28-39-07 BUILDING PERWIi _TiFR 9 n DIA A STOKER "o"a SO. FT. OCC. BUILDI, ATION OWNR F AM I IRO ADDRgs6 1643 Rile Avenue Sacramento 5838 CONTRACTOR'S NA owner TELEPHONE ^ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee ,$ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 84 SunnyHills Rd Oroville Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑x Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: MHI/..13452-91) 2 RR 510' ruin Permit Fee $ Contractor . ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Id\ OR ADDNS. AGC. BLDGS. // '�2QSgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES\\ 20050e eAL030 FIXED APLNS. Ex. OCCup. OUTLETS P(RESID )REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ��,pp X � � OX�C, �. � KRB Date C Signature of Applicant – Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ 11 CONST TYPE -TO 70.00 AL FEE $ HAi. „_ CUA- _ PARK — SyFLD ✓ CDF _ PAR PD ) HD. ISS E. This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOW PUBLIC WORKS By Date PE EXPIRES Date �cy-9 �-- Receipt No. WNITE-D.P.W.. YELLOW-ASSESSO .- NSPECTOR. GOLDENROD -APPLICANT V N :fet [ �,l...rrls.f.+'!YI"'f...'r�i'�n";'`mr -.`'B-av .rrrl�.�,��`'f!t-�'�ra �..• ��}ir,.,.,, � ... ,` `^.;�yrir-+�j.'f �1�,+•.!'.,�-iti ' .� �: � - [. • COUNTY OF BUTTE - DEPARTMEsNT=:OF�'PUBLIC WORKS -BUILDING DIVISION �. e 7 COUNTY CENTER DRIVE - OROVIL LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 " . PERMIT APPLICATION DATA SHEET kC Permit NoOWNER 1Q VICc'to 1� A. P N -� o. Proposed Building Use „/�/ fBuilding Inspector C Date Q At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details. and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... ,.�'2. Park fee paid f 13.}�� (�� School District fees paid .............. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature a,uthorization ... .............................. . Whe you issue thei,t Process as follows: Mail to owner. Mail to contractor. Telephone Sr����"I and hold for pickup at JrQ office. eliver w/inspector. Other oC C(2 %a(,m c, >ee) Applicant 1) 1CL0,,q I.SAD .Date n7 � 4/ Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent ___HealthDept. Fire Dept. Other Date By The following data must be submitted ri r to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-nail counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by RW Date _r10 i c/ I Plans approved by aw Date ct) Sets of plans on hold in File cabinet AP folder Copy—DPW \ N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 -County Center Drive - Orovlller Callfornl9 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASST OR PARCEL NUMBER �ag_0 �0© ZONING, S BUILDING PERMIT OW `Cc Vl C� 1(q' TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING^R P ^ J ` 16 DDs LJVI' C_V CL Vvi&VI1 CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTF�UCTION LENDER 1 "//l//0 V1 UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH ECT OR ENGINEER TO V1 (,- LICENSE NO. Plan Checking Fee $ / D Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL�NG'A,DD Ess y }vim �y..``/l 14 n n $ � t" c l CL Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping, 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�j Other (01 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea L TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities -trts-tailationK Other❑ Describe work: 500 (`� I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) OR ADONS. l ACC. BLDGS. yZ¢sQtt NEW CONSTR. U TI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCup( OUTLETS OR FIXTURES eA 50 300 FIXED APP LNS. OR EX. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ' ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories In height. Mobile Home Installation Fee $ Energy Inspection Fee $ _ occ CONST TYPE TOTAL FEE $ HAL. I CUA I PARK I SCHL FLD CDF I PAR PD ) HD. ISSUE This permit is hereby issued unoer the applicable provi- sions 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 PERMIT EXPIRES Date �►^�'� �� Receipt No. WRITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit.has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) cii 2. I (have/have not) jo, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: �� Property Owner Social Security umber — Date 72,1 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. S'. .... ..•Wn..n1,Y.�t.u:r.M•lr. .— u ••+a. 7 •,..�. •,�nw {•K'• <+w.f/�iMwfH�+R jp-�fM CMRIi•-!ITOfit'�N'RMi/.+a �T�1^'6i!it�M�TILAICiPiti19V`bN�•aln!I+i4`4e•1i:Viliwblk�+Mob M:Il,YyIY�fHfAL: A•WiLt�'Wtrl-•11. n'. � ..If.•.:fiJ • .. FROM TO ( { � 1 m., . 1 .n- �•- -T? -"'-�.�•.^-n--.-w .`.,.r,.. '!t.lnMM _ _- ti'_ ..a.r SUBJECT G - 4.T•,.�.,. .•,.'moi -R-.. — 1 +wa-.nn.,.�•.•tM .^- ..+nn. pT'-•�a,'tw...•�n•m DATE i iI..� MESSAGE -3 %- _ Lj 17 Xh� A ii SIGNED ;' ••. -per a - Q , u -.; .� , -- MEN -c. .., a l -.7 . RMFORM,-4S468 NO REPLY NECESSARY REPLY REQUESTED USE REVERSE SID li ' POLY PAK 50 SETS 4P468 j carbonless: " 4 .: n BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM 94 - (9 60 0n per Building) /�'j�"/�� A.P. Number oJag—J9 - 0 l Building Department No. C/ School District 010 Unlo ✓t City F --- I County Jurisdiction Property Owner 40 i Q h q Project Location/Address 0.7 ,�u M n v ,�/ !�� �� , O roV Subdivision Lot Number �J-y Residential Development: n � 6LO LLQ Sq. Footage # of Living MHI Addition (Group R) ' Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor !Plans reviewed by School District Personnel) District Id No. 9 10 fSFhoo 1 District certifies that (Applicant Name) (Phone Number) F4 .4k �- (Street Address ) (City) (State) (Zip�� de has complied with the requirements of Resolution No.—"'%t3 by the payment of $ //,.37, tpO representing Tao square feet. School District Repr`&sentative Date PAID BY C -H -BE -K" NO .D is'REMARKS : BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 41' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INST'Q7LLATION SHEET 1. Owner's Name: 4/ 2. Installer's Name: 3. Is the site currently under permit? (If yes, furnish permit r;umber Is the site an existing site? (If yes, furnish two plot plans.) Yes F-1 No Yes F-1 OR No 4. Will the mobilehome be located at least 5 ft. away from septic ank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- �-� Amps 6. What is the mobilehome site service rating? ------------- �Amps i 7. What is the mobilehome site circuit breaker rating? ----- LQ Amps 8. Is there any other electric load to be served by the ,mobilehome site service? ------------ Yes a No -------------------- (If yes, identify the load and size: (Load) c � (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.). 10. What is the type of gas service? --------------- ---- Natural a LPG Y ` .11. What is the gas pipe length from meter or tank to the CJ mobilehome?--------------------------------------------- i= (ft.).. 12. What is the mobilehome`gas demand? ----=-------- ---- -° (BTU) *(This information not. required. if pipe, leftgth less than..6 ft. on gas.or.,less than. 50 ft. on LPG:) _.__........- ._.... _..._... _.." 3931 - :SING DEPARTME1 4PPIR-O : MOBILEHOME SUPPORT DATA 500 SQ. FT' MINIMUM FOR MOBILES If other than single wide, Mobilehome Mfr. furnish Setup Model. No. Year Width % / (ft.) Box Length 40`0 (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 1-12. Other (specify) SUPPORTS (check one) 1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations 1I14GLE-WIDE MULTI -WIDE Line I.F Line I Line 2- - - Line 2 Main Beams line — — — — — — -- — — — — — — -amine 2 Main Beams — — — — s Line 2 Line 1 Piers' Size-Min------------- Spacing-Max - ---------- -Spacing-Max. --------- Fnan Ends -Max. ------- Lina 2 Piers: Size -Min. ------------ lei „ O„ SpaclnK-Max, --------- _ From Ends -Max. ------- Line 'i WuiC loads: Size -Min, ------------ Tag or Triple �+ _ — — �,o Line 4 Line 1 Line 1 Openings: Size -Min- ------------------ vx n Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- "x Spacing -Max ---------------- _ From Ends -Max -------------- Location (From Front) Line 4 Place: Line 5 Piers: (Under Bearing Walls Only) Sizc-Min.------------ k Size -Min.------ ------------ i x I n Spat.Jng-Max---------- Spacing -Max.--------------- From Ends -Max:------- From Ends -Max ------ -- ------ " 1 Line_ 5 Hoof leads: ux - 11x nx • Ill, n "x "x "x "x Location (From Front) Line 4 Place: Line 5 Piers: (Under Bearing Walls Only) Sizc-Min.------------ k Size -Min.------ ------------ i x I n Spat.Jng-Max---------- Spacing -Max.--------------- From Ends -Max:------- From Ends -Max ------ -- ------ " 1 Line_ 5 Hoof leads: ux - 11x nx • Ill, n \ �k - Size -Min.------------ ' I Lncation (From Front) , I 11x tte, count LAND. OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY Deputy Director January 16, 1990 Ben Culet RE: AP 28-39-07 P. 0. Box 1082 CERTIFICATE OF COMPLIANCE Oroville, CA 95965 Dear Mr. Culet: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works in the office -of the Butte County Recorder on December 12, 1989. The Recorder's Serial Number is:. 89-49170. If you have any questions regarding this matter,, please contact this office. Very truly yours, William Cheff Director of Public Works J hn Mendonsa Assistant Director JM/ds atta ment cc: B 'lding Department Environmental Health Department i RETURN TO: Public Works Land Development Section 4y 1 i U 89-049170 1 Ree Fee .00 Total .00, Recorded Official Records County of AGENCY SHOVIN Butte Candace J. Grubbs Recorder 8:02am 12 -Dec -89 i GF i CERTIFICATE OF COMPLIANCE Issued to: Ben Culet P. O..Box 1082 Oroville, CA 95965 This Certificate of .Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: at the Northwest corner of Grimy Gulch Road and La Porte Road. Bangor area.. 2. Assessor's Parcel Number: AP 28-39-07 Description : All that certain property located in the County of Butte, State of California, more particularly described as follows: A portion of Section 33, Township 18 North, Range 5 East, M.D.B. & M., more particularly described as follows: Commencing at the Northwest corner of said Section 33; thence North 87° 08' 47" East, along the North line of said Section 33, a distance of 2977.01 feet to the true point of beginning for the parcel of land herein described; thence from said true point of beginning, South 2° 11' 38" East, 660 feet; thence South 87° 08' 46" East, 330.69 feet; thence North 2° 11' 10" West, 660 feet to the North'.Line of said Section 33; thence South 87° 08' 47" West, along the North line of said Section 33, a distance of 330.78 feet to the point of beginning. TOGETHER WITH rights-of-way of record recorded in Book 1873 of Butte County Official Reocrds at Page 396 and in Book 2870 of Butte County Official Records at Page 603. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code.Chapter 20 -166 -and.. Government Code, Section 66499.35 (b), to protect the public health and public safety: NONE County of Butte Subdivision Violation Committee Eff—D OF OCUMENT END 00 DOCUMENT 0 TURTLE 2�L 28 i l\' 6'006 47••F pfr DffCti � � /� I L /-- 2bs7, 7/ (PM .� N oolS 2G• r 2646.-" (Pm e6 87) I J�W�, It 330-7[ i =3G.7 7 991.07 � 34 3F I11 vi 0 b% 10 ,0 A._SUNNY6.iL3• 328./7- 660.00 686.3%,.- OS eC -t- -- `! "Fill 360.00 ^ 636.?5 '�• 6 /7 . / C^O" of sun. a �J a O ~ A Y b Mi a kc t - 66 6x.16 326.08 320.08 318.00 3MOD 1. to A; t � n _ � h Clic �• .� :� t. t ^� c Lau t. t ( 1 I Ic-itlal � .��"`i+:?."� ,C. ew"�♦10 AC it -34 ci �i l ► ik 35 :. '.� I 7 n ,y NOX WAY 328.30 653.06*" - ' t 64;r ; SAC 44( 7, n AC I -, ' '� �o E � r8' O • �n � ! Oc4Oma.$ .: h 55 7.71 AC i t - O L t��.3_• 333.16 33! � � X32831: 633.03 ! - - » 326.99 32&04 / 130 . O S. 2 AC ' i�5s�, 47„ 0 49 i e Q O it �D 1��0 u �: 10 �o �o v t x439 / t/ I M. a= � ► I � I � H �H t 57 Ac /� (� 4s•26,oC. J30.7-7:1 �M ;�.�. �N ucc ti r 1 to ���; J . i 005 r 66 6 Dl i rl � 4� 4/ 40 39 1 s u l 37 . 1 It i i I RS II -49 !, � 1 /0. w/ AC. /' /0.4/ AC. � i � 4/ AC. /0.4/ AC. /0.23 AC. -� .- 6 t 4� 44 1 45 46 47 / / 48 It 32 a t �=_ A-• DRoer t+ BANGOR TRA- ✓^ 62 t54.7 AC 1 g os b N W) SCA L E: I 6001 NOTEr TAwt Pool ft ar fw OMMMOnf PorPc9" only and n+l no/ com"tote "I Porcoh. 6, 93 AC. RD /0.4/ AC. r' I 34 Ne9°t7�51"r (RS 64-4) 4 t 3 ,vl' ri,�i i Cl d �IiU (��?� }'✓jgE v/SEA 2- 93 Assessor's Mop No. 28-39 County of Butte, Calif. 3 1I Mq s' 8 2 6, 93 AC. RD /0.4/ AC. r' I 34 Ne9°t7�51"r (RS 64-4) 4 t 3 ,vl' ri,�i i Cl d �IiU (��?� }'✓jgE v/SEA 2- 93 Assessor's Mop No. 28-39 County of Butte, Calif.