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HomeMy WebLinkAbout021-230-03421-23-34 H. G. Yarbrough Permit #2551B (repays) H. G. YARBROUG;� 21-23-34 S/VV COR. EVANS-REI MER & TOW I-N_SH.I P�. !ia-9��/ GRIDLEY PERMIT #5494-75E(TEMP SER. TO AIR I R FIRE DAMAGE CONTR: NORTIy YARBROUGH, Ted 600-67B/ A L L E Y E L E C T R I C 2/ 501-67E v 521-23-34 _—_ _ 675-67Ey PerIn 6232-75P,E (u ) a -23-3 ELE L� Evans -Reimer Rd. & Township Rd., rl ey GAS (add carport &breezeway) CONTR: Joe Powell, SUPPO T STRUCTURE_.REQ_"- - Rt. 2, Box 69, Gridley ^addition -carport COMPACTION TEST REQ. CONTR : Perm' t Kopps Iii ' Service, Orovi e i #6392-75MHI Issued _tea- %� /a2-3/-% 21-23-34 . CONTR: Burl{Woodward, Gridley (�, Permit /X1129-7-6B,.P.,E_;M(complet-ely r b?W fire damaged house/SF) ..31-23-34 , Permit #2360-76B( _clerks./MH.J ..%,71119_� 021-230-034 04-2364 PALONE 87 W. EVANS REINTER RD, GMT EY Cont: FLEETWOOD HOMES WALE MHI (SOFT SET) ADM#04-27 ,d -/ 2 -1 PALONE, WAYNE 787 TOWNSHIP RD, GRI Cont: TRACEY, DAVID NEW PRI DET GARAGE 021-230-034 ____________=06__-0_075 DENT, NANCY - 87 W EVANS REIMER RD, GRIDLEY Cont: SABO ROOFING RE ROOF F,, 1- 1� ►� � oc� MISCELLANEOUS Water Heater C/O WATER HEATER CHANGE OUT 87 W EVANS REIMER RD DENT, NANCY III 3,11 A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 , OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 87 W EVANS REIMER RD Owner: Permit NO: B08-1455 APN: 021-230-034 DENT, NANCY Issued Date: 7/29/2008 By GLB Permit type: MISCELLANEOUS 87 W EVANS REIMER RD Subtype: Water Heater C/O GRIDLEY, CA 95948 Expiration Date: 7/29/2009 Description: WATER HEATER CHANGE OUT (530) 846-3572 Occupancy: Zoning: A40 Contractor Applicant: Square Footage: DENT, NANCY Building Garage Remdl/Addn 87 W EVANS REIMER RD GRIDLEY, CA 95948 Other ' Porch/Patio Total (530)846-3572' FEE INFORMATION DBP Water Heater (qty) ' $59.00 . Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8118 L-ICENSED`CONT_RACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 7/29/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ 1 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by j� I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED 4LJ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: n I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS L�1 ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' _ Compensation Laws of California, and agree that if I should become subject to the workers' X ia 7/29/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those, provisions. Owner's Si nature Date X7/29/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building ' Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) t is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that 1 am the pr owner or am uthorized to act on the property owner's behalf. aL&gJ�O -�— 7/29/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for N of Permi ee [SIGN] Print I Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. RAgent for Owner Agent for Contractor FILE COPY Lenders Address City - State zip Butte County Department of Development Services TIM SNiLLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLS13(2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN TO IDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR O) I (0/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 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 THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: WATER HEATER CHANGE OUT Reference Number: B08-1455 Applicant Name: DENT, NANCY Owner's Name: DENT, NANCY AP ; Signature of Property Owner: Date :021-230-034 /'7-29-02 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* * NO. 1LL[ OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 'gyp• A FEE WILL BE REQUIRED AT TIME OF APPLICATION 11,, Website: www.buttecounty.net/dds BIN # PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last NameFirst NameLo uu Name Mailing Address t vans �2( m� INa CityOr ri CL State tl a Zip S qqq Phone U c0 Phone Fax E-mail E-mail APPLICANT INFORMATION CONTRACTOR NameLo uu ei n) Address State �p t 1 CityYA CL t Statet0_ Zip Phone Fax Fax E-mail State License Number Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address 8 Lr a f L� Address State �p t 1 City Phone V _ 3 I State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name w- A Address 8 Lr a f L� city (, ; Af vr� State �p t 1 Zip/;c�Lg "IJ Phone V _ 3 I Fax E-mail APPLICANT SIGNATURE Fx �q` IAU'w :\� _��L� PROJECT LOCATION AP# I 30 -W, Q Property Address r�Q�S City C� l S—� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certillicate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits O� ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Butte County Department of Development Services. N O T E S 7 County Center Drive, Oroville, CA 95965 - - _ '(530) 538-7601 www.buttecounty neVols .�®y.OUTTE FREA �UN� RESIDENTIAL APN: 02J 230- 0 3 Lf Permit No. © (" 00 �s Owner: Sb. Ety I f,- &N q( Site Address: EV AWS i_FI ME 2 R- Contractor. L3 f b LEY Type of Permit: ��� ROOF -7 s� SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINA 7 D• SIGNATURE: = OK = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat O or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs t 10 Drain; MH Test -Fall -Flex Cnnctr -- 11 Wtr & Sewer Connected -C/O to Grade S 12 Gas and Electricity Tagged i 13 Tie Downs O Foundation O i 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S`C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel .3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills -An chrs-Studs-Rftrs-Trusses. 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing . 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls o opo 4` DATE POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Encis rs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Pimb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide 1�15 Pool Drawing = OK 0 = Nol RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE JPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts -Wrapped 57 Test Tub & Shwr, 2nd fir - Tub. Acc i 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE M E C H A N I C A L i 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BolfsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic s` •p �C to �C DATE FRAMING 17 Sills Proper Materials & Anchrs DATE IF I N A L 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & flr Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv flr 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Ins ultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters D Yes D No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 93 ❑ CU or DAL 98 Address Posted AC Wire Sz 9a D CU or DAL 99 Fire Sprinkler 48 Range Circ 93 ❑ CU or DAL Oven Circ ga D CU or DAL Insulated Neutral DYes DNo 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060075 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/13/2006 APN: 021-230-034-000 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: Licen e Number: f Site Address: 87 W EVANS REIMER RD GRI 0�0 _ /7 �+ n p Date:N16-06 Contractor: (( Jx-5;7L•47 QLD 1 Map Index: Description: RE -ROOF (17 SQ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DENT, NANCY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 87 W EVANS REIMER RD signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA the Contractor's State License Law (Chapter 9 commencing with Section 95948-9536 7000) of Division 3 of the.Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, 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: SABO, ROOFING Code: The Contractors' State License Law does not apply to an 1496 KIRK RD owner of property who builds or improves thereon, and who does GRIDLEY, CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95948 sale. If however, the building or improvements are sold within one (530)370-0178 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: SABO ROOFING not apply to an owner of property who builds or improves thereon, 1496 KIRK RD and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). GRIDLEY, CA 95948 ❑ I am Exempt under Article 3 of the Business and Professions Code (530)370-0178 Date: Owner: License #: 834287 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' 10 compensation provisions of Section 3700 of the Labor Code, I shall io0 q , forthwith comply withh/ those provisions. �� �-�b'` (o y ✓ Date: 1 ApplicantctrQY S&80 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 and/or I hereby affirm that there is a construction lending agency for the Resoluti ns to do work indicat abo a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)air Date: -1 b- (�0 Name: By vv�� f� } 1 �- PERMIT EXPIRES ON: - 1 J- O' 1 Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction 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 representatives of Butte County two enter upon the above mentioned property for inspection purposes ��._7[ Signature: (�ZL "r Print Name: / Il _� J Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 591-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION Website: wwrv.buttecounty.net/dds "PLEASE PRINT CLEARLY* - APPLICANT INFORMATION OWNER INFORMATION Last Name ' Name First me Address • L tJd�i�l. / r� , 2 City r O I I State Zip I? / Phone Zip 9 y� Fax State License Number E-mail E-mail APPLICANT INFORMATION CONTRACTOR Name Name b I—S r4.96 PZA n Addres b" State . City - n Q Phone Statol Fax Zip 9 y� Pho , State License Number Fax E-mail Lic. #3 r) Cts3 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State . Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X FAWsa For office use only: Zoning Property Ad r ss yV' -v revs .F.►ti 7 Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 1310 0.075 BIN N PROJECT LOCATION AP# Oz1- 3 - Property Ad r ss yV' -v revs .F.►ti 7 Cily I Gr' Cross Street WORKER'S COMPENSATION Policy Number v . Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:� 6 , Amount: n0 Bldg SRA Receipt #: y y 3q 5`b Sheriff SMIP Date:Ol.0Other �0 �� Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fred plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5.. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 NOTES { 0 RESIDENTIAL PERMIT NO. _` 021-230-034 PALONE, WAILI*NC 787 TOVY'NSI-[IP RD, GRIDLEY Cont: TRACEY, DAVID NEW PRI DET GARAGE 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY i S 1 / JOB FINALED (Date) Signature J=OK 0 = Not OK = NotReadyable 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-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7: Water and Sewer. Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged _ 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch _ 11. Cert. of Occupancy Date Card B-1 Date Card 13-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS OVERS, CARPORTS, G A s) OK except #'s Soils; Compaction -Structure Stability ing Requirements -Setback ents ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. arports; Windows -Doors L7. E!pefic C J 8. rmg.; Sills -Anchors -Studs- ftrs-Trusses 12. Braced Wall Panels Date p ' Card B-1 ate Card B-1 Date 9 Card B-1 Date Card B-1 Date f POOLS (PI s) 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 t 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 Conduit 9. Health Department Approval j 10. Plumb.; Cir. Test -Water Supply Test I 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 _ 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing 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 Date 41. Sills Proper Materials & Anchors Comments at Final: 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 -Wal Is -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 O 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 " PERMIT NO. BPO50684 ([effect. ITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION ffirm under penalty of perjury that I am licensed under ` f Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/09/2005 APN: 021 -230-034-000 s and Professions Code, and my license Is In full force and ��'J�1 Site Address: 87 W EVANS REIMER. RD GRI ss : License Number:z/'y� Contractor: Map Index: OWNER -BUILDER DECLARATION Description: garage (720) I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following. reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DENT, NANCY J ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a PALONE, JEANNE AND HURBERT W signed statement that he or she is licensed pursuant to the provisions of 87 W. EVANS REIMER RD the Contractor's State License Law (Chapter 9 commencing with Section GRIDLEY, CA 95948-9536 7000) of Division 3 of the,Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 530-846-5572 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: TRACEY CONSTRUCTION, DAVID 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, 1585 CATALPA STREET provided that such improvements are not intended or offered for MARYSVILLE, CA sale. If however, the building or improvements are sold within one 95901 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 530-742-8592 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 not apply to an owner of property who builds or improves thereon, Contractor: TRACEY CONSTRUCTION, DAVID and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 1585 CATALPA STREET MARYSVILLE, CA Date: Owner: 95901 WORKERS' COMPENSATION DECLARATION 530-742-8592 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 License #: 829321 workers' compensation, as provided for by Section 3700 of the Labor Code,.for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 720 S.F. I certify that in the performance of the work for which this permit is Valuation: $17,280.00 Issued, I shall not employ any person in any manner so as to C� become subject to the workers' compensation laws of California, Census Code: (/ and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: �{ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one V 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 reby issue nder the ap icabl rovisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution o do work i d a abov fo whi fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMI EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 ofthe Californla Health and Safety Code, which regulate the storage, handling and use of hazardous materials_ Q' Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 6Z U ((/ C nii % kyr Signature: v'. v Date: ="=D .,Q Owner (Contractor ❑ Agent for Owner 0 Agent for Contractor COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538=7541 CORRECTION NOTICE OWNER PERMIT NO. Aroutine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. /3 T > Uh '//)/Fl,/ L( C. 7r'ILyC�� C- '7� L_" v 2C. hr- ��ir cf �i A .fie Date v Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 A .fie Date v Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO50684 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 05/09/2005 APN: 021-230-034-000 the Business and Professions Code, and my license Is in full force and effect. �) Site Address: 87 W EVANS REIMER. RD GRI License Class : License Number: Date: � �OS� Contractor: Map Index: ' Description: garage (720) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following, reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DENT, NANCY J ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a PALONE, JEANNE AND HURBERT W signed statement that he or she is licensed pursuant to the provisions of 87 W. EVANS REIMER RD the Contractor's State License Law (Chapter 9 commencing with Section GRIDLEY, CA 95948-9536 7000) of Division 3 of the•Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 530-846-5572 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: TRACEY CONSTRUCTION, DAVID Code: The Contractors' Slate 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, 1585 CATALPA STREET provided that such improvements are not intended or offered for MARYSVILLE, CA sale. If however, the building or improvements are sold within one 95901 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 530-742-8592 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 not apply to an owner of property who builds or improves thereon, Contractor: TRACEY CONSTRUCTION, DAVID and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1585 CATALPA STREET ❑ 1 am Exempt under Article 3 of the Business and Professions Code MARYSVILLE, CA Date: Owner: 95901 530-742-8592 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: 829321 workers' compensation, as provided for by Section 3700 of the Labor Code -for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 720 S.F. A I certify that in the performance of the work for which this permit is Valuation: $1.7,280.00 issued, I shall not employ any person in any manner so as to ra Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' (/ compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: v 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 reby issue nder the ap icabl rovisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution o do wok ' a above fo whi fees have been paid. .— performance of the work for which this permit is issued (Sec 3097 Civ.) / .• By: Date: Name: Address: PERMI EXPIRES ON: (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 representatives of Butte County to enter upon the above mentioned property for inspection purposes. 7�1 Print Name: G (t I C Q / Signature: Date:=D ,❑ Owner Contractor 0 Agent for Owner ❑ Agent for Contractor 6(hB TTE 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 q A FEE WILL BE REQUIRED AT TIME OF A PPLICA TION , Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" 1h APPLICANT NAME OWNER Last Name Pe, t 1 R First Nam aAAe Address -7 �—w sx, �1 � City C k - _U JL State State c4 I ^' Zip Phone _ s 7 Fax E-mail Lic. #m f APPLICANT NAME CONTRACTOR Name C Address �—� 1 104. � J City V _ Fax State Zip 7 — 7 Phone 7y3 _ yy Fax -7 41 _ E-mail Planner Lic. #m f I Class APPLICANT NAME ARCHITECT/ENGINEER Name City SUE (AQ Address Zip L� City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name L Address f PA, S7 p City SUE (AQ State (A. Zip L� Phone 7Z� Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning AP# b 1-�3c��o3y Flood Zone Property Address O 7 SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. oG6 BIN # Page 1 of 2 Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. l� Received by: Amount: Bldg SRA Receipt #: V� Sheriff SMIP Pj f Other Date:Total REV 2-24-05 LOCATION AP# b 1-�3c��o3y Property Address O 7 M L,L).) S A' A,;,; Q Citt Cross Street , 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 Page 1 of 2 Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. l� Received by: Amount: Bldg SRA Receipt #: V� Sheriff SMIP Pj f Other Date:Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan,,(D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. _ ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ' ❑ 1. Agricultural Buffer clearance and site plan approval from.the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. , ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for, which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 utte County Department of Development Services DNNE CHRISTOPHER, DIRECTOR WILLDAN Scott Rutherford (530) 538-7160 srutherford(a)buttecounty.net Plans Transmittal For Review Per Contract 3/15/2005 Applicant: Palone, Wayne I Permit No: 05-0684 Project Type: [Garage APN: 021-230-034 100% 70% Plan Check Fees $ 219.96 $ 153.97 $ 219.96 $ 153.97 WILLDAN Fee $ 153.97 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 7 County Center Drive co(530) Oroville, CA 95965 538-7601 Telephone w (530) 538-7785 Facsimile C TO: FROM: ' SUBJECT: DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford(a)buttecounty.net Plans Transmittal For Review Per Contract 3/15/2005 Applicant: Palone, Wayne I Permit No: 05-0684 Project Type: [Garage APN: 021-230-034 100% 70% Plan Check Fees $ 219.96 $ 153.97 $ 219.96 $ 153.97 WILLDAN Fee $ 153.97 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: K_t�e:-IC I/V NLS ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: \ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. \`pj nv 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 7r N 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. \ ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. '61101 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Site plan and business license approval from the City of Biggs. ❑ 12. Letter of intent for non-residential buildings. ❑ 13. Detached Accessory Building Form filled out by the owner. \ ❑\ 14. Hazardous Material Form. \ �0 y�1 15 Sanitation and site plan approval om the Environmental Health Department in ❑Chico ❑ Oroville, as applicable. �❑� N 16. Other r /hPP w b L0=e- Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers ❑ 18. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 19. Soils Report and/or Engineered Foundation required. \ ❑ 20. Erosion Control Plan Required. �p 21. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 22. City of Chico Plumbing permit. ❑ 23. California Department of Forestry plan approval ❑ paid. 24. Planning approval for (A) Use: �(B)Parking: (C) Parcel Check:L.,�'j� It25. Contact Land Development about _ Improvements, -Drainage.,SSp 1,,J 26. NPDES Form ` f ❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 28. Pre -Inspection for required. ❑ 29. Contractor's license information. (Number, Name Style, Classification). ❑ 30. Worker's Compensation Carrier and Policy Number. ❑ 31. Owner -Builder Verification ( _ Given to owner, _ Mailed to owner). ❑ 32. Letter of Signature authorization. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ❑ 34. Manufactured home utility clearance. ❑ 35. Existing violations and/or expired permits. ❑ 36. Deed Restriction. ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other.- 0 ther:❑ 39. Other: When issued Telephone �,/,3�8 and hold for pickup. I have bee informed of the ab it ms and requirements for obtaining a building permit. Applican - Date: EXPIRATION OF APPLICATION Applications for which a permit has not bee is ed will expire one year after date of applicati or er o r on on an application after expiration, a new application, plans and fees will be required. r REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request rfiustbe made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Original -Applicant COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 !, , SCHEDULE OF RECEIPT OF FEES D� 2 ' j OWNER "'�G�� iN A.P. # `7 PROPROSED BUILDING USE of- DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES 7 --- Balance Due ...................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (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 = $ Sq. Ftg. Amt. 10. OTHER I P At time of permit application, I was advise fine above fees are required to be paid prior to issuance of the permit. These fees may be changrmg the Klan checking oce�hn x Pursuant to Government Code Section 66020, you are hereby notifie that Mems, 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 imp !J 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 'De velopnent Services r r ° 7 County Center Drive a10.. ° �. °! ° Oroville, CA 95965 o (530) 538-7601 Telephone ° _""'_ , ° (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements,' legal access, and- applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species), Please print: Applicant Name: l� L�=�v�G� APN: (i Building site address:1��;ermit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: An NAI SIGNATURE OF AP ARDA w Copy to Applicant/EH/File K:Forms/BldgPennitwithoutClearances 00705 A --ftW®W— 9 Ltuc WOF� Department C o u n t J. Michael Crump, Director of Public o f 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 ACRE] Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water 'Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 { .�so,. 'Notes , t a xooe PicnAhace i I a xooe PicnAhace WILLDAN , Serving Agencies April 14, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Tel: (530) 538-7169 Fax: (530) 538-2140 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Willdan Project No: 14353-1489-M Jurisdiction Job No: 05-0684 Assessor's Parcel No: 021-230-034 Applicant: David Tracey Description: Palone-Garage Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: • Plans: Two (2) copies sheets 1 through 5 not dated, not signed. • Truss Calculations: Two (2) copies cover sheet dated 2/15/05, by Moss Lumber. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions - of -approval and identification of any deferred submittals. 63 APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC." • Part 3, known as the California Electrical Code and abbreviated herein as "CEC." • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC." • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC." • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS." CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans. Specific Type of Type of V Floor 2nd Floor Total Stories Use Occu anc Construction Sq Ft Sq Ft Sq Ft TT__ J � N" i.d. 4 -{ ? .`9 d Garage U-1 V -N 1 720 NA 720 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, Michael LeBeau Plans Examiner Cc: E-mail Alice Mefford at; amefford@buttecounty.net David Tracey, 1585 Catalpa Street, Marysville, CA 95901 Fax: (530) 743-6844 Wayne Polone, 787 Township Road, Gridley, CA 95901 Page 2 of2 W01dan 14353-1489.PC.1P Butte County 05-0684 r TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance L Q ri Joe - Owner Location Plan Approved for: Sewage Dispo l_ Water Su Clearance for dwelling. Other Z24- Hold final for: Final clearance O.K. for: NOTE: E.H. USE ONLY Piot Rea AttsOed Root Ran Attaehad Sant to 8.0. / AP#\ lic Private Well 1 Environmental Health Specialist Date 8/96 `�.xs:at;e:�tiwt LN ,� u eCo LAND OF NATURAL WEALTH AND BEAUTY 5 s PLANNING DIVISION t(A� fa DEPARTMENT OF DEVELOPMENT SERVICES r• 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 August 2, 2004 Hubert W. and Jeanne Palone 87 West Evans -Reimer Road Gridley, CA 95948 CERTIFIED MAIL Re: Administrative Permit, ADM 04-27 APN 021-230-034 Dear Mr. and Mrs. Palone: Enclosed is your validated Administrative Permit No. ADM 04-27 to allow a temporary mobile home on property zoned A-40 (Agricultural, 40 -acre parcels). The property is located on the north side of Melo Glow Lane, approximately 2,000 feet west of Township Road, Gridley. Should you have any -questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, &Z4 � Rom Thornton Office Assistant II enc. cc: Land Development Division (g) Building Division (y),/ Environmental Health (p) Department of Forestry (gld) Larry Painter Mark Michelena ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Hubert W. and Jeanne Palone FROM: Yvonne Christopher, Director - Development Services DATE: July 13, 2004 FILE #: ADM 04-27 PURPOSE: Administrative Permit for Hubert W. and Jeanne Palone on APN 021-230-034 for a temporary second dwelling to be located on the north side of Melo Glow Lane, approximately 2,000 feet west of Township Road, Gridley, on property zoned A-40 (Agricultural, 40 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Hubert and Jeanne Palone. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. No rent is to be charged to the occupant of the mobile home. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration., or revocation_, of the Permit and. removed within one hundred twenty (l 20) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. Xx I 12W 1, 6- 7- Ab Permittee S gnature Date ?JoBaker Date NOTES y RESIDENTIAL PERMIT NO. _021-230-034 J4_ -i3_6_41= PALONE xv ER , GRIDLEY Cont: FLEETWOOD HOMES MHI (SOFT SET) ADM#04-27 \ _ j 727 _ 8a Ls k SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS f VERIFY i USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f !'< OFFICE COPY Address GAS Meter Br L y Qatev�". LELECTRIIeter By Dater JOB FINALED (Date) �.✓ �` Signature J=OK 0 = Not OK:.. =flotReadyhle' Not Heady Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements Gas; MH Test -Demand -Valve -Connector 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete Water; MH Test -Regulator -Connector 4. Water; Location -Test -Easement Needed (Sketch) 8. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Tie Downs -Type -Installation Cert. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG Cert. of Occupancy 7. Well Clearance & Disconnect Verifv #'s with Office 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector �y 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards -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 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Interior/Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector v 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 23. Fire Sprinkler; Test Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 82. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes EI No 32. Service -Riser Conductors & Ground Main Disconnect 83. 33. Equip. Clearances Panels-Motors-Mech. Equip. 84. 34. Clothes Closet Light -Shower Light -Spa Light 85. 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground 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 95. Card B-1 Date Card B-1 Date 96. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 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.-Ring. 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 v 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 (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes 0 NoMalks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: I' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042364 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: 10/11/2004 APN: 021-230-034-000 the Business and Professions Code, and my license is in full force and effect. License Class: L q� License Number: %� �I Site Address: 787 W EVANS REIMER RD GRI Date: ID' 1-0`1 Contractor: IR a�.uocs� c:I Map Index: Description: NEW MHI SOFT SET(1539) OWNER43UILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: YARBROUGH SARA C SS permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 87 W EVANS REIMER RD signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95948-9536 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).): D 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: YARBROUGH SARA C SS 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.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. FLEETWOOD HOMES 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.). 2243 FEATHER RIVER BLVD. D I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95965 530-532-3301 Date: Owner: License #: 785185 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: 4u'C-A5 Vt liz,S Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: (. 21S�(� ❑ I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to .the workers' I compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: q Applican : c -T_. WARNING: Failur 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 app cable provisions of the Butte County C900 ? rVor I hereby affirm that there is a construction lending agency for the performance of the work for which this is issued (Sec 3097 Civ.) Resol o to-do work in is ted a e f which fees have been paid. /l permit D By Date: / Name: 'PERMIT EXPIRES ON: Address: ate ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 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 ny official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose "�� �e 7� Q Print.Name: Signature: Date: i l % — 69 0 Owner Contractor. 0 Agent for Owner 13 Agent for Contractor MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: , e" Owners Name: Owners Address: yy Mo I ehome Manufacturer: Year of Manufacture: Serial Number or VI.N.: Insignia or HUD Number: Official approving installation.- Date:' I I i If the mgbilehomd is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -installer, Pink -Bldg, Gold -Assessor ' ^. . ' .. , . .a . . — •- . . _ � _ _ _ �1 .�.+r/.-.'Twp• r r, MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: Owner's Name: I , Owner's Address: Mobie'home Manufacturer: '` Year of Manufacture: Serial Number or V.I.N.: Insignia or HUD Number: Official approving installation: Dater If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor TIEDOWN CERTIFICATION Installation Permit Numbers 6 ` 10 21 3 Ito Property Owner's Name: �� � 6 P A L Address or Location of Unit: 7 oL Assessor's Parcel Number: Manufacturer's Name: .P Sizes .� Year of M/H: 1.94 Tiedown System Number: I certify that those portions of the tiedown system installed below grade (1) were not damaged' prior to or as a result of the installation, (2) were not. modified prior to or during the 'Installation, and (3) were'installed in accordance with the terms of their listing or with the terms of the engineered plans and specifications. ignature Date' H A AV VAA) --K�T*VeANI Print Name. BUTTE COUNTY DEPARTMENT OFbEVEL`OPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042364 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: 10/11/2004 APN: 021-230-034-000 the Business and Professions Code, and my license is in full force and effect. ,r License Class: C �� License Number: %�6 �I J Site Address: 787 GRI Date: I I:> q Contractor. A II woe {� �1 � Map Index: =t) wnS �O , Description: NEW MHI SOFT SET(1539) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 87 W EVANS REIMER RD signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95948-9536 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: 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: FLEETWOOD HOMES 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.). 2243 FEATHER RIVER BLVD. ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95965 530-532-3301 Date: Owner: License #: 785185 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 Architect: is issued. Engineer: I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: C",S�,`Z`-.�c Carrier: Total Square Ft: 0 S. F. Policy#: C gam( ��(I Valuation: $0.00 Census Code: ' ElI certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I r O 7o • �C.. `b� Applicen WARNING: Failur 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 app icable provisions of the Butte County C a ?7d/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) to do work in is ted a e f which fees have been paid. W13y:t Name: .41aDate: Address: 'PERMIT EXPIRES ON: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & 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 ny official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose LAL-�- P,-eA IJ AJ Print Name: Signature: l / Date: ❑ Owner [Contractor 13 Agent for Owner ❑ Agent for Contractor V T''_ � - - `-, P_ W-7 �' BUTTE COUNTV DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHIC 0: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION For o i e o OWNE Name Flood Zone `, { -tal Address r City e \ - State Zip S Phone � Fax E-mail State/ - cam_--lf�� For o i e o CONTR,4CTOR Name Flood Zone mddress Occ. ulD -81516 Address rye( Y Citye State License Number State/ - cam_--lf�� Zi Phone Fax ':5 E-mail Lic. # S Clas For o i e o ARCHITECT/ENGINEER NameMeAwaI4 Flood Zone mddress Occ. City -81516 Zip Phone Fax E -m ' State License Number For o i e o APPLICANT NAME NameMeAwaI4 Flood Zone SRA I Yes Occ. Address I Type Const. "ibdivision Name City � n5vPhone Stat f Zi Planner 3 Fax E-mail For o i e o AP# Zoni9w Flood Zone SRA I Yes Occ. Carrier I Type Const. "ibdivision Name Map Book Page Lot # Planner Date Approved: " OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT , ), 4� 2 BP BIN # LOCATION AP# Prope res i4. ) rnP f ross ee WORKER'S COMPENSATION Policy Number w C_ S—?—2Sl Carrier r�A'sk If hiring anyone other than lice6se 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: set AAw Sq. Footage 's3 S Structure Built without Permits 0 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 Page 1 of 2 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: _V Amount 5 L✓ !Z 4 Bldg SRA Receipt #: 1112.1(o� Sheriff C-118 Ft 0 "G7 SMIP 1A F1 Date:/D _,/l� �% 9 Other V lea . ! Tnhl 11 REV 4-30-04 4, Wt'' SUBMITTAL REQUIREMENTS .. , The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. r ❑ 4. 2 Engineered truss details and layouts' (if required) (NO FAXESI). ❑ 5. Letter from Engineer or Architect for truss'design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). 0 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. 0 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line'information. _ ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FA)ES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate; (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like -additional information regarding this process, contact a Permit Application Assistant at (530) 5384541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS0dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION '7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ?(5? 161e) 61 ; Je Ci r711e � Abd'( tASSESSOR PARCEL NUMBER Proposed Building Use: Lino 1-n }"l. 119-5J411 Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. .l- 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. :Q= 8. Manufactured homes: (V Data sheets and installation inst j) Marriage line info, �C) Floor Plan, •(p:) Tie down or find plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs 'V ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 715- 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico -C9 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 ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ q_ _ 20. Erosion Control Plan Required........................................................................ 21. Fees as shown on the attached Schedule of Fees Due Sheet... _�.!� r ...t�..G.; .... . ❑ 22. City of Chico Plumbing permit.................................................................... 23. California Department of Forestry plan approval ❑ paid. Sent by: .......... 24. Planning appfoval (A) Use: 6)L(B)Parking: (C) Parcel Check: 0 G 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... Ik 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 3 3 0 L, lwhr and hold for pickup. I have been informed of the,ov✓i;ems and requirements for obtaining a building permit. Date: `0" / O - O 1. Index perm"Papplicdfon for the above items numb ed: Plan Ch Letter _I 2. Additio lit required �� r esigner, owner, was advised of the above data by V,Sohone, ❑ mail, ❑ coun er, by Date: or esigner, owr, er was advised of the a ve ata by [Vphone, ❑ mail, ❑ counte , by Date: reviewed by: Ci Date: Q Plans approved by: Date: g • 19 4 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division of6u e,r E.H USE ONLY 'Piot Plan Attached Row Plan Atnsehad-'S- Seat to B.O. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage DisposT Water Su ply: Public t Private W I� Clearance for dwelling. Other 11 Hold final for: Final cleaT�Ap a O.K. for: NOTE: ('e�n /vt /= Environmental He 8/96 pecialist .'bate COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES c OWNER q'a n_-,—Pa-aJ Ab be : A.P. # PROPROSED BUILDING USE A )per) /��}. l DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES grid --CjtUeel qO cc (paid at School District Office) (form availab a er Plan Check) I 3. SHERIFF FEES (paid at Building Division) Residential............ X60. $ �- Units wip Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (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) Imo- 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone Zone Commercial (sq. ftg.) .......... 4* 10. OTHER At time of permit application, I Cstavl may be changed during the pla X =$ Amt. /1 Sq. Ftg. above Amt. 0. e, 0 ? IQ -O w—rp- are required to be paid prior to issuance of the permit. These fees DATE �Zi - J6- 6 y 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) Z* Yf AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 J COPY of Document Recorded 11 -Oct -2004 2004-0062539 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricaItural'operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established -agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfortfrom normal; necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date (— /t — d t4 PROPERTY OWNERS: State of California County of�i� ' \ before me, personally appeared 111aC11k fix? . VdUVCCL.PCLIL(r �QaXL(L( (Y1 • (U NU personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS hand %al�ea Sign ure Seal: HEIDI R. HUKILI r• COMM. #1411254 H e s Notary Public -California UJ BUTTE COUNTY .+ A.P. # My Comm. Exp. April 15, 2001 05/04/04 14:57 FAX 530 877 344310013 — Order No. BU -215939-3 MAM Description The land referred to herein is situated in the State of California, County of Butte, and is descnlmd as follows: ALL THAT PART OF THE NORTH HALF OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 13, TOWNSHIP 17 NORIA, RANGE 2 EAST, M.D.B. & M., LYING EAST OF THE SUTTER BLTT$ CANAL - EXCEPTING ME RBFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: CON9V1ENC G AT THE POINT OF INTERSECTION OF THE CWTM L M OF. THE SUTMM BUTTE CANAL AS IT EXMTS ON TEM GROUND IN OCTOBER OF 1953 V rM THE NORTH LINE OF SAM SECTION 13; THENCE ALONG THE NORTH LOM OF SECTION 13, EAST 192 FEET; THENCE SOUTH 208 FEET; THENCE WEST 136 FEET, MORE OR LESS, TO THE CENTER OF SAID SUTTER BUTTE CANAL; THENCE ALONG TnE CENTER OF SAID CANAL NORM-1ERI Y 208 FEET, MORE OR LESS TO THE POM OF CONIlviENCS VIMU. ALSO EXCEPTING TEMREFROM THAT PORTION CONVEYED TO DALE WARREN'TTPTON AND MAXINE L. TIPTON BY GRANT DEED RECORDED AUGUST 9,1964, IN BOOK 731, PAGE 58, OFFICIAL RECORDS. APN 021-230-034000 Description: Butte,= Dv=um ,t-Year.Do_M 2003.8630Q Pagez 3 of 3 Ozderz m0227 went= ~,.. SITE PLAN REVIEW APPLICATION Date: 4745 Lf TQLf AP# /L Permit Number (if applicable) APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: L"II "N ez 0-2,1-230-03q l . i ac. Residential ❑ New Single Family Residential Single Family Addition ❑ Single Family Remodel Mobile Homef Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well * ON 27 DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By Date 2&0/0 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) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date: q ❑ Sacramento River Reclamation District (Approval must be obtained from the Cal fornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit Administrative Permit ❑ Minor Variance ❑ Variance ----------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A �6 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 U Zoning Code Streets & Highways Fire Prevention Subdivision Map Front (3,20( Side S , Side Street Rear 5 I 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 U Applicable Developanent Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other --------------------------------- 7 ---- Subdivision Map Special Fees Formula ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) # Check with school district to verify actual fee if pre -application review. A final determination will be'made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: El No ❑ Yes Comments:. IQ s - I Lt (0 --'taEl4 3 ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel "❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: . ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into ,the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa n Paae 4 of 5' -1 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarryABuilding Permit Site Plan Reviewl.doc Page 5 of 5 ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Hubert W. and Jeanne Palone FROM: Yvonne Christopher, Director -Development Services DATE: July 13, 2004 FILE #: ADM 04-27 PURPOSE: Administrative Permit for Hubert W. and Jeanne Palone on APN 021-230-034 for a temporary second dwelling to be located on the north side of Melo Glow Lane, approximately 2,000 feet west of Township Road, Gridley, on property zoned A-40 (Agricultural, 40 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Hubert and Jeanne Palone. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other -Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A.. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. 7— Tbe-mobile-home-sha°1°1=be=vacated=uponexpirati-or_—or Tevocat on, of"fh.e Perms_+ a�cn removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. The applicant must maintain a bond or deposit in the amount of $1,500 for asingle-wide mobile home or $2,000 for a double -wide mobile home. Z7 4� Permittee Signature Date Jos : `Baker Date ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Hubert W. and Jeanne Palone FROM: Yvonne Christopher, Director - Development Services DATE: July 13, 2004 FILE #: ADM 04-27 PURPOSE: Administrative Permit for Hubert W. and Jeanne Palone on ATN 021-230-034 for a temporary second dwelling to be located on the north side of Melo Glow Lane, approximately 2,000 feet west of Township Road, Gridley, on property zoned A-40 (Agricultural, 40 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwe11u1g is subject to the following reouirements: 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Hubert and Jeanne Palone. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other -Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the teen for the permit, not exceeding one year for each extension, 'may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. -- -----7--- Thi=rriobile-homeshall=be--vacated upon expi_ratior.; or revocation, of fhe Perrin+ and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. The Permit may be revolted if any of the terns or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. X., ernittee Signature Date / Jos - .'Baker Date 05/04/04 14:56 FAX 530 877,1443 RZCORDING REQUlit = BY MID VALLEY TITLE & ESCROW Co. • AND WEEK RECORDliaAWL T0: NANCY J. DENT JEANNE AND H(JBERT PALONE 87 EAST EVANS RE1MER ROAD GRIDLEY, CA 95948 ORO -C A.P.N.: 821-230-034 laj 011 JI���IJII�lJIJlu�lll��ll�Ill 20®3—>�t�1863Qt4 Recorded I RM FEE 13.80 official Records I TRX 209.®0 Co un_ _ �bf KONUMEN M oz CMDAM J. GRUBS Recorder 4SE11RRY DICT sm i Assistant I Barbara 0918MR 12 -Dec -2m I Aaga 1 of 3 Above 'Mix line for AecoMer's Um Only Order No_: 215939MAM GRANT DEED Escrow No.: 215939BLW WM MMEFSIGNED GRANToRW DECLARE(s) TRAT DOCUMENTARY TRANSFER TAX LS: COUNTY $249.00 [X ) computed on = value ofproperty conveyed, or Ey)1 computed on full value iess value of liens or eomabraaces remaining at time of sale, [ xx unincorporated area: [ ] City of _, and. FOR A VALUABLE CONSIDERATION, Receipt of wbich is bereby acknowledged, SARA C. YARB'ROUGH, surviving Joint Tenant S* Li hereby GRANT(S) to NANCY J. DENT, a Single Woman and JEANNE M- ]PALONE and HURBERT W. PALONE, Wife and Husband all as Joint Tenants the following described property W the unincorporated area of the, County of Butte State of Califomia; SEE AWACfiED LJZGAL DWCREMON SEE ATTACHED CONSENT TO JOINT TENANCY wg� C, ` j&n: t.':Z1= SARA C. YARBR GH Document Data: Dcr.=ber 9- 2003 . STATE OF CALIFORNIA COUNTY OP BITE ) On_-MECEMBER 9. 2003 before M, MARY A, THOMPSON. NOTARY vcrwnaily appeatcd SARA C . 7iARHR00GA _ per3G=y known m me (or pmved w me an die bests of Udsfacmry evidence) to be the petsor0)-&Meuce W=0) id= aibwd ad to the within ituuament and xknowledged to me fat be dw'tftq exeaued ft ammo is himlbcr/tbeir wtlmrirad apacity0a) and dtu by bbftr/dWr s rhe in6cm"M the pew Or dW endW upon bobalf of which the petsen40 eared, exocnted to Wo maem. Igt>atme(s) on WrrN.LW my hued aid omcial Sewfv� Sigaatrue �h, MARYA. THOMPSON Commission #1951470 N Wary Pue itConayUI W r !y Comm. EXP. APR. 15, 2008 MaD Tax Sts.. : SAME AS AAOVE or Address Noted Below Description: Butto,Ca DocamMnt-rdM r.DOCID 2003.86304 page: 1 of 3 '30 Order: =21,r camas st: CONSENT TO JOINT TENANCY JEANNE M. PALONE AND HURBERT W. PALONE, WIFE AND HUSBAND, HEREBY ACCEPT THE INTEREST HEREIN CONVEYED TO THEM AS JOINT TENANTS WITH NANCY J. DENT. STATE OF CALIFORNIA COUNTY OF BUTTE ON A. BEFORE ME, PERSONALLY APPEARED .,c,.uvty- Vi JFALVNE AND HURBERT W. PhhoE THE PERSONS WHOSE NAMES ARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT THEY EXECUTED THE SAME IN THEIR AUTHORIZED CAPACITIES. AND THAT BY THEIR SIGNATURES ON THE INSTRUMENT THE PERSONS OR THE ENTITY UPON BEHALF OF WHICH THE PERSONS ACTED, EXECUTED THE INSTRUMENT. WITNESS MY HAND AND OFFICIAL SEAL. SIGNA MAAYA. THOMp80N brbtayPbjj6- y CWIa UftCA.,yMY Comm, x .PR, 19, POOR .� T Description: Butte,= Document-Year.DoalD ?003.86304 Page: 1 of ;3 Order: molly Ca® t: N School -District A.P. Number Property Owner Property Location//_4 Subdivision i BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM, (One form per Building) � Building Department No. Jurisdiction: City ©county Residential Development Q Q No of Living Mobile Home Units Installation Commercial/Industrial Q District Identification No. I 6 ` �^, School District certifies that N {a J/ eL (Applicant) (City) U has complied with the requirements of Resolution No. representing square feet. School District Paid by Check -# 'Remarks: (Phone Number) (State) (Zip Code) _ o by payment of $ • 2926 = FULL MR1GAMN = Date Nofte: You may protest the Imposition of the fess IdenttNed above by submitting a writtan protest to the Dlitnlet; tn�conpllance with Govemment cods Section 66020(a), within 90 days from the data fess are paid. Failure to sub l! a timely written protest wtll'prohlblt YOU from ehNknghg the Imposition of the fees In any court action. r K, adasqusnt to the School District Representatlw signing thb Suits County Schools Impact Fee certification Form, the School Dlebict Is n1:111 by the applicable Local Planning Agency that this project Is being reviewed under the California Envlrommsntal Quality Act (CEQA� this project may be subject to additional school fess to fully mitigate. Its Impact on the «pool matrtcft schools. I /-) . (t 0 `3 4 White (applicant), Yellow (building department), Pink (school district) . ' feeforn.xls 0O/O3Mmm LVL 9W. ...................... ..... ............................. �............................... _ Sq. Footage Addition/ *Supplemental to (Group R) ' ' Conversion Permit # ............................................................................................... *(No foundation Inspection)_... i Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior a Areas) �iRoofed Date District Identification No. I 6 ` �^, School District certifies that N {a J/ eL (Applicant) (City) U has complied with the requirements of Resolution No. representing square feet. School District Paid by Check -# 'Remarks: (Phone Number) (State) (Zip Code) _ o by payment of $ • 2926 = FULL MR1GAMN = Date Nofte: You may protest the Imposition of the fess IdenttNed above by submitting a writtan protest to the Dlitnlet; tn�conpllance with Govemment cods Section 66020(a), within 90 days from the data fess are paid. Failure to sub l! a timely written protest wtll'prohlblt YOU from ehNknghg the Imposition of the fees In any court action. r K, adasqusnt to the School District Representatlw signing thb Suits County Schools Impact Fee certification Form, the School Dlebict Is n1:111 by the applicable Local Planning Agency that this project Is being reviewed under the California Envlrommsntal Quality Act (CEQA� this project may be subject to additional school fess to fully mitigate. Its Impact on the «pool matrtcft schools. I /-) . (t 0 `3 4 White (applicant), Yellow (building department), Pink (school district) . ' feeforn.xls 0O/O3Mmm p `2360-76B PERMIT NIO, PERMIT EXPIRES 44. Cz OWNER H. G. Yarbrough CONTR. owner LOCATION (A.P. 21-23-34 ) SW corner of Sans Reimer Rd. & Township Rd., Gridley 4 a e l tl Temp. Power Pole Called PG&E _ .Pj Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E JOB FINALED (Date) (Signature) Framin COUNTY OF BUTTE — DEPART)VIENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Htr. BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg.. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing;.Water Piping Piers Roofing I Sewer . Garage Fdn. Vents I Fixtures Footings Stemwall Garage Vents Insulation Water Htr. I Heaters Slab Carport Footings Prov. for physically handicap ed Conformance of ex. structure N Appliances . Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam. FIRE SPRINKLERS Motors Framin 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 DAT REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you viElt the job site.) ' COUNTY OF BUTTE - D&PART4MENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone* 534-4541 APPLICATION AND PERMIT •r.c�c�iia Vv O 0 Me %.CJuniy 01 Dutte to enter upon the above mentioned property for inspection purposes. rl X Date — 7 — 7 L, 5 gnature of fermitee oJgent Receipt No./i'� Q 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 Bui ing permit expires Date 6 lJ% BUILDING OwnerO— V 9 r o tt 6 Y SO. FT. OCC. BUILDING VA UATION Mailing Address �d S J S 6, 00 ephone Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty T 9�eZgG y6� Permit Fee $ Building Address 6F PLUMBING No. @ FEE PERMIT FILING FEE $3.00 c( Each Trap 1.50 Repair drainage or vent piping 1.50 i d L ,a Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. J-- Z —3 Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fee W.Sa ki o:nj FireDept. FireZone Use Permit Building sewer 5.00 EOA Par i g arcel Declaration Parcel Ma P 60' R/W Im rovem is P Lawn sprinkler system 2.00 J Parcel Approval Plan pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHERdft ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L t00 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP j 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLOGS. OCCUP. &) 2¢sq tt NEW CONSTR. MULTI -OUTLET NON.RESID, BRANCH CIRCUITS). '2.50ea NEWCONSTR. POWER APPARATUS & NON •RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)N'� BAL@1 Ex. Occu FIXED APPLNS. OR P•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 NII 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 $ $ 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 TOT AL PERMIT FEE $ , •r.c�c�iia Vv O 0 Me %.CJuniy 01 Dutte to enter upon the above mentioned property for inspection purposes. rl X Date — 7 — 7 L, 5 gnature of fermitee oJgent Receipt No./i'� Q 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 Bui ing permit expires Date 6 lJ% r �t STATE OF CALIFORNIA ss. COUNTY OF ........ Butter ..................... •4• .f On this .......24th day of .... March in the year one thousand nine hundred and seventX-! 4%ejore me, ........Irene M. Moore ............................................ . a Notary Public, State of California, duly commissioned and sworn, personally appeared...... ................................................................. .......................................................................................................................... tL known to me to be the person ..... whose name .............. subscribed to the within o instrument and acknowledged to me that ...she..... executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed m OFFICIAL SEAL official seal in the...... . Count o SVrTFAR ......... the da and year Ci F06 ff' y f... y y IRENE M. MOORE in this certi icate rst above wrY ten.NOTARY PUBLIC•CALIFORNIA f h SUTTER COUNTYMy Commission Expires July 1, 1976................................................................... n� _ Notary �������,_: •, • y Pu blie, State of California My commission expires 77,1-76 Cowdery's Dorm No. 32 -Acknowledgement -General (('. C. Sec. 119011) Printed 12/72 END OF DOCUMENT DECLARATION REGARDING LOTS OR PARCELS certify t t as owner of the property acquired by deed in Volume L 91_ Page Official Records of Butte County, (AP# 1. I am requesting permission to build or install an additional living unit on this (( property. I will not divide the aforementioned property for sale, lease, rent, or J' financing unless all applicable land division laws and map requirements are com- plied with. I am conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate same. I represent that the proposed use of the additional living unit is P,/i..�.�• �� ,%� � ,J� v and that further I shall not change this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and 511535 i et seq of the Business and Professions Code that if.I, in the future, sell, lease or finance the area on or adjacent to said improvement without fully complying with the applicable laws,and ordinances, that I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties'and.imprisonment,pursuant to law: Further, this siatement shall be properly acknowledged and'recordiad at the request of the County of Butte. � Address n -2 PP�1197V �'` t.:.JL'�;.i. .•:.ti:._:i. �,:�1 off ---f Date FEE STATE OF CAL.;FONIA ) ss COUNTY OF ) On this day of 197,, before me, h,COP , a Notary Public in afid forte CountApf State of California, re iding therein, duly c mmis- sioned and sworn, personally appeared i0 M7 oew known to me to be the person whose name_ K subscribed to the within instrument and acknowledged to me that he executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the County of ,� the day and year in'this certificate first above written. S96-1275 OFFICIAL SEAL THOMAS G. SMFORD IIOfARV PUBLIC• CALIFORNIA r -i 41. OFFICE IN BUTTE COUNTY My Commission Expires SepL 29, 1979 y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. — Orovi Ile, California 95965 Tel q o4:. 534-4541 J APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ' Date Signature of Permitee or Agent Receipt No.' �. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By ` `- Date r Building permit expires Date BUILDING Owner 'r 'I �� � '%]�-_ �/_r �7 SQ. FT. OCC. BUILDING VALUATION Mailing Address ' y ` Telephone No. 'Fireplace i Contractor , ' Total Valuation r Mailing Address Permit Fee ' Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address._, ' ,t , f f �� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 r: h---- `� -- 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. : �/ — - -- -' C,, 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 r p ovements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ 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 b (d2 i Receps.., switches & fix outlets 20025 j 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 1 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ a MECHANICAL No. @ 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. I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ' Date Signature of Permitee or Agent Receipt No.' �. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By ` `- Date r Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Oro;iIle, California 95965 Tel ephone:<534.4* APPLICATION AND PERMIT WORKS, `� /'-7 5- 75— BUILDING BUILDING Owner SQ. FT. OCC. BUILDING VALIDATION Mailing Address �g Tel h No fireplace Contractor �' • �C ; a Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address,) PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ._,Z ht2 V- 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. i ,— Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. I Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 -panel (12 or less) (more than 12) —Sub Single Family Duplex ❑ Mobil Home ❑ Others Ranqe, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures boP 25 eceps„ 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: a ,4 If Mood, 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 License No.2 %Y L �'3 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. ❑I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ,/O -.A y-7 3 Signature of Permitee or n Receipt No� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte Colnty5ch ode and/or resolutions to do work indicated a thave�been pai f7UBL•1C WORKS Building permit expires Date Department C o u n•t y J. Michael Crump, Director of Public Works o f B u t t e f 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 ILESS THAN 1 ACRE) D C51� Project Description: Project Location and/or Parcel Number: a 3 G By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: - /Cc> Less than 1 Acre NPDES & SWPPP Compliance Certification ` Butte County Storm Water Management Program Revised 5/12/04 PERMIT NO. 1129-76B,P,E,M PERMIT EXPIRES OWNER H. G. Yarbrough CONTR. Burl Woodward, Gridley LOCATION (A.P. 21-23-34 ) $W corner Evans Reiter & Township Rd., Gridley f Y a ) 5• (d F l r- R Temp. Power Pole Called PG&E Temp./GServ. rv. 11 CaE ,f Temp.CaE J \� b/NALED 17V (Date) r (Signature) 4 DATE REMARKS 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 BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback ZA7 Firewall Soil Piping Forms - Parapets1st Floor -7�Q , Main Bldg. Restroom Finish , t 2nd Floor FootingsWindows 3rd Floor Stemwall ' SidingTo out Slab Roof Sheathing Water Pipin g ' Piers .low 7 �� Roofing Sewer Garage Fdn. Vents l Fixtures Footin s Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters -� Appliances Carport Footings Conformance//of structur (G Gas Gas Pipin & Tet / Temp. Gas Slab Final % Sanitation Patio FIREPLACE Final % Footings Footing ELECTRICAL. Masonry Walls Throat Rough ' Reinf. Steel - Final ' Fixtures . Bond Beam SPRINKLER Motors Framing oeFIRE Test Water Htr. ^----�` Stucco Final Subpanels ' Mesh MECHA C L Grd. Fault Pr t. %l Scratch Heating Service Brown Cooling Temp. Pole Finish •. Ducts Underground Interior Lath R t` Ventilation G` Permanent Door Closer — Final -v -- Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS ManufactureThickness/Type R Value. �- CEILINGS Batts: Manufacturer Thickness C� ' R Value Blown: Manufacture t�d l" �r Thickness' o 3�T N No. Bags Wt./Bag Sq. Ft. Covered IK R Value_ FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type . R Value Width of Insulation inches FOUNDATION WALLS Manufacturer GENERAL BY. TITLE — R Value CENSE No. -2 19 DATE o INSULATW CONTRACTO HAWKIN!S INSULATION CO. LICENS•-No 215-925 BY !� TITLE Oi�,-.� tr. DA 6� 77c COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ' 5,California 95965 Telephone; 53443�:�454141 APPLICATION�*AND PERMIT 0,, au Orize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. D aA 17, , Signature of Permiteedor,(Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS 2By Date--7,Lt `2 g permit expires Date —Z �! '7 7 BUILDINE. Owner �L SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 1:Fieplace G z Contractor Total Valuation .0 Mailing Address Permit Fee e ' , _ Plan Checking Fee &/or Penalty T. lephone No. �a Permit Fee $ Building Address s' PLUMBING No. @ FEE PERMIT FIRING FEE $3.00 (�Q Each Trap 1.50 <QO Repair drainage or vent piping 1.50 Water piping 1.50 , Q Each gas water heater or vent L- 1.50 A. P. No. �� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Q Each additional outlet .30 Fes WIC. 14 i ion F' eDept. I FireZone Use Permit EQA IParkin Parcel Ma 60' R/W Im rove nts Plans De laration P P Building sewer 5.00 Lawn sprinkler system 2.00 ans Bldg. PlRecd Parcel Approval Plans pproval Permit Fee $ $ L NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE ERMIT FILING FEE $3.00 J aln service 60ov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600 V 25.00 100 AMP OR LESS Main service// EA. ADD•L 100 AMP 1.00NEW CONST. JrOR ADDNS. 1OACCLBLOGLING S. &) 22 sq fta D NEW CONSTR MULTI -OUTLET NON -RES'.. BRANCH CIRCUITS) 2.50ea NEW CON5TR (POWER APPARATUS &) NON -RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style Ex. Occup(OUTLETS OR FIXTURES)@�` BALC�1 Ex. OCCU FIXED APPLES. OR P• (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 e+ License NoT05' 9 Classification Misc. Wiring 6.25. ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , Q 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. fpl 1 have placed on file with the County of Butte a certificate of �4 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 $3.00 PERMIT FILING FEE,p�} Heating �Q O Cooling 3 �! Q Ventilation Hood 2.00 < Permit Fee $ Q $ 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 th ' TOTAL PERMIT FEE $ au Orize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. D aA 17, , Signature of Permiteedor,(Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS 2By Date--7,Lt `2 g permit expires Date —Z �! '7 7 tit il.. , MH "PERMIT NO. 6232-75P,E P ii E M 'MH UTIL. PERMIT NO. PERMIT EXPIRES - 'I,OWNER ' H. Yarbrough 'CONTR. owner LOCATION N (A.P. 21-23-34 SW corner of Township Rd. & Evans Reimer -Rd., Gridley v_Xamp. Power Pole Called PG&E JoRqr Elec. Serv. d' -10'- Called PG&E LampT Z2 . Gas Serv. _,/7 Called PG&E JOB FINALED (Date) (Signal ) - 7 4 _ lV COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwa.II Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer 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 7 Footin s Footing ELECTRICAL Masonry Walls Throat Rou h 715 Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Stucco Mesh Scratch Brown Finish Interior Latl Door Closer Test Final Heating Cooling Ducts Ventilation Final MECHANICAL DATE REMARKS OR CORRECTIONS Grd. Fault Prot. Service Temp. Pole Underground Permanent Final %Z 9. Electrical , A/ Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on .lot, i.e., water pumps, garage, cabana, etc.? Yes .:�-< No Is. there proper clearances around panels? Yes' No Y' Is power supply cord or feeder assembly properly fused? Yes No /O d �� Is continuity 'test satisfactory as per the following procedure? Yes No De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral 113 conductor, have been disconnected. 3�t Switch all breakers and, switches inkthe mobilehome to the "on" position. . /4,t Connect one lead of a test.instrument to the mobilehome grounding conductor and Apply the other lead to each m.obllehorne supply conductor, including neutral. yAll 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. �. 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 the electrical 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. MOBILEHOME DATA % r Manufacturer and/or Namestyle k "06 r C'd Length .7 Z. Width Z F Vehicle Serial No. State Identification No. Additional,Information or Comments:' MOBILEHOME INSTALLPI . N INSPECTION CHECK LIST ]� Is the mobilehome located with required szparation 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 Are footings and supports properly sized, spaced, and braced as p r approved plans?. (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4� Is the mobilehome level? (Sec. 5088) Yes No 5. If mode than a single unit, are crossover connections properly installed? (Sec. 5088) - Yes d` No Water IX Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes Nc B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes, No Z/ Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ZNo 7. Wastes and Drains r Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No AJ /�. Does it have minimum 4" per foot slope and is it properly supported? Yes\,J No Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No�' If coach is not State of California approved, does station have required trap and vent? ' Yes No �v 8. Gas Piping and Gas .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 mobilehome gas line inlet without reductions other than the mobilehome connector. Yes__K No Test OK as per following procedure? Yes X No 1. Open all appliance connector valves. ?l Shut off appliance burner and pilot valves. 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, /. Connect gas meter to mobilehome with connector, turn on gas, test connections with / soapy water. C. Are all appliance vents properly installed? Yes No - r- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — &,oville„California 95965 Tel ephbne: 534-4541 APPLICATION AND PERMIT kH above -men 'rued property fv inspection v y y purposes. "rV XDate Si nature Permitee or Agent Receipt No. rJ 4 —., White-D.P.W. — Yellow-Assess4r — 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. DIRECTO OF PUBLIC WORKS By b - s--,�Date,!%Z//�S Building permit expires Date BUILDING Owner 6�, ' SQ. FT. OCC. _ BUILDING VALUATION J Mailing Address ' Tel hone No. :• Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address �' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,(/-L) �<1 04` 0. e *Z— 'ef / 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._,Z3— Q 3 L �y / `Zor sig Gas piping system 1 - 5 outlets 1.50 p,(� Each additional outlet .30 q9451 i n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA PPlans arkin Declaration I Parcel Map 1 60' R/W Improvements Lawn sprinkler system 2.00 BI ns ec'd A," Parcel proval P Plans Approval Permit Fee y+ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL. No.1 @ I FEE PERMIT FILING FEE 1 $3.00 ,aj ll Main service oo AMP V OR ORSLESS 5.00 S �� Main service EA. ADD'L 100 AMP 2.50 Single Family ElDuplex ❑ Mobil Home Others ❑ Main service OVER 600V 100AMP OR LESS 25.00 Main service(( EA. ADD•L 100 AMP 1.00 ORNADDNST t DACCLBLDGLING OCCUP. &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTRPOWER APPARATUS & NON -RES ID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL CT' Ex. Occu FIXED AS LNS. OR p• ( OUTLETS (RESID.) EA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Q -ram exempt from the Contractors License Laws of the State of California. Permit Fee $ 4 3A0 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. ❑ WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. certify that in the performance of the work for which this ermit is issued I shall not employ an p p y y 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 $ above -men 'rued property fv inspection v y y purposes. "rV XDate Si nature Permitee or Agent Receipt No. rJ 4 —., White-D.P.W. — Yellow-Assess4r — 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. DIRECTO OF PUBLIC WORKS By b - s--,�Date,!%Z//�S Building permit expires Date >zf vas BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name : i #.z". e 1,3 20 vC--# 2. Installer's name: /��PrP� S �% f3�LL �U!✓l $ E4L 3. Is the site currently under permit? Yes /A No ( If yes, furnish permit number ri7 7 ) 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? ----------------------- ll1'�% Amps 6. What is the mobilehome site service rating? --------------------- /C d Amps 7. What is the mobilehome site circuit breaker rating? ------------- /0 d Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- (If yes, identify the load and size: (Load) Yes / / No% (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- �il �(in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG IX / 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. .What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft, on natural gas or less than '50 ft. -On LPG.) i MOBILEHOME SU YYUKI DATA Mobilehome Mfr. IL/RIZ w v©n � &J &RA✓ Setup Model No.� Year 75 Width 24 (ft.) Length jz, (ft.) Expando Size ft.x • ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheet (if not on file with the County of Butte). leew wX d , el OW ' Footin s- (check . one) /X/ 1. Wood -either e pressure treated or 5�! Z �S i f Center Center Support �'grade. ' Support Footing Sizes Q/ti ��—"� gido.p, Locations (in.) /� 2. Concrete pad. ✓ / / 3. Other,'specify �6 _ - - - - - l S!Z is .0r e 2 Supports (check one) A's — ,�• / 7Z, /x/ 1. Concrete block iv e- y 2. Concrete piers (f7T_�ini_� e� �j a�. / / 3. Steel piers 4. Other, specify Typical Support �2. x 30 Fln xg3i Footing Size . .) (in.)(in.) ft.(in.)� _4___ Z_ 4 --- *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Mer ax. Pig P g in. Max. ��- ,Overhang BUTTE COUNTY - BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive61 Oloville, California 95965 Telephone: 534-4541 3 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 44,,,t/402 Date 1�t4 f S -7 7 Signature of Permitee or Agent Receipt No. '2 k6 !c </-,White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT—PR OF PUBLIC WORKS z BY � � Date 2L permit expires Date BUILDING Owner t% �2 ��� 4 SQ. FT. OCC. BUILDING VALUATION Mailing Address .. Telephone No. Fireplace Contractor A O .4 Total Valuation Mailing Address 01 � Permit Fee Plan Checking Fee &/or Penalty _T4 on �f�oZ S Permit Fee i Building Address S trU. Ok/\/_4, (-:-:-(-)A 111 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 n 2 L IM'1.._/L 2!j/ I �GCr/ 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. / 3 Zoning Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fdss- Wre .salt+fatten- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcelparcel Declaration Ma P 60' R/W Im r p ove nts Lawn sprinkler system 2.00 BI P Rt{ Parcel Aoval Pla s Approval Permit Fee $ $ NEW ADDITION ❑ UTILI IES ❑ OTHER � ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter 4� :23 2 _ 7 J__ Additional meters, each i.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 b 112• in 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: %may f�IgObol 1, 1�Ae SCS 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 ��v /3E ijs fG: G -0V5- 04e,d f/ 1 "I Temp. Power Pole 5.00 License No. 3`y O 12-1 C --&Classification Y& 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 J 2.00 Permit Fee $ $ I certify that I have read this application and state that the above informationis correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 30— 3G'-'information TOTAL PERMIT FEE is U authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 44,,,t/402 Date 1�t4 f S -7 7 Signature of Permitee or Agent Receipt No. '2 k6 !c </-,White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT—PR OF PUBLIC WORKS z BY � � Date 2L permit expires Date IrP ; xrmit w 1166 required for the (mitt me Ilation f the mobilehome, 1 ,T 4 11 'Septic System and location ate. Alllatut►hty connections shall be side the rear ed within 4 ft. out third section of the mobile home on the left (road) side of the mobile home. The Setback shall be 5 if. from the side property lire n,d 5Q ff. from the centerline of the road hnrmi}};ng a M+ximum of a 2 ft. eave overhr=-nq. ow to be ButFe County Health Det. as per p .9a LrqE COUNrY U"N'S bEp, RO-t eoj r A • PP.Po vEr) I/ .9 NOTE -,All Materials &Workmanship Shall Be i n Accordance with Rech n; -r,-4 r� ��„ of a qualify 9 d Practices and q ty prescr;lje^I for 4LSrec;fied use •in • the Uniform Building, Plumbinq & 1 + Machanical Codes and the National Electrical Code. 4 This set of plans eswes MUST be kept on the job at all +;rhes and it is unlawful to make, any chances or alt-rn}ions on I same without written permission from the Department of Public Works, County of Butte. IrP ; xrmit w 1166 required for the (mitt me Ilation f the mobilehome, 1 ,T 4 11 'Septic System and location ate. Alllatut►hty connections shall be side the rear ed within 4 ft. out third section of the mobile home on the left (road) side of the mobile home. The Setback shall be 5 if. from the side property lire n,d 5Q ff. from the centerline of the road hnrmi}};ng a M+ximum of a 2 ft. eave overhr=-nq. ow to be ButFe County Health Det. as per p .9a LrqE COUNrY U"N'S bEp, RO-t eoj r A • PP.Po vEr) I/ Building Permit Number: -6 L- 2 3CO Owner Name: Pall e -- 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 -a- 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: pV Z 3&`� Owner Name: Put C -'Lk— 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 25- feet from the side and 257 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. dam Sun'crest Series • • . • -3 4QBedrooms 2 Baths 1,539 Square Feet y:•:,- §`u . _:: , { x- ! .T-, a',.:. Y•.'s,..,,1 •§ �.w �,.. �^" h.. �::. arr,3 • "� L3 .,fes s - _- _ - _ _ _ - 44 . #t. ... r ... °fir-. ,.`�. ay.. �, I. -. :- : =f�C'.x:4 is .,y. ;f. .-. Y rs , t' .i !Y_..,- e.Y^��- y.. E� �. t': Y i �'�� L G :{:.i•i9' '� f i�x'L' Yi^.�'f '�}.. s�� -♦. dt 0.' ..: gs. ,.. t-S+y,-. -e r..t:�S.: S!"Y _.:^n4.^^.'rr%�� F�..� 1 ,. .i:� +GGvi. x-. _-n ,;,i Tl...q 'rfi :»w'.:.�1, v,+,, �iF Yi a. i��.y�y. ,Yy"rd d �; tiyl��: s ^°�r: M:h:': .•rr_.i h3tv'a4i�""fix x6`i ry:° 5,. F.,�,yn.e. v; t, �: �`�` ::w:?�t y.F .. , .. „ �.-..-.,.,,:5�,- ..,. 'F, .... .. _ ._... F..¢...a__,.�. �. ....,,.. • ,'t . . , .... .;_{ a +. � 'E - -a� � W. � .e�. - .#��',t "i+"' 9 �s �� ° . s � ° �.,�„ F ti?�t � "dry; Fleetwood R 1 1 of Oroville 2243 Feather / Blvd. DININO • I 1 11 /" 412, REA .•r- ' 530-532-3301 530-532-3304 x www.fleetwoodoroville.fhretailer.coni- I i WAIRdN CLOSer GAME x, POWER ENM1, G. CW�,.ET Orr BEDROOM #2 rs•sX me PED3 DECOR GLASS OUMOM XIP -8. Cf.G77CV CNI 1 1 1 ` • ©��� air IrE Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions d materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length Indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. SU/17/MAY03 VININOAREAPENi:Lri:u :u.i I aL3: 3: 3a3a:'LI uuuu..uu.a ui CLASS ,ar:��ili 0. aoser /v / i. ♦ 41 GAME x, POWER ENM1, G. CW�,.ET Orr BEDROOM #2 rs•sX me PED3 DECOR GLASS OUMOM XIP -8. Cf.G77CV CNI 1 1 1 ` • ©��� air IrE Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions d materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length Indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. SU/17/MAY03 2. Assessor's Parcel Number: — 3. Installer's Name: / 4. Is the site currently under permit? Yes(] No ] Permit No. S. Is the site an existing site? Yesw No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?,Amperes. 7. What is the mobilehome site circuit breaker rating? �/'T"'0 Amperes. 8. What is the electrical rating of the mobilehome site'? 0-i!) Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] . No[ ] If yes, please identify the load and size: a) The mobile home site: -Load-' Amperes- b) The main service: Load- Amperes- 11. Type of gas service at mobilehome site: Natural[ ] Propane o None[ ] 12. Size of g4, pipe at the mobilehome site from the meter or tank:_ .34'- inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?�W_(&). 14. What is the mobilehome'gas demand? I 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). . I . PROCESS THIS PERMIT APPLICATION ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PIAN CHECKED.) SHALL COMPLY'WITH CURRENT EDITION OF NEC, UMC AND UPC.. May 1995 8.5 Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish Setup .Model Number:_' . S -e— U y-� Width: �L (ft.) Length: (R.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treat d or foundation grade[ L/f Other: SUPPORTS: Concrete block[ Lj,Other: Provide Tie Down Specifications for all Mobilehomes: (7, P. TL _ Pier Footings Sizes and Location SINGLE WIDE ' MULTI -WIDE Lias 1 • I Liao 2 Line 2 ................................................................................................ Main B"= Line2................................................................................................ 2 Line 1 Line 3 Liao 2 ................................................................................................ Main Beaau ...........................................................:............................. Line 2 - Imel ..............T. ..............11�4 ...... Line 1 Piers: Size minimum: 2 x rzfi. Spacing maximum: 1 9 ` b ` From ends-maximumi i Line 2 Piers: Size minimum:It 2 x i . Spacing maximum: o ` From ends-maxiniuml i o ` Line 3 Roof Loads: Size minimum Location (from front). Line 5 Roof Loads: Size minimum: Location (from front "U1LD A P RR j��j�jk. V.F 1- >,- 4 wa.4 .. Line 1 Openings Size minimum: [ x, ] x [ I - Each side of openings. with width over: 4 o ` Line 4 Piers: Size minimum: r 1 x Spacing maximum: I I` From ends -maximum ` �f8x3 ayx3e 36,(30 34x30 36x3-0 Z x3 MAIN BEAM WITH PERIMETER FOOTING CONFIGURATIONS AND SPACING 13 WIDE - MULTIPLE SECTIONS i0 Ia a 10 0 1 a 0 1 a 0, a 01 a a 0; PERIMETER FOOTING I I I SECTION "A"' I 1 1 I 1 r 1 1 1 I I I I I I 1 I 1 1 I 1 I I 1 1 SECTION "B" 1 1 I I 0 I I 1 1 N-�'•�-�--t--�----�1 0• SPACING 1 1 1 1`` VARIES SECTION "C" 1 SEETASLE "� ■ MAIN BEAM FOOTINGS m w C) '5 16" X 16" k3o ' o o ' a a' 0! ❑ PERIMETER FOOTINGS PERIMETER FOOTING CONFIGURATION AND SPACING o PROCEDURE: 1. Determine the design roof live load of the home. 2. Determine the soil bearing capacity. 3. Follow that line across the table to determine the type of footing configuration and spacing. 4. Footing placement to start at no more than one foot (1'-0" to edge of pier) from each corner of the home. 5. The spacing for any footing may exceed the spacing shown up to 10% as long as the average spacing does not exceed the spacing shown. These tables determine the footing pad configuration and footing spacing along the main beams and perimeter of the section(s). Refer to pages 13 and 14 for footing pad configuration details. Review the tables that indicate the footing type you are going to use for main beams and perimeter piers. Refer to page 17 for the procedure on using the tables. Main beam footing spacing table acceptable for roof live load 40 psf maximum. MAIN BEAM FOOTING CONFIGURATION AND SPACING 8" X 16" X 4" CONCRETE FOOTINGS PERIMETER FOOTING MAXIMUM MAIN BEAM FOOTING SPACING (In Feet) Dbl. Pad Footing Triple Pad Footing Two Dbl Pad Ftng. Main Beam Size Main Beam Size Main Beam Size CONFIGURATION AND SPACING 6' 6' 6' 8' 9' 9 8' 10' 12' o 8' 9' 9 1 8' 10' 12' 8' 10' 12' FOOTING CONFIGURATION 8' 10' 12' 1 8' 10' 12' 8' 10' 12' J 8' 10' 12' 8' 10' 12' 8' 10' 12' 4000 8' 10' 12' 8' 10' 12' 8' 10' 12' 1500 8' X m w C) '5 16" X 16" 8" X 16" 2x12x24"'OF rn c o Concrete Concrete Wood Pad L 10' 12' L'8' N Pad Pad 10' 12' �n 20 1000 SINGLE DOUBLE SINGLE 6'-0- -1000 DOUBLE TRIPLE DOUBLE (?01500 $-0" SINGLE DOUBLE SINGLE 2000 to a000 SINGLE DOUBLE SINGLE 1000 DOUBLE TRIPLE DOUBLE 30 8'-0" 1500 SINGLE DOUBLE SINGLE 2000 to 4000 SINGLE DOUBLE SINGLE 1000 DOUBLE N/A DOUBLE 40 8'-0" 1500 DOUBLE TRIPLE., DOUBLE 2000 to 4000 SINGLE I DOUBLE SINGLE PROCEDURE: 1. Determine the design roof live load of the home. 2. Determine the soil bearing capacity. 3. Follow that line across the table to determine the type of footing configuration and spacing. 4. Footing placement to start at no more than one foot (1'-0" to edge of pier) from each corner of the home. 5. The spacing for any footing may exceed the spacing shown up to 10% as long as the average spacing does not exceed the spacing shown. These tables determine the footing pad configuration and footing spacing along the main beams and perimeter of the section(s). Refer to pages 13 and 14 for footing pad configuration details. Review the tables that indicate the footing type you are going to use for main beams and perimeter piers. Refer to page 17 for the procedure on using the tables. Main beam footing spacing table acceptable for roof live load 40 psf maximum. MAIN BEAM FOOTING CONFIGURATION AND SPACING 16" X 16" X 4" CONCRETE FOOTINGS 8" X 16" X 4" CONCRETE FOOTINGS U C y U a (J) MAXIMUM MAIN BEAM FOOTING SPACING (In Feet) Dbl. Pad Footing Triple Pad Footing Two Dbl Pad Ftng. Main Beam Size Main Beam Size Main Beam Size 8" 10" 12" 8" 10" 12" 8" 10" 12- 1000 6' 6' 6' 8' 9' 9 8' 10' 12' 1500 8' 9' 9 1 8' 10' 12' 8' 10' 12' 2000 8' 10' 12' 1 8' 10' 12' 8' 10' 12' 3000 8' 10' 12' 8' 10' 12' 8' 10' 12' 4000 8' 10' 12' 8' 10' 12' 8' 10' 12' 16" X 16" X 4" CONCRETE FOOTINGS 2 X 12 X 24" WOOD FOOTINGS MAXIMUM MAIN BEAM FOOTING SPACING (In Feet) U m N Sgl. PajFootnb,1,' bl. Pad Footing Two Dbl Pad Ftng. v a Main Bain Beam Size Main Beam Size N 8" 1" 10" 12" 8" 10" 12" 1000 6' 8' 10' 12' 8' 10' 12' 1500 8' 8' 10' 12' 8' 10' 12' 2000 8' 18' 10' 12' 8' 10' 12' 3000 8' 1' 10' 12' 8'10' 12' 4000 8' 1' 10' 12' 8' 10' 12' C IV Ou 11481 -i' PROSlot r� !"' Dep 11481 F�S C F'vGINEE��� • Fq R�5 Multiple Section Installation Manual for WZ-1 Page 23 ~� FLEEMOOD, Copyright 0 2004 by Fleetwood Enterprises Inc. 2 X 12 X 24" WOOD FOOTINGS ?' U MAXIMUM MAIN BEAM FOOTING SPACING (In Feet) y Sgt. Pad Footing48'10' d Footing Triple Pad Fing. Cc v a .o Main Beam Sizeeam Size Main Beam Size rn 8" 10" 12"0" 12" 8" 10" 12" 1000. 6' 6' 6'0' 12' 8' 10' 12- 1500 8' 9'-0" 9'-6" 12' 8' 10' 12' 2000 8' 1t1i 10' 12' 8' 10' 12' 3000 8' 210 10' 12' L'8' 8' 10' 12' 4000 8' 10' 12' 8' 10' 12' C IV Ou 11481 -i' PROSlot r� !"' Dep 11481 F�S C F'vGINEE��� • Fq R�5 Multiple Section Installation Manual for WZ-1 Page 23 ~� FLEEMOOD, Copyright 0 2004 by Fleetwood Enterprises Inc. ni W-80 21'-11* 96" Shearwall 3 Joists & 2 Logo KOM 1) ThIs floor plan may be bullt as an exact. miftr image abaA the length and/or width axis 230-3* ge Shearwall 3 Joists & 2 Logs FkiT5�T­ 81-2* Ab, z" MW no I%M LL 101D.L LOOM 1AMM SM WAX HT. sw VZj flu WADS — -TW RM WM ZM&_ A V_,je j2 uw ow 13HO 1. W-100 11-V 7100 2A W-70 a - 2Y -V 25'-r 710013 W -r 214 3V-11* 351-1" coo 4 W-11, 6 A If -Irl 7 41r-11' V -t* 7100 38 A W -W W -e 145M 0 a I -Ir 32 hkda r Ika is RoqtkW M M M NK 409LL 0#0-L UXM wtow AN nu HT. I MI. 44 L M M& I OP -W 4400 1 A 5!_,,* 32 A )11�-Ir MW 213 3A _I- 26 II& 4A W-111' 7 1 UCI0 5 -t-7- a OW -04 SW -4- WSW 6 A r , j2. 14 r 181 BMbQ [a ftvimd\ PF8 Ccq�mflan Madt"n - 5 141103 HUD MvuftcWmd Hem Conamcdc" & 8ge Stwdud 80-7-71 F COU N 14 IUILDING DEPARTM, 4 P PRO V Submittal #: 15-03-3660 WOODLAND # 17 3W. FLOIOR PLAN Olt 11-1 Iry Kv. SUNCREST 56048 A 1 in Z UJI 0 RECIPT.I(SEE aCCL51PECS.) a= a= MIL BQK t S"i a 5XIO AIR REO. 0. UGHT FUTURE 0 AN SUPFLY (D VOMMAT C13UNG MWER DMW & COW4 FAN 90RUL KM - SMKC DM=R 0 SUPPO" POST DOOR MML TR4N$. RAI),�IRN MR CM FkiT5�T­ 81-2* Ab, z" MW no I%M LL 101D.L LOOM 1AMM SM WAX HT. sw VZj flu WADS — -TW RM WM ZM&_ A V_,je j2 uw ow 13HO 1. W-100 11-V 7100 2A W-70 a - 2Y -V 25'-r 710013 W -r 214 3V-11* 351-1" coo 4 W-11, 6 A If -Irl 7 41r-11' V -t* 7100 38 A W -W W -e 145M 0 a I -Ir 32 hkda r Ika is RoqtkW M M M NK 409LL 0#0-L UXM wtow AN nu HT. I MI. 44 L M M& I OP -W 4400 1 A 5!_,,* 32 A )11�-Ir MW 213 3A _I- 26 II& 4A W-111' 7 1 UCI0 5 -t-7- a OW -04 SW -4- WSW 6 A r , j2. 14 r 181 BMbQ [a ftvimd\ PF8 Ccq�mflan Madt"n - 5 141103 HUD MvuftcWmd Hem Conamcdc" & 8ge Stwdud 80-7-71 F COU N 14 IUILDING DEPARTM, 4 P PRO V Submittal #: 15-03-3660 WOODLAND # 17 3W. FLOIOR PLAN Olt 11-1 Iry Kv. SUNCREST 56048 A t M k =_ M_", 121= .Exterior. Fiber cement siding built to resist weather. damage 2" x 4" exterior wall construction provides a, iturdy, frame ' I - . TrgLnsverse -floors with 2" x 6" floor joists for better support, Class "W'fire-rated, composition shingle roof for long�� lasting, low maintenance performance Vented roof cavity allows hot air and condensation, to exhaust for improved energy efficiency" Inswing front entry door with cleadbolt, peephole and brass knocker for your family's safety Inswing rear door with cleadbolt and window add natural light Low -E coated dual paned.vinyl framed �vinclov�js for better energy efficiency Porch lights at front and rear entries for your safety "A 'Interior - A drywall tape And texture in all areas adds style to- your4nterlor Standard 17 oz. carpet in,all living and bedroom aredii for high performance and low maintenance - 100% nylon to- prevent fuzzing and 'shedding - Multi -colored dye technique minimizes tracking and spottirig -:-Tri)�atecl,with StainTech- for easy cleaning-' Glass ceiling fixtures brighten your home's interior Vaul "a ceiling througho'u- t provides an open look te and feel Whitel lined overhead cabinets for easy maihtenan6e Arched top wood cabinet doors add quality and natural bea.ut� to your kitchen and bathrooms Metal mini -blinds in living and bedroom areas for your privacy e Hollow core closet.cloors are durable and provide convenient access Linoleum at front door for a formal entry look Colonial baseboard adds style to your interior Rounded sheet rock corners in living areas soften your d6cor . I - Can lights provide elegant lighting ININ-11 NET, Baths Easy-ciare, laminate countertop with hand laid, 4" ceramic tile backsplash and tile self -edge provides attractive color ac�i6nt Recessed r;iedic-ine cabinet provides convenient storage space in each bath Master bath has, a large one-piece.oval, tub/shower for a retaxing bath or convenient shower Guest bath has a one-piece 60" fiberglass tub/shower comfortable molded design and -easy'. maintenance Ceiling exhaust fan provides extra ventilation in each bath Bank of ' three drawers in the master bath for handy storage Extra large vanity mirrorswith Hollywood lights in both bathrooms provide an expansive viewing area Porcelain sink with single �lever faucet in ea6h bath -'Kitchen-, Brand name appliances provide confidence and hassle -free service 30" free-standing gas range 14 cubic foot frost-free'refrigerator Single lever faucet with sprayer Bank of 4 drawers provides convenient -storage for your utensils 'Double cell porcelain sink adds flexibility in kitchen c activities Cong6leumO no -wax, vinyl flociring for easy care Elegant crown mold ' ing provides a finishing touch to overhead cabinets Two pull-out pot and pan drawers provide easy roll out storage convenience Easy -care laminate countertop with'hand laid, 4" ceramic tile backsplash and tile self -edge provides attractive color accent , Fleetwood Homes reserves the dght to change colors, prices, specifications, models, dimensions and matedals without Aotice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions arre,nominal and approximated. Square footage is measured from exterior wall to e�terio'r wall, and is an approximate figure. Length indicated in floorplans is floor length only. the length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. 02003 M 1121,22 uti.lity'.4safety and*,,.. Energy Features Smoke cletector(s) arid built-in interior 100 AMP penel box' for your safety and I e asy�access Shut-off valves at all plumbing fixtures for your convenience Overhead, utility shelf for added storage space Zone 11 insulation package for energy efficiency, includes: White vinyl framed,, clual��panecl windows, R-22 ceiling, R-1. 1 wall, R-1 1 floor 30 �gallon gas water heater is'efficient and requires low maintenance 'Gas furnace provides name brand confidence and - hassle -free service Plumb/wire for washer and dryer provides convenient hook up -Optional Fe*atures Dishwasher,and garbage disposal for quick and easy kitchen clean-up Skylights of various sizes brighienany room Refrigerator and range upgrades meet your culinary needs Deluxe carpet selections for inc I reased performance and beauty %" rebond carpet pact extends the iife of your carpet Ceiling fan circulates air for a "spring breeze" feeling all year long. Beautiful cabinet system with recessed panel arched top.doors, ash face frames'and adjustable overhead shelving add value and quality. Overhead utility cabinets expand your storage space Recessed flu6rescent lights give your kitchen a contemporary look Sliding glass exterior door welcomes more natural light into your.home 40 gallon gas water heaters provide more hot Water for your family's needs. Zone III insulation package to meet the ne'eds.of the climate where you live, includes: 2" x 6" iaxterior walls with R-33 ceiling; R-19 wall, R-22 floor insulation FLEETWOOD HOMES of CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 18 N. Pioneer Avenue Woodland, CA'95776 (530) 662-3223 SU/17/JAN64 Fleetwood Homes of Oroville' 2243 Feather River Blvd. Oroville, CA 95965 530-532-3301 Fax 530-53.2-3304 www.fleetwoodoroville.fhretailer.com DINING 12' AREA WX12`6" OPT. OTH BEDROOM BEDROOM #2 L".... 9`6"X12W DU TTE C(piNTV ljul-.4 '04 SERVICE' S - 0 I r . . . . . . . . 1011 up I 11 --KITCHEN BATH' . - .. - I " SWING W SIM DECOR GLASS VINING AREA 9'-f"X 12'-6' OZ, FIR E CE BEDROOM #2 DECOR Opr. DEN 24'-&'X12'-6' ----------- DECOR WALX-IN CLOSEr L -------- 074EAD DECOR 0. GLASS/ CLOSEr ----- - ----- C_R *-1--s ---- 7-7 Y MASrER L I IWNG ROOM U BEDROOM BEDROOM #4 COT BEDROOM #3 12�10'X 1"' 1&-S'X la -4" DECOR GABLE GLASS PORMER ENTRY OM SUNROOM A--, 22-3"X 121-61 Opr. h DECOR RNiR '00pork CORNER GLASS BAY 0 DAY OPT RECESSED ENTRY ------- OPT. DEN Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans; is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. SU/17/MAY03 VEL) L:nv'Butte County health 7Z) FLEEM(DD, Suncrest Series Model5604B Date b -3 )KBedrooms - 2 Baths - 1,539 Square Feet---...-___ Fleetwood Homes of Oroville Y 2243 Feather River Blvd. Oroville, CA 95965 DININO opr. AREA OEDR 530-532-3301 Fax 530-532 IZ-4'X IZ-W X -6- -3304 X Ir -6 www.fleetwoodoroville.fhretailer.coni- r OECOR GLASS VININO WCH AREA VAM DEN BEDROOA4#2 0 EN FVML-�J± w-rx 24-r .1 --- --- PEr" GLASS MGM W'"4M GLASS % % aowr - --- ----- \�7 % 17 '1 L ------- J Alf 'OR VED) AM f�4 OEDA rAALE to, (1-4 L PORMER EMMY \ I (9� AdMOA4 % opr. CRN R CORNE MASS A( Y E SE E DE 7 FleeWood Homes reserves the right to change colors, prices, specifications, models, dimensionsati/d "atd without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length Indicated in floorplans is floor Length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. SU/17/MAY03 AND WHEN RECORA6'_Mr�&TO: BUTTE COUNTY BUILDING DIVISION, 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded Official Records CountT Of BUT E CANDACE J. GRUBBS Recorder ROSE14ARY DICKSON Assistant 09:51AM 11 -Oct -2004 REC FEE 10.00 CONFORM 1.00 Jason Page I of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, de* scribed as follows: ATT -4-7-C H -E0 Date State of California f,_,5 . 1__ LAO County o U�K_� S e P* k TY OWNERS: �fjoea_'r P4L-0rQC_ On 0, - k -�' -o L( — before me, 4Ak_�' OU 'Q/ - k-\-, I V i \ I., , �'3 C4 personally appeared — A-U_%Q� W . &_VW.Poa_6 �Ivaxmv (Y\ - —personally known to me (or proved to me on the basis of satisfactory evidence) to be the�person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their author'ized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS fn� ha;d=�a�leal, ------ Sign44re Rk Seal: HdElhDldRt. 1HUKILL -W COMM. $11411234 otary Public-Callitomle ui BUTTE COUNTY A.F ;t:3 r> - 0 13 My COMM. Exp. April 15, 2007 C_ 2Y -5-4�-O,T ,/- /w C///;l 05/04/04 14:57 FAX 530 877 3443 - Order No. BTJ-215939-3 ?J" D=ription The land refmred to herein is sittmted in the State of Califamia, CounLy of Butte, and is descriffied as follows: ALL THAT PART OF THE NORTA HALF OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SE=ON 13, TOWNSW 17 NORIE, RANGE 2 EAST, M.D.B. & M., LYING EAST OF THE SUTTER BLrrM CANAL EXCEPTING TIUMMOM THE FOLLOWING DESCRIBED PARCEL OF LAND: [a 013 CON04ENCING AT THE POINT OF nMWEC170N OF THE MMM IM OF TJHE'SLrITM' BLTrl7E CANAL AS IT EX= ON THE GROUND IN OCTOBER OF 1953 VITH THE NORTH LINE OF SAE) SECTION 13; THENCE ALONG TIM NORTR 12M OF SECTION 13, EAST 192 FEET; T11ENCE SOUTH 208 FEET; THENCE WEST 136 PEET, MORE OR LESS, TO THE CM�rM OF SAID SUTTER BUTTE CANAL; THENCE ALONG TnE CENM OF SAID CANAL NORTHERLY 208 FEET, MORE OR LESS To THE POW OF CON24WCEMENT. ALSO EXCEYnNG 11 REFROM THAT PC )RTION CONVEYED TO DALE WARREN'TIPTON AND MAXINE L. TfPTON BY aM.NT DEW RECORDED AUGUST 9,1964, IN BOOK 73 1. PAGE 58, OFFICIAL RECORDS. APN 021-230-034-000 Dascription: BUtba,C& Dv==ent-Yeaz.Dca= 2003.86304 page. 3 of 3 0=dex. mol2y OWNER'S NAME: Lja\/AJP 70, 1 n7L tLOPERTY ADDRESS: 7�:Z PHONE NUMBER: ASSESSOR'S PARCEL 0'), 0 SCALE:' I "=� 50' THE FOLLOWING ITEMS MUST APKAR ON THIS PLOT PLAN 1. Property boundary dimensions, parcel size, building setbacks and easements 2. Encroachment activity in, on or over the State Right of Way 3. All adjacent structures on the same property. Show them at the proper scale 4. Utirdy services (gas, water, sewer or septic system.. and electric service) NOTEI Propane tank shall be. no closer than 10' to property, structure, or source of Igni-tion. 5. Locations of any slope on the property THIS REQUIREMENT IS CRITICAL THIS PLAN SHALL INDICATE AN ACCURATE TRUE NORTH ARROW IMPUKIANIH, IF THE STRUCTURE IS IN ANY WAYIMPACTED BY LOCATION OF A SLOPE NOT SHOWN ON THE DRAWING!PR4 'PLAN, -TRE -INSPECTOR WILL STOP T949:41"11 il=D -ronRA DD t-comi r%,13C t itno -ru n o r I h PLANS TO THE BUILDING DEPA MENT. (CBC 1806.5) V C f I APPROVED rerso,,o.' I Buffe County vironmente ealth 74/_ ate 14'i' ;w!79- 4 34 .30( �8 OQC�'� '(��9_ Tr-i -73 5Q_ r I El PLANNING DEPARTMENT PERMIT ISSUANCE APPROVAL PLANNING DEPT. Zoning Exist BIdgs- Setbacki Private Road Public Road Encroachment Permit Reqnked BUILDING DEPARTMENT ..Building, Pept. 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YA- j A -�f9: Assessoes Parcel Owner Name EQ Address / Phone No. Site Location C1 Contact. Name �� Sca!e: 1" .6-105) A-- --.1 v e- Of? k r--�q , _3 hpne ` - :! . . ....................................................................... ............. . .............. ............................ FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: < N rp SC =m �* W �4 x > Ml t-4 tz Wh. C3 ;Q '44 tz I Z; xt 58X c: -U 0 LL c z V R m 0 m F P4 -00 > <mz TV SWOU WIDU > FOR: CENTRAL PIERS, INC. JZOCK SOLID ENGINEERING' INC. 8 8 9 �1 :9 9 9 9 284 N. THORNE rm --i > FRESNO,' CA. 93706 800 653 0387 cn FwWkth Enoeerhg&W Assessmtsoftuftctured Hom Foundcitlons4oExpert Vitress g. o I- g ;g, -g : < C'D w C.P. ANCHOR PIER -ENGINEERED TIEDOWN SYSTEM (ETS IOXi 110 LAPIS DRIVE, WATSONVILLE, CA. 95076 (831) 724-75868 z Cb 0 co 0 0 OD c. 15 I'd I'liku 52 z 0 rm ve P-0 9w �z Z Jig �c� -4JMM M TAM; Fam,jr-5 - a ff PIP c a !` �!' I t :- p : t% , .4 - - -El—(El- : --iE- - z .. ; to T Ra go 09 ra an P= TAKM m' -j IL nfrp,� m;. R till 119 to A A � Ogg no QPA r -w :-4 ow 19 ;;-c v Vb QR _ 51fild �A. I a - 111 L - 0 p1m, Ail -4 to 2. iguz g j a r, g R'd Rg m 51 R P. n. X1 ..P,; psi Ai A- Ica 9 MR; Sal it ja t, e pe, -8- 1131 Ph � c'. get Wig F:21 ;g' mul 3�-- a 4 113-4 Rill g =Z -0 ts 0 c— C3 M 0 > FOR: CENTRAL PIERS, INC. JZOCK SOLID ENGINEERING' INC. 8 8 9 �1 :9 9 9 9 284 N. THORNE rm --i > FRESNO,' CA. 93706 800 653 0387 52 z 0 rm ve P-0 9w �z Z Jig �c� -4JMM M TAM; Fam,jr-5 - a ff PIP c a !` �!' I t :- p : t% , .4 - - -El—(El- : --iE- - z .. ; to T Ra go 09 ra an P= TAKM m' -j IL nfrp,� m;. R till 119 to A A � Ogg no QPA r -w :-4 ow 19 ;;-c v Vb QR _ 51fild �A. 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LC ...... ..................... ...... .................... ...... ................ ............ .... . 0: ...... % ................... % ...... .................. ................... ................ ... ...... ...... ......... ........... ...... -7 1* jr,­* U .......... . ............. . ......... ....................... ...... ............ ........... ............... .......... ...... ..... .... JI—FI; ............ ............ ............. . . . . . . . . . . . . . . : ....... . ....... ............... .. . ... IF ............. .. . . . . . . ........................... Assessoes Parcel Number [6 E 01 Owner Name A Address / Phone No. Sitetocation Contact: Name F F-01 go = — ,31 _— 021H] Scale:1 1-5 /_51) 4 )1 1 -17 Ddl&W A 21xi FOR OFFICE USE ONLY Zoning: ----7 � i - General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: r> m O m C 0 0 7.3 CD �., ;• AE IV A � N J . O O A I 'k A I A A A A 8 I A i �h LU A A A q M _ A a AE —7 i T p — — — — — . Job Qty Ply Garage Truss Truss Type R1286961 S7204 AE FINK1 Job Reference (optional) Moss Lumber, REDDING, CA 96001, Randy Hamden 6.000 s Jun 17 2004 MiTek Industries, Inc. Tue Jul 1314:31:17 2004 Page 1 -2-0-0 24-0.0 11 26-0-0, 2-0-0 12-0-012-G-0 2-0-0 Scale = 1:45.4 4x4 Mtl20= 9 4.00 F12 8 12 3 7 4 6 15 164 17 3 2 0. C3 O1 d CK 1103CCiliffloomm 4x4 M1120= 34 33 32 31 30 29 28 27 26 25 24.23 22 21 20 4x4M1120= 4x4 M1120= 24-0-0 24-0-0 LOADING (psf) SPACING 2-0-0 CSI IDEFL in 0oc) 1/deftUd Vert(LL) 0.00 19 n/r 120 PLATES GRIP M1120 220/195 TCL 35.0 TCL 7.0 Plates Increase 1.15 Lumber Increase '1.15 TC 0.52 BC OA9 Vert(TL) -0.00 19 n/r 90 BCLL 0.0 Rep Stress Incr YES WB 0.04 Horz(TL) 0.00 18 n/a n/a Weight: 114 Ib BCDL 7.0 Code UBC97/ANS195 (Matrix) 1. BRACING LUMBER TOP CHORD 2 X 4 DF No.1&Btr G TOP CHORD Sheathed or 6-0-0 oc pudins. BOT CHORD Rigid ceiling directly applied or 1040-0 oc bracing. BOT CHORD 2X4DFNo.1&BtrG OTHERS 2 X 4 DF Stud/Std G REACTIONS (Ib/size) 2=372/24-0-0,18=372/24-0-0,28=136/24-0-0, 29--130/24-0-0, 30=131/24-0-0, 31=130/24-0-0, 32=134124-0-0.-0-0, 33=108r24-0-0, 34=203/24-0-0,27=136/24-o-0, 26=130/24 25=128124-0-0, 23=128/24-M, 22=135/24-0-0, f 21=108/240-0, 20=203/24_0-0 Max Horz2=12(load case 1) Max Grav2=592(foad case 2),18-592(load case 3), 28=146(load case 2),29=157(load case 2), 30=153(load case 2), 31=156Qoad case 2), 32=147(load case 2 ), 33=1 73(load case 2), 34=203(foad case 1), 27=1 46(load case 3), 26=1570oad case 3),25=151(toad case 3),23=155(load case 3), 22--148(load case 3),21=173(load case 3), 20=203(load case 1) FORCES (lb) - Maximum Compression/Maximum Tension -28/14,5 -6=30/13,6-7-30113,7-8-30/14,8-9-30/13,9-10-31/0,10-11=-3110, TOP CHORD 1 -2=0/94,2 -3=78/29,3 -4=38/9,4 -5 -16=-30/13,15-16-28/14,16-17=-38/9,17-18=-78/29,18-119=0/94 11 -12=30/13,12 -13 -30/14,13 -14=30/13,14 32-33=0/0, 31-32--0/0, 30-31=0/0, 29-30-0/0, 28-29=0/0, 27-28=0/0;26-27=0/0, 25 -26=0/0, 24-25=0/0, ' CHORD BOT C 2-34=0/0, 33-34=0/0, 23-24=0112,22-23=0/12,21-22--0/12,20-21=0/12,18-20=0/12 3-34=195/0,11-27-126/0,12-26=138/0, 9-28=126/0,8-29=138/0,7-30-135/0,6-31-13510,5-32-13810,4-33=lig/o, WEBS 13-26=-135/0,14-23=135/0,15-22-138/0,16-21=-11910, 17-20=195/0 NOTES 1) Unbalanced snow loads have been considered for this design. 2) Overhang he a been design for 2.00 times live load + dead load. indicated. ESS/pN 3) All plates are 1.5x4 M1120 unle ss otherwise bottom chord bearing. 4) Gable requires continuous 5) Gable studs spaced at 1-4-0 oc. 6) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 7) A plate rating reduction of 20% has been applied for the green lumber members. rtT bolt holes along the member cAines spaced a min. of 0-6-0 apart 0.500in in the bottom in 8) This truss design allows for the following max. C 171 80 chord. -,EXP. 06/30/05 LOAD CASE(S) Standard BUT E COUNTY �P'. CIVI\- BUILDING lid U U V 0 OFIC AVED PPIRO July 14,2004 WARMING - Verry design parameters and READ NOTES ON jZu AND INCLUDED MrSKREFEREMM PAGE JW -7473 REPOIZZ VSF- 7777 Greenback Lane • Suite 109 Design valid rfor use only with Mlek connectors. This design is based only upon parameters shown, and is for an individual building component. is responsibility of building designer not truss designer. Bracing shown CA, Citrus Heights, 9561 Old 1 Applicability of design paramenters and proper incorporation of component for lateral support of individual web members only. Additional temporary bracing to insure stability during construction Is the responsibillity of the 1 4 is permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding erector, Additional per n 8 Bu/ding Component fabrication, quality control, storage, delivery, erection and bracing, consult ANSI/TFI1 Quality Criteria, DSB-89 and CS11 Bu d g Co n M DO k Safely Information available from Truss Plate Institute, 583 D'Onofdo Drive, Madison, Wt 53719. t ;18bi- Truss Truss Type City Ply R14082110 711095 A FINK (optional) Moss Lumber, REDDING, CA 96001 4.201 SRI s Oct 17 2002 MiTek Industries, Inc. Thu Oct 28 10:54:37 2004 Page 1 12-0-0 6-4-14 12-0-0 17-7-2 24-0-0 26-0-0 1 2-0-0 6-4-14 5-7-2 6-7-2 6-4-142.0-0 Scale 1:45.5 4x5 4 4.00 rT2� 1.5x4 1.5x4 3 Ln 2 6 LO LO 7 4X5 9 8 4x5 4X4 5X6 8-3-4 15-8-112 24-0-0 8-3-4 7-5.8 ' 8-34 Plate Offsets (X,Y): I2:0-3-2,0-0-2],[6:0-3-2,0-0-2],[8:0-3--iY6:3-6F LOADING (psf) SPACING 2-" CSI DER in (loc) I/defl PLATES GRIP TCLL Plates Increase 1.15 TC 0.60 Vert(LL) -0.17 8-9 >999 M1120 220/195 TCDL 7.0 Lumber Increase 1.15 BC 0.44 Vert(TL) -0.24 8-9 >999 BCLL 0.0 Rep Stress Incr YES WB 0.344 Horz(TL) 0.07 6 n/a BCDL 7.0 Code UBC97/ANS195 (Matrix) 1 st LC LL Min I/defl = 360 Weight: 94 lb LUMBER BRACING TOP CHORD 2 X 4 OF No. 1 &Btr-G TOP CHORD Sheathed or 3-9-2 oc purlins. SOT CHORD 2 X 4 DF No. 1 &Btr-G BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 2 X 4 OF Stud/Std-G REACTIONS (Ib/size) 2=1342/0-3-8, 6 1342/0-3-8 Max Grav 2=;0454(foad case 2), 6=1454(load case 3) FORCES (lb) -First Load Case Only TOP CHORD 1-2=51, 2-3=-2713, 3-4=-2342, 4-5=-2342, 5-6=-2713, 6-7=51 BOT CHORD 2-9=2486, 8-9=1708, 6-8=2486 WEBS 3-9 -493, 4-9 651, 4-8 651, 5-8 -493 NOTES 1) Design load is based on 35.0 psf specified roof snow load. 2) Unbalanced snow loads have been considered for this design. 3) Overhang has been design for 2.00 times live load + dead load. 4) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads per Table No. 16-8, UBC -97.7. 5) A plate rating'reduction of 20% has been applied for the green lumber members. 6) rThis truss has been designed with ANSI/TPI 1-1995 criteria. LOAD CASE(S) Standard ESS1, C" 417180 z 131 IE OUNTY TTC EXP. 06130105 N IVIS11410N, BUILDUNG D I OF-CA'L* APPROV ED October 28,2004 A WARNHM - Ver(& design pammetem a nd RE4D NOTES ON Tws AND nwx vDED juTpx REFzRExcz PAGE 11119- 7473 DEMRE USE. 7777 Greenback Lane Design valid for use only with MITek connectors. This design Is based any upon parameters shown, and is for an individual building component, Suite 109 Citrus Heights, CA, 95610 Applicability of design paramenters; and proper Incorporation of component Is responsibility of building designer - not truss designer. Bracing shown Ell Is for lateral support of Individual web members only. Additional temporary bracing to insure stability duflng construction Is the responsibility of the erector. Additional permanent bracing of the overall structure Is the responsibility of the building designer. For general guidance regarding fabrication, quality control, storage, delivery, erection and bracing, consult ANSIITPII Quality Criteria, DSB-89 and BCSI1 Building Component MiTek* Safety Information available from Truss Plate institute, 583 D'Onoftio Drive, Madison, WI 53719, 'I LOADINgpsf) SPACING 2-0-0 " TCLL' 30.0 Plates Increase 1.15 OVER 8'_6" TCDL 10.0 Lumber Increase 1.15 —4� I BCLL 0.0 Rep Stress incr YES SOW BCDL AND' RD GABLE END DETAIL � �r ��PAGE FILENAME' STDGAB80XC 1 OF z. *DIAGONAL OR L'-BRACING3/20/00 VARIES REFER TO TABLE BELOW SHEATHING TO COM. 12 -- 2X4 NO.2 OR BTR. DF -L 44 _ 1X4 OR 2X3 (rYP) TRUSS 1/2" (BY OTHERS)- 3 1 /2�� l `� / 7 MAX / NOTCH AT 24" 24" O.C. TYP �_ -24" O.C. (MIN.) `� 2X4 _ r E 6' 3" * A A j_ LATERAL BRACING TOP C H O R � AS REQUIRED PER k M .' ,: pG NOTCH DETAIL TABLE BELOW H T sx 3x5 CONT. BRG-__ . SPA T "MA CH COMMON TRUSS ; l -- VERTICAL STUD END LID CEILING TYPICAL 2X4 L -BRACE NAILED MATERIAL TO 2x4 VERTICALS W/8d NAILS SPACED AT 8" O.C. - x -, DETAIL �� pH I 'I LOADINgpsf) SPACING 2-0-0 " TCLL' 30.0 Plates Increase 1.15 OVER 8'_6" TCDL 10.0 Lumber Increase 1.15 —4� I BCLL 0.0 Rep Stress incr YES SOW BCDL 10.0 Code UBC97/ANS195 LATERAL BRACING NAILING SCHEDULE VERT. HEIGHT # OF NAILS AT END SUP TO 7'-,�--=-- --�i 7G -6 -=- 2 ---- - -d ------ -`-- 3 - 6 OVER 8'_6" 4 - 16d 1 LUMBER TOP CHORD . 2'X 4 DFUSPF/HF:- No.2' BOT "CHORD 2 X4DFL/SPF/HF- No.2 OTHERS 2 X 4DFUSPF/HF -'STUD/STD MAXIMUM VERTICAL STUD HEIGHT SPACING OF VERTICALS WITHOUT BRACE WITH LATERAL BRACE WITH 2 -LATERAL BRACE WITH L -BRACE 12INCH O.C. 4-10-0 9-8-0 14-6-0 7-3-0 16 INCH O.C. _ —4� _ _ 6-3-0 _24 INCH O.C. MnO 6-10-0 .�_ _1'OQ.�� SOW is Symbols PLATE LOCATION AND ORIENTATION Numbering System General Safety Notes 13 I*- y4 Center plate on joint unless x, y Failure to Follow Could Cause Property' offsets are indicated. 6-4-8 dimensions shown in ft Damage or Personal injury Dimensions are in ft-in-sixteenths. -in-sixteenths Apply plates to both sides of truss and securely seat. Additional stability bracing for truss system, e.g. diagonal or X-bracing, is always required. See Bc�+_ 2. Neverexceed the design loading shown and nevem TOP CHORDS stack materials I als on inadequately braced trusses. LLD C1_2 C23 3. Provide copies of this truss design to the building WEBS 4 designer, erection supervisor, property owner and 0 all other interested parties. 0 *For 4 x 2 orientation, locate 7- UJ L) 0 4. Cut members to bear tightly against each other. plates 0-1/,91 from outside CL 4 :E edge of truss. U 5. Place plates on each face of truss at each It CL C7-8 C6-7 joint and embed fully. Knots and wane at joint *This symbol indicates the BOTTOM CHORDS locations are regulated by ANSI/TPI 1. required direction of slots in 8 7 6 5 6. Design assumes trusses will be suitably protected connector plates. from am the environment in accord with ANSI/TPI 1. *Plate location details available in MITek 20/20 7. Unless otherwise noted, moisture content of lumber software or upon request. ,TN allure Damage I Additional diagonal-or Failure Never stack 4 shall not exceed 19% at time of fabrication. JOINTS ARE GENERALLY NUMBERED/LETTERED CLOCKWISE AROUND THE TRUSS STARTING AT THE JOINT FARTHEST TO PLATE SIZE THE LEFT. 8 Unless expressly noted, this design is not applicable for use with fire retardant or preservative treated lumber. CHORDS AND WEBS ARE IDENTIFIED BY END JOINT The first dimension is the width NUMBERS/LETTERS. 9. Comber is a non-structural consideration and is the ­4 x 4. perpendicular to slots. Second -responsibility of truss fabricator. General practice is to dimension is the length parallel to slots. camber for dead load deflection. LATERAL BRACING CONNECTOR PLATE CODE APPROVALS 10. Plate type, size, orientation and location dimensions shown indicate minimum plating requirements. Indicated by symbol shown and/or SOCA 96-31, 95-43, 96-20-1, 96-67, 84-32 1 1.4umber used shall be of the species and size, and by text in the bracing section of the in all respects, equal to or better than that output. Use T, I or Eliminator bracing specified. if indicated. ICBG 4922, 5243, 5363, 3907 BEARING 12. Top chords must be sheathed or Purlins provided at SBCCI 9667,9730,9604B,9511,9432A spacing shown on, design. Indicates location where - bearings 13. 3. Bottom chords require lateral bracing at 10 ft. spacing, or less, if no ceiling is installed, unless otherwise noted. (supports) occur. Icons vary but reaction section indicates joint Connections not shown are the responsibility I of others. number where bearings occur, 15. Do not cut or alter truss member or plate without prior approval of a professional engineer. Industry Standards: Y 11, Y432A ANSI/TPII: National Design Specification for Metal 16. Ins I tall and load vertically unless indicated otherwise. Plate Connected Wood Truss Construction. MiTek DSB-89: Design Standard for Bracing. Building Component Safety Information, • Guide to Good Practice for Handling, --�l Installing rc; & Bracing Trusses.�� Metal t C Installing & Bracing of Metal Plate 0 nne ed W d Connected Wood MITek Engineering Reference Sheet. M11-7473 0 2004 MiTeke GENERAL NOTES NOTAS GENERALES HAND ERECTION-LEVANTAMIENTOAMANO' BRACING FOR THREE PLANES OF ROOF BRACING FOR 3x2 AND 4x2 PARALLEL CHORD TRUSSES Trusses are not marked in an way to identify Los trusses no est6n marcados de ningun modo que Trusses 20' or „ `i Trusses 30' or EL ARRIOSTRE PARA TRUSSES DE CUERDAS PARALELAS 3x2 Y 4x2 y Q less, support r ` Q less, support at EL ARRIOSTRE EN TRES PLANOS DE TECHO the frequency or location of temporary bracing, identifique la frecuencia o localtzaci6n de los arriostres PP PP t ` 4!S Referto BCSI_B7 Maximum lateral brace spacing Follow the recommendations for -handling, < (bracing) temporales. Use las recomendaciones de manejo, at peak. quarter points. : r Summary Sheet 10' o.c. for 3x2 chords installing and temporary bracing of trusses. instalaci6n arriostre temporal de los trusses. Vea el folleto This bracing method is for all trusses except 3x2 and 4x2 parallel chord trusses. - Temporary and 15' o.c. for 4x2 chords Diagonal braces . Y , P, 'Levante Levante de ✓� t �5 9 Refer to BCSI 1-03 Guide to Good Practice for BCSI 1-03 Gula de Buena Practica para el Manejo Instalaci6n del Pico los los cuartos Este metodo de arriostre es para todo trusses exce to trusses de cuerdas paralelas 3x2 y 4x2. Permanent Bracing 10 0 _ every 15 truss Handling, Installing & Bracing of Metal Plate ' y Arriostre de los Trusses de Madera Connectados con trusses de 20 de tramo los P P for Parallel Chord spaces (30' max.) Connected Wood Trusses for more detailed Placas de Metal ara para mayor informad6n. Trusses for more � P p Y pies o menos trusses de 30 ' 1) TOP CHORD — CUERDA SUPERIOR :information. Trusses up to 30' information. ' Los dibujos de diseno de los trusses pueden especificar Trusses up to 20' pies o menos F -� ` Truss Design Drawings may specify locations of I Trusses pasta 20 I Trusses hasta 30' permanent bracing on individual compression las localizaciones de los arriostres permanentes en los members. Refer to theBCSI-63 Summary miembros individuales encompresi6n. Vea la hoja Leen Sheet -Web Member Permanent Bracing/Web BCSI.63 para los arriostres permanentes y�fuerzos de los cement for more information. All other miembros secundarios (webs) para mayor information. EI HOISTING — LEVANTAMIENTO permanent o resto de arriostres ermanentes son la res onsabilidad del permanent bracing design is the responsibility p P j�J( Hold each truss in position with the erection equipment until temporary bracing is installed and of the BuildingDesigner. Disenador del EdifiJo. 1=t truss is fastened to the bearing points. Sostenga cada truss en posici6n con la gr6a pasta que el arriostre temporal este instalado y el © The consequences of improper handling, structure, � �� t� �:� truss asegurado en los soportes • and bracing may be a collapse of the structure, or _ pP , • r b ,k = worse, serious personal injury or death, st / k Truss Span Top Chord Temporary Lateral Brace (TCTLB) Spacing Longitud de Tramo Espaciamiento del Arriostre Temporal de la Cuerda Superior Up to 30' 10' o.c. max. Hasta 30 pies 10 pies maximo 30' to 45' 8' o.c. max, 30 a 45 pies 8 pies maximo 45' to 60' 6' o.c. max. 45 a 60 pies 6 pies maxima 60' to 80'* 4' o.c. max. 60 a 80 pies* 4 pies maximo " Vea el resumen BCSI-B7 - Arriostre I tt temporal v n �" permanente'de The end diagonal r trusses de cuerdas brace for cantilevered paralelas para mayor trusses must be placed Lateral braces informackin. on vertical webs in line 2x4x12' length lapped with the support. over two trusses. X Do not lift trusses over 30 by the pea . INSTALLING I N STALAC I O N EI resultado de un manejo, instalaci6n y arriostre e, *Consult a Professional Engineer for trusses longer than 60'. Tolerances for Out -of -Plane. —Tolerancias para Fuera-de-Plano, ` a6np uados, puede ser la cada de la estructura o No Ievante del pito los trusses de mas de 30 pies. arin eor, muertos o heridos. � " + Consults a un ingeniero para trusses de mas de 60 pies. ,� .-. Max. Bow Ma:. Bow Max. Truss P , � * �-- - Length � Bow Length Greater than 30' I 3/4' 12.5' rm M35 de than Max Bow Le' n9th —� E _-__. _Length --� See BCSI-62 for TCTLB options. 7/8' 14.6' r, HOISTING RECOMMENDATIONS BY TRUSS SPAN Vea el BCSI-62 para las opciones = Tolerances for j D/50 D (ft.) 1' 16.7' Banding and truss plates have sharp edges. Wear RECOMMENDACIONES DE LEVANTAMIENTO de TCTLB. sk Out-of-Plumb.1/4' 1' 1-1/8" < 18.8' -._ Q gloves when handling and safety glasses when. ' POR LONGITUD DEL TRUSS 0 t-1/4" 20.8' coffin bandin Tolerancias para 1/2" 2' 9 g•'^" Fuera-de-Plomada.a 1-3/8" 22.9' Empaques y placas de metal tienen bordes " 60' or less I " ' o Plumb 3/4" 3, 1-1/2" 25.0' afilados. Use guantes y lentes protectores cuando i Q Refer to BCSII_B6 i bob 1 4 Summary Sheet I i-3/4" 29.2' mrtelosempaques. L 1-1/4" 5' Gable End Frame / 2' 2_33.3' Bra in ." D/50 max 1-1/2" 6' I'7f Repeat diagonal braces. ) s HANDLING MANE® Approx.l/2_� Vea el resumen truss length BCSI-66 -Arriostre Repita los arriostres 2' ' 2:8 ' diagonales. Tagline TRUSSES UP TO 30' del truss terminal CONSTRUCTION LOADING — CARGA DE CONSTRUCCION �7( Allow no more No ermlta mas r Use special in Utilice cuidado ---� de un techo a dos LJ p wind weather or especial en d(as TRUSSES HASTA 30' aquas. Set first five trusses with spacer pieces, then add diagonals. Repeat r Do not proceed with construction until all bracing is securely Maximum Stack Height than 3 of deflec de 3 pulgadas de Y P andproperlym lace. - tion for every 10' pandeo or cada 10 near power lines ventosos o cerca de process on groups of four trusses until all trusses are set. P for Materials on Trusses of span. pies de tramo, and airports. cables electricos o de Instale los cinco primeros trusses con espaciadores, luego los arriostres No proceda con la construcci6n hasta que todos los arriostres aeropuertos preader bar diagonales Repita este procedimiento en grupos de cuatro trusses esten colocados en forma apropiada y segura. 0' ' Toe:in,���� n hasta que todos los trusses esten instalados. � Do not exceed maximum stack heights. Refer to BCSI-B4 Summary Sheet - Construction Loading for more information. 10 Spreader bar 1/2 to 21 BOTTOM CHORD — CUERDA INFERIOR No exceda las maximas alturas recomendadas Vea el resumen Material Height (h) Gypsum Board 12" Plywood or OSB 16' Asphalt Shingles - 2bundles Concrete Block - 8" Clay Tile 3-4 tiles high Spreader bar for truss bundles � Tagline � 2/3 truss length BCSI-64 Cama de Construmi6n para mayor informacton. TRUSSES UP TO 60' �� Lateral braces ; a'".. TRUSSES HASTA 60' 2x4x12' length lapped ® s T �t' •m � � over two trusses. I` to 10, J Locate Spreader bar Attach 7f Check banding Revise los empaques above or stiffback 1Max.Lr 1 prior to moving antes de mover los mid -height mx. � � � \Yt � � Do not overload small groups or single trusses. bundles. paquetes de trusses. :. No sobrecargue peque"nos grupos o trusses individuates. Pick up vertical : Levante de la cuerda Place loads over as manytrusses as possible: bundles at the superior los grupos Avoid lateral bending. — Evite la flexion lateral. top chord, verticales de trusses.`` 11 - � ..w "�` ~w r ii J .,, Coloque las cargas sobre tantos trusses tomo sea posibie. tL �_ Spreader bar 2/3 to "i 3/4 truss length Diagonal braces Tagline �7( Position loads over load bearing walls. r< . .- L1 every lO truss t TRUSSES UP TO AND OVER 60' spaces (20' max.) Coloque las cargas sobre las paredes soportantes. TRUSSES HASTA Y SOBRE 60' 10' - ALTERATIONS — ALTERACIONES 15' max. � £ tr " Some chord and web members not shown for clarity. Q Refer to BCSI-135 Summary Sheet - Truss Damage ]obsite Modifications and Installation Errors. BRACING ARRIOSTRE Vea el resumen BCSI-65 Danos de trusses Modficaciones en la Obray Emores de Insialaci6n. �R/i''� it V /1 i ►7 3) WEB MEMBER PLANE — PLANO DE LOS MIEMBROS SECUNDARIOS Do not cut, alter, or drill any structural member of a truss unless r Refer to BCSI-B2 Summary Sheet - Truss Installa- specifically permitted b the Truss Design Drawing. a - Do Trot store No aimacene Q Pe Y Pe Y 9 g• r. ton and Tempary Bracing for more rnfortnation, unbraced bundles '- verticalmente los ' � � No mite, attere o perfore ningun miembro estrudural de los upright. trusses sueltos. Vea el resumen BCSI-62 - Instalacion de Trusses trusses, a merits que este especificamente permitido en el dtbujo YArriostre Temporal para mayor informacn. � def diseno dei truss vx Web members " ONE WEEK OR LESS MORE THAN ONE WEEK , `.,'""'' .; �s ,e Do not Walk on unbraced trusses. Trusses that have been overiea<led during irortsbnxtion or altered without the Truss Manufactures No Gamine trusses sueltos. prior approval may render the Truss Manufacturer's limited warranty null and void. r eraf, Top Chord Temporary Lat „ + Trusses que se pan sobrerargado durance la corLsfi'uccron o pan srdo alterados sin una autonzaaon Locate round braces for first truss directlyBracing (TCTLB)' previa del Fabricate de Trusses, pueden reducir o eliminar la garantia del Fabricante de Trusses.' in line with all rows of top chord temporary Bundles stored on the round for one s "s lateral bracing. week or more should be raised by blocking �; , . „ "" , 1... Coloque los arriostres de tlerra para el at 8' to 10' on center. primer truss directamente en linea con " "` .wi " Diagonal braces Los paquetes almacenados en la tierra por Do notstore on No almacene en cada una de las filas de arriostres laterales 2x4 min. every 10 truss Una semana o mas deben ser elevados uneven ground, tierra desiguat temporales de la cuerda superior. 101-15max. 1 r ,, ' spaces (20' max.) con bloques a cada 8 o 10 ples w Brace first truss well same spacing« " <— before erection of as bottom chord Some chord and web members not shown for clarity. Tom( For long term storage, cover bundles to pre-. additional trusses.lateral bracing LJ vent moisture gain --tallow for ventilation. Para almacen-amiento por mayor tiempo, cubra los paquetes para prevenir aumentoDIAGONAL BRACING IS VERY IMPORTANT de humedad peso permita ventiladbn. Z' L ARRIOSTRE DIAGONAL ES MUY IMPORTANTE! d- 5 „:' «. .. ,. .. ...._.. ..,,.,... �.idi .,.r:..:^ '...',i."x Y -'` i+i�"'.�'c4;.. �-: .,. .. > _, .. e ., h....a*. , .s4�•«a'�,:. i. I OWNER'S NAME: �a PROPERTY ADDRESS: W - sk cri le PHONE NUMBER: .ASSESSOR'S PARCEL D 4/ SCALE: 50 THE FOLLOWING ITEMS MUST APPEAR ON THIS PLOT PLAN 1.: Property boundary dimensions, parcel s'r.►e, building setbacks and easements PLANNING DEPARTMENT 2. Encroachment activity in, on or over the State Right of Way 3. AN adjacent structures on the same prolxarty. Show them at the proper scale 4. Utility services (gas, water, sewer or septic system, and electric service) NOTEI Propane tank f shall be, no closer than 10' to property„ structure, or source of ignition.. PERMIT ISSUANCE APPROVAL 5. "Locations of any slope on the property TIM REQUIREMENT IS CRITICAL_ PLANNING DEPT. THIS PLAN SHALL INDICATE AN ACCURATE TRUE NORTH ARROW n o r 't h �,.,.....�