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HomeMy WebLinkAbout006-660-013119 'fes% .. _ .LL� ._- - �,$...¢a►.. R.-a.rs..F ;_,., - -- .,r-- .. ,�• ... ,y c� ` 44 A. 4p&0'-Dj3> and tr W. J. BESSER E/S Hosler Ave. ,i i. N. of Nord ` f `i.{ t 006-660-013 4 _ Permit• 4566-73P E _ `04-2272 {j Hwy. BESSER, CARMEN L " �I (utilities for MH) 3_�q- / '4566BESSER COli::`I', CH ," ! •.ry r �r i v • A.P. CONT: OWNER MHI REPLACEME . W. J. BESSER�� E/S Hosler Ave z mi. N. .of Nord'r1 y Hwy., Chico `.7 ` Dermit 787-74P, E _ Ut-il , for -• ELEC. 7�S- GAS — SUPPORT STRUCTUREREQ.-� COMPACTION TEST REQ . ___ 2� S- 7SAiM AP f ' ' (�— contra Ends Johns M, Paradise ! Issued t j - mit Z45�� -78NIHI ex ' ' Y -_ --- - ---- -- ( - isting site b Issued �--9 �� --- --- --- t Permit .j�16" 'B --� 56 -SSB reinstall awnin g/MH) TIM BESSER 4560 Besser Ct, Chico � ' Peimit #1937-87MHI(existing s'teJ ` ' f . • � , ' 4. • i '1 Issued �- �-�7 , Pe7rmit# J BTY3(new =1ming!/A#1A""a ; =�54 PERMIT#96-1096 } ,•;•#, BESSER, Wylie & Flora - 4560 Besser Ct., Chico (� j { MHI Ex Site.' L 00 tl� ,� r .. a wr,rN-.1►:M+�+..�r: �f �:.4r ��.. 7•Mu,.,,.w's: -._ ----_-�. _ . w7r+t CD I CAD .wrTF. Butte County Department of Development Services FORM NO PERMIT CENTER 'c►autn'�• 7 County Center Drive, Oroville, CA 95965 DBP -Q6 Main Phone (530)538-7601 Pennit Center Phone (530)538-6861 Fax(530)538-7785 PLAN CHANGE, RECHECK, OR RETURN Owner's Name: -�mtn Contact Person Name: e-, S Le— Contactemail: s }e,,� 5;� aA- 1).-,( ,, Contact Phone.Number: S z0 - t) ?8� Date Submitted: 2- l 1 S Permit Number: (511- t SSS Assessor's Parcel Number: —&6L -46V-6)13 ❑ 5OMPLETE SET OF PLANS ARTIAL SET OR PAGES OF PLANS (LIS AGES BELOW) C. - Please check any that apply: ❑ Response to Plan Check Letter? ❑ Response to Building Inspection Correction Notice? BUTTE ❑ "ere additional square footage? COUNTY Ws unfinished area being in -filled or completed? DEC -1 2015 ❑ Other: DEVELOPMENT SERVWES LIST OF ITEMS SUBMITTED 2. 3. 4. 5. Minimum 1 hour plan change fee to be collected at time of submission. Plans Examiner will determine if additional plan checldng fees are required: ❑ Minimum $127.00 paid ❑ Additional Fee Amount Due: l:':'ti'E:ti}Suiidul Fenn• ui).'..' Q .'L•xt:;:.v.....,;}y{;..flF,tics':I1.ff:._.;.cii.c Page 1 of 1 SITE PLAN REVIEW APPLICATION Date: �' Z `� ` 2vo AP# Permit Number (if applicable) APPLICANT INFORMATION Owners Name: Bin Number Q Parcel Size: Owners Address:5,��efS� Telephone No.: 3 3 V3 ®�2 Situs Address: Proposed Use: T Residential ❑ New SingleTamily Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel, ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well _ ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ 'N/A ❑ Other: Brief Explanation (if necessary):��✓✓t DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to'Approval Q� Site lan Stam d Approved By Date _l 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) niLr�� ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: Y, • Flood Panel No.: D 3 2 d o Index Date: Y -z% 20ay ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset .Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: AR - 2. ,� 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 Side �0 Side Street Rear �v t 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 V Applicable Development Fees: Standard Fees Amount Formula ❑Fire, F] School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ' ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other - ----------------------------------------------------------------------=-------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement, ❑ North Oroville Area ❑ Other (per map) * Check with school district' to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. r Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No El Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County StandardsforDeed reation:p No ❑ Yes Comments: P -It e s s-c_cq ❑ 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 ------------------=---------- ------------------------------------------------------------------------------------------------ j Page 3 of 5 (30 Subdivision Map/Parcel Map: Map Date of Recording: Lot: If Book: 5-1 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ' ❑ Measures shall be taken to control fugitive dust emissions .from all driveway and other civil +construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County`Air Quality Management District, a copy of which can be obtained from the Butie County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. El 7 Page 4of5 Summary of Specific Requirements: • V This information provided in this summary is based on the application information and on the best available data at the time of review. C:Uarrys\Building Permit Site Plan Reviewl.doc ti Page 5 of 5 M h Summary of Specific Requirements: • V This information provided in this summary is based on the application information and on the best available data at the time of review. C:Uarrys\Building Permit Site Plan Reviewl.doc ti Page 5 of 5 f NOTES RESIDENTIAL t •eH PERMIT NO.... +006-6607013 04-2272 BESSER, CARMEN ; • ` :4560BE-SSER,COURT; CHICO CONT: OWNER { MHI REPLACEMENT ` y r �! �f t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. ` SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t r � � t } •tt:r, - JOB FINALED (Daf'e) ©�� o .• - {! Signature jt r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. ` SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t r � � t } •tt:r, - JOB FINALED (Daf'e) ©�� o .• - {! Signature J=01( 0 Not OK . = Not Ready Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except ft's DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete Footings; Soils -Size -Depth -Spacing -Connectors -Steel 4. Water; Location -Test -Easement Needed (Sketch) 3. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete i 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 7. Well Clearance & Disconnect 5. 8. Utility Clearance j! 6. Carports; Windows -Doors i Date Card B-1 Date Card B-1 Date Card -1 Date Card B-1 Date MOB E E INSTALLATION (Plans) OK except #'s i 506quirements-Setbacks-Easements 9. F g5/Size-Spacing-Marriage Line c ty; MH Test -Crossovers -Breakers -Clearances MH Test -Fall -Flex Connector tk.�,"aK,,WH Test -Regulator -Connector Wa'tef apd Sewer Connected -C/O to Grade -HD Approval Cert. 1-1. Cert. of Occupancy Date ' Card B -1Z Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected B. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 -711 07 �7��. I 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 i 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing } 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures j! 6. Carports; Windows -Doors i 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 RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Glazing Area -Glass Protection -Skylights -Plastic 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Insulation -Foam -Looked in Attic 17. Water Htr.; Vent -Access -Combustion Air Baffle Guard Rails & Deck Construction -Post Caps 18. Water Pipe; Test & Anchor -Nail Protection Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 19. D.W.V.; Test Fittings & Anchor -Nail Protection Clearance Looked under Floor ❑ Yes 20. Shower Pan; Test, First Floor -Tub Access Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 21. Test Tub & Shower, Second Floor -Tub Access Stucco Brown -Finish 22. Gas Pipe; Sixe & Anchors A.C. Unit Disconnect, Electrical -Plumbing 23. Fire Sprinkler; Test Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 90. 24. Fixture & Transformer Clearance -Ins. Protection 91. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 92. 26. Size Boxes & No. of Conductors Stapled 93. 27. Romex Installed Close to Edge of Studs & C.J. 94. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 95. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 96. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 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 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CAA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �> Gaza �2 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 notice this office when correction of work is completed. If you have any questions pertaining tq.this matter, or need additional explanation, please.contact this office immediately. Date // f REV 10/92 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES ' BUILDING PERMIT ¢� 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP042272 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/25/2004 APN• 006-660-013-000 the Business and Professions Code, and my license is in full force and effect. _ /y License Class: y- / Li se Number: OS j Site Address: 4560 BESSER CT CHI Date: D Contractor. OFFS Map Index: Description: NEW MHI EX SITE(1464) OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BESSER TIMMOTHY J ETAL to its issuance, also requires the applicant for such permit to file a BESSER CARMEN K signed statement that he or she is licensed pursuant to the provisions of 4550 BESSER CT 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 CHICO, CA 95973-9730 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: BESSER TIMMOTHY J ETAL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner, of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: /is issued. a--: 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: �/�/p�iLG1f2S�0-/�t,>o Total Square Ft: 0 S. F. Valuation: $0:00 Census Code: Policy #: FNV I b qb :5 Oy ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, 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 thos5 provisiop s. S Date: 02 O Applica WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code andlnr I hereby affirm that there is a construction lending agency for the Resolutions to work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: ^ Date: g •g S , 4 Name: PERMIT E RES ON: 93.35' C S 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represegti of Butte County toenterr upon the above mentioned property for inspection purposes. Print Name: THe--ee D', / Signature: Date: �/ ❑ Owner ontractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME CONTRACTOR Name I Address Zap 5q City State State Zip Phone E-mail Fax E-mail Date Approved: Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name l�+�l�,�jCity —t C G Address Zap 5q City State Zap Phone Fax E-mail State License Number APPLICANT NAME Name Address l�+�l�,�jCity —t C G state Zap 5q Phone Fax E-mail APPLICANT SIGNATURE x a�p-u�) K. fAk_,r e ij For office use only: Zoning Z Flood Zone Cross Street kADS\ -ex- SRA I Yes I <_�_0_1 Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 0 I BP BIN # LOCATION AP# O© Co— &&C)— O 13 Property Address k 5 cp(o CSF. City C C C Cross Street kADS\ -ex- I at,( -d �w WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: r,,cb�1e, Sq. Footage ❑ Structure Built without Permit ❑ 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 by: Amount c� �� qO Bldg SRA Receipt # Sheriff SMIP �Da te: Other -30 -6/ SSS �. 2—Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division hkorder to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND WINK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required).with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). .❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). o 6. - 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). " ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be staWed and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION '.AFORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 2Z r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7,County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 �^ f PERMIT APPLICATION DATA SHEET %)d�%� OWNER: � �\ U \ ASSESSOR PARCEL NUMBER f V �7 Proposed Building Use: / / ! TT Counter Technician: -7-pi. Date: �� r Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 7-- 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. O 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. O 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. t ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. �.. m- 8. Manufactured homes: ( ') Data sheets and installation inst,3[�Marriage line info,'g) Floor Plan, Tie down r fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate: All of these must be stamped and wet -signed by the engineer. 0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs O 12. Letter of intent for non-residential buildings 0 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico O Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by 0 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ f 21. Fees as shown on the attached Schedule of Fees Due Sheet... O 22. City of Chico Plumbing permit....................................................................... ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: A�; (B)Parking: (C) Parcel Check:_ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. O 27. Encroachment Permit for driveway from the Public Works Dept ........................... 0 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 3�-- 31. Owner -Builder Verification (1/Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:......................... .... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... 0 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, O Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: , When issued Telephone . 6641 Y? f=( and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. i Applicant: C�, .' f (.l i c a-, ( f' ...c c Date: 1 C L 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, own a advised of the abov data b ❑ phone, ❑ mail, ❑ co by Date - reviewed by: Date: Plans approved by: Date': Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance X510& Fess�a- Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water. Supply: Public Private Well Clearance for welling. ether 3 jbatk7l , �et�o ✓ e a/: Hold final for: Final clearance O.K. for: NOTE: h ire r'U-iL�i P ��zG SSD E� �i�" S�,CS«.L . Environmen al ealth Specialist -7-1 Date 8/96 E.H. USE ONLY Slo koo Anachod 4' Roos P9eo Ae4sslsed X510& Fess�a- Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water. Supply: Public Private Well Clearance for welling. ether 3 jbatk7l , �et�o ✓ e a/: Hold final for: Final clearance O.K. for: NOTE: h ire r'U-iL�i P ��zG SSD E� �i�" S�,CS«.L . Environmen al ealth Specialist -7-1 Date 8/96 COUNTY OF BUTTE °'1' - 227:1 DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION d' 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER L-aS's eR A.P.# J)&-6 L9/2 PROPROSED BUILDING USE DATE 7 — 8,0 —C4 4 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ s --- Revised Plan Checking Fee.... $$I^ I I *2, SCHOOL DISTRICT FEES�Y 11(0 ('� t )Aaid at School District Office) (form available after Plan Check) ` 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... aq. r Lg. 4. URBAN AREA FEES X $0.03 = $ (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ MM • Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. ' I APPLICANT C , C��L K �JrY DATE D`'1 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive . Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING August 24, 2004 Tim Besser 4500 Besser Court ' Chico, CA 95973 Subject: Building Permit 04-2272 Dear Mr. Besser: The Butte County Department of Development Services, Planning Division, has reviewed the submitted Building Permit 04-2272. Your permit has been approved for a replacement mobile home. There are a few issues with the other dwelling located on your property. Your parcel is located in the Agricultural Residential (AR) zone, and has a minimum parcel size of two and a half (2.5) acres. You are allowed one residence by•right; however, a legal second residence must meet the qualifications of a Temporary Mobile, Second Dwelling Unit, Guest House, or your parcel' doubles the minimum parcel size. Your second residence ,does not meet the definitions of the types of second units, and any addition to the size of the building will require a Use Permit. Should you have any questions please feel free to call Chris Tolley, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at'(530) 538-7603. Since y, JW. Baker ng Manager Building Permit Number: Owner Name: (�e6q� Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or. alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building. Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your'parcel lies within a designated 100 -year flood plain. Finish floor, electrical, . H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5.. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Q�/-�oZ 7Z Owner Name: Parcel lies within the State Responsibility. Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. ' A setback of JID feet from the side and (D feet from the, rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. I., Owner's Name:_ l rn -t (� o_(-r`n e n (�jeSS�f 2. Assessor's Parcel Number: O © Cv - Cv O - O 13 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[V\j Permit No. 5. Is the site an existing site? YesN No[ ] (If yes, furnish two plot plans). 6. What is the electrical.rating of the mobilehome? 15 0 Amperes. 7. What is the mobilehome site circuit breaker rating? 15 O _'spares. 8. What is the electrical rating of the mobilehome site? 02 00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ J No[A] If it is, what is . the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[] No[ ] If yes, please identify the load and size: a) The mobile home site: f Load- aJ ll Arnperes- 0 b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[K] None f :J 12. Size of gas pipe at the mobilehome site from the meter or tank: eN 2A\ c-�inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?.21D (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This, information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION ELL TR...?CAL, IMF C lA�gl C�41* :��11� Pk 1��H�s�e�epp�" NOT PLAN Cl ,1:::0K D j , May 1995 SHALLCOMPLY WITH CURRENT' ED1110N 8.5 OF NEC, VMC AND. UPC. a Mobilehome Manufacturer: O o d Manufacture Year: L Q -1 CP If other than single wide; furnish Setup Model Number: Width: A (ft.) Length: C_(ft•) Tagalong or Ezpando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's . installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[/\] Other: Si TPORTS: Concrete block[ �J. Other: Provide Tie Down Specifications for all Mobdehomes: Vk?) F_ S GO 0-055 O QIVt Pier Footings Sizes and Location SINGLE WIDE XMIn-WIDE 1 Lim 1 JL ine Z Line 2.Main Beams . . 2 Lim Z Lme 3 Line 2 ................................................................................Main BeamsLim 2 .............................................................................Lim I .............................................r;neim s Tag or Triple 4 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: From ends-maximum:l 1` Line 2 Piers: Size minimum: r I )LI x 30 Spacing maximum: 1 5 ` U` From ends -maximum 1 O ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 Line 1 Openings Size minimum: [ 1 a ] x [:501. Each side of openings with width over: r q ` 0 ` Line 4 Piers: Size minimum: r i x Spacing maximum: I t` From ends -maximum. ` -WILDING DEPART S p;. 04_/,08/2004 20:04 9163835207 ABESCO INC -ABESCO ENGINEERED- COMBINATION TIE-DOWNS MANUFACTURED HOME TIE—DOWN CALCULATIONS AN SCHEDULES FOR SI7ITGLE/DOUBLE/TRIpI,E WIDES DESIGN & GENERAL NOTES �E WIND --15 PSF iE SOIL BEARING ----- 1 oa0 PSF *TIE DOWN STRAPS- 3150# WORKING LOAD TIE—DOWN . STRAPS MEET5 FEDERAL SPECIFICATION 00—S-781 H' FOR TYPE LEAST 1 1/4" x .035 ZINC PLATED. PAGE 01 1, CLASS B. GRADE 1 STRAPPING AND BE AT * EARTH AU0ER3-------- 2982 TESTED TO 4750 MIN. *CROSS DRIVES ---------- 2962# TESTED TO 4750# MIN. *CONCRETE SLAB ANCHORS — 1390 (CALCULATED) ,QENERAL NOTES! 1. THE CHARTS SHOWN HEREON ARE THE REQUIRED NUMBER OF TIE—DOWNS ON THE SIDES OF THE MANUFACTURED HOME. 2. TIE—DOWNS ARE REQUIRED AT EACH CHASSIS BEAM. EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME AND CAN BE ANY OF THE TYPES SHOWN HEREON. 3. COMBINATIONS OF THE DIFFERENT TYPES OF TIF—DOWNS CAN BE USED, 4. IN THE EVENT AN EARTH AUGER CANNOT FIE INSTALLED DUE TO AN OBSTRUCTION, USE. OF CROSS DRIVE ANCHORS IS PERMITTED, PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH EARTH AUGER THAT CANNOT BE INSTALLED. SEE PAGE #3, 5. FOR ALL TIE—DOWN INSTALLATIONS, THE MFG'O, HOME CHASSIS MEMBERS ARE SHOWN AS "i" BEAMS. (FOR ILLUSTRATION PURPOSES ONLY) CHASSIS BEAMS CAN ALSO BE 'C" SHAPED OF RFC SHAPED. S. END TIE—DOWNS CAN BE LOCATED WITHIN 24" OF EITHER SIDE OF CHASSIS BEAM AXIS AS SHOWN. 'r a CHASSIS BEAM N (ONE END TIE—DOWN MANDATORY ;r AT EACH END OF "Z" BEAM) N 18"MIN--�j 7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER. HEAVIER MATERIALS SUPPLIED AY ARESCO MAY BE USED AT THE SAME SPACING & LOCATIONk SHOWN. ENGINEER APPROVAL STATE APPRnvAl THIS TICDOWN SY$TEM MEETS THE F OF SECTION 1336.3, SUBSECTION Ia APPEOVED Awow do" at or cr ro oa�lna�al No,l�a MAND SPxID Ift oz rp o IRCMEIVTS i31J�rFE CO NP -r S I .. F -. PACIFIC CONSULTING CNCINEERS A8ESC0 W. W SAC, CA oam LL AVE. P4 918-604-6028 �6 �g SXt CAP 058$B�PHNMOf:g Asea: gg3�ir� " - °• ■o ,48/2004 20:12 9163835207 ABESCO INC ABESCO.. TIE -DOWNS C ABESCO NAME STAMPED IM � HEADS OF TIE -DOWNS #607 CROSS J)tdVJy ,ANC;ROR PAGE 01 n #'406 PIER BOLT -ON TOP #601 30" #3002 T.D.A. A LOCK TOP #606 STEEL BY C & R PIER STRAP W/Mlr. #602 48" T.D.A. „ #604 CONCRETE SLAB ANCHOR W/ #608 SPLIT #SH 5822 SLEEVE #614 STEEL #615 CONCRETE #616 STABILI2ER BOLT & NUT ANCHORS (DRY) STRAP W/HOLE SLAB ANCHOR (WET). PLATE 1 SIDE T(E—DOWNS (SEE NOTE BELOW) SIDE TIE—DOWNS (SEE NOTE BELOW) R:_0 SINGLE WIDE w -A- Zw W v EVENLY [SPACED 12' ,�=� LENGTH VARIES II �,, TRIPLE WIDE 51DE TIE—OOWNS (SEE NOTE BELOW) w F .. ' DOUBLE WIDE �w zw w 2' EVENLY SPACED EVENLY SPACED EVENLY SPACED 2' LENCTH VARI NOTE:. SIDE." TIE -DOWNS: MUST 8E WITHIN 24" OF THE END OF CHASSIS BEAM. END TIE -DOWNS: CAN BE LOCATF n WITHIN 24" OF EITHER SIDE' OF CHASSIS BEAM. ONE TIE—DOWN IS MANDATORY AT EACH END OF •"I" BEAM. (SEE PAGE NF1, GENERAL NOTE #6) IF SIDE WALL TIE—DOWN GROUND ANCHOR LOCATION IS SUCH THAT THE ANGLE BETWEEN THE GROUND AND STRAP EXCEEDS 60% CONNECT THE TIE STRAP TO THE INSIDE CHA5SI5 ULAM ON UOUHLE AND TRIPLE WIDES AND THE OPPOSITE CHASSIS BEAM ON SINGLE WIDES. T 1 i t t I EVENLY I.SPACED I EVENLYISPACEO 12'L LENGTHVI VARIES TI EARTH AUGERS MAX. LENGTH. OF 36• MFG'D. HOME - g4'• 72' „12 59' MINIMUM NO_ OF 2 3 4 ti SIDE TIS DOWNS g TIE—pDWN$ MOP p S,;bt,1ANCHORS AX. (LENGTH' OF - F-FG'Q �a+IOMr_% FG 9 rSIDE 36 J 54' „12 59' fib' MINIAAUM NO., CF H 2 ti g TIE—pDWN$ CONCRETE SLAB ANCHORS MAX. LENGTH OF MPGD. HOME 34' 42' S0' 59' fib' MINIMUM NO. OF SIDE TIE—DOWNS 4 ti g .i .d04 20:04 9163835207 ABESCO INC PAGE 03 END TIE -DOWN _ 0002 LOCK TOP OR 106 PIER OLT—ON TOP -- CROSS DRIVE TIE --DOWN :a•'M� CHASSIS ~.p ,r �. SIDE TIE --DOWN n \ ,o STEEL, �tt STRAPSTL; t\ —� #606 1 �`TECL y 608 SPLIT OLT & NUT —� STRAP a STRAP #616 STABLIZER PLATE GROUND LIN . �;�e `; • •.+ ''+�.f, •�:i:ri^, °^y'�i '''�':.y�4.� •+ � t;•�,' r .�.`., 7'...1. •�4::;:.'' .,1 . !'��;�wA�? ;rt.'". �'i;.1:: .+/�tiA � i$1 ��>t, 't/rt�'�, �{.t.��:•:•� 'tY .',; I,.".,� ,y'1'n', - #607 CROSS DRIVE ANCHOR Vis: iS��".c•°•. /p 5...:.r.•x; :'9�: •.,. ,.`:7.:,t:,""�"}. , _ .r,�: .t `.,ti .. `i.1•'`Yi.�.ti„ Vic';" `"��':� ,.a..•r.. _INSTALL �:;�� ._ :.:.�:,-,i•':�;�;.:., " �•. • ATION INST UCTIONS DETAIL, A" I. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN, TYPICAL CROSS DRIVE 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. WITH STABILIZER PLATE) S. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CO C : CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES.IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, INSTALL • 616 STABILIZER PLATE. (STABILIZER PLATES MAY BE PREWELbPn TO #6017 CROSS DRIVE ANCHOR) OR INSTALL 1 'x 12"x 12" CONCRETE BLOCK, IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN TWO CROSS DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE -DOWN. BOTH CROSS DRIVES MUST BE STABILIZED AS SHOWN IN DETAIL"A". SEE PAGE #1, GENERAL NOTE #4. .wwwr\ww�w���w������� ww�w�.�.. �.. ��wwwwrw.�w..�wwrr..�.w���w ^w�f�ww^11\�Yww��rr•�w����w�/��w�A� ���w �l�� SIDE TIE -DOWN -CONCRETE TIE -DOWN IN_�iAION I TSTRUCTIONS #'604- DRY t._CONCRETE MUST BE A MINIMUM OF 3 1/2" IZTHICK= AND LIN --GOOD CONDITION, .. ,,:f 2, `,Mf;NIMUM SLAB AREA OF EACH ANCHOR IS 28 CSQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY EDGE, #(i 5 WET 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY: DRY. CHASSIS CONNECTIO•,•jY, 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT_ CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. ,d/2004 20:04 SIDE TIE—DOWN, END TIE—DOWN 930M LOCK TOP OP. 406 PIER OLT-ON TOP--� 614 TRAP 9163835207 ABESCO INC TIE -DOWN "I" BEAM CHASSIS x.. SEE "I" BEAM CHASSIS ­� NOTE #5, SHT. 1 FOR i •�' """ TIE -DOWN INFORMATION v STEEL I STRAP ke SEE DETAIL te,AIts (TYPICAL) DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, ti INSTALL 1/2' A307 U "C" 1BEAM_ CHASSIS "RFC" BEAM MASSIS SEE "Ia BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE X15, SHT. 1 FOR NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION TIE -DOWN INFORMATION no INSTALL GROUND ANCHOR INTO GROUND, LEAVING V-12" OF SHAFT EXPOSED. SPL GROUND' LINE #616 T.D.A STABILIZEI PLATE NOTE: VERTICAL OR -ANGULAf INSTALLATION IS OPTInNAI INSTA ON INSTRU CTYONS PAGE 04 D ETA I L `°A" (TYPICAL) 1, INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, ANCHORSUNTILL EFLUSH SHOULD BE INSTALLED BELOW FWITH STABILIZER ROST LINE. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. R CHECK FIRST FoR UNDERGROUND UTILITIES. PLACE STABILIZER PLATE `•` NEXT TO SHAFT BETWEEN ','--';".,"ANCHOR AND CHASSIS p:;<< BEAM, AND DRIVE, INTO r FINISH TURNING ANCHOR INTO THE GROUND UNTIL )'` :,•' ANCHOR HEAD IS FLUSH ' • WITH STABILIZER PLATE. •. ,; �; .. r .,..;: GROUND. THIS PROVIDES SECURE �,; :, PROTECTION AGAINST LATERAL. MOVEMENT. �r•••^••••••�rr�'�r�r•�r•��••...r�..^e.r.�•.,..r..�u�r.rr.rrr.. --- CONTRACTORS VERIFICATION — I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING -SYSTEM AS PER THE INSTALLATION I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE, INSTRUCTIONS. COMPANY NAME:CONTRACTORS DATE: -�- SIGNATURE,. -,._.r_ -�__-_--__-- Apr 07 04 01:00p p.9 STATE OF CALIFORNIA ' BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTN ENT OF* HOUSING AND COMMUNITY DEVELOPMENT $ DIVISION OF CODES AND STANDARDS ` REGISTRATION AND TITLING PROGRAM `"'"0E-. STATEMENT OF FAM This unit is a: 1XI Mobilehome 0 Commercial Coach Floating Home 0 Truck Camper. Decal (License) No.(s) Trade Name Serial No.(s) ggo-r rg rI e efwoo d B q0 I/We, the undersigned, hereby state: t O o Co- , CD -G © - (D t -1I &,� d re. t c>c c -+ed r` Po -r C CJ n.x -t o R o co C-0 - Co U-0 - 0 13 a R I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on at (Date) (City) (State) Signature(s) !1. /3-�� Printed name(s) CGR-uYz-en K P e s s -t' Address '4 t 5 0 ^� � � C -1 - Ci \ . State \ �.. p�QPRTMENT OA, 6UTTc° O ' 00 0 O O C �\ AcOU N�yy vecrc woP� Department C o u n t, J. Michael Crump, Director of Public o U B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. "CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE1 Project Description: Q)tmOv U� of c�-er. mob* le home c r.�.nd rq1LLI 4 1 ox - off -Project Location and/or Parcel Number: _ ()O_Co�CQ� _ 3 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and`fhat I, therefore, do not need to apply for 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: Dit, V--&-kJYd-Q Title: Date: \ k a q o') O©41 i Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 OWNED -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 IO NO O 2. I HAVEU . 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: D'I'Y: . - PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate,. supervise, and provide the major work NAM9: ADDRESS: —CITY.- PHONE: ITY:PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of thework but I have contracted (hired) the following persons to provide the work indicated: NAME . ADDRESS PHONE,. TYPE , O,F WORK NOTE: This Owner -Builder Yercftcation is required by Section 19831 and 19832 of the California Health and Safety Codes This verification must be completed and returned to our, office before we are permitted to issue the permit OVER - OWNER BUIELDER INFORMATION Dear Property Owner. O.B.— I An application for a building permit has been submitted in your name listing yourself as the budder of ProPmty improvements specified. For yourprotection, you should be aware that as "owner-bwlder" you are the responsible party ofrecord on such a permit: Building p=2h are not required to lie signed by property owners unless they are personally performing their own worm 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 Pernik 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 wad; with the exception of various trades that you plan to subcontract you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (mciudmg materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontz actors; then you may be an employer. ♦ If you are an employer, you must register with. the State and Federal Governments as an employer and you are subject to seveial obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and cloyment compensation contributions. ♦ There may be finan W risks far you if you do not carry out these obligations, and these risks are especially serious With respect to war's sensation iascnaace. ♦ Form= specific ia5omnation about yota obligations under Federal Law, Wntma the b9emal Revenue Service (and, ifyou 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 structr is intended for sale, Property owners who are not licensed contractors are allowed to perfom. their work personally or through their own employees, without a licensed contwtor or subcontractor, only under limited conditions. A fi wnt practice of unlicensed persons professing to be contractors is to secure an "owner budder' building Permit ply imps that the property owner is Providing his or her own labor and material personally. Budding permits are not required to be signed by property owners unless they are performing their own work personally. Infomabon about licensed cDnfractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm flint you are aware of these matters. The building permit will not be issued until the verification is returned. ly M 1 C. Vi ria, CB.O. Building Inspection NOTE: T ids Oww-Bur7der fafommlon is required by Seddon 19830 ofdce Cat famla Health and Safety Code OVER BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District t� / ► I (On / 11 i g°' (4 Vii' Building Department No. A.P. Number �j'�Q�D�"( J� jurisdiction: City County Property Owner , vY► (" l) (yn ,P/') )RPS r Property Location/Address Subdivision Residential Development ® ®*`- No of Living Mobile Home Units Installation Commercial/Industrial 0 Q No. 0 0 Addition/ 'Supplemental to Conversion Permit # *(No foundation Inspect Sq. Footage (Group R) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility, document) Sq. Footage (Including Exterior Roofed Areas) 7-- a i Date District Identification No. '" !" u SD School District certifies that (Applicant) V3.09,:�? Y (Street Address) (Phone Number) 9.5 97.3 (City) (State) (Zip Code) has complied with the requirements of Resolution No. pf ' by payment of $ representing W / square feet. 2926 $ FULL Mr1GATION ti + A; 21" School District Representative Date Paid by Check # /(/ Remarks: Notice: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, In compliance with Goverrunert Cods Section 66020(x), within 90 days from the date fess ars paid. Failure to submit a timely written protest wlll'prohlbk you from drtllanglng the Imposition of the foss In any court action. If, subsequent to the School District Reptsentadw signing this Butts County Schools Impact Fes Csrdficatlon Form, the School District is t. rlotllle'by the applicMe Local Planning Agency that this projen t Is being reviewed under the CalNomis Environmental duality Act (CEGA). this project n* be subject to additional school fess to fully mltlgeis.its Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) ' festorm.>ds 110/03)dmm rj RESIDENTIAL 006-020-154 PERMIT#96-1096 BESSER, Wylie & Flora 4560 Besser'Ct., Chico MHI Ex Site .i i JOB FINALED (Date) — Signature V=OK O = Not OK Not = NotRey 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-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / 112ft. / /Nat. or/ PL°ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s yloning Requirements- Setbacks Easements . Footings; Size -Spacing -Marriage line Gas; MH Test -Demand Valve -Connector lectricity; MH Test -Crossovers -Breakers -Clearances ,Vbrain; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector ;,'Water and Sewer Connected -C/O to Grade -HD Approval Y.' as and Electricity Tagged I Tie Downs -Type -Installation Cert. Exits; Insp.-Sketch ' 1 . 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-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S 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 - = Not Applicable Not Ready RESIDENTIAL. (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except ff's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth I 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel - Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n'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 a's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------------------------- -------------- ----- -- --- 23. Elec. Receptacles Spacing -Lights & Switches at Doors - ------------------------------------- --- ------ 24. Size Boxes & No. of Conductors -Stapled ----------------------------------------------------------- --- --- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------I------------------------------------- 26. Equip. Ground made up wjMech. Fastners-Bond Gas & Water ----- -- - -------------------------------- - .. ........ ... ... -- 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI --------------------------------------- ----- --- --- -- 28. Subteed Wire Size ga. Cu or AI -A.0 Wire Size ga Cu or At ------------------------------------------- - -- -....................... .. 29. Range Circ. r ' ga. Cu or AI -Oven Circ. r I ga. Cu or Al. Insulated Neutral ❑ Yes C1 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 R's 34. A.C. Ducts Insulation & Support ------ ---- -- ...... .... ... 35. Vent Fan: Exhaust above insulation -...- - .. --- - ....... .. 36 Condensate Dram & 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 -t Date Card B -t Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4 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 -Stags -Chases -Tub ----------- ....... ..- .. ._.. 44. Headers & Beam -Size & Bearing Date 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 Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. -Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------- ----------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. 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. Kil.Flxt. & 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. Wir. Hir.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection - ---- - ------------------------------ ---- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------ ----------------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection - ------------------------------------- 7, Insulation -Foam -Looked in Attic ❑ Yes -----_- --------------------------------------------------- 78. Guard Rads & Deck Construction -Post Caps --- --- --------------- ------------------------------- -- 79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes .. ... ... ... ...... . .. i--------------------------------- --- 80. Followinginstld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No --- ---------- --------------------------------- 81. Stucco. Brown -Finish .. _ .. - _ --..----------------------------------- 82 A C Unit: D sconnect. Electrical. Plumbing ... ... .. ... .. . .. ---------------------- 83. --- ------------------83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings - - - - - - - - --- ----------------------------- 84 Water Well. Disconnect, Electrical. Plumbing - ---------------------------- - 65 Exterior Elec Trim. G F.I. Receptacle -Underground . ..... .---- - ---- ------------------------------ 86 Ventilation Throughout House 87 Glass Protection 86 Corrections from Previous Inspections ... .-. ----------- -------------------------- 89 Gas Test -Meters Tagged: Gas -Electric --- . .. -- -- -------------------------------------- 90 Water & Sewer Connected -CIO to Grade -HD Approval _..----------------------------- 91 Energy Compliance Certificate -Other Certificates -- -- -- -- --------------------- Date Card B-1 Date Card B-1 . . ..._ . ............................... --------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 9�--/PERMIT f1O. APPLICATION AND PERMIT `7 li•��( ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE 899-2904 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3820 KERFLER RD, CHICO 95973 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 4560 BESSER CT CHICO PERMITFEE $ 43.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDrM*N'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [X 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 01 Other ❑ Describe Work: / —� M14r u st-If Mobile Home S G W T @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service ( Zoon oa LEss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 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 OC UP. SO. OR ( 8 ACC. BLDS. ) 3.50 FT. NEW CCNS. ONST. LTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( 8 SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL 0 .50 EX. Occup. (oFIXED RES D.) EA) 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 (rhe 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' compensatiorA provisions of section 3700 of the Labor Code, I shall fo h compty with se provisions. / X _ Date i.�— -�(e _ Sign ure of Applic t - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee is OCC CONST. TYPE I TOTAL FEE $ - D. FEES �. IMP FLOOD �— .-- CDF �— PARCEL PD HD ISs This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat bove for hich fees have been paid. q B_ Date ��✓ - / i0 y PERMITEXPIRESON - 13 (Date) Receipt No. j g�9 WHITE -171 D.S.-R.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F1 COUNTYOF BUTTE - DEPARTMENTOF DEyEI,OPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOkNIA95965 -' TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET 01- OWNER Z OWNER t _ -Ael CJS , ' A. P. No. OU(D—OZO ^ S4 Proposed Building Use M N Z n -h Cx;%i v,' SZL Building Inspector , a� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been sdbmitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .... :....................................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 set . ......... . � --� Fees of $ . ............... O .......... . =h Impact fees as shown on attached schedule..C�``- .............. 12. California Department of Forestry plan approval/fees. ....................... . 1 .Flood elevation letter (100 year flogd), y California Engineer. . . 4 Sanitation and plot plan approval Health Department . .......:....// 15. City of Chico plumbing permit. ....... . 16: Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . Pr ;sWel on requ� 20. Pre -inspection for ``• required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ............................ 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............. 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of ifif4rit on building use . ........................................ . 28. Mobilehome utility clearance . ............................... ?'......... . 29. Documentation of legal access . ........................................ . 30. Documentation of 50% subdivision developed or (A) Road improvements completed A and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. -'� .Plan check•li..... ............................... When you issue the permit, process as follows: Mail to owner. Mail to contractor. �elephone -29 a and hold for pickup at t t ccs office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date JT 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 1. Index permit for above items No. 2. Additional items required: uanco' (Circle new item not checked above). 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 G t -i a 0",3 Date S -Z2-5I G Plans approved by a�b= Date Sets of plans on hold in File cabinet 2, AP folder Copy - Department of Public Works yr Attention Property Owner: An "owner -builder" building permit has been applied for .in your name and bearing your signature. Please complete and returnthis 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[(] 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: CTIY• PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to._ provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: Q Of SOCIAL SECURITY NUMBER: .t. 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. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. - Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Si Irel ' Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the.California Health and Safety Code. OVER E.H. USE ONLY ^ Plat Planor AC�cLed FloPlea Anached Q f e'.-w '.Y • iI' Sens to B.D. TO: Building Department J FROM: Environmental Health SUBJECT: Sanitation Clearance , Owner Location AP# -Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other/o ,�JP 9�o.�i ` �✓i �v►'�- /2 X 6 O � � /QXdJ�i� �,/2�!/iri p /`oo. •-1 ©/�� • �'��i,�s��_ 1 , Hold final for: Final clearance O.K. for: NOTE: n ' onm tal :Health S st Date 8/92 M.H.I - 2 Mobilehome Manufacturer: c, qtn Anc+A Manufacture Year: 7 Ij If other than single wide, furnis u Model Number: Width:_(ft.) Length: (a0 '(ft.) Tagalong or Expando SizeLl(ft.) x_7- (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradeW Other: SUPPORTS: Concrete block[X] Other: Provide Tie Down Specifications for all Mobilehomes: /4 &SCo — Co rh 81wA 7 tcyi/ Pier Footings Sizes and Location. SINGLE WIDE MiULTI-WIDE Line 1 Line 1 Line 2 Line 2 Main Beams Line2................................................................................................ ine 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line 1 ................................................. ine S Tag or Triple ine 4 !T ine 1 Line 1 Piers: s Size minimum: r f x Spacing maximum: I f ` From ends -maximum: Line 2 Piers: Size minimum: [ f Z Tx 1.30 ]. Spacing maximum: S ` From ends -maximum: o ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): it nVj _Line_ ,Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: x Bol. Spacing maximum: ` From ends -maximum: Ia ` OVER FILE COPY 176 - /0 96 ` t3 M.H.I.-2 1. Owner's Name: ,� [(3Yr,- ., 1 2. Assessor's Parcel Number: 001,n d 2.. Q — 1,54 3. Installer's Name: ®( A) C 4. Is the site currently under permit? Yes[ ] NoM Permit No. 5. Is the site an existing site? Yes[] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 2©D Amperes. 7. What is the mobilehome site circuit breaker rating?__QC)LAmperes. 8. What is the electrical rating of the mobilehome site? 2ZC) Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] Nom ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] NoKA If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- 3 Amperes - 11. Type of as service at mobilehome site: Natural Pro ane None ] a YP g 4 [ ] P [�] [ . 12. Size of gas pipe at the mobilehome site from the meter or tank: 3 .t inches. 13. What is the gas pip''length from the meter or tank to the mobilehome?_0 (ft.). 1 I S 14. 'What is`the mobilehome gas demand? B.T.U.* *(This information is not. T.equ red if the pipe length 's less than 6 feet on natural gas or less than 50 feet.on propAhe). . THE OTHER SIDE OF THIS FORM MUST BE COMPLE'T'ED IN ORDER TO PROCESS THIS PERMIT APPLICATION " or, ±' May 1995 8.5 ._ _ ., .. -�... v Pry„�',t•�u*u+fs-�i°N1kw�eL'.;-+b�G�s^.;�-rt�r`�:.�+.n�,+..+,��i►%r�ro �c+��".y;h.1i'i.'v�1+d�+.`1..�"s""i�ilsi�rt:h'iT �I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Building Department No. A.P. Number 0.020 I SL Jurisdiction: City County Property Owner Property Locatic Subdivison Residential Development W No.'of Living Units Commercial/industrial g Department Representative District Identification No. Lot No. Sq.. Footage 8OL4- MHI Addition (Group R) R A� Sq. Footage New Addition (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) 5--Zo -% Date School District certifies that ( I (App scant) (Street Address) (Phone Number)n A,11A 62,5�//2�3 has complied with the requirements of Resolution No. representing o`Tirsquare feet. School Dis rict Rep (Zip by payment of $ L $ FU FULL MITIGATION $ Date Paid by Check # �%� Remarks: J0 I tA MA Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm ff BUTTS COUNTY PARRS DEVELOPMENT. FEE CERTIFICATION FORK CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number(s) . ()0(<)-C)ZC)-I6q Property Owner Project Location/.Address Subdivision Lot Number(s) Residential Development: (check one) New Development _Alteration/Addition• -/—\Mobilehome(s) Total Number of Dwelling Units Comment: i►i,(4{tA,JYl144y, AJ-00&C-tMG / q �VI.UIY��C Y�+7tiA Building Department Representative Date Chico Area Recreation and Park District(CARD) certifies that �. icant Name Non -Residential to to Residential '9d,1 Number) (S1reet Address) , (City) (`State) ( ip Code) has complied with.the requirements of Butte Co. Resolution No. 90-1400 by ` payment for dwelling units @ $1,189 for total payment of $ PA BANK N0. PAID BY CASH RECEIPT N0, Distribution: White --Applicant Pink --CARD I park.fee (form revised 11/90). Date Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. / ­ 60UNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. /� 4347 KZ ASSESS R PARCEL NU R C;2 - ZONING BUILDING PERMIT OWNER?) B /�e TELEPHONE ,SQ, FT. CC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAM TELEPHONE i CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEN ER UNKNOWN. Total allu n $ Illn Ce $ 10,00 LENDER'S MAILING ADDRESS it Fee $ _ ARCHITECT_ OR ENGINEER r ICENSENO. Ian Checking Fee Energy Plan CheckiW ee $ EN ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty Z 1 $ BUILDING ADDRESS Permit fee $ FI IIng Fee 10.00 � SEALPLUAd1qqAERMIT Ea Trap IV 2.00 Sol or 0,4 pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Wa pi ng 5.00 E water heater or vent 5.00 US� O VCC E SF ❑ Duplex❑ Mobilehom n SPECIFY G iping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00ea TYPE WORK New ❑ Addition ❑ Remodel ❑ ti lities ❑- Installation❑her} Describe work:�Ilu� A Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 I declare under penalty of perjury (check.one): CONTRACTORS LICENSE Lvi%lfull I am licensed under provisions of Chapt.. 3 of the Business Professions Code and my license is force and effect. License No. Classification ® I, as the owner; or my employees with wages s their sole compen- sation, will do the work, and the structure is n 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.BI) , OR ACDNS. ACC.BLDGS. /Z Osq ft NEW CONSTR U TI-OUTLET2,50 eaNON-RESID BRANCH CIRC ITS❑ POWER APPARATUSeand (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20®SOC BALO 30 FIXED APPLNS. 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. y� 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 FiIIng Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ IContractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection.purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said Count in,c sequence of the granting of this permi X — Date c� �S gnature o Applicant — Owner . Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- i,on of structures over 3 stories in height. Mobile Home Installation Fee $ \,Energy Inspection Fee $ TOTAL PERMIT FEE $ , occu P. CONST.TYPE FLOOD PARCEL PD I ;I ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. �e WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �, Fx COUNTY -OF BUTTE - DEPARTMENT OF,RUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Us Building Inspect Permit No. A. P. No. Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: A A/ DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . f. +t 2. PlotI plans in duplicate./triplicate, signed by preparrer sof ,plans. 3. Complete plans in duplicate./triplicate,+fsigned by reparer of plans. 11 4. Complete engineered plans and talcs, with wet, signature on plans. I 5. Plans with Energy Design Compliance StatemAnt. `� . . . . . 6. CUSD ''Fees Paid'' Stamp o_,n Floor Plan . . . . . 7 Statement of Intent for Non -Heated and ACJ Buildings. 8. Fees of $ A . . , . , 9. Letter of signature authq zatlon. . . . . . . . \ Sanitation approvalfrom 1A Health Dept. 11. Planning approval `d1 (A) Use: (B) Parking: t 12. Certificate of Wormen's Compensation Insurance. 13. Contractor's License Information (no., name st,,yle, classif.) 14. Owner -Builder Verifycation (G Ven to owner Mail to owner ❑ ), _15. Improvements may be required. . . A.M . . . , 16. Mobi lehome Installation Data. y . . . . . . Pre-Inspec. request to 17. Pre -Inspection for s , Required. Building Inspector (Date) 18. Recorded copy of Agricultural . 19. Driveway Permit. 20. Plot -plan approvaj,from city of 21. 22. gment Statement. T• When you issue the /e/rit rote as follows: Mail to owner, Mail to contractor. —' hone and hold foricku �Tele 7� ��7 p pickup a di -5 �Lfice, Deliver w/inspector. Other 3 Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit is nce: (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 Date Plans approved by Date' Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. TO: Building Department FROM: Environmental Health, Chico \ SUBJECT: Sanitation Clearance Owner Location AP# Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance O.A. for: water supply ; Clearance for bedroom mobile home. Other /S X D GL's/Q1/!�/ Note*** Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7,County CenteroDrive, Oroville, CA 95965 PHONE: 916-538-7541 Tim Besser 163 Cohaset Stage'Space 9 DATE�ct�h 19, 7987 Chico, CA 95926 RE:Permit application #1936-87 for awning - dated 6/15/87. Dear Mr. Besser: A.P. # 6-02-154 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER 1XXX We need the following information: Permit application.signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. XXX Complete plans in duplicate including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico. 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works F�.Glander Chief Building Inspector PERMIT NO. P E M MH UTIL. 7$7-74P, E PERMIT NO. PERMIT EXPIRES OWNER W. J. Be s ser i CONTR. Owner LOCATION (A.P. 44-03-5 ) E/S Hosier Ave.., 2 mi. N. of Nord Hwy. r 1 L Temp. Power Pole Called PG&E Temp. Elec. Serv. �� 4 Called PG&E-Q"`t�� 74 Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD i BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms! Parapets 1st Floor Main Bldg. Restroom Finish _ 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure,_ Gas Piping & Test — y' Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing -ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS Q �- v�� s� e*°�vvld"u��or v� c i A COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive —i Orovil, e, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT nLr BUILDING Owner �! r 4/ SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 49 Fireplace Contractor^_ Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ $ Building Address ✓ ? �-� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 C2, ero _ ..� �( / �' ,, %l�'�,E/� �.,1�, Each Trap 1.50 l Repair drainage or vent piping 1.50 Water piping 1.50 S Each gas water heater or vent 1.50 A. P. No. �) 'onZ �"' Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees VI -C. Sa re Dept. Fire Zone se Permit Building sewer fir, 5.00 EQA Parkin r e1� Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 ��.,/ g. P�s cid/ .s r Parcel Approval Plans Approval Permit Fee $ r� $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 4) Main service incl. 1 meter Additional meters, each 1.00 SUb-panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal%10 H Receps., switches & fix outlets b2�.Uffij CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Li ense No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. -'*/certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to building construction, and hereby TOTAL PERMIT FEE $ Q authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X P IA11A2,aJ_ at —0� D e gnatu of Permitee or Agent Receipt No. r7 e White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date/ g permit expires Date...../�/7. f .................. I Soo .......... A-1 S ep';c system a Butte C 't t 0 ------_qujrerme nty Health ue as per nents. a th DePt. Re- t ° PERMIT NO. 355-75 .(TO' TrLACE MH - THAT BURNED, UTIL._FINALED UNDER i' P PERMIT 787-74 on 4/16/74) i E M rMH UTIL. ' ,PERMIT NO. �. PERMIT EXPIRES OWNER V.J. Besser ;CONTR. English John Mobile Homes, Paradise 44-03-5 )LOCATION (A.P. ) e/s Hosler Ave. app. 3/4 mi, no: -of Nord. of Hwy., Chico ;i I. r S Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E �— Temp. Gas Serv.. Z 7 8 ? s v Called PG&E JOB yy L FINALED (Date) 11,0001 i (Signature) x COUNTY.OF,BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Z /J' - J Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer - . —7j Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings, Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Z — 1 O - 7` } Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service °L — / C ' -7 S Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS oqb & AS 7E47 � i �°�/� IC -51 L 1 C COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR F�s- 7 County Center Drive,-- OrQville, California 95965 Tel ephohe: 534-1)541 APPLICATION AND PERMIT /?� BUILDING SQ. FT. OCC. BUILDING VALUATION Owner Mailing Address • Telephone No. Fireplace Contractor /-/ ,_TO/-, /AM Total Valuation Mailing Address 67q00 G1 4,A e; Permit Fee Plan Checking Fee &/or Penalty ?AkAPISE CA, Telephone No. � �5 Permit Fee $ Building Address 5 03 L� 4 PLUMBING No. FEE PERMIT FILING FEE 3 'Yf i /u Q f—_JV64b Each Trap 1.50 �p O l.. Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 r Q pQ� A. P. No. 'y Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 f= s Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel M 60' R/W Im Provents Lawn sprinkler system 2.00 �g' Plans Rec'd Parcel pproval Plans pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 04 T/ &^Y Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20PboIio Receps., switches & fix outlets 20 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �] s��o�ISICt/_s�O1�fKJ %`/OL3lLE .��%�'%S Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 t9 0 .VZA gt yp Temp. Power Pole 5.00 License No. 2-�0 ��% �(2 Classification C, ,d Misc. wiring ❑ I -am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wo men's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 0 I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesTOTAL and State Laws relating to building construction, and hereby Tip) ST -4 vA/ 44 /7 30,00 . �0 PERMIT FEE $ Fi c3� Q authorize representatives of* the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. 1 '-4-11 1366 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS By Date u ding permit expires Date.......a.� ....................... l COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, California PHONE: 534-4541'°""' L;ength z z located within.4 ft. outside the rear MOBILEIiOZIE INSTALLATION I Utility third section of the mobile home r Lot Facilities on the left (road) side of the mobile Mobilehome Data H . Plot plan dimensioned, location of mobile 1. Length S Width /o _ home. 20' and utility connections? t. M ;E: . b G) Yes. No `OO Aft 61 m n. Vehicle Serial No. ^ 5'. M n rr rt M K LU rn N• Control No. O a w Feeder assembly'ampacity ,J 14 w o Permanent Wiring Connection -- =r. . Ampacity io d ;6H P Power supply cord (amps) Wr-/ P* Receptacle cam" Ampacity 3^,lam 3: Gas inlet size /c/ •`' 3. Gas: Natural LPGy' Mobilehome connector size y r� Gas riser size a% Capacity. q'14 4. Drain inlet size 34. Drain connector: describe on r`verse side 5. Water . riser .size :3 41f 5. Water connector: describe on reverse side 6. Are utility.connections located outside 6. I _ the rear 1/3 of the mobilehome within 1I I elw Roof live load psf. VThe-Bldq. Setback shall be 5 ft:. frac 3 he side property line and 50 ft. froi the centerline of the road, permittin a maximum of a 2 ft. save' overhanj M rt K (D rt 0 K d K w L;ength z z o MOBILEIiOZIE INSTALLATION INFORMATION Lot Facilities Mobilehome Data H 1. Plot plan dimensioned, location of mobile 1. Length S Width /o o and utility connections? t. / Manufacturer IYWCe �s`71' ��/—S'/►�//%L�e Yes. No `OO Aft 61 Vehicle Serial No. 2. Electrical.service equipment ampacity,Insignia Control No. O Circuit breaker`ampacity So 4" P 2: Feeder assembly'ampacity ,J 14 Permanent Wiring Connection -- Conduit size . Ampacity io d ;6H P Power supply cord (amps) Wr-/ P* Receptacle cam" Ampacity 3^,lam 3: Gas inlet size /c/ •`' 3. Gas: Natural LPGy' Mobilehome connector size y r� Gas riser size a% Capacity. 4. Drain inlet size 34. Drain connector: describe on r`verse side 5. Water . riser .size :3 41f 5. Water connector: describe on reverse side 6. Are utility.connections located outside 6. Designed loads: the rear 1/3 of the mobilehome within Roof live load psf. 4 feet of the left wall? Yes 4, --'_No Wind .load sf. If not, show dimensions. _. _ (only for *:obilehomes r.!anufactured after ' 7.. Is the mobilehome clear of septic tank, October. 7, 1973) leach fields and locatedoust ide public 7. Manufacturer's installation instructions? �9l0 t/ N utility easements? Yes o Yes No 7 %iroD�e 8. Do you propose to do other work on the. 8. -- ' bei-Jnta11ec1on - a - Will the mobile Iiome.� - -- property other than the mobilehome separate support structure. installation whit ill require a permitY Yes No Yes. No If so, specify r tW40 3-0*For plans and specifications of support system, see other side: le - ADDITIONAL CO1,T,!.7'%'TS Drain Connector, Describe __3 (2,4 t-1 4- J> I -- Water Connector, Describe LJ Aut LOAD BEARING SUPPORT AND VOOTING INFORMATION Pier Spacing Used Ma71mum Pier Load -2- Z'7 0 _s Maximum Column Load (multi -units only) its Soil Bearing -Capacity Z P> e 6> 7:F Footing Din-, ension Used TYPE OF PIER USED Steel Concrete Coacrete Block Other TYPE OF FOOTING MATERIAL USED Pressure Treated Wood Concrete Redwood (Grade) Other Approved Type flee :C44P Ify &Zeo 7V ax/a l -I' ' . A" 0^1 ^rKOM gild BUTTE CO,. y - BUILDING DEPAR. 'APPROVED PERMIT NO. 1031-78MHI- existing site " PERMIT EXPIRES�.�.! T� OWNER WALTER BESSER CONTR. owner a ' LOCATION (A.P. 44-03-154 ) NIS pri rd, app 400' off E/S Hosler Ln, app mi. N of Nord Hwy, Chico v t 5 _ Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Te p. Gas Serv. { Called PG&E JOB FINALED 7 (Date) V (Si ature) <I 9. Electrical A. Is service large enough to provide adequate amperage -.'to mobilehome (must equal rating of mobilehome with a minimum of 10 p) and other facilities on lot,. i.e.,,-water pumps, garage, cabana, etc.? Yes No_ B. Is there proper clearances around panels? Yes No C. Is power supply cord,or feeder assembly properly fused? Yes No_ as per the following procedure? Yes /� o_ D. Is continuity test satisfactory p g p _ N 1. De -energize electrical wiring system of the mobilehome at the pedestal 2. Make sure that the power supply cord" -or feeder assembly conductors, including neutral conductor, have been disconnected., _ 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding.conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and -appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the -power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off,card-and tag services. r� — MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No.f/`� State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_L�o 4. Is the mobilehome level? (Sec. 5088) Yes_j./No_ 5. Ifmor than a single unit, are crossover connections properly installed? (Sec. 5088) Yes V' No 6. Water A. Is flIN0 le connector of adequate size and properly installed (1/2" ID mlin.)? (Sec. 5566) Yes_ 't B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yeses No_ C. Backflow - If coach is not State. f California approved, does station have backflow device and pressure -relief valve? Yes o 7. Wastes and Drains A. 'Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes!tf­N`o_ B. Does it have minimum 4" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after run ng 3- lons of water through each fixture including washing machine standpipe? Yes o D. If *and ot State of California approved, does station have required trap and vent? Yes 8. Gas Pips Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobil ome gas line inlet without reductions -other -than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes Zo 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number.JA% $!-7 ` for the following location:til - 1 Owner Owner's Address •ev��`�' Mobilehome Mfg. �u-Model -f—r-,i ;Year �? , Insignia No. /-! E a v Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of -Public Works Date By •► -� ._ - _ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS '--BUILDING INSPECTION RECORD T BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall J Soil Piping Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows ' 3rd Floor Stemwall , Siding To out Slab Roof Sheathing Water PI in Piers ; , Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwall Garage Vents Insulation Water Htr, Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas PipingTest Temn. Gas Patio N I FIREP4CE I Final Footings I Footing ELECTRICAL Steel T IN Mesh MECHANICA Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts zUnderground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES. - - - i - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping W&BILEHOME INSTALLATION Support Elec. Continuity --�� Water Piping Drainage Gas Piping DATE RE RKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive . Oroville, California 95965 .> r Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. g.y'07 oz Date3r y %a Signature of Permitee or Agent Receipt No. —)00" White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte"County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR JO PUBLIC WORKS By Date�� tiding permit expires Date BUILDING OwnerWAQ:er &Sser SQ. FT. OCC. BUILDING VALUATION Mailing Address t �` �aTele hone l6 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Y) Plan Checking Fee &/or Penalty Permit Fee QO l S PLUMBING No. @ FEE t d Y (W"dV PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No.0-3 ''� '— J Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s S i n I Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA ParkinKir-Cel Plans ,Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5-00 Bldg. PI Recd Parcel Apfroval Plans proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ t S ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLLING BLDGS.CCUP. '1)22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y NEW coNSTR BRANCH CIRCUITS) NON.RESID (MULTI BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS B NON.RESI D. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES 5 L , Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 . I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®I certify that in the performance of the work for which this • permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 .00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ ry 0 K authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. g.y'07 oz Date3r y %a Signature of Permitee or Agent Receipt No. —)00" White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte"County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR JO PUBLIC WORKS By Date�� tiding permit expires Date PERMIT APPLICATIOR WORK SHEET DJ J � /��9�_ Permit No. OWNER l �(/�(p� A. P. -No'. Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of $ -------------------- 6 6. Letter of signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ' ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. -7 ---------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. - ---- �7. Pre -inspection request'for , �1 922 -- 18'. Improvements - plans required & DPW approval. ----------- 19. her ------ - By Date Bldg. Insp for During plan checking process, the following data. or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by _ Date L peryxt is issued, process as roiiows: p� 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup @ office. 5. Other Date received Before permit issuance, all of. the following items must be signed or marked NA: l.' Zoning. use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6., Other Agencies - Date Plans Sent A. Fire Dept. B. Other A.y i yj This set of plans and specifications MUST be kept on the job at all times and it is unlawful t, make any changes or'alterations}on same without wri+ten permission from the Department of Pub- lic Works, County of ,gutteq N All loutility cOr" (ions shall cated within 4 ft, third section o f the t outside the rear mobile home on the left -(road) side of the mobil home. . JY. /00 The . Setback shall be -5 ff froin the QQ ,pp side property line and 50 ft, from the lam( /,0;5/-'7t C of the road, permitti g a axi_13U l�•TE C OUN j.Y.:. mum of a 2 ft, eave overhang b ten irel out of all easements, y aUILDING DEPgQTME4j . r d MOBILEHOME SUPPORT DATA - If other than single wide, � Mobilehome Mfr. furnish Setup Model No. Yearn 472, Width'J...-2 (ft.) Box L 9th .(ft.) Tagalong or Expando Sizei ft. x ft. (SHOW SUPPORT..DETAILS BELOW) On all mobilehomes manufactured after October 7,`1973 furnish manufacturer'sinstallation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified: Footings (check one) Single' RT --1 Wood either pressure treated of r-� foundation grade. (ft.)(in:) (iri:) (in.) 2. Other (specify) Center su port Center su ort ' locatio s* footing s zes Supports (check one) (in.) Concrete block. 2. Other (specify) (ft.)(in) (in.) (in.).� !�-Tagalong or Expando, show support details. (ft.)(in.) (in.) '(in.) Typical Support ('in.) (in.) Footing Size x (ft.)( n.) �, ,: (in.in.) ��. �► __ Max. Pier Spacing y (ft.)(in.) Al< <. Max. Overhang (ft.Vin.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMP-N i APPROVED .*If center piers are other than drawn above, draw in locations, spacing; and dimensions. '011,` 11 . � BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: s S -2. Installer's name: 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR ' Is the site an existing site? Yes / '/ No (If yes, furnish two (2) plot plans.) 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 electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- e o Amps 7. What is the mobilehome site circuit breaker rating? ------------- �%,Z Amps 8. Is there any other electric Toad to be served by the mobilehome site service? --------------------------------------------------- Yes / / No /X / (If yes, identify the load and size: (Load) � p A42 (Amps) 9. What is the mobilehome site gas pipe.size?---------------------- (in.) 10. What is the type ofgas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? ,�./ (ft.) 12. What is the mobilehome gas demand?.------------------ (BTU) ------------ BTU (This information not required if pipe length less than 6 ft. on natural gas or less thari.50 ft. on LPG.) OSUINTY OF BUTTE — DEPARTMENT OF PL.IBL!C WORKS 7 County Center Driv:� - Groville, California 95965 Telephone: 534-1541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 4-6 .� 1_:a �� Date✓� Signature of Permitee or Agent Receipt No. (A White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod:Applicont This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By _ Date Building:.permit expires Date BUILDING _ Oevner Ca i�� L ss c'. r SQ. FT. _ OCC. BUILDING VALUATION _ _ Mailing Address LL VV 'et Tele hone Contractor Mailing Address Fireplace Total Valuation r Telephone No. - _Permit Fee 4 1 Building Address �( �I 2 Plan Checking Fee &/or Penalty Permit Fee $ $ �iC)0 0S tJ7 QLUMBING No. @ FEE t ! 6 AQ f - W W -11L PERMIT FILING FEE S3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 �-. A. P. No. 4— Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F6,'"kes kyXr Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 FQA Par'.c(ng plans Parcel Declaration Parcel Map 60' R/1Y Improvements Each additional ou t .30 Building sewer 5.00 Bldg. PI Lr�R c'd I Parcel Approval Plans Approval Lawn sprin -r system 2.00 NEW F] ADDITION E UTILITIES ❑ OTHER [a' per $ 1�' _°� �_ 1 S c. CTRICAL No. @ FEE ' �/ Single Family E] Duplex 0 Mobil Home LI2 Ot s P FILING FEE 53.00 F.'!�i oerViCe 600V OR LESS .CO AMP OP. Lc55 5.G0 Main service EA. ADD•L 100 AMP 2.501 - .i Main service OVER P O 25.00 100 ASAP OR LESS Main service EA. ADO•L 100 AMP 1.00 NEW CONST.DWELLING OCCUP. S OR ADONS. ( ACC. SLOGS. �Ysgft ` CONTRACTORS LICENSE LANON-RESID. I am licensed under the provisions of Chapter 9. Iv /Oftthe State of Ca!ifomia Business &Professions d un a name style of: License No— Class•,ica o NEW CONSTR. .MUL.TI.OUTLET � BRANCH CIRCUITS 2.5Gea NEW CONSTR. /POWER APPARATUS 8 NON-RESID. \SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI-RES) .A L@1 BAL210c FIXED APPLN5. OR Ex. Occup. (OUTLETS (RESID) EA) 2.00 Temporary service 10.00 Mobile Horne Facilities 15.00 Misc. Wiring 6.25 I am exempt from the Contractors Lice a Laws of the State of California. Perm!t Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Work men's Compensation. F] I have pieced on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Comipensation Laws of California. _ MECHANICAL. N,01 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hoed 2.00 Permit Fee S $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee S *TOTAL PERMIT FEE $ -50 T/Z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 4-6 .� 1_:a �� Date✓� Signature of Permitee or Agent Receipt No. (A White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod:Applicont This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By _ Date Building:.permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center DriyW Froville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. P Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By DIRECTOR OF PUBLIC WORKS Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20�2 bas Receps., switches &fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. P Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By DIRECTOR OF PUBLIC WORKS Date Owner COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive .- •Orctyille, California 95965Telephone: 534-4541 �O APPLICATION AND PERMIT BUILDING. SQ. FT. OCC. BUILDING VALUATION Mailing Address t"� !Q Contractor Qj w H e -- Mai I i ng Address Telephone No. Building Address Ca6�i�y " 44-03-f-0 A. P. N044 -oaf - _4' 46- / Zon P F Wsl W. `. Sanityton Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im Plans Declaration ` P provements PI ed Pdrr-e Approval P and s Approval NEW ❑ ADDITION ❑ UTILITIES e' OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Rr Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification ry 1 am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 02Date ✓.2 %12D ` l3 Signature of Per%te itee7 or Agent Receipt No.// 3 v / 5 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap, cooler, gar. lisp. or D. W. Air conditioner or heat pump Water pump Z 1-4, e , Mobil Home Facilities Temp. Power Pole Misc. wiring Permit Fee ' MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee @ FEE $2.00 2- 1.50 1.50 1.50 1.50 1.50 %,.5 --Cl .30 5.00 s DO 2.00 @ FEE $3.00 "a 00 1.00 1.00 1.00 bal20 fd?0 za EE. 1.00 1.00 5.00 y" 5.00 $ @ FEE $3.00 2.00 $ $ no TOTAL PERMIT FEE J$ 12-13-0 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Ptii(dinq permit expires DateZ�W�Z Xl J - Fl, R o9 -r B e- s s e y- sept:c System a to be as per Butte County Health Dept. Re- quirements. X All utility connection s1�1[ located within 4 ft. o.utsidd f -he ror third section' of the mobile hoMle on the ,left (road) site of tile r�owie home K C fhis set of plans and specifications MUST be kept gn the job at -all times. zhd. it is unlawful to make any changes or afteratibris on same without written permission from the Department of Public Works, County of Butte. BUTTE COUNTY 8UILDING DEPARTMENT APPROVED, 5,6 0 �4 lC,sG-7, 9' PERMIT NO... 1656-78B 1 PERMIT EXPIRES OWNER Walter BEsser CONTR. owner ,LOCATION (A.P. 44-02-154 N/S pri.rd..,app.40W'6ff.E/S Hosler Lane, app.2 mi.N.of Nord MIXI'Hwy, Chico .. n Temp. Power Pole Called PG&E A h Temp. Elec. Serv. IIled PG&E /Tem Gas Serv. alled PG&E LED ' (Date) (Signature) COUNTY OF BUTTE —'.DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD; - BUILDING BUILDING (Cont'd) PI; Setback — Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwalI Garage Vents Insulation Water Htr. Heaters Slab Prov. for physically handicaooed Appliances Carport Footings Slab Patio Footings 7 Maso6ry Walls Reinf. Steel of ex. Gas Piping & Test Temp. Gas f--7 Sanitation FIREPLACE Final ,. EL I Motors C Mesh ME11ZHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS CouiSty Center Drive — Oroville, California 95965 Telephone: 534-45+31 APPLICATION AND PERMIT A6 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. .sY.y., ,Y-2464"Al Date ° >� Sigpll re of Permi-feeloorr Agent If Receipt No. I r ` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 01nPUBLIC WORKS By Date! t B flding permit expires Date �� —Ii- 7y' BUILDING OwnerWalte4-'Gess er SO. FT. OCC. BUILDING VALUATION Mailing Address �-Fr Tcl hone ao, Contractor 1A Qh— Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Pr) Plan Checking Fee&/or Penalty Permit Fee ®® �Z b S Aw. PLUMBING No.1 @ FEE I Af I LO �54 PERMIT FILING FEE $3.00 Each Trap 1.50 1 el Ceo Repair drainage or vent piping 1.50 A. P. No. — Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F W. Si tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 0' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI ns Rec'd Parcel A proval Plans pprovol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ h h ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADD'L 100 AMP 1.00 OR AODNS. ACCNEW CONST. LBLDGS.LING CCUP. Y) 2¢Sgft L CONTRACTORS LICENSE LAW 1 am licensed under the provisions of. Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le of: style TLET NEW CONSTR BRANCH CIRCU NON.RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occur){OUTLETS OR FIXTIIRES 5 L� Ex. OCCU FIXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. j� I certify that in the performance of the work for which this 'A+ permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ 0� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. .sY.y., ,Y-2464"Al Date ° >� Sigpll re of Permi-feeloorr Agent If Receipt No. I r ` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 01nPUBLIC WORKS By Date! t B flding permit expires Date �� —Ii- 7y' aP NOTE —All Materials & Workmanship Shale Be in Accor ance witk. Recoanie he Soecif'ed Good Practices in. the Of, a uality nrescr'bpr forc o Unifo m Building, Plum�'nq & Machanical Codes and the National Electrical Code. s cans and specifications MUST ba this cet of p 6 sept on the job at all times and it Is > un6wf"I to I of :nuke any changes or alterations an sarru4 without. Thel Setback shall be S ft, from the writtei permission from the Departments •of Public side property line 'and ' 5a ft. from the Work;, County of Butte. centerline of the road, permitting a maxi- i;iur1.-► .0f a 2 ff. eave overhang but entirely out of all easements. l �o o �0„ �0 0 vT' Fi y E i i i ' l BUTTE COUNTY I ' 1 AppRQVP - � 4-1 f D P '• � N ' r - 00 ru - u, f r - 00 r - 00 • 13 130, A yt/�� dz q 1 Al-fete- I' y PERMIT NO. 9 PERMIT' EXPIRES ` OWNER 'STM Rg5!�RR CONTR. ��Je ASSESSOR PARCEL 6 92 154 LOCATION 4560 Bessef Gt, Chiee • OFFICE COPY Address r � GAS ��,,�,�2 Meter By Da ELECTRIC Meter By Date Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E' G JOB FINALED (Date) �f Signature = OK 0 = Not OK ` = Not Readyable MOBILE'HOMES' " MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Dale: DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements, 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3: Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders -and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4: Wood Awn.; Posts:Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft.. / /"Nat. or/ • /"L"ft./ /"LPG S. Alum.'Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 . Date Card -81 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date M I EHOME INSTALLATION Plans OK except #'s oning Requirements -Setbacks -Easements ' Card -131 Date Card -B1 Date . Footings; Size -Spacing -Marriage Line Card -131 Date Card -91 Date 3 s MH a Demand -Valve -Connector E ctricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s r in; MH Test -Fall -Flex Connector 1. Setbacks -Easements W.Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure. Stability . Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8 Gas and Electricity Tagged 9 Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI .in Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater - 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in'Conduit Card -131 Sr, Date �gCard-131 Date Card -81 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -131 Date Card -131 Date Card -131 Data = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Appplicable = Not Readys Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth ' 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors' 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Ancho.rs-Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub &.Shower, 2nd Floor-Tvb Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -B1 Date Card -131 Date 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mach. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -131 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -81 Date Card -81 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) r - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS "--� 196 Memorial Way, Chico — Phone: 891-2753 7. County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE -d7 RMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date `' f ` 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /PE 0. 7 County Center Drive - Oroville, Califorrfia 95965\- Telephone: 916/538-7541 c] APPLICATI OGNI D"PERMIT c4e ASSESSOR P RCEL NUMBER S" Z I G BUILDING PERMIT OWNER i TELEPHO E SO. FT. OCC. BUILDING VALUATION OWN R'S MAILING ADDRESS CONTRACTORISN ME r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEN ER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T OR ENGINEER LICENSE NO. Plan Checking Fee - $ Energy Plan Checking Fee $ _ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PERMIT Filing Fee 10.00 /�PPLUMBING Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAVEL MAP 5ryi Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome;4 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: �ef��7r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'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� 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) E] 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F -1I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.. New CONSTR.(A ) , h¢sgft UC TBI ODUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS &) \SINGLE OUTLET SIR. Ex. Occup(OUTLETS OR FIXTURES eAL030 MAL@ 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 1)).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. 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 agai said County ' co equence of the granting of thi%RPJ.M;t. X Date dNe Signature of pplicant — Owner ® Contractor ❑ Agent E]work 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 $ TOTAL PERMIT FE $ occuP. CONST.TTPe I� F o AR PD No ssuE This permit is hereby issued under sions of the Butte County. Code and/or icated above for which R TOR OF PUBLIC 0/� By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. 5'� WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location AP# Plan approved for: sewage disposal water supply v Hold final for: water supply Final clearance O.K. for: water supply Clearance for 2 bedroom Cobile home Other Note*** Sanitarian ��, �v Date ...�-. _. .. +s.. „ ,.:a- • 4� .,.q -«.;. S".t .� i�. i, ^,� •i. m✓:. _'ik .. i..,. .J"'.':s ::� .a,i. ..p.7A° .. .Ys<A COUNTY OF' BUTTE- DEPARTMENT.OF PUBLIC.WORKS - BUILDING DIVISION� 7 COUNTY CENTER DRIVE - OROVILLE, CP.LI,V-6A jtAk5965 - TELEPHONE. 916%534-4541 i PERMIT APPLICATION -DATA SHEET / Permit No. / 1 OWNER ��/?�� %3C� C A. P. No. Proposed Building Use /�%- Building Inspector Date � 4 .At time of permit application, I was advised the following data must be submitted prior to permit processing aq /or issuance: DATE RECEIVED APPROVED ` 'T. All items have been submitted. . . . . . . . . . . . i� 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. Plans with Energy Design Compliance Statement. . . . . . t 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . �f� Letter of signature authorization. . . . . . . . . . . �61@: Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking:—�7-d'7 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) . 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Date) Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the ermi4t.pr�oces as follows: Mail t owner, Mail to contractor. Telephone and hold for pickup a�,fice, Deliver w/inspector. o Applicant �fG"" Date ZI5 Copy of plans sent Health Dept:, Fire Dept., Other Date The following data must be submitted prior ermit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—mail counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW i COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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) �S , 2. I (have/have not) L,� J`t, 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 e__ 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 �ON � Signed: Property Owner Social Sec ri Nu r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to out office before we are per- mitted to issue the permit. I ' � 1 I I 1 I 1 1' �' I •. co 1� —a--+—Ll$�i ¢#-_ res -on F o n PI---- i`._t=_ ip 'I ~ ermisjion from he'De' a—dti - n e#' Eib1tes; ji-d ---1 er cls GOVICE fit t I ITs e ui ' pl e I eci�f led.. -use-iln - }fie' ; cit�IC b�ng� �` -7— o ' I fit - — – --U NItl ' - , eon eztroris s�af the - -T- _I - jdiecl i i y e ind_or_.wsthia # e.- rear--;—_.-- ' ' � I I ---• —j—' --� -i- -- - • -- - � f tle__a..--� -- - _fit ; _.�.._;_ : _:�' _.,_._..�--•► - - Ickf#: f -t a i` -1r -- I _- - bi "vj-- 'nes._amd s$tb cki s jructu res r _� 50 SQ. FT. MlI FOR'MOBILE _----- _� __ a o e ;3 151 l:/ �'.� I `�,�Q li�. �'-, / i; i. •.'^,•. -��' s I v i ', I: ' III ; ( -� - u� -• --- _-._.--- . --- �- -_ PRA J. LP d - � - ...E—• . • , i,,t . ;. .; ; .i � • , - ; . rhe /9��'�7 � ; i � l LY ; I I .�7 v r :n ... { w I�a+ = IIj ._ I— �f I Ni,�•. v. '+'.I 1 . �r. , t n• Ir•� r t `IOC: I� ' I ; I f s•!+ ,, BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. - Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes / / No 71177 (If yes, furnish permit number ) OR r Is the site an existing site? Yes No (If yes, furnish two (2) 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 X. No :~ (If no, clarify 5. What is the mobilehome electrical rating? 6. What is the mobilehome site service rating? -=--------- 7.. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be'served by the mobilehome s site service? --------- Yes / No (If yes' identify the load and size: (Load) (Amps)' 9. What is the mobilehome site gas pipe size? ---------------------- 3 (in.) ; 10. What is the type of gas service? -------•--=------------------- Natural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 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.) MOBILEHOME SUPPORT DATA �.- If other than single wide, Mobilehome Mfr._ furnish Setup Model No. Year N idtht.) Box Length f0� (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973,• furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either t .� Afoundation ' pressure treated or grade. (ft.)(in:) (in.) (in.) 2. Other: (specify) Center support Center support Supporta.(check one) locations* footing. sizes (in.) 1: Concrete block. x .2: Other. (specify) (ft.)(in.) (in.) (in.) j (ft.)(in.) • (in.) (in.) Tagalong'or Expando,' show support details. x , -- Typical Support in. (in.) Footing Size (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.) (in.) (in.) Cin.) (ft.)(in..) AUILDING DEPARTMENT APV *If center piers are other than drawn above, draw in locations, spacing, and dimensions. STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE-MOBILEHOME DFCALNO. 1 AKIR9A ll� NAME/I1)jiAQ��Qh1E 3. '- MODEL ` 00DOM /00/72 DOT 12DFS /31/72 SPC EXPIRATION U S0004 SERIAL NUMBER M2 LABIEL/OINSIGNIA NUMBER Wild O SWO 00710 OOb144 03/1/87 w4 EXEMPT SFDE LPT 1 5. A') CURRENT,MAILING ADDRESS 163 COHASSET STAGE SP 9B) x'u CITY caole '*CNTY ST ZIP 2 3 CHICO ;CA 95926 r TOTAL 4 RELEASE OF REGISTERED OWNERg FEES 163 COHASSET STAGE SP 9 5 tCITY' CNTY ST ZIP PAID: 6 #�' t PURCHASE `PRICE DATE ",�.�s Wim_'`: � s , �� j ,{ ..q• { � $38.00 \\ I �(��: x ywc .� 1{ � � A D 0 R E S S E G M I A S I T L e R E D . 0 S W. I N T Eu R S L E G A L O W N E R BESSER TIMMOTHY J/ R E 3. '- CARMEN K JTRS RELEASE OF DEALER 163 COHASSET STAGE SP 9 ** NEW REGISTERED OWNER, FILL IN ITEMS 4 - 9 ** CHICO CA 95926 4.A) _ AND Ok,B•1 �M m• Al. - NAME - PLEASE PRINT BESSER TIMHOTHY J/ CARMEN K JTRS 01 5. A') CURRENT,MAILING ADDRESS 163 COHASSET STAGE SP 9B) x'u CITY caole '*CNTY ST ZIP CHICO ;CA 95926 FUTURE MAILING ADDRESS RELEASE OF REGISTERED OWNERg .sskz ):,,n<t.A,� a,�¢ 'k LOCATION. ADDRESS 163 COHASSET STAGE SP 9 tCITY' CNTY ST ZIP CHICO CA 95926 � #�' t PURCHASE `PRICE DATE ",�.�s Wim_'`: � s , �� j ,{ ..q• { � \\ I �(��: x ywc .� 1{ � � NEW REGISTERED OWNER SIGNATURE *** NEW LEGAL OWNER;' FILL IN ITEMS 10 - 12 *** �).',t✓� 10 A) 7 J U F N I I R O S R T L I E N S N E O C L O 0 N E D R Ra�� a�. .3.:Mki]i A'w]J..brw.:.MwxA•wi. �) ' •. NAME - PLEASE.PRINT RELEASE OF LEGAL OWNER 11. <' ADDRESS B) RETENTION OF LEGAL-OWNERo12. s NA, vi"" CITYs CNTY ST ZIP C) i 4"+'•xK�:. NEW iST JRA LIENHOLDER, FILL IN ITEMS 13 ASSIGNMENT OP LEGAL OWNER > a ""• - 3 o 'NAME - PLEASE PRINT THIS OF 14 ADDRESS � 15. CITY CNTY ST ZIP *** NEW 2ND JR. LIENHOLDER, FILL IN ITEMS 16 - 18** 16. NAME - PLEASE PRINT 17. 18. - ADDRESS CITY CNTY ST ZIP IMPORTANT 01-072-00624 CERTIFICATE'OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED 'UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0100161 N ay N DC) (0 wDSL I,514_0-. ` t !' CERTIFICATION OF COMPLIANCE WITH CHICO UNIFIED SCHOOL DISTRICT RESOLUTION NO. 340-87- CUSDNO._ ti.., . Chian UnAied School Ofitr`ict certifies that rim PSS ,J2 343—q3ZE FiRceit a pI Cant (Phone no.) s0w0an esa)80 with the requirements of (?iP) No. 340-67 regarding r i- detgtiN or Commercial/industri nuts) on Ostcel No. '" by Me payment f fees of 0 .(r�epremantting �"O square feet. _ (J ll e USD r " re ntative y K�N� CERTIFICATION OF COMPLIANCE WITH CHICO UNIFIED SCHOOL DISTRICT RESOLUTION NO. 340-87- CUSDNO._ ti.., . Chian UnAied School Ofitr`ict certifies that rim PSS ,J2 343—q3ZE FiRceit a pI Cant (Phone no.) s0w0an esa)80 with the requirements of (?iP) No. 340-67 regarding r i- detgtiN or Commercial/industri nuts) on Ostcel No. '" by Me payment f fees of 0 .(r�epremantting �"O square feet. _ (J ll e USD r " re ntative y s Q ..J e'I 1 L_ pig t A 10.07'• e•oY• a u _ –L Y' •Y KH m s 2 m 0r m , 1 f` 1 Q r r Bonus Room Addition GREGORY A. P E I T Z 1 N f ° #F l u )A For: Tom and Tiffini Salyer ARCHITECT r At: 4560 Besser Court, 393 Rio Undo Me. Chico, CA. 95926 (530)894-5719 Chico, California Email:gregpellz@sbeglohal.nel LW30/20188:89M- 9 I 1j ;; 1� U M 3 r r O z $"$ 3 WtA t�yia` z HIM -1 IN HiM PON Mid �> �� Aub � � � ��� �ri� � s ; $���� ` �e�� ��u ;,,,__„ �� � a ��� a • IV 30/20U 8:89:32 - o l 8� `RFsm Bonus Room Addition GREGORY A. P E I T Z 'c For: Tom and Tiffini Salyer ARCHITECT e a N iii z At: 4560 Besser Court, JeJ Rio Undo Ave. CAIm, CA. 95926 (530) 894.5719 /q a� Chico, California Emall: gregpvllz®sbeglobal.net IV 30/20U 8:89:32 - MINIMUM EROSION AND SEDIMENT CONTROLS FOR PROJECTS DISTURBING LESS THAN ONE ACRE G-10 THE BMP'S (BEST MANAGEMENT PRACTICES) LISTED BELOH MUST BE IN PLACE DURING THE RAINY 5EA50N (OCTOBER 15 THROUGH APRIL 15) AND MAY BE REQUIRED AT OTHER TIMES BASED ON HEATHER AND SITE CONDITIONS THROUGHOUT THE YEAR. THE BMPS LISTED ARE MINIMUM REQUIREMENTS AND ADDITIONAL BMP'S COULD BE REQUIRED BASED ON SITE CONDITIONS. I. STABILIZED ENTRY: PROVIDE MINIMUM 5" TO b" FRACTURED ROCK 50' LONG x 15' WIDE BY 6" DEEP OVER CONSTRUCTION GRADE FABRIC. 2. ALL SOILS TRACKED ONTO PAVED ROADWAYS MUST BE CLEANED ON A DAILY BASIS. WHEN STREETS ARE WET OR DURING A RAIN EVENT THERE SHALL BE NO TRACKING OF SOILS ONTO THE STREET. 5. WATTLES SHALL BE INSTALLED PROPERLY, BEHIND CURB OR SIDEWALKS. 4. ROCK BAC75 (MINIMUM 2 PER SIDE) AT ALL DRAIN INLET LOCATIONS WITHIN 150' OF THE PROJECT SITE. S. INTERNAL FILTERS SHALL BE PLACED IN51DE EACH DRAIN INLET. 6. TRASH BARS SHALL BE PLACED ACROSS THE BACK OF ALL DRAIN INLETS. i. STABILIZE ALL DISTURBED SOILS IN THE FRONT YARD AREAS WITHIN 15' OF THE BACK CURB OR 51DEHALK. (STRAW OR EROSION BLANKETS MAY BE USED FOR THIS APPLICATION) 8. STABILIZE ALL SLOPES WHERE EROSION COULD OCCUR AND CAUSE SILT RUN OFF. (STRAW, V 15OUEEN OR ER05I ON BLANKETS MAY BE USED FOR THI5 APPLICATION) 9. ALL PAINT, FUEL, CONSTRUCTION PRODUCTS ETC. SHALL BE STORED IN A COVERED LOCATION AWAY FROM SIDEWALKS AND STORM DRAIN INLETS. 10. PORTABLE CHEMICAL TOILETS IF PROVIDED ON THE 51TE MUST BE KEPT OFF OF STREETS AND SIDEWALKS AND A LEAST 50' FROM THE NEAREST STORM DRAIN. 11. ALL TRASH MUST BE COLLECTED AND STORED PROPERLY. DO NOT LET ITEMS SUCH AS DRYWALL MUD BOXES, PAINT BUCKETS, CLEANING MATERIAL CONTAINERS, ETC. COME IN CONTACT WITH ANY RAINFALL OR STORM WATER RUNOFF. 12. PROVIDE A DESIGNATED AREA FOR CONCRETE WASHOUT. HAY 5AIL5 LINED WITH VISGUEEN MAY BE USED FOR THIS APPLICATION. ROLLAWAY BINS MAY AL50 BE USED. ALL CONCRETE WASHOUT SYSTEMS SHALL BE PLACED OFF OF THE PAVED STREETS. 15. AFTER INSTALLATION OF THE ABOVE ITEMS ARE COMPLETE, A MAINTENANCE PROGRAM NEEDS TO BE DEVELOPED TO INSURE THE CONTINUED EFFECTIVENESS OF YOUR BMP'S. t r 263.1 I' i \ 269.1 I' \ BE55ER COURT / --------- \ �\ — — — — — — 51TE PLAN I " = 50'-0" OWNER: Tom and Tiffini Salyer 51TE INF0:4560 Besser Court SHEET GREGORY A. P E I T Z ADDRE55:4560 Besser Court Chico, California ARCHITECT Chico, California 5.0 ACRES 383 Rio Lindo Ave. Chico, CA. 95926 (530) 894-5719 PHONE: (550) 624-510`1 APN: 006-660-013 -of: ONE MINIMUM EROSION AND SEDIMENT CONTROLS FOR PROJECTS D 15TURB 1 NG LESS THAN ONE ACRE G-10 THE BMP'S (BEST MANAGEMENT PRACTICES) LISTED BELOW MUST BE IN PLACE DURING THE RAINY SEASON (OCTOBER 15 THROUGH APRIL 15) AND MAY BE REQUIRED AT OTHER TIMES BASED ON HEATHER AND SITE CONDITIONS THROUGHOUT THE YEAR. THE BMP'S LISTED ARE MINIMUM REQUIREMENTS AND ADDITIONAL BMP'S COULD BE REQUIRED BASED ON SITE CONDITIONS. I. STABILIZED ENTRY: PROVIDE MINIMUM 3" TO V. FRACTURED ROCK 50' LONG x 15' HIDE BY 6" DEEP OVER CONSTRUCTION GRADE FABRIC. 2. ALL SOILS TRACKED ONTO PAVED ROADHAY5 MUST BE CLEANED ON A DAILY BA515. WHEN STREETS ARE WET OR DURING A RAIN EVENT THERE SHALL BE NO TRACKING OF SOILS ONTO THE STREET. 3. WATTLES SHALL BE INSTALLED PROPERLY, BEHIND CURB OR 51DEWALK5. 4. ROCK BAGS (MINIMUM 2 PER SIDE) AT ALL DRAIN INLET LOCATIONS WITHIN 150' OF THE PROJECT SITE. 5. INTERNAL FILTERS SHALL BE PLACED INSIDE EACH DRAIN INLET. 6. TRASH BARS SHALL BE PLACED ACROSS THE BACK OF ALL DRAIN INLETS. 7. STABILIZE ALL DISTURBED SOILS IN THE FRONT YARD AREAS WITHIN 15' OF THE BACK CURB OR SIDEHALK. (5TRAH OR ER05ION BLANKET'S MAY BE USED FOR THI5 APPLICATION) 8. STABILIZE ALL SLOPES WHERE ER05ION COULD OCCUR AND CAUSE SILT RUN OFF. (STRAW, V15GUEEN OR ER05ION BLANKETS MAY BE USED FOR THI5 APPLICATION) q. ALL PAINT, FUEL, CONSTRUCTION PRODUCTS ETC. SHALL BE STORED IN A COVERED LOCATION AWAY FROM 51DEWALKS AND STORM DRAIN INLETS. 10. PORTABLE CHEMICAL TOILETS IF PROVIDED ON THE SITE MUST BE KEPT OFF OF STREETS AND SIDEWALKS AND A LEAST 50' FROM THE NEAREST STORM DRAIN. 11. ALL TRASH MUST BE COLLECTED AND STORED PROPERLY. DO NOT LET ITEMS SUCH AS DRYWALL MUD BOXES, PAINT BUCKETS, CLEANING MATERIAL CONTAINERS, ETC. COME IN CONTACT WITH ANY RAINFALL OR STORM HATER RUNOFF. 12. PROVIDE A DESIGNATED AREA FOR CONCRETE HASHOUT. HAY BAILS LINED WITH VISGUEEN MAY BE USED FOR THI5 APPLICATION. ROLLAWAY BINS MAY AL50 BE USED. ALL CONCRETE HA5HOUT SY5TEM5 SHALL BE PLACED OFF OF THE PAVED STREETS. 13. AFTER INSTALLATION OF THE ABOVE ITEMS ARE COMPLETE, A MAINTENANCE PROGRAM NEEDS TO BE DEVELOPED TO INSURE THE CONTINUED ' EFFECV VENESS OF YOUR i3MP'S. 263.1 I' i \ \ BE55ER COURT / 00 ----------- \- - - - - - - - --- 5177E - 51TE PLAN II = 501-0II OWNER: Tom and Tiffini Salyer 51TE INFO -4560 Besser Court SHEET GREGORY A. P E I T Z ADDRE55:4560 Besser Court Chico, Collfornio ARCHITECT Chico, California 5.0 ACRE5 383 Rio Lindo Ave. Chico, CA. 95926 (530) 894-5719 PHONE: (550) 624-510a APN: 006-660-013 of: ONE MINIMUM EROSION AND SEDIMENT CONTROLS FOR PROJECTS DISTURBING LESS THAN ONE ACRE 6-10 THE BMP'S (BEST MANAGEMENT PRACTICES) LISTED BELOW MUST BE IN PLACE DURING THE RAINY SEASON (OCTOBER 15 THROUGH APRIL 15) AND MAY BE REQUIRED AT OTHER TIMES BASED ON HEATHER AND SITE CONDITIONS THROUGHOUT THE YEAR. THE BMP'S LISTED ARE MINIMUM REOUIREMENTS AND ADDITIONAL BMPS COULD BE REQUIRED BASED ON SITE CONDITIONS. 'I. STABILIZED ENTRY: PROVIDE MINIMUM 3" TO 6" FRACTURED ROCK 50' LONG x 15' WIDE BY 6" DEEP OVER CONSTRUCTION GRADE FABRIC. 2. ALL SOILS TRACKED ONTO PAVED ROADWAYS MUST BE CLEANED ON A DAILY BASIS. WHEN STREETS ARE WET OR DURIN6 A RAIN EVENT THERE SHALL BE NO TRACKING OF SOILS ONTO THE STREET. 3: WATTLES SHALL BE INSTALLED PROPERLY, BEHIND CURB OR 51DEHALK5. 4. ROCK BAGS (MINIMUM 2 PER SIDE) AT ALL DRAIN INLET LOCATIONS WITHIN 150' OF THE PROJECT SITE. 5. INTERNAL FILTERS SHALL BE PLACED IN51DE EACH DRAIN INLET. 6. TRASH BARS SHALL BE PLACED ACROSS THE BACK OF ALL DRAIN INLETS. 'i. STABILIZE ALL DISTURBED SOILS IN THE FRONT YARD AREAS WITHIN 15' OF THE BACK CURB OR SIDEWALK. (STRAW OR EROSION BLANKETS MAY BE USED FOR THIS APPLICATION) 5. STABILIZE ALL SLOPES WHERE ER05ION COULD OCCUR AND CAUSE SILT RUN OFF. (5TRAH, VISGUEEN OR EROSION BLANKETS MAY BE USED FOR TH15 APPLICATION) . q. ALL PAINT, FUEL, CONSTRUCTION PRODUCTS ETC. SHALL BE STORED IN A COVERED LOCATION AWAY FROM SIDEWALKS AND STORM DRAIN INLETS. 10. PORTABLE CHEMICAL TOILETS IF PROVIDED ON THE 51TE MUST BE KEPT OFF OF STREETS AND SIDEWALKS AND A LEAST 50' FROM THE NEAREST STORM DRAIN. 11. ALL TRASH MUST BE COLLECTED AND STORED PROPERLY. DO NOT LET ITEMS SUCH AS DRYWALL MUD BOXES, PAINT BUCKETS, CLEANING MATERIAL CONTAINERS, ETC. COME IN CONTACT WITH ANY RAINFALL OR STORM WATER RUNOFF. 12. PROVIDE A DE516NATED AREA FOR CONCRETE WASHOUT. HAY BAILS LINED WITH V15OUEEN MAY BE USED FOR THI5 APPLICATION. ROLLAWAY BINS MAY AL50 BE USED. ALL CONCRETE WASHOUT SYSTEMS SHALL BE PLACED OFF OF THE PAVED STREETS. 13. AFTER INSTALLATION OF THE ABOVE ITEMS ARE COMPLETE, A MAINTENANCE PR06RAM NEEDS TO BE DEVELOPED TO INSURE THE CONTINUED EFFECTIVENESS OF YOUR BMP'S. 263.1 I' \ BESSER COURT / ----- � ----.` / 51TE PLAN " = 50'-011 OWNER: Tom and Tiffini Salyer 51TE INFO:4560 Besser Court SHEET GREGORY A. P E I T Z ADDRE55:4560 Besser Court Chico, California ARCHITECT Chico, California 3.0 ACRES 383 Rio Lindo Ave. Chico, CA. 95926 (530) 894-5719 PHONE: (530) 624-3gOq APN: 006-660-013 of: ONE T 1 PLANNING DIVISION - BUILDING PLAN APPROVW, Use:(Q__._ Date: Parking: ndscaping: Other. Signature: 97 x A— ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN. CHECKED ) SHALL COMPLY WrrH CURRENT EDIT110N OF NEC, UMC AND UPC. r i o cd OcLD 1 V c m cc CL= E �7 c rn in a=r t ¢ ao M W t 5 : rho O FC..o 6p NOTE: See the attached Re uirements 2 Pages M� m RUILDING DEPART`�. P i o cd �7 M --(Z� t 5 : rho O FC..o 6p NOTE: See the attached Re uirements 2 Pages M� m RUILDING DEPART`�. P SITE PLAN Did© ©®o o Assessor's Parcel Number: o ❑ — ❑ ❑ ® Scale: 111 Owner Name --I- LM -t C�- Address / Phone No. 4 1��S c C a "� L C�b Ci -7,7 Site Location C "v, � (n R :k C�)ci-1J _ Contac: Name 7-',,--n oPhone 04*ba U 2= FOR OFFICE USE ONLY Zoning: General.Plan Desig: Size, Acres 4.00° PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: Assessor's Parcel Number 1:1111:1 — 1-11:11:1 — ❑ ❑ ❑ Scale: 1" = 5 Domer Name r% m 4 t11 ,Qpr-1 en Address/ Phone No. f550- V S s ter- frju'r a 5 73 Site Location .—YO 6 Q 15 Cl/. ,ontact Name Phone `l3- D qd 5° FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: