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HomeMy WebLinkAbout022-240-144AA- 1 2 -24 j, 22-24-04 MIKE &DESIREE CASEY gn I -)EPT CLEARANCE, 8/4/83) N/S Macedo @ W e , id, ey Permit B,P,E,M(new single family) 0 22." Z�40 022-240-144 99-76AG 22-24-04 F •�y James W. & Tanja M. Hawes Permit�k2815-83B, P,EM(new single family) AGRICULTURAL EXEMPT PERMIT 22-24=144 92-2067B. HAWES, Jim 30 Lonestar Ct, Gridley�;'IZ/G 3 contr: Harward & Co /y vinyl siding, soffit, facia/sf 022-24-0-144 92-3475B,P.,E HAWES, Jim & Tanya 30 Lone Star :Ct, Gridley contr,: Holiday Pools swimming pool 022-240-144 04-1781 STONE, FRANCIS , 3ZLL LONE STAR CT, GRIDLEY ' . CONT: OWNER MHI ADM 04-21 � �I � ; _ ,� :� . �; i -� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: 022 - E40 - 14q PERMIT NO.: 09-1-761 s Name: , OIermes 4 � I ayi Hawcs Owners Address: .-30 Loner S+a r c..,+, 6KJ(e_V,CcL Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: Insignia or HUD Number: Official approving installation: Date: 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 -i..[' �!.'7��,.••1--'�.•yr��,T�`'�'i'C�"��Q1m'�+RYi"`+f .'�r+eU`rt/r'-i:�':ry��!'Yn,. �- ,_y - , r� a .. .. _ ,{ MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: QZZ - Z410 - I L4 PERMIT NO.: Owner's Name: J6mes �, Owner's Address: 30 Lont SteIr Gf, 6r1`J1e-V/CCL Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: 1nsignia'6r HUD -Number.' Official approving installation: Date: 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 J,....-.-.. �-�•r-��'+y�•,' ti't'+-�1�`t ,i1'''r�,,,�.iii,'�,rt�lr`i'ir';<`O$LrSf"f►L.j�'�r•-�.,�lr+s"M+,��R'r',f"'ti'` ^ '..� �`:r-«--�..Jy-.. ••-^'w'�...4-.,. 2 w MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: OZZ-140-ILN PERMIT NO.: Owner's Name: J�me,5 Tam 61 Owner's Address: 3o Lone. S+6r CfrlAIe4,C'C- Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N. -' �' " 4nsignii-or HUUNumber: Official approving installation: Date: 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 .rt s � : � :..• t-.s.._�ct :...,,.. ..4a A._...,� _: �' � i" ,v .,�r..�.._.. .,,. ... ;�_... rte.. r, .. .. ti a..+_mk�.�F � _ :.i•. .s.. .w•` +..t .. ..: r 4....-� _.....'.�. ;�� _ s,_,. .... �... <+ . .�.,... _:sr::t.�.�t»:. i�:.....W:•. �. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: OZZ.-2y0- tLN PERMIT NO.: 09 _ 1-7&i Owner's Name: Owner's Address: 30 1_o+n c Stet r Cf. Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: Insignia or HUD Number: T Official approving installation: Date: 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 F a4' PERMIT.NO. % 2815-83B,P,E,M ! PERMIT EXPIRES I OWNER MIKE CASEY CONTR. owner I` ASSESSOR PARCEL 22-24-04p i LOCATION NIS Macedo at Wend, Gridley_ t t f i d j�. F ,r OFFICE COPY Address Y Mer By Date— ELECTRIC ate ELECTRIC jY Meter By Temp. R I � L ' Called PG&E ! Temp. Elec. Service Called PG&E i Temp. Gas Service t Called PG&E t r JOB FINALED (Date) Signature t J=DK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES i MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors -- 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except#'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector F 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date e 0 J r . JOK 0 = Not OK • — = Not Applicable * = Not Ready I RESIDENTIAL (Sin'gle and Duplex) Date UNDERFLOOR Plk6s OK except #'s o ing requirements—Setbacks Easements tg., Main; Soils—St el— d.— / <1/" Ftg. Dept g., Garage; Soils—Steel— / /" Ftg. Depth 4. Ft orches & Decks; Soils—Steel— / /" Ftg. Depth t walls, Main; Steel—Blockouts—Wrapped—S/t_v/- 60-Itemwalls, Garage; Steel—Blockouts—Wrapped—Slab _ 7 P'—Firepla Ftg.—Steel — W.V.: F—Fittings—Test-2 way C/O—Sewer Test Water Pip T Anchors—Regulator—Service Test rground 12. Plenums & Ducts; Clearance—Material—Support—Ins. 13. Girders—Sills—Anchor Bolts—Joists—Vents—Cripples C d -BI Date C dkrBI affZ!-�'6 7a 5-A I Date _ Card -BI Date Date PLUMBING (Pe tt) OK except #'s 1 01-3 r HL; Vent—Access—Combustion Air Water Pipe; s & A"Ts—Nail Prot _ .W.V. e Ft s & Ani ai r ctio %_— 17. Shower Pan; Test, First Floor—Tub cce'ss 18. Test Tub & Shower, 2nd Floor—Tub Access 19. Gas Pipe; Size & Anchors Card-BIDate/ {�— �. Card -BI Date Card -BI Date Card -BI Date DateELECTRICAL Perp{ OK except #'s Fixture & Transformer Clearance—Ins. Protection 2 Eiec. Receptacles Spacing—Lights & Switches at Doors 2w�-ize Boxes & No. of Conductors—Stapled Romex Installed Close to Edge of Studs & C.J. 4 Equip. Ground made up w/Mech. Fasteners—Bond Gas & Water _ 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size i / ga. Cu or AI—A.C. Wire Size 116-1 gat 27. Range Circ. / /& ga.®or AI—Oven Circ. / / ga. or Al. __ Insulated Neutral des 01 No _ 28., Service—Riser Conductors & Ground—Main Disconnect +✓Equip. Clearances; Panels—Motors—Mech. Equip. 3 Clothes Closet Light—Shower Light Card B -I - Date,— /� _ ard-BI -- Date —_ Card B-1 Date ard-BI Date Date MECHANICAL (Permit) OK except #'s _ 3 A.C. Ducts: Insulation & Support 32. Vent Fan; Exhaust above Insulation Card -61 Date FRA G Continued Property Line Firewall & Openings 46e'—Ext. Doors—One 3'—Check Garage -3rd story, 2 exits 50. Stairs; Width—Headroom—Rise—Run—Landing—Fire Protection 5* -Plywood on Roof Overhang—Attic Vents—Rafter Outriggers 52.VSid ing—Nai I i ng—Veneer 53. Stucco Mesh—Drip Screed—Fdn. Vents—Underfir. Access 54AGlazing Area—Glass Protection—Skylights—Plastic 5 h ar Walls; Nailing—Bolts Date/" % Card -BI Date Card -BI Date A Card -BI AL (Plans) OK except #'s Ext. Steps—Door & Sidelight Protection— 'Smoke Detector Date Date Date Furnace; Vents—Clearance—Comb. Air—Connector— In Garage; Above Floor—Ducts—Meth. Protection Bedroom Exiting 6 . G.F.I. & Bath Fixtures & Tub Access II Elec. Trim & Subpanel; Breaker Sizes—Labels & Subpanel; Breaker Sizes—Labels A%% Stairs & Rails _j,] Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. 6t.—'Kit. Fixt. & Appliance; Grnd.—Air Gap—Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter 6r Garage Fire Door; Swing—l.aadjap; Closer .68, A.C. Duct in Garage—Damper 09�Wtr. Htr.; Vents—Clearance—Comb. Air—Connector—P.R.V.— In Garage; Above Floor—Mech. Protection 7 Plb., Elec. & Mech. Equip. Listed for Location 7 lec. Receptacles in Garage; (G.F.I.)—Romex Protec. 74,itnsulation—Foam—Looked in Attic es -4Q,.7'uard Rails & Deck Construction—Post Caps Fdn. Vents & Crawl Hole Door—Drainage & Wood -Earth Clearance or At Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes D 04, Walks ❑ Yes No; Planters Dyes ❑No q76•+ Stucco; Brown—Finish A.C. Unit; Disconnect—Clrnces—Brkr. & Cond. Size -115V Outlet ents Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle—Underground 8f4yofitilation throughout House 8 Glass Protection 8 orrections from Previous Inspections •84, Gas Test—Meters Tagged; Gas—Ele c 8¢ aux& Sewer Connected—C/O to Grade,—HD Approval 8 nergy Compliance Certificate—Other Certificates 38. Condensate Drain _& Overflow; Size & Grade g� 34. Furnace—Ve_nt;_Access-Comb._Air—Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic --- ..--- --- --------. _ _- --------- Card -BI Date ,17 - Card -BI Date Card-BIatJJ�e /— Card -Bl ate_ D _-._.��ar-B_ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA ING(Plans) OK except #'s Comments at Final: _ _. _Sills; Proper Material & Anchors 37.;Walls: Studs—Nailing, Spacing & Bracing—Plates—Sound _ 3 earing Walls over Girders & Floor _Nailing ft Stop in Walls (rat proof) _ Fire Stops; Furred Ceilings—Stairse Tub eader &_Beam—Size & Bearing — angers—Post Caps—Anchors — on for Cing. Joist—Rftr. Ties— Purlin—Roof Brac. T' Shthnq.—Rfnq. 44. Fireplace Ties or Typ%A Flue—Fireplace Throat 4 ttic Access; Size & Rom_ex Protection—Draft Stop—Ins. Baffles _ Bdrm. Windows or Exiting Doors—Sill Hgt. & Dimensions araga Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Insp ector �� (�(l� "'I Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIIe — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,�eed additional explanation, please contact this office immediately. VA 0 a— f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE VYYrvtri �j PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 7,5 J 0 1. t. • ��l'If rA n # �� � Gj ,�J✓/l r • / � c �" ,roti � Jl c� e�,t,._ Inspector �� Date '5 COUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER - ZONIN BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUAT ON N S MAILING ADDRESS i9 _ - 2 CONTRACTOR'SNAME TELEPHONE N O CONTRACTOR'S MAILING ADDRESS Fireplace `` _7v n-6 STRU ON ENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S M 1 ING A RESS Permit Fee, $ ARCHITECT NGINEER LICENSE NO. _ Plan Checking Fee < Penalty$ , ARCHIT CT ORE NEER'S MAILING DD ESS Permit fee $ BUILDI G D RES J V S CJ'tj PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00, in Snlar Watar Heater. Z1 20.00 Ta&O 12"Water piping 5.00 8 LOT NO SUBDIVISION NAME PARCEL AP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 / USE OF STRU TUBE SF . � Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G I W 10.00 e Ts ec_ TYPE OF WORK Newn Addition❑ Remodel[:] Utilities❑ Installation❑ Other[] Describe work: Permit Fee $ Contractor 00 ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 ID DV Main service EA. ADD'L 100 AMP 2.50' NEW CONSOR ADDNST ( ACCLBL U 21h2SQft6:Z Ob CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLE 2,50 ea 1 NON.RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &1 NON•RESID. SINGLE OUTLET CIR. / 20®50e Ex. Occup(OUTLETS OR FIXTURES DAL®3o FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Oto D Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating LAA 61 Cooling Hood 3.00 � Ventilation permit Fee $ " Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgm ts, costs, and a enses which may in any way accrue against said Gou ty consVu;�granting of this permit. ° g'-1� •—� X Date Signature of Applicant — Owner ntractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. f Mobile Home Installation Fee $ U,o TOTAL PE6414 FEE OCCUP. GROUP TYPE OF CONST. ARC PD HD 195uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC By -Da PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS r e l Receipt No. 1 ® B� WHITE-O.P.W.. YELLOW -ASSESS R. PINK -INSPECTOR. GOLDENROD -APPLICANT ' � w ' � ,. _i ��� ,�;- � , ���� •- �- y_. ___� .. .. ����� . . � , . �- . . ;� __ .; _: � �s� s,�.�s ���� � ,���' q Z a� ,. --p �••.. cu�.�.ac .Vj)�dRigg iir intake equipped with a readily ;ht fitting damper to draw air'from the a tight fitting flue damper with �'a ' ' J r7ITIONING SYSTEM h�adnumber) node 1 number) ' _ACOP Btu/hr i or air) Collector braeid'{`rgnd ft2----------------------' action collector area- collector �r tilt rated y -intercept z r d'' 1 .ter c •' #. • (describe) • "a1 ��,e CItSGY.tc rand•and model number t' (seasonal, EER), +. r a Btu/hr t,+ RES IDFNT IAL P� CHECKING GUIDE r. (S.X, DUPLEX, & MISC. ONLY) a M @ COBldg. Permit �� Z O �� °°�� OWNER ��ll � .� �� 116. ` q A.P. # Zt.t m APIM&N s' A. GENERAL .� Zoning requirements (sideyards and parking). A-1 Valuation. _'-' Signature by R.C.E. or Architect (if required). PLOT PLAN Jor"Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FL R' PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). fadllowable glazing for energy requirements (20% max. per State law). t8o I Human impact glass (Sec. 5406). kto"Required room sizes, ceiling heights (Sec. 1407). " G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). o:' Light fixtures, switches, receptacles, and exterior receptacles for.maintenance of OOA mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures.. 0e Garage firewall, door size, and closer (Sec. 503(d)(4)). y� 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. Smoke detectors (Sec. 1413). D. STWCTURAL DETAILS d! Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. sufficient fireplace construction details and calcs if over one-story in height. data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR X _ CCX plywood on exposed locations and overhangs. Stairway details (Sec.'3305). Guardrail details (Sec. 1716). oe Brick or stone veneer (Chapter 30). JK Exterior plaster - weep screeds (Sec. 4706 & 4708). e Proper roof pitch for roof covering (Chapter 32). ad Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. 14 Living area over -garage - complete 1 -hour separation required including supporting walls and posts, etc. 1;oe'Two (2) exits on three-story dwellings (Sec. 3302). vlb% 1612 $221 1*% 0,041 b•j3a j'o►ooal pi� i� GLAZING PLAN TAKEOFF SHEET 3-5 North Glazing. QUANTITY SIZE AREA (SQ.FT.) (a) x ' v (a = .�:2± - (b) 1 x ?IV -6, = 15'3 (c) x 6'v 3 (d) x = (e) x = Total North Glazing (SQ.FT.) (a+b+c+d+e) V TOTAL 3-7 South Glazing NORTH TOTAL BLDG GLAZING FLOOR AREA i�'t �g2S x SQ.FT. SQ.FT. CONVERSION TOTAL % FACTOR NOR/TAH GLAZING �x 100 = �/ RiT TOTAL 3-7 South Glazing SOUTH TOTAL BLDG QUANTITY SIZE AREA (SQ.FT.) L3Z 40 SQ!. FT . (b) -7, x ds" _ Gni �a 'Total South Glazing = (SQ.FT.) (a+b+c+d+e) J� O -01.q, 3, — TOTAL SOUTH TOTAL BLDG GLAZING FLOOR AREA L3Z %%ts SQ!. FT . SQ.FT. l�P-A-00, CONVERSION TOTAL % FACTOR SOUTH GLAZING x 100 = 7 ♦ —10 % 3-9 Skylights QUANTITY SIZE. AREA (SQ.FT.) (a) �_ x 4.0 _ - /h (b) —�— x (c) x = Total Skylights = (SQ.FT.) (a+b+c) TOTAL SKYLIGHT TOTAL BLDG GLAZING FLOOR AREA x SQ.FT. SQ.FT. OWNER e0404P. V PERMIT NO. Z. Inqa 7/83 FORM 8 3-6 East Glazing QUANTITY S ZE AREA (SQ.FT.) (a) �_ x — (b) / x e 6� Vit. _ (c) x = (d) x = (e) x = Total East Glazing=.(SQ.FT.) (a+b+c+d+e) TOTAL EAST TOTAL BLDG CONVERSION TOTAL GLAZING FLOOR AREA FACTOR EAST GLAZING V $ZS x 100 = % SQ.FT. SQ.FT. 3-8 West Glazing QUANTITY SIZE p AREA (SQ.FT.) (a) �— x C.- & (b) �_ x (c) x = (d) x = (e) x = Total West Glazing(SQ. FT. (a+b+c+d+e) TOTAL WEST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR WEST GLAZING x 100 = 1.3 % SQ.FT. SQ.FT. CONVERSION TOTAL % FACTOR SKYLIGHT GLAZING 100 = sm. 4� GLAZING DIRECTION LOCATER Draw locater line perpendicular to plane of glazing. Overlay intersection point with center point of circle.' Turn circle so North arrows are parellel with plan North arrow. Locater line then indicates facing direction. ZONE 1 OWNER eJ� POINTS �- ASSIGNED ACTUAL PERMIT NO. 1. SLAB - INSULATION NONE jo, It g 2. RAISED FLOOR - R-19, L 3. CEILING - R-30 1-3a d 4. WALL - R-19 2 � \ per► 5. NORTH GLAZING - 2.4-3.6% �..d 6. EAST GLAZING - 2.5-3.6% 11 `QA r 7. SOUTH GLAZING -� 1.6-3.6% 7. Z,3 8. WEST GLAZING - 2.9-3.6% 9. SKYLIGHT - 0-1.3% 10 0 a 10. SHADING (Exclude Overhang) EAST - .67-.82• 0,3�P SOUTH - .19-.42 0,34 WEST - .13-.36 0.3 .SKYLIGHT - .37-.57 O q d 11. HORIZONTAL SOUTH OVERHANG 2' p 12. 1IOVABLE INSULATION - NONE 0 13. INFILTRATION (Standard=0)(Tight=+12) CC - 14. THERMAL MASS SF ; '4'- 15. GAS FURNACE (SE) 71-76% Q 16. !TEAT PU1iP (EER) 7.5-7.9% +3 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% 13. ACTIVE SOLAR 60;; 11IN (NONE) 1.9. ZONALLY CONTROLLED ELECTRIC C� 20. SOLAR WITH GAS BACKUP (HW) 21. 0%R Ttill�1�F.0TRIC (HW) 0 ITE11S SHOWN = ZERO POINTS Table 3-1. Slab Floor Points I Ji n^�rla- I R -VT aloe of Insulation � I thin I 1 Depth, --j I Inches I 0-2 1 3-4 ! 5-6 1 7+ 1 Table 3-2. Raised Floor R -Value of I Insulation I Pointe I 7/7/83 1 I �� ' 4 9 , 1 (U - 1 (ll - I Trpl, 1 I (U - 1 .67 up 1 0 1 -2 b�3� 1 0- 11 I -5 1 -5 I -5 I -5 1 1 5- 7 I 12 - 15 I -5 I -3 I -2 I -1 1 I 8- 12 I 16 - 19 I -5 j -2 1 -1 1 0 1 1 13 - 18 I 20 + I -5 I -1 1 0 1 +1 I I -194- 19+ 7/7/83 Table 3-3a. Ceiling Insulation Points IR -Value of Insulation I Points I I I I I 19 I -4 I 1 22 I -230 0 1 I 38 I +2 I I 49 I +4 I I I I Table 3-4a. ball Insulation Points 1 R -Value of Insulation 1 Points I I I I I 19 I 0 I i 24 j +2 I ,30 i +3 Table 3-7. South -Facing Glazing Pts Table 3-10 T- I Glazing Type I I SC by I Total I I I Orten- I Z of I Sngl, Dbl, Trpl, 1 Cation I Floor I (U - I (U - I (1; I I Area 11.10) 10.65) 1 0.41)1 1- I ines (points I ointsl I East o Igo., +! +3 + g I I up to 1.5 I +2 I +2 I +2 I I 1 1.6- 3.6 1 -1 1 0 I 0 1 1 1 3.7•• 5.2 1 -4 1 -2 I -2 I I Shading Coefficient Floor Area 1 3.2 1 0-3.1 I to 1 6.4 up I 6.3 I 1 5.3- 6.5 I -6I 4 1 -3 I I 0 -.19 ► 0 1 6.6- 7.,7 i -9 I� 1 -5 I I:10-. 36 I 0 1 7.8- 8.9 I -11 I -8 1 -7 I I 66 I 0 1 9.0-10.0 i -13 1 -10 ,1 -9 I I .67-.82 10 1 10.1-11.5 I -17 I -13 1 -11 I I .83 up I 0 111.6-13.0 I -21 1 =16 I -14 1 1 1 113.1-14.5 I -25 I -19 I -16 I 1 114.6-16.0 I -23 I -22 I -'.9 1 1 South 1 0 I I I I I I I to I 1 3.1 Table 3-8. West -Facing Glazing Pts. I T_ I I Glazing1 0 -.18 1 0 1 Total j Type I I .19-.42 10 i 7 of I Sn 1 Dbl I I 4]-.66 1 0 1 +1 1 +2 I 0 I -1 I 0 I o 1 0 I -1 i -1 1 -2 3.2 i 6.4 19.0 19.6 to I' to I to I up 6.3 17.9 19.5 I +1 1 +2 1 +2 1 +3 0 1 0 1 0 l p -1 I -2 1 -z I Floor 9 , 1 (U - 1 (ll - I Trpl, 1 I (U - 1 .67 up 1 0 1 -2 1 -4 1 -4 ( -6 Table 3-5. �--- North-Fac1n Glazing P[s -1---�� I Area 1 1.10) 10.65) 10.41)1 I I ofnts I oints I ointsl West I .1 11.6 13.2 16.4 i 9.0 i Total I Glazing I Type I 1 o +6 .e +6 1 to I to I to to I up I Z I up to 1.3 I +5 I e'IWNI +6 1 11.5 1 3.1 1 6.3 1 7.9 I of Sngl, Dbl, Trpl, I 1.4- 2.2 1 +3 I .- I +5 I I I I I I I Floor l u - I U- I U- 1 I 2.3'- 2.8 I 0 1 +2 I +3 I Area 10.66 1 0.42- 10.41 1 I 2.9- 3.6 I -3 I 0 1 +1 I 0-.12- I 0 I +1 1 +3 I +6 I +7 I 11.10 10.65 1 down 1 I 3.7- 4.2 I -5 1 -2 I 0 1 .13-.36 1 0 1 0 1 0 I` 0 1 0 + 4 + 4 + 4 1 4.3- 5.0 1 -8 1 -4 I -2 j .37-.57 I 0 I -1 I -3 I -6 I -7 I 0.1- l.2 I +4 ! 4.4 1 +4 I I 5.1- 5.6 I -10 i -6 I -4 .58-.82 1 -1 I -3 I .-6 11-12 I -15 I 1.3- 2.3 I 2.4- 3.6 I +1 I -2 I +2 I 1 +2, i I 5.7- 6.2 I -13 1 -8 I -6 1 .83 up I -2 i -4 I -8 I -16 I -10 I 3.7- 4.8 1 -4 0 I -2 I 1 +1 I -1 I I 6.3- 6.9 I -15 1 -10 I -7 - I 4.9- 6.1 1 -7 1 -4 1 -3 I I 7.0- 7.6 I -18 I -12 1 -9 I I 1 6.2- 7.3 1 -9 1 6 1 -5 I I 7.7- 8.2 I -20 I -14 I -11 I Skylight I .1 I .8 11.6 11.2 14.0 I 7.4- 8.2 1 -12 1 �1 -7 1 I 8.3- 3.8 I _22 I -16 1 -13 I I to I to 1 to I to I to I 8.3- 9.7 I -14 I -10 I -8 1 j 8.9- 9.5 I -25 I -18 I -15 I 1 7 1 1.5 13.1 11.9 15.2 1 9.8-10.8 I -17 I -12 I -10 I I 9.6-10.1 1 -27 -20 I -16 I-�-�- 110.9-12.0 1 -19 I -14 I -12 I l 10.2-11.0 1 11.1-11.8 I -29 I -35 I -23 I I -26 I -17 I -21( 0-.12 1 0 1 +1 l 1 0 I��0 +3 I 1 +6 I 0 1 +7 0 112.1-13.2 1 -22 I -16 I -13 1 1 11.9-12.7 I -38 1 -29 I -24' I .Y3_.3 57 1 0 1 -1 I -3 I -6 1 =' ( 13.3-14.5 I -24 I -18 I -15 1 1 12.8-13.5 1 -42 1 -32 I -27 j .58-.82 1 -1 I -3 I -6 1 -12 ( -i j14.6-15.3 i -27 i -20 i -17 i 113.6-14.3 1 -46 I -35 1 -29 I •83 up I -2 i -4 I -8 I -16 I -20 _ 114.4-15.2 1 -50 1 -33 1 -32 I I I I I I I I I Table 3-11. Horizontal South Overhane Points Table 3-9. Skylloht Pointsj---F South Glazing Table 3-6. East-Factng Cl zing Pts. I Length Out 1 Area, Z of Floor I I I Glazing Type i I from Hall I Glazing Type 1 I Total I I I ft T -I Total II I Z of Sngl, Dbl, Trpl, 1 1 0-6.3 I 6.4 up I I Z of I Sngl, Dbl, Trpl, I Floor I U- l U- I U - I I I I ' I Floor I (U - I (U - I (U - I 1 Area 10.66- 10.42- 10.41 I 1 0 - 0.5 -2 - Area 11.10) 1 0.65).1 0.41)1 1 11.10 1 0.65 I'down 1 1 0.6 - 1.0 I -2 1 -3 1 I1 o!nts (points l ointsl ( 1.1 - 1.9 I -1- I -2 I ' 0 ' +'4 +1 I •4_ I up to 1.3 I -1 I 0 I 0 I I 2.0 up I 0 I 0 I 1 up to 1.3 I +3 I +4 1 +4 I I 1.4- 2:2 I -3 I -2 i -1 I 1 1 1.4- 2.4 I +1 I(+D 1 +2 1 1 2.3- 2.8 1 -6 I -4 1 -3 i Table 3-12. Movable Insulation I 2.5= 3.6 I -2 I 0 1 0 1 I 2.9- 3.6 I -9 I -6 I -5 I Points 1 3.7- 4.6 1 -5 I -2 I -1 1 I 3.7- 4.2 1 -11 1 -8 1 -6 I I 4.7- 5.6 I -8 1 -4 I -3 1 I 4.3- 5.0 I -14 i' -10 1 -8 1 I Moveable Insulation'l I 1 5.7- 6.7 1 -10 1 -6 1 -5 1 I 5.1- 5.6 I -16 I -12 I -10 I I Area, % of Floor I Points 1 I 6.8- 7.7 1 -13 I -8 1 -7 I I 5.7- 6.2 1 -19 I -14 I -12 I I 1 I 7.8- 8.7 1 -15 1 -10 I -8 I 1 6.3- 6.9 1 -21 I -16 1 -13 i I 1 8.8- 9.7 I -1.7 1 -12 I -10 I I 7.0- 7.6 I -24 I -18 I -15 I I 0- 5.5 I 0 I 9.8-11.2.1 .-21 I -15 I -13 ; I 7.7- 8.2 1 -26 I -20 I -17 I I 5.6 - 11.5 I +2 I 111.3-12':7 1 -25 1 -18 1 -15 I I 8.3- 8.8 I -28 I -22 1 -19 I I 11.6 - 17.5 I +4 I ( 12.8-14.0 1 -28 I -21 1 -18 I I 8.9- 9.5 I -31 I -24 1 -21 I I 17.6 - 23.5 I +6 I 14.1-15.3 1 -32 I -24 1 -20 1 I 9.6-10.1 I -33 I -26 1 -22 I I >23.6+ I +8 1 --t----. ---- -. _�. --- - ----�--- - -- - - -_ -... - - - Tab:e 3-13. I-if!Itration Control Features Points I Coa:rol Features I Points ! T- 1 I I Standard I 0 I ! I I 1.9 air changes per hr I I ! I i r� I Tight I +12 I I I I 10.6 air changes per hr I I ! I ! Table 3-15. Cas Furnace liithouc Reirlgeratlon Coollnq Points J--- 1 I Seasonal Efficiency I Points I I (SE), z I I ! 71 - 76 I 0 1 I 77 - 82 I +2 1 I 83 - 88 I +•4 ! I 89 - 94 ! +6 1 1 95 up I +8 1 I •.I ! Table 3-16. Feat Pumo Points 'r I 0-6 I 0 1 Energy Efficiency I Points I I Ratio (EER) I 1 I 7.5 - 7.9 I +3 ! I S.0 - 8.3 I +6 I I 9.4 - 8.7 I +9 I I 8.8 - 9.1 ! +12 ! I 9.2 - 9.6 I +15 I I 9.7 - 10.2 I +L8 I I 10.3 - 10.8 I +21 I I 10.9 - 11.5 I +24 I I 11.5 - 12.3 ! +27 I I 12.4 - ! 13.2 I +30 1 I I Table 3-17. Cas Furnace With Refriveration Cooline Points !Refrigeration! Cas Furnace I I Cooling I So I I 171 -177 -i83 -139-195I 1 761 821 891 941 up 1 I 1 8.0 - 8.3 1 01 +21 +•41 +61 +8 1 1 8.4 - 8.7 1 +21 +11 +51 +91+10 1 I 9.8 - 9.2 1 +41 +61 +e1+101+12 1 I 9.3 - 9.7 1 +61 +81+101`121+14 1 I 9.8 - 10.3 1 +31+•101+121+141+I6 1 I !0.4 - 10.9 I+lei!+L2!+►41+16!+19 I ! 11.0 - 11.5 1+121+141F161+'191+20 1 I I ! I I I 7/7/83 ZONE 11 TA4LE 3-14 (AOAPTEO) INTERIOR THERMAL MASS POINTS MASS OWELLII;I A ASQUARE FOOT AR E•1 I(�1.000 1,500 , 2,000 2,500 I 3,000 l 3,500 4,000 I 4,SGO 5_,000 _-- w S0. FT. I! A B C p A B C 0 A 6 C Dq A B C D A B C D A 8 C 0 A B C D A 6 C C i► 2 2 2 2 2 2 0 1© 2 2 0 0 0 0 0 0 0 0 0 0 0 0-0 0 0 0 0 0 G 0 0t 0 3 0 100. 4 4 4 2 2 2® 2 2 2© 2 1 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0! 0 0 0 0 150 6 6 6 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 '2 ? 2 OI 2 2 2 0 1 100 8 B 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2S3 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 I 2 2 2 2 2 2 2 2 I 2 2 2 2I 2 - 2 2 309 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 7' 2. I 2 2 350 14 14 12 8 10 11 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7 2 2 7 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 .2 4 4 4 2 I 4 4 2 2( : 4 2 2 503 18 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 5 4 4 4 4 2 4 4 4 j 600 22 20 18 12 14 14 12 8 17 12 10 6 10 10 8 6 8 8 6 4 8 6 6 4 6 6 6 4 I 6 6 4 16 2 6 4 1 700 24 24 20 14 18 16 11 10 14 14 12 3 10 10 10 6 10 10 8 6 8 8 : 4 I 8 6. 6 4! h R 5 4 I 6 6 6 2� 230 ( 26 , 24 22 16 10 1G 16 10 14 14 12 0 12 10 10 6 10 L 10 8 6 110 R 8 4 P 6 6 < I 8 6 6 4 I L 5 903 I8 28 74 16 2 20 IS 12 16 16 14 10 14 14 12 b 12 12 10 6 10 10 3 6 I 3 8 '8 4 8 8 6 4! 8 8 6 e 1,000 30 70 25 18 122 20 20 14 10 18 16 10 14 14 12 8 12 12 10 6 12 10 10 6 10 10 8 6 I 8 8 O a i 8 L •i i 1,:00 32 32 28 20 24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 10 10 10 6 113 l0 8 (. ?.i a r 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 12 8 •12 12 10 6 (10 10 8 6 i 10 In 8 6 1.300 34 34 32 22 28 26 24 16 22 22 20 12 18 18 1E 10 13 14 14 8 14 12 12 B 12 12 10 6 112 10 I0 Li 10 ;0 f u 1,400 34 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 14 14 12 8 X14 14 12 8 12 I? :G t. 10 13 17 I,ioo j 36 34 34 24 30 30 26 18 24 24 22 14 (22 20 18 12 IB IB 16 10 16 16 14 8 14 14 12 a 117 12 10 Li ;7 12 1C. o i 2,000 I 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 20 20 18 12 18 1 8 16 10 ;16 16 is F,I 14 14 12 S ! 2,500 34 34 30 22 130 30 26 18 26 26 24 16 124 24 22. 14 22 22 18 :2 20 2n 18 !� I In 15 16 3, L'Go 34 32 30 22 30 30 26 18 1 28 26 24 16 124 24 22 14 122 22 2U 14 :2 :3 it 12 i 3,500 I 32 32 30 20 30 30 26 ld �28 I8 74 16 26 24 2? 1, "4 24 20` 14 4 •'000 32 32 30 20 30 30 26 18 ! 70 2b 24 If .'6 2.i 22 If 4,500 I 132 32 28 IU 30 3V t6 :f j i5 ) 1. 3'z` Concrete Slab: HC•8.93; R-.29; Factor -7.3 -�-- - - -- _ 2. 3 3/4" Thick Comnon Brick: IIC=7.125; R-.13; Factor -7.3 8) 1. 5k- Concrete 5)ab. HC -14.106; i-.458; F';:cto r-7.1 WOOd StOVC qC) 1. b" Solid F111ed Block: HC -20.63; R•1.93; Factor•6.1 #33 poinCs(no back up) 7 �MW 2. B` Soled Filled Bloc: With Both Sides Exposed To Conditioned Air. Casablanca fan + 1 point NOTE: Uze all square footage directly exposed to conditioned air for Thermal'Mass Area: IIC=10.164; R-.96:; Factor -6.1 D) I" Thick Concrete/Tile: HC -2.55; R-.083; Factor -3.7 Table 3-19. Zonally Controlled Electrtc Resistance Space Hearing Points , I Points for thismeasure will I Table 3-20. Solar Water Heatin+ With Cas 8acku0 Paints { be completed after the CSC 1 I has approved an Alternative ! ! Component Package foc Resistance I I Ilea[. Table 3-15. Active Solar Space Heating with Cas Points I Net Solar Fraction I Points I I (:`SF), z I ! I I I I 0-6 I 0 1 I 7 - 14 J +2 I I 15 - 23 i +4 I I 24 - 30 I +6 i I 31 - 39 i +8 I I 40 - 47 I : +LO I I 48 - 55 I 4.12 I i 56 - 63 I +14 I I 64 - 71 I +18 I 72 up I I I +20 I I Fultifamil (per unitop ints) Floor Area Net Solar Fraction (NSF), Z per unic, ft2. 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 4.2 +4 +6 +8 +LU +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2 000 and u 0 1 +l +2 1 +4 +5 +6 +7 +9 All others (per building points) BUO-899 0 +5 +IU ,•14 +1- 9 +2.4 +?9 i +34 900-999 0 +4 +9 +13 +17 +i1 +26 +30 l,t)00-•1•,199 0 +4 +7 +11 +15 +-19 +22 +26 1,20rr!,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 0•5 +7 +9 +12 +14 +16 2,000-3,999 0 +2 +3 +5 +1 +8 +10 +11 3,00 n:.d uo 0 +! +3- +4 +5 +.7` +9 +11) _1 Table 3-21. Other Water I!eatlnnq Pts. I System Type I Points I Cas Only I 0 ! I ( Heat P.nsp ( 0 I I Solar with Electric { { ( Re0stante Ilackup 1 I i Meetin6 the Require- 1 I I menta in Part 2 ( 0 I I I I I Electrtc Resistance I I I Only i -30 ! L - ---- I 1 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDI;NTfAL- DEVELOPMENT Section 26-8.i of the Butte County Code requires this acknowledgement M c`a etl Cw be recorded prior to issuance of a building permit.JU(5 3 12 p 1a The property described herein is adjacent to land or included YElEA1,. s OR H. EiL,t,.ci! within an area zoned for agricultural. purposes, and residents of CLERK—At CORDER this property may be subject to inconveniences or discomfort arising 8103-1,9653 F 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 occa- sionally generate dust,•smoke, noise, and odor. Butte County has established•agricul- tural.zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described -as follows: Lot 5, as shown on that certain Map entitled., "Gridley'Colony No.11", which.Map was recorded in the office of the Recorder of the County of Butte, State.of California, May 12, 1908 in Book 6 of Maps, at page 56. EXCEPTING THEREFROM streets as platted and rights of way for necessary irrigation and drainage ditches and canals. Date: June 15, 1983 State of CALIFORNIA ) On this the 15th day of June , 19 83 , ) SS. before me, the undersigned Notary Public, personally County of BUTTE ) appeared MICHAEL DALE CASEY AND DESIREE ANN CASEY YA�< OFFICIAL SEAL _ r MARGARITA A VASQUEZ o NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY ^` My comm. expires MAY 10, 1955 known to me to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the•same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. r1 N tary Public Present A.P. NO. d -b J6' 56- 8'-6' 9'-6' ENVIRONMENTAL HEALTH, APPIROVED ft Butte County MAY 28 -,-nv,,ronmenW4e /al 7 COUNTY CENTER DRIVE Date .......... - -------------- Sic inature 12'-0" 101-0, W-6 I W--63 W-63 W-63 W-63 I W-63 W-63 W-63 W-35 W-35 24'-8'6. �I 1 ! NO p 10 do 3o ti� su (oo \iD 0 Ifo% av J � e� e5raio1(,5h -p lea IVfe I %a ��' vegeta-1 Veo screen APPROVED Butte County Environmental a4l; �- - .Signafiure�.�. BUTTE COUNTY RNNING DIVISH nT�,°r^��► APPROVED Development Plan ®ATS JUN 18M USE 8 - USE PERMIT r VARIANCE MINOR U.P. -�A®M.PERMITJ4/— ® PLANNING COMM@SS. PLANNING MANAGER If I pN 56 k 6 C eount* (��✓rl/ OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: — Michael Casev ADDRESS: P.O. Box 1003 CITY & STATE: Gridley, CA 95948 IMPORTANT: August 4, 1983 SEE INSTRUCTIONS DATE OF CLAIn1: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE i DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT' ' • Owner has decided not to do work. (Bldg Permit Appin #1918-83B,P,E I Receipt #00764, dated 6/13/83, AP #22-24-04). M, Building permit fees paid ------------------------- $467.50 Retain filing fee -------------------- $10.00 Retain plan check fee --------------- $152.50 _ Retain add' -1 plan check fees-------- 17.50 -Amount retained--------------------------------- 1180.00 -- Refund due -------------------------------------------------- $287.50 Plumbing permit fees paid----------,--------------- 42.00 Retain filing fee--------------------------------- 10.00 — - Refund due ------ ------------------ :------------------------- $ 32.00 Electrical permit fees paid-----------------------$ 92.95 Retain filing fee--------------------------------- 10.00 — Refund due--------------------------------------------------$ 82..95 Mechanical permit fees paid-----------------------$ 39.00 Retain filing fee--------------------------------- 10.00 Refund due------------- ---- -- 29.00 — TOTAL REFUND DUE ---------------------------------------------- $431.45 $431.45 TOTAL $431.45 • I, the undersigned, declare- under penalty of perjury that the services or articles claimed have been performe r dell ve , and that this claim is true and correct as stated. / Dated this day of 19, at ..0-V ,Calif. - Signet a of Claimant I. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above been performed or de- same. livered and that there is a Budget Appropriation E] or Specific Board Approval[] (Checkone) hepartment Dated this 4th _day of •:,August 19 83 at Oroville , Cauf. .., ........................... ... ................ ....... Head or Authorize eputy Dept. Exp. Code......................................._... Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. 8 SUB. PRQJ• SUB. 08J. CLAIM NO. INVOICE NO. INVOICE DATE DISC . GROSS AMOUNT7t ENCUMB. SUB -DIST. r , COUNTY OF 13 ` DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Dr Ville, California 95965 -Telephone 916/534-4541 V� APPLICATION AND PERMIT ASSESSOR PARCEL MBER ZON G BUILDING PERMIT a^tf OWNS Cl_TELEPHONE SQ. FT. OCC. BUILDING VALUATION - r� 1 IrtiC� r� , C n. / C9( .-[ / �Ytl _ _ C NTRACTOR'S MAILING ADDRESSrow � Fireplac TRUTXON /ENDER UNKNOWN Total Valu tion NDER'S M` NG A KESS Filing Fee Permit Fee HITECT O ENGI E R LICENSE NO. Plan Checking Fee 'S le-9s-_73Penalty CHITECT OR ENGINEER'S MAILING A DRESS 1 n I`1a �,r,,,: Permit fee BUI LOT � I SUBDIVISION NAME I RCE�MAP89— r7 ,,,� USE OF STRUCTURE SF PE Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judg is osts, and ex nses which may in any way accrue against said Cc e ence o e ranting of this permit. Date Signature of Applicant — Owne,�K tractor ❑ Agent ❑ An OSHA permit is required for excaY tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in heiaht. Receipt No. I ) U / 10 `t' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PLUMBING PERMIT Each Trap Solar Water Heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home FS G W Permit Fee Contractor ELECTRICAL *PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Q OWN 2.50 1 11 WMIMSM '2%0scift r rr N0N.RESID R BRANCH CIRCTITS. EM191J E� Ex. Occu p(OUTLETS OR FIXTURES ■ � 0 CIA "00 r_ 1 2.00 Temporary service ��AYII � Contractor ELECTRICAL *PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Q Main service EA. ADD•L 100 AMP 2.50 NEW CONST. (OWE I •&, OR ADDNS. 1 ACC '2%0scift r C- N0N.RESID R BRANCH CIRCTITS. 2.50 ea NEW CONSTR. ( POWER APPARATUS &1) NON-RESID. SINGLE OUTLET CIR. Ex. Occu p(OUTLETS OR FIXTURES SAL@AL®30 EX. OCCUp. OUTLETS (RESID )REA.) 1 2.00 Temporary service 10.00 ®,00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ;Z Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 11 .A A I /_1 AV) Cooling M Hood 1 3.00 .AR0.1; Ventilation ?, �1 R Permit Fee $ Contractor Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 6y {r '' OCCup. GROUP I TYPE OF CONST. I PARCEL PD ND ISSUE N-14 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By PERMIT EXPIRES Date Date RESIDENTIAL 92-3475B,pk 02-2-244-144 ,& lipVBS, 3imGridley 30 Lone Star �Pools contr,: Rolidal swimming pool —eel JOB FINALED (Date) Signature J=OK O=Not OK = Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. L / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Setbacks -Easements oils; Compaction -Structure Stability 3 of Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, DistanceS;GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Qec.;Enclosures: Conduit Entries -Terminals -Listed Elec.; Bonding; Metal w/5'-Circulating,Equip.-Heater All G Elec.; Grounding; Equip. w/5' Circulating -Equip. -Pool L g _ Boxes -Enclosures -Panel boards -Ins. to Main iri Conduit_ Sr 9. Health Department Approval k/10. Plumb.; Cir. Test -Water Supply Test IDate and B-1 Date Card B-1 Date -,;3-10-d 8-1 C-- Date Card B-1 d J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (c = Date UNDERFLOOR (Plans) OK except N'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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------------- -------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V ; Test -Fittings & Anchor -Nail Protection ------------- --- - ---------------- ------19. Shower Pan: Test. First Floor -Tub Access --- - - 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ---------- -------------------------------------------------------------- Date Card B-1 DateCard B-1 ----------------------- -------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection ------ ----------------------------------------------------------- ----------- 23.-Elec.- Receptacles Spacing -Lights & Switches at Doors ---------- --- - ------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----------- -------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ----------------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At --------------------------------------------------- 29. Range Circ ! r ga. Cu or Al -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ---- ------------------------- - -- -------- - - --- - - - 30. Service -Riser Conductors & Ground -Main Disconnect ------------- - ----------------------------------------- 31. Equip Clearances Panels -Motors -Meth. Equip. --------- --------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----------------------------------------------------- ---------------------------------------------------------- - 33. Smoke Detector ------------------------------- ---------- - --------------------------------------- Date Card -B-1 Date Card B-1 ------- --- - -- - - - --- ------------------ --------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except u's 34. A.C. Ducts Insulation & Support ------------- ------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------------------------------- ------------- ------------- ------------ _________ 36. _Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----- ----------------------- ---------------------------------- 38 Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------------------------- ----------------------------------------- ----------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------ -------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors - - - -- -------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------------------- --------------------------------------- 41. ------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------- ------------------------------------------------------ I Draft Stop in Walls (rat proof) -- - ----------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------------------------------- - -------- - ------ - - --- ----------- - ----- 44. -------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -50. Garage Fire Protection Framing Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------- ------------------------------- Date ----------------------- Card B-1 Date - -- Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------- -------------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa ------------------------------- 66. Elec. Trim & SubP anel: Breaker Sizes & Labels --------------- 67. Stags & Rails _ 68. Fireplace or Stove Clearances -Hearth -------------- ------------------ ------ - -- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance ------ .------------------------ ----- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr_Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ------------------- 75. Plb. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7 Insulation -Foam -looked in Attic ❑ Yes 78. -Guard -Rails & Deck -Const ruct ion -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - - - - - - - -------------------------------- 80. -------------------------------80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------- ----------- 81. Stucco: Brown -Finish ---------------------- ------------ -- - 82.- A.C.-Unit: Disconnect. Electrical, Plumbing ------ --- --------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground - -------------- --------- -------- 86. Ventilation Throughout House --- ------------------------------------ 87. Glass Protection - - --------------------------------------- ------ ---------- 8d. Corrections from Previous Inspections ...--------- --------------- ----------------------- 89. Gas Test -Meters Tagged; Gas -Electric - - ---------- ----------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates - --- ...--------------------- Date Card B -1 -------------- ------- --------- Date Card B-1 Date Card B-1 Comments at Final: Date _ _ Card B-1 Date _ Card B-1 Date Card B-1 41-N , COUNTY OF BUTTE - DEP.ARTMENT OF PUBLIC WORKS !� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMITAl PERMIT NO. ASSESSOR PARCEL NUMBER 022-24-0-144 ZOMING A5 II I- BUILDING PERMIT OWNER. TELEPHONE 846-3172 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 30 LONESTAR CT GRIDLEY 95948 CONTR 26 000 CONTRACTOR'S NAME HOLIDAY POOLS TELEPHONE 343-8245 CONTRACTOR'S MAILING ADDRESS 1170 E LASSEN AVE CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 216.50 ARCHITECT OR ENGINEER NONP LICENSE No. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 30 LONE STAR CT GRIDLEY Permit fee $ 251.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCELMAPWater piping 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other PnnT, SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK Newn Addition❑ Remodel❑ utilities installation❑ Other ❑ Describe work: MAS -=R q� _ Permit Fee $ 27.00 Contractor ELECTRICAL PERMITFiling Fee 1 15.00 Main service 2000V0AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No._S3�/a% Classification lam --sem F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20CATO 1000A) 137.50 NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. // 3.64 sq.ft. NEW CONSTR. ULTI-OUTLET NO N.RESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20FIXED 76d JAI (M. ARA Ex. Occup. OUTLETS PRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 15-00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and xpenses which may in any way accrue against said County in o c o the ranting of this permit. 1. Date D Signat a of Applicant - Own Co actor Agent ❑ An A permit is required fore avatio s over 5'0" deep and demolition or construct. ion structures over 3 stories i eight. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 308.5 HAz DFEES IMP FLOOD CDF IX PARCEL PD HD IS U This permit is hereby issued under the sions of the Butte County Code and/or Work indicated hove for which fees CT �BLIC BY PEiiWPIAW Date — applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT I fes. u_• 7y1,.;..:a�"�ft * z�:_ ,�. 2COUNTY OF BUTTE4- PARTMENT OF:PUBLIC WOW`y- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C'ALIFORICA`A65`, - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 314', s T,gtiyll I7 w4s ""Z A. o,DaZo� Pro sed Building UseBuilding Inspector Date -�09oZ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood by California Engineer. . . 14. Sanitation and plot plan approve WOO -�LCl' Health Department. ...-......... Gr 15. City of Chico plumbing permit ................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......:.. . 19. Driveway permit (construction approval required prior to occupancy). .. .. .... 20. Pre -inspection for I,lnsp,lion request required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner _)...... ..... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. .:......................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. ......................................... 28. Mobilehome utility �clearance.......................................... . 29. Documentation of legal access. -° ------------ 30. Documentation of 50% subdivision developed or (A) Road improvements completed ' and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list . ........................ :........................... . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. / Air Pollution D e Copy of plans sent Health Dept. Fire Dept. er Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date'' Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ..r TO:' Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance F.H. USE ONLY I'L,i Han AIt5G11C(I 19uur Han AwOwd " Su,t to 1S. 1). 31WV,+ n ck awes i -!4 Owner I Location AP#i Plan Approved for: Sewage Disposal i/ Water Supply:: Public Private Well Crke c Other0 ('�/ `� c�1aG� Jeci�d- �2QeJcDv�►t Hold final for: Final clearance O.K. for: NOTE: Tool 5 hdo W Ibe- Sc7ed SApc Environment Health Specialist 8/92 &�E`12 Date -t, .�.a4o,a::..;.� s �.r+�.t�s=�1c�0UNTYi.OFfB.IJ,j��i �•; ;�.;.-;o�;�,��;i�e. ,. DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA-' (916)4'891-2751. • 7 County Center Drive, Oroville, CA - (P 16) 538-7541 k 747 Elliott Road, Paradise, CA - (916) 872-6307' CORRECTION NOTICE [WINER !PERMIT N A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact thi immediately. 40.1 S1 LL / i 7 Date Inspector REV 10/92 J/ s i 7 Date Inspector REV 10/92 J/ 92-206:7BB F22-24-144 I HAWES, Jim 3 0 Lonestar Ct, Gridley 0 L t c t rwar( ontr: Harward & Co 1/sf vinyl siding, soffit, facia/sf a COUNTY OF BUTTE - DEP'ART'MENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Ealkforn`9 95965 - Telephone: 916'538-7541 ,���,,► • �. APPLICATION AND PERMIT •-'c.•Ca ASSESSOR PARCEL NUMBER 022-240-144 ZONING A-5 BUILDING PERMIT OWNER Jim Hawes TELEPHONE 846-3172 SO. FT. OCC. BUILDING VALUATION Est. 11 087.00 OWNER'S MAILING ADDRESS 30 Lone Star, Gridley 95948 CONTRACTOR'SNAME Harward & Co. TELEPHONE 893-5898 CONTRACTOR'SMAILING ADDRESS 3851 Morrow Lane, Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation J$11,087.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 112.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $127.50 PLUMBING PERMIT FilingFee 15.00 30 Lonestar Ct. Gridley Each Trap 1 5.00 I Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF E3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mob le Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Install Vinyl Siding Soffit & Freta Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 20GATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .JO.6�2 q�O Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCC UP.&\ 3.64sq.ft. OR ADDNS. ACC. BLDGS. I NEW CONSTR ULT' -OUTLET @ 5.00 NON -R ESID BRANCH CIRC ITS POWER APPARATUS SINGLE OUTLET CIR.6 ) Ex.00cu 20 76 p� OUTLETS OR FIXTURES A FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjectPermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Q X//'Y�'7 .��t ���-t' l /�' Date ����� 7 Signature pp ❑ Contractor ❑ Agent si nature of Applicant - owner An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $127.50 I I HAz I DFEES I IMP I FLOOD CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do work indicat above'for which fees have been paid. b1F(ECTOR OF PUBLIC WORKS By /� �� '"- Date G /7-9Z PERMIT EXPIRES Date 116912 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT a .. / COUNTY OF BUTTE - DEPiQRTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, ZalvornFa 95965 - Telephone: 916/538.7541 IE _ APPLICATION AND PERMIT 91 ASSESSOR PARCEL NUMBER ZONING o44 022-240-144 A-5 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION Jim Hawes' 846-3172 _ -- ___ -- 30 Lone Star, Gridley 95948 NTRACTOR'S NAME TELEPHONE Harward & Co. 893-5898 NTRACTOR'S MAILING ADDRESS 3851 Morrow Lane, Chico 95926 _ NSTRUCTION LENDER I UNKNOWN LENDER'S MAILING ADDRESS ITECT OR ENGINEER ILICENSE NO. ARCHITECT OR ENGINEER'S MAILING Loll Gridle LOT NO. I SUBDIVISION NAME I PARCEL MAP USE OF STRUCTURE SF 9 Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Install Vinyl Siding CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): L77 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification g Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. p X e�lJyy) ��� ��-2 /C Date Signature of Applicant — Owner E] Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 116912 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Fireplace Total Valuation 1$11,087.00 Filing Fee $ 15.00 Permit Fee $ 112.50 Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ Permit fee $127.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 Water piping 7.00 Each qas water heater or vent 7.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G IW 1 15.00 I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 20GATO 1000Al 1 37.50 NEW CONST.( DWELLING OCCUP.&� OR AODNS. ACC. BLDGS. 3.60 sq.ft. NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CRC ITS @ 5.00 (POWER APPAIRATUS•& SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AO 76d Ex. Occup. OUTLETS PRESID,)FIXED APLNS.REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 I Permit Fee S Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee S Energy Inspection Fee $ OGG CONST TYPE TOTAL FEE $127.50 HA2 I D FEES I IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicate abo for which fees have been paid. OR OF PUBLIC WORKS By OeMDate G PE MIT EXPIRES Date e�e/7-95 --,j C ► NTY OF BUTTE - DEPARTMEIV1,617�PUBLIC WORKS - BUILDING DIVISION •7 COUNTY CENTER DRIVE - OROVILLE,- CALIFQRNIA 95965 - TELEPHONE (916) 538-7541 OWNER Proposed Building Use' PERMIT APPLICATION DATA SHEET Building Inspeptor• 2Z - 2 `�-L �. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: -" DATE RECEIVED BY 1 # All items have been submitted. .. ..................................... Z Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4? Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation: 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ....'....................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. ` 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. .......... 17. Planning approval for (A) Use: (B) Parking: ....... ° 18. Contact Land Development about (A) Improvements (B) Drainage ............. 19. Driveway permit (construction approval required prior to occupancy). .. .. .... 20. Pre -inspection for Pre -Inspection request required. . to Building Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded,copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. !!.......................................' - 28. Mobilehome utility clearance ............................................ 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits . ...................................... ' 32. Plan check list . ..................................................... ~ 33. ' 34. t a - When' you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Wither. Parcel Creation Acreage': y' Applicant` � -jf Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above regdii•ed data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Dec 22 03 12:26p AND WH EN RECORDED MAIL TO: . BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE r^I►+ OROVILLE, CA 95965 i P. J 2 0 0 4— 0 0 3 2 2 5 3 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 12:29PM 28 -May -2004 REC FEE 7.00 CONFORM 1.00 Cheryl Page 1 of 1 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, described as follows: A11 that certain real property situate, in the Wunly of Butts, S;ata of California, described as follows: f9RCEL 8: Percal 1, as shown on that Certain Pamal Map, being Lot 5, of Gridlby Colony No. 11, in Section 35, ?cwnship 18 Borth, Range 2 Bast, M.D.H. & M., in Gridley, Butts.County, California, filed in thc_o#iva-of the HaCozder, County of Butte, State of California, on,April 6, 1982, in &0-0 88 0£ Yaps, at page 7. Date /% 1�/ (r IZd0 State of California County of Butte On May 28, 2004 'A . . before me, Veronica M. llzevedo, Notary Public personally appeared James W. Hawes anpersonalty known to me (or proved to me on the basis of satisfactory evidence) to be th e: ons whose ams s r subscribed to the ithin instrument an ac Howled a me that 11�slre. a xecute the same in -rd -- 0 r/ ei uthorized caps _les and that by �iefhe1r/ sir natures n the instrument, th persons r the entity upon behalf of which the erson acted, executed the Instrument. WITNESS my hand and official seal. Si;nature ,L�/l�ou� .Q�eln Seal: V�ONCq M. AZEVEDO %"Mnbtlon N 1453852 P .P. d� d2 �� / y� � County L%—r1MyCQ1nM- 64*ft Dec 2. 90C)4 ryah•� .l r .ti O` 3VW3 .FA f!0.'fM�f c-inu sub ^fes 1(tai5��io U�JS„i ac►i3�t�'sir�i.n:rsto�'1P�R . Building Permit Number: O�—I V Owner Name: 5l wt-.) 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 (1'999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 0-17E/ Owner Name: L� 2 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 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. 1. Owner's Name:{��nC�1 2. Assessor's Parcel Number: Z - ZED 3. Installer's Name: O�— .G�C 6 4. Is the site currently under permit? Yes[ J NoN Permit No. 5. Is the site an existing site? Yes[ J No (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?20 Amperes. 7. What is the mobilehome site circuit breaker rating?Ampere§ 8. What is the electrical rating of the mobilehome site? 0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ J NoKJ 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[ ] PropaneK] None[ ] 12. Size of�&s pipe . at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?LS11_(ft.)- 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 Mobilehome Manufacturer: roO d:eln k/tP,7 Manufacture Year: If other than single wide, furnish Setup Model Number: Width: (ft.) Length:.(ft.) Tagalong or Expando Size On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[] Other: SUPPORTS: Concrete block[] Other: Provide Tie Down Specifications for all Mobilehomes: Pier -Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I el Line 2 Line 2 Main Beams Line 2....................................................................................:.......... - e2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ............................................................................................. Line 2 Line 1 ................................................. e S Tag or Triple e 4 I Line 1 Piers:' Size minimum: x r 3 . Spacing maximum: I ` 0 ` From ends -maximum: ` Line 2 Pierg � r Size, lninimum, [ ,2,] x t30 I. Spacingemaximum: 1 4 0 ` G (Froin ends maximum: ` V �Lkne�3 Roof Loads: 0ize minimum L,ocation (from front): - Line 5 Roof Loads: _ Size minimum: Location (from front): Line'1 Openings Size minimum: [ /Z1 x [30]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ J x ]. Spacing maximum: ` From ends -maximum. ` I2 30 Izc3a a'hc3o 2`�x3o Ia3C laX3o D'l" OVER O 4'-II' 2'-3' 20'•4' 3'•0' 3'-0' -0' 3--0' 4••il' STANDARD CARPET -_____ --__---- 7-�f' GREATROOMD____________ WING ROOMBEDROOMS ^ T3LINOMASTER BEDROOM LINO LINO 1313�> I HALL TOTAL °n'•✓ 0 GLAMOUR BATH TOTALLi OLINOJ14 "�• / / - "` ------J OPTIONAL CARPET csQiaPsg • 1 2� PSF TO4 2� PSF {��° � c , ,;� �'P.,Fc. L• a PSF ---------- fff OI 30P5 FSF O6 30 P5F 030 F5F 1 OI V OI 3o PF -. QTCHEN UTILITY M. BOR I. WARD. OI 3o P5F O30 PSP MAST. BATH g•_p ._, } GUE57 BATH SCRAP r0 0 LINO 9 �.. r. ONLY) (20# & 30# ONLY) 13'-6' CARPET LAYOUT PIER PIER T' FOOTING SIZE REQUIRED (SO. IN.) CAPACITY PIER PIER FOOTING SIZE REQUIRED (50. IN.) CAPACITY PIER PIER FOOTNG SIZE REOUIRED (SO. IN.) CAPACITY PIER PIER FOOTING SIZE REOUIRED (SO. IN.) CAPACITY — N0. (LBS.) 1000 PSF 1500 PSF 2000 PSF N0 (LBS.) 1000 PST 1500 PSF 2000 PSF N0. (LBS.) 1000 PSF 1500 PSF 2000 PSF N0. (LBS.) 1000 PSF 1500 PSF 2000 PSF 1 2000 288 192 ` 144 3 4000 576 384 288 5 6000 864 576 432 7 10000 1440 960 720 02 2500 360 240 180 Q 5000 720 480 360 © 8000 1152 768 576 12000 1728 1152 864 GOLDEN WEST HOMES ALBANY DIVISION TITLE O -I TITLE CARPET & PIER -'L PRODUCT GOLDEN ESTATE MODEL NO. GE564F-04 SO. FT. 1,512 DATE 1-21-04 2445 S.W. PACIFIC BLVD. ALBANY, OR 97321 S UP.P_OR 0 CA TIONS _ DRAWING FILE INFORMATION ALBANY DIVISION (6' WALLS) DRAWN BY E. COLVIN SHEET % —A21-26-04 REVISED EC (541 926-8631 Phone (soo� 658-3552 Fox OPT. MASTER BATH 8' 6' 11 9' 6' ENVIRONMENTAL HEALTH APPROVED Butte County MAY 2 8 Environmental Hea,,h 7 COUNTY CENTER DRIVE -7 Date Signature 101-0* 5'.4- 10%8' W-6 I W-63 W-63 W-63 I W-63 W -63W-63 I W-35 W-35 I. 16%8' 21.8 14' . 8' 11 Apr 05 04 07:213a r, C( SAC INDUSTRIES T119 D ENGINEERED TIE DOWN SYSTEM GENERAL NOTES nF�icN L0AD5: _ _. 17.4 PSP' (70 MPH EXPOSURE "C") _ �c WIND -------- - - 85 MPH EXPOSURE "C!') * WIND ^----"`--�---- 25.6 PSF ( * _—__---35.35 PSF (100 MPH EXPOSURE WIND ------- * SEISMIC ZONE ------ 1000 psf AQIL MAXIMUM SOIL PRESSURE * SOIL BEARING ---""— IS 1000 psf WITHOUT A SOIL REPORT. W *EARTH AUGERS -^-- b750# MIN. TOTAL LOAD CAPACITY 3150# WORKING LOAD CAPACITY *STABIL-X DRIVE ANCHORS-- 3150# MIN, TOTAL LOAD CAPACITY WORKING LOAD CAPACITY 4750# .C *CONCRETE SLAB ANCHORS -- 3150# WIORKINGALOADACAPAC TYIT 4750# MIN. TOTAL LOAD CAPACITY *TIE DOWN STRAPS ------- 3150# WORKING LOAD CAPACITY _ CLASS , ID TIE DOWN STRAPSEAND BEE AT LEASTSPECIFICATION Q0 035 ZINC PLATED.1 GRADE 1 STRAPPING 1. THE CHARTS SHOW THE REQUIRED ED NUMBER OF TIE DOWNS ON THE SIDES AND ENDS OF THE MANUFACTUREDBE 2. COMBINATIONS OF THE DIFFERENT YPEMANUFACTUREDHOME. OF TIE NHOMENCHASSISUSED. 3. FOR ALL TIE DOWN INSTALLATIONS, THE ARE SHOWN AS "Y' BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAM CAN ALSO 13E "C" SHAPED OR "RFC' SHAPED.EAMS. END TIE 4. SIDE TIE DOWNS ARE RAQUEACH ENDNOF EACHUTRANSPORTABLETSIDE CHASSIS BSECTION OF THE DOWNS ARE REQUIRED MANUFACTURED HOME. 18" OF 1 -DE OF CHASSIS BEAM 5. END TIE DOWNS CAN BE NLOE ATTACHED HWlTHl11 f IN 8� TO I60""EPROM . NN OF CHASSIS BEAM: U AXlS, AND BOLT -ON TOP 6. THE SIZES. TYPES, LENGTHS, ECT. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER SIER AGNGRIB AND LOCATIONSSHOWN- BE USED AT THE SAMSHOP 7.ALL PARTS ARE COATED WITH 75RUST RESISTANT THE REQUIREMENTS OF ISECT ON 1336.3 SUB- S. THIS TIE DOWN SYSTEM ME SECTION (a)• INDUSTRrES SAC RATED STATE APPROVAL N 1 t-1-- _ Itut;� ti"1 STELA APPROVED SUB -!:.CT TO Co;,RECTIONS NOTED Approval does not authorize or 30prove any omission or deviation from requirements of applicable State Jaws and regulations. State of California Department of Housing I Community Development D AND STANDARDS BY �Date I Ignawrel SPA NO 'c__ Tv This Plan Approval Expires �=-- INCORPo 1722 A BISHOP ROAD CHEHALIS, W • Ph: 360-7 �C6rSS,,r/ _. raGl tr' E ✓G OREGON 14, 15.E p.5 IAL ;N - y � — Fes.Ab CA "SPF C 0 ,� -AVSD A. PACIFIC su T►NUEHGI �N�EERS� 2150 a t��E. sutTE tk5, _; r �, CIVIL � SACRAMENTO, CA.9�83' ° ./�'� �D PH: (916) 564-6028 .7�Af o. 3d i Apr 105 04 07:27a SAC IND. EARTH AUGER TIE DOWN ANCHORS #6001 #6000 0 #6006 #7000 #7002 p.6 i #4002 STABILIZER B LIZER PLATE 16000 SERIES EARTH AUGER • ` � "� ;' (TYPICAL) CHASSIS PIER VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL �6002 OLT-ON TOP r #7002 CONTRACTORS WARNINQ CHECK FIRST FOR UNDERGROUND UTILITIES. Z2 ; �' 7' STEEL 3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS TRAPp W/HOLE BEAM, AND DRIVE INTO GROUND, S1 STEEL TRAP 7000 W/BUCKLE 4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. i a #6005 SPLIT O,��' �0d I BOLT 8 NUi MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 7. STABILIZER B LIZER PLATE 16000 SERIES EARTH AUGER • ` � "� ;' (TYPICAL) SINGLE WIDE =sv' `• �- DOUBLE WIDE sTRtt?ItE WME . ,w• Q_IQV R -►a VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL AUGER TIE—DOWN INSTALLATION INSTRUCTIONS 1. CONTRACTORS WARNINQ CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL GROUND ANCHOR INTO GROUND LEAVING 12"-14" OF SHAFT EXPOSED. 3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND, 4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. S. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 6. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 7. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. ENO TIE DOWN END TIE GOWN SEE CHART SEE CHART ENO TIE DOWN SEE CHART '• t fV O t o =' i W `( W Li In Z } a a W , `vi-tA%--A4 n 8UT-67 � / SINGLE WIDE =sv' `• �- DOUBLE WIDE sTRtt?ItE WME . ,w• Apr 05 04 07:28a SAC IND. STABIL--X DRIVE TIE DOWN ANCHORS 17000 or #7002 7' STEEL STRAP --- #6005 SPLIT BOLT do NUT —� 96013 STABILE 'X'. DRIVE ANCHOR _,� GROUND LINE a #6005 #7000 t• a DETAICA" #7002 #4002 SEE DETAIL"A"$F' VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL STABIL—X_DRIVE TIE DOW SEE DETAIL "A" INSTALLATION INSTRUCTIONS 1 . -CONTRACTORS WARNIN .• CHECK FIRST FOR UNDERGROUND UTILITIES. 2. DRIVE STABILIZER PLATE INTO GROUND. 3. DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN. 4. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 5. IF ANGLE OF SIDE STRAP IS GREATER THEN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN #6002 BOLT UNTIL STRAP IS SNUG. SEE NOTE #7 7.• #6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE AND NOTE #8 GROUND SURFACE IS OTHER THAN ROCKY SOIL OR MINIMUM 2" ASPHALT USE p.7 CHASSIS ••-� 14002 PIER 8. "^ BOLT—ON TOP MUST BE USED AT THAT LOCATION. � j J ,- WIND= 70 MPH — 85 MPH — 100 MPH EXP. 'C" — SEISMIC ZONE Oaf 17002STEEL 7' STE REQUIRED # 7' STEEL STRAP TH S TRAP W7000 /BUCKLE W/HOLE ..,d eP °` SPLIT O e BOLT , BOLT B NUT �ti FOR LENGTHS OF TIE arc I [SING 50' 06' 80' LE I E 70 MPH EXP. =17.4 PSF _20NE 4PH4 SEE DETAIL"A"$F' VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL STABIL—X_DRIVE TIE DOW SEE DETAIL "A" INSTALLATION INSTRUCTIONS 1 . -CONTRACTORS WARNIN .• CHECK FIRST FOR UNDERGROUND UTILITIES. 2. DRIVE STABILIZER PLATE INTO GROUND. 3. DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN. 4. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 5. IF ANGLE OF SIDE STRAP IS GREATER THEN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN #6002 BOLT UNTIL STRAP IS SNUG. SEE NOTE #7 7.• #6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE AND NOTE #8 GROUND SURFACE IS OTHER THAN ROCKY SOIL OR MINIMUM 2" ASPHALT USE p.7 STABIL-X ANCHOR OR ENCASE ANCHOR WITH 12"x12"x12" CUBE OF .CO,N,CRETEr- nns 8. WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -_m, .-� C MUST BE USED AT THAT LOCATION. � j J ,- WIND= 70 MPH — 85 MPH — 100 MPH EXP. 'C" — SEISMIC ZONE Oaf #''° Y_ REQUIRED NUMBER OF COMBINED ANCHORS FOR EACH 2= AND dip OF MANUFACTURED HOME , TH WINO SPEED SEISMIC No. OF SIDE TIE DOWNS No. OF END FOR LENGTHS OF TIE DOWNS ' I [SING 50' 06' 80' LE I E 70 MPH EXP. =17.4 PSF _20NE 4PH4 85 MPH EXP. C 25 6 p I_ i.ONE 4 I 5 _ 6 _` Z __ _6' 100 MPH EXP. C = 5.35 ZONE 4 _ _ Z_ DOUBLE _ 70 MPH f XP. -17.4 PSF I ZONE a T 4 S Ti ' — WIDE — 5 MPH ■ ZONE 4 6. TO 32' _Z ... 100 MPH ZONE 4 .19_ 12 TRIPLE _ 70-�4PH. s17.4'PSF I ZONE 4 —� �8�__ 6 WIDE ! 85 MP ; 6 PSF ZONE 4 —f6T 6 TO 44 1 ion fIP— w ME — r'��C -y,,.« s ,., .. _ Apr, 05 04 07:29a #7000 _ a #4002 #6005 #7002 0 #6003 #4002 PIER BOLT -ON TOP #7002 7' STEEL STRAP WITH HOLE - #6005 SPLIT BOLT & NUT -� CHASSIS � i p.8 'r #7000 7' STEEL STRAP W/BUCKLE INSTALLATION INSTRUCTIONS uraETE - p6004 E. AND ALLOW TO CURE 1, PLACE CONCRETE ANCHOR INTOWET SCREBARTPROPERIY EMBEDD DOINECONCRETE• 2, ALTERNATE CONNECTION REQUIRESN ,r rnU�'prTE - A699� 1, CONCRETE MUST BE A MEACH ANCHOR'1SN28KSQUARE RAND IN OOD CONDITION. 2, MINIMUM SLAB AREA OF 3. DRILL PROPER SIZE HOLE IN SLAB, A WITHMUM OF M MINIMUM 2 3/ " EMBEDMENT SIDE - ENT AND 4. EXPANSION SOLT IS 5/8" x 3 1/2- 6,180 POUND PULL OUT, 7,160 POUND SHEAR. NN 1, ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2, IF ANGLE OF SIDE STAR TO OS GREATER ETHANASSIS 60'.BEASTRAP CONNECTION CAN BE MADE FROM 3. INSERT STRAP THROUGH 5 SNUG -SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL WSIOEWTIE DOWNS ARE NS ARE REQUIREDATREQUIRED EACH END OF EACHTSTRANSPORTABLEIDE CHASSIS ESECTION ENO SIE DO OF THE MANUFACTURED SOME, USED NOTE; A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CAN BE = c i 1 SIDE VIEW .,C„ BEAM CHASSIS . crr nFNERAL NOTE #3 #6004 #6003 Lz DRILL 9/16" HOLE AT MID HEIGHT, OF BEAM AND INSTALL 1/2" A307 BOLT � ! \ ! 1 (TYPICAL) i b? Cc tV ! V A SIDE' ;,END VIEW E'�`n' -&-D- SIDE VIEW NOTE: END— TI S CAN BE "RF 'BEAM �LOCATED OF EI SDE OF CHASISIS1ir BEAM AXISER SEE GENERAL NOTE y3 CONTRACTORS CERTIFICA TWOAS I CERTIFY THAT I HAVE INSTALLED THE SAA E MADE NO MODIFIICATIONS TOIND.. INC. ANCHORINGMTHE PER .THE INSTALLATION INSTRUCTIONS. I ANCHORING SYSTEM OR TO THE BUILDING CONTRACTORS LIC.# - -. APPROVEb Butte County EnArOhMeritalal-f� 00-- a 7 ---- Date b 0- (�APR 2 g 2004 t1' , tignature_r euTiE COUNTY 6 to do 13l' Nv (, PR u PAN '� PP GniA� F TIS All ip� r at/T7-5 l N f' Co, 0z SI�UIi c�,�� fe s C= > �ZZ Gc Amo �M r s Z W o Z C v W 712 Q �Z o '� PP GniA� F TIS All ip� r at/T7-5 l N f' Co, 0z SI�UIi c�,�� fe —> > �ZZ 9 0 Amo �M Z aA ° V UA►'C(� F TF, C �� 0 M• Tree row b s� co 0�► �: �, v�geta-h ve. v 2g �pbe� �-� I n� D - Screen �� pGj1 APPROVED. ®�® _ment Plan USE PERMIT VARIANCE MINOR` -Pi ®flJlceJa ®{6.1®61 lJN9P A V PLANNING C®mmiss. L ';RsSibly Levey dose . 6o -v !d ,40q� NOTES RESIDENTIAL I PERMIT N0. _.. 0244 04 1781_ STONE, FRANCIS PLONE STAR CT, GRIDLEY ! ONT. OWNER M r MHI ADM 04-21 1 a3_�,� `Z SPECIAL CONDITIONS SRA r FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. 3 a a OFFICE COPY CHECKED BY Address R GAS Meter By Dat ELECTRIC i� Meter By Date ' Q I�S q(. '2 -'-7o I JOB FINALED ;� Signature y RESIDENTIAL I PERMIT N0. _.. 0244 04 1781_ STONE, FRANCIS PLONE STAR CT, GRIDLEY ! ONT. OWNER M r MHI ADM 04-21 1 a3_�,� `Z SPECIAL CONDITIONS SRA r FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. 3 a a OFFICE COPY CHECKED BY Address R GAS Meter By Dat ELECTRIC i� Meter By Date ' Q I�S q(. '2 -'-7o I JOB FINALED ;� Signature J=OK t` 0 = Not OK = Nq Applicable . = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Hing Requirements -Setbacks -Easements 2. Soils; qDecial MH Support Sketch er; cation -Test -Fall -C/O -Concrete Location -Test -Easement Needed (Sketch) lectri oty; Location-Clearances-Grnd-/ /Amp -Concrete as; Location -Test -Wrap; -/L 'ft. i, � / P Nat. or / /" L "ft./I��LPG N f 7. Well Clearance & Disconnect iit Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOEYLE HOME INSTALLATION (Plans) OK except #'s Hing Requirements -Setbacks -Easements F 'ot' gs; Size -Spacing -Marriage Line MH Test -Demand -Valve -Connector ctricity; MH Test -Crossovers -Breakers -Clearances D in; MH Test -Fall -Flex Connector r; MH Test -Regulator -Connector Pn4ater and Sewer Connected -C/O to Grade -HD Approval 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) Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements t 4. 2. Footings; Size -Spacing -Marriage Line 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Blocking Carports; Windows -Doors 4. Gas; MH Test -Demand -Valve 8. 5. Electricity; MH Test 9. Siding; Nailing -Veneer -Stucco -Mesh 6. Water; MH Test Roof; Shthg-Roofing 7. Water and Sewer Connected 12. 8. Gas and Electricity Tagged 9. Exits Card B-1 Date Card B-1 Date 10. License Decals Date POOLS (Plans) OK except #'s 11. Verify #'s with Office Setbacks -Easements 2. Soils; Compaction -Structure Stability Date Pool Structure; Steel -Connections -Thickness Dead Men -Lining Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 02le <4Gz010-Z7l Gbree,,, 0Z5� G i�oziz � 3n�zG��� MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements I 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails t 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 J 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater n 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope Card B-1 Date Card B-1 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Garage Fire Protection Framing -RC Channel 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 56. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 41. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 42. 11. er Pipe; Test -Anchors -Regulator -Service Test 43. 3. 14. Electric Underground Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 44. 15. Access & Ventilation 45. 16. Insulation 46. Headers & Beams -Size & Bearing 76. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 79. 17. Water Htr.; Vent -Access -Combustion Air Baffle 80. 18. Water Pipe; Test & Anchor -Nail Protection 81. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 82. 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 83. 22. Gas Pipe; Sixe & Anchors 84. 23. Fire Sprinkler; Test 85. A.C. Unit Disconnect, Electrical- Plumbing, - Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing 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. 93. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 94. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 95. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 96. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date 47. Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 36. A.C. Ducts Insulation & Support Garage Fire Protection Framing -RC Channel 37. Vent Fan, Exhaust above insulation Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 38. Condensate Drain & Overflow, Size & Grade 56. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Siding -Nailing Veneer 40. Attic Access & Plafform if Furnace in Attic Date Glazing Area -Glass Protection -Skylights -Plastic Card B-1 Date Card B-1 Date 61. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 72. 43. Bearing Walls over Girders & Floor Nailing 73. 44. Draft Stop in Walls (rat proof) 74. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 75. 46. Headers & Beams -Size & Bearing 76. A.C. Duct in Garage -Damper Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes O No/Walks 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: COUNTY OF BUTTE BUILDING DIVISION =5 DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE oq-/�Y/ OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, I o- I h4 Date !► 0 Inspector— REV nspector REV 10/92 i✓ _..,.,.c. -r..= ..-,--.. .. -. �.,-...fir - wr ._,, *,,,. ,..- .�--...-.=•�->T:.-.<�--. t COUNTY OF BUTTE .i BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street •,Chico, CA • (530) 891-2751 7 County Center, Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �Srt` OL/7F/ OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, plgase.contact this office immediately. -n BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILEI1MG PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041781 LICENSED CONTRACTORS DECLARATION 1 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: 07/02/2004 APN• 022-240-144-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 32 LONE STAR CT GRI Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NEW MHI SOFT SET(1512)ADM 04-21 Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HAWES JAMES W & TANJA M to its issuance, also requires the applicant for such permit to file a 30 LONE STAR CT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section GRIDLEY, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95948-9461 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 Code: The Contractors' State License Law does not apply to an Applicant: HAWES JAMES W &TANJA M pp 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 not apply to an owner of property who builds or improves thereon, Contractor:• and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). D 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 ,54 1 certify that in the performance of the work for which this permit is Census Code: 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: ✓� 9D Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anryor I hereby affirm that there is a construction lending agency for the Resoluti s do work indicated abo for which fees have been paid* performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By Date: PERMIT EXPIRES ON: at Address: ❑ 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 Bule County. 1 hereby authorize representatives of Butte County to enter uponthe above mentioned property for inspection purpose ��f �Gl � v Print Name: 9/ li Signature: Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor i School District A.P. Number Property Owner Property Location/A Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM x (One form per Building) 3v h a --L Cl -Ic, Jurisdiction: City Building Department No. ©County • �C"rrY) l n l5liaf ii, � f -3r rn i -l- Residential Development 0 Q No of Living Mobile Home Units Installation Commercial/Industrial Q Q New Addition Sq. Footage YS/,2 f (Group R) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Building Department Representative, Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. �j School District certifies that �Q A n C L=C-,- Dp. IT, A o n (Applicant) �Q (Street Address) r hivbomplied'with the requirements of Resolution No. representing ' square feet. School District (State) (Phone Number) (Zip Code) �� • tr)l—� by payment of $�/_� n� 2926 i FULL MRIGATION $ Paid by Check # Remarks: ` Date Noffi:e: EYou may protest the Imposition of the fess Identifisd above by submitting a written protest to the District, In compliance with Govemmsnt Code Section 66020(a), witldn 90 days from the'date fess are paid. Failure to submit a timely written protest wlll'prohibit you from challenging the Imposition of the fees in arty court action. K. subsequent to the school District Representative signing this Suite County Schools Impact Fee Certification Form, the School Dh&W Is notified by the applicable Local Planning Agency that this pre o)sot isbaing nviwwd under the California Environmental Quality Act (CEQA), this pno)set maybe sub)ect to additional school fees to fully mdtlgste.Ite Impact on the school dlstdcrs schools. White (applicant), Yellow (building department), Pink (school district) feefomn.xis (10/03)dmm -�_-'-� A10 ^ COUNTY OF'BUTTE-DEPARTMENT OF DIVISION ~� 7 County Center Ddvo� 8-7541 Fax (530)538'2140 PERMIT AP8�LIK���IK�l� 8��&T)&S8�E808� . ' OWNER: l���w/eS ASSESSOR -PARCEL NUMBER :��� A-'6 /^�4- ' ��` J J 9m� 8��i D w Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order tol apply. 1. G 4oeb.signed by�epepororofthe plans. ^ '' O 2.Complete ��nx.3or4sets, signed bythe pnopdrerof the plans. _ O , 3. Engineered plans, 3 or 4 sets, with wet signature on*plans AND 2 sets of stamped and. signed calculations. ` � . O 4. Engineered truss details and layouts induplicate. No uo| � O 5. Letter from Engineer mArchitect for truss design review. O O. Energy compliance design and supporting documentation in duplicate. O 7. Statement of Intent for Non -heated and A/C for Non -Residential Bui|di~ o. . ^^ 8. Manufactured homes: �Da�aahoo�oundinxtoUoUoninot'-p Moniagoline inhu.J�F|oorP|on.�Tie down orfndp|ano'-a-U-� duplicate: �'~~~_~—- O 8. Metal b|dgS: AQ Metal Bldg P|enx. (B) Fnd p|eoo and oo|ooin triplicate, /C\ Elevations in triplicate. (D) Floor plans \ntriplicate. All of these � O 16. Flood Elevation Certificate, wet -stamped and signed, in'duplioote ^/ O 11. �plan and busihess license approval from the 'pCity ofB-i9p,0 12.- Letter;.of intent for non-residential buildings _it 6*_ O 1�-- -�vtheowne =' ' O 14. , 15. Sanitation" and *site �approval from the Environmental Health Department inOChico OOroville.as applicable. -�] 1�O� ' � .Remaining,items needed toissue the permit. (May ' mqui.e additional plan review upon mcwiptnfthehm|bminQitemt.) r~ O 17 Fire Sprinklers .............. -----.--'=�_-------------�-- 1& Agricultural Buffer dandBu�r � site plan apr from AU Com kmi Sn ' 19. Soils' - �-� ��------------ ------` O 20. EmmionContrdPlanRoquimd----'.------ - --- __ 21. Fees ooshown on�eaKaohodSuhedu�ofFonsDue Sheet. ............. ' O 22 City ofChico Plumbing permit ........ --........ -.............. 00 ..-------' | O ^� %l California Department uf.�""" Gontby- 2� PoningoppvoAUso��B\ n�J A . O 25. Contact Lund Development about __Improvements, __ Drainage ........ --.......... ' 26.NPDESForm -------�-------------,---------- u 27� Eno ' 4� ------' ' Encroachment Ponnhhxdhvoway�om�oPuN�YVo�oDoo--------- O~2& hx required. O 28. Contractor's license information, (Number, Name Style, ClaxoifioaUun) ..-----' O_- 30. Worker's Compensation Carrier Policy Number .---------,---- 31. Owner -Builder Verification onwner, —Mailed toowner) ................ - 0 32. Letter ofSignotunaauthohzaUon--------------------- �-_ ' �D�� 33. Recorded of Agricultural Sb�monL----'�----- 34.�unu�o��d�home�uU|U� � na-----��___.______._____ -~--------� `-x---- O -35 ExisUnoviolaUonound/oroxpirodponnitn-------�,------' | = O 36o Deed Restriction .................................... -----------------'____________ . � O 37. O 38.l., O 39. Othoc_________ � ------- '^ When issued Telephone and hold for pickup. y + I have been informed of the above items and requirements for obtaining a building permit. Applicant: V7N Date: 1. Index permit application for the above items numbered: Plan Check Letter owner, was advised mmoaoov data by ez poono. umao, u counter, uute:_��_����_�_ ' designer, advised of theOmoi|. [ ' [noo reviewed by: Plans appmvodh� 2_17—Date: r. �m�ungm�owodby: '' Date: Structural approved by: ___Date: / Yellow: Building Division E.H. USE ONLY _ 9ioII Plan � Attached Flow Plan Attaettad Seem to 8.0. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �,q4jo /6 415 . ,5® �o,c�E arZ C`� QRZ—.IV Owner Location AP# Plan Approved for: Sewage Disposal � Water Supply: Public Private Well o/ Clearance for �/ dwelling. Other c: .66.6 41-e—A--)7- -'Z- Hold final for: Final clearance O.K. for: NOTE: Environmental Health 8/96 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 OWNER V A.P. # n. }—� PROPROSED BUILDING USE DATE �U v RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ Zp�/2. SCHOOL DISTRICT FEES C_9�7-1 '(paid at School District Office) (form available after P an 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. Fig. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE 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) � SITE PLAN REVIEW APPLICATION Date: 11 2&v 4 Permit Number (if applicable) APPLICANT INFORMATION AP# Bin Number 022--2c40 —I4<q Parcel Size: 4. q 2 q Owners Name: Owners Address: L( e-( /Y PG47�"T4t% gds Telephone No.:. 5 30 ^ 9-7 ? - 2 q (4'7 Situs Address: Lo na F 5 r?} -K C.v t CT2i �L `i Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory Permanent Second Dwelling Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family ' Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Si a Plan Stam d Approved i By - Date 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: X • Flood Panel No.: 06 00 7 G � 12 S L Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A " S Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front .Zo Side i Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 =l Applicable Development Fees: Standard Fees ❑ Fire- ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ---------------------------------------- Subdivision Map Special Fees ❑ Water Tender ' ❑ 'Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * 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:❑ No ❑ Yes Comments: ❑ 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 19 Subdivision Map/Parcel Map: Map Date of Recording: Affix- 1. �, Z Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: MIO Date of Approval: Page: 7 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 road maintenance, and stop sign maintenance. 0 Page 4of5 w n 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. CALairys\Building Permit Site Plan Reviewl.doc Page 5 of 5 V"+ $a�WWYn�' w hMZ JN�QtiQ OW¢U�CV hN���mlpj� eWF^�ti�C ti%¢QWWtlJU .. lu�mW��l2h a 2 3 Q v r a»o� C V pW��Q"oovv Lin3�lll �� t6'.73s 21Y/71SVi 916.7£/(�J'� 3,L/.00N £6V297 IN022_OON - . - I OI0110JM \ h n a -N •a I h n 4tW A' 3S2%S S7 u S .• � QyNj \ $ f/ 7/e7v 0� 8L'6L6/_ CJN G� ,H9'6L%A 0 OYif6£�/IV 3�V � M�RI,90v 00N oODN 8 ON .fN070.� ,f370/I/:� •4 `� M,Z/,SE�OON W � � `V N 1 R Rl 2 A h W rA O~ ^ $ � O NN � a I/ W V W io M £E, LE OON v 7011VdJ 91VAL S 9 5£ V� tz M;v n •: J ¢i _ O tl� W � � J \ Z v SWI. o Qhvt o1p iN Gf 2200 --- C ,C6657 �� Q M bry 2 � h W 3 O J ovi " 8 a p o o � �•ro 22 ht: h a ai 1 0:0 0 J Jy /ac@ j WV ' - . - I OI0110JM \ h n a -N •a I h n 4tW A' 3S2%S S7 u S .• � QyNj \ $ f/ 7/e7v 0� 8L'6L6/_ CJN G� ,H9'6L%A 0 OYif6£�/IV 3�V � M�RI,90v 00N oODN 8 ON .fN070.� ,f370/I/:� •4 `� M,Z/,SE�OON W ,W °I `V N I V O Rl 2 A h W °o- 2 I 98'6Ew a2 V ai ,j NN ti y I/ W V W io M £E, LE OON v 7011VdJ 91VAL S 9 5£ V� tz M;v n •: J ¢i _ O tl� W � � J \ Z v SWI. o Qhvt o bry 2 � h W 3 O J ovi " 3 v p o o � 8 `W W o � 0 O�S�O Q ?�23 —� - :o N M,Z/,SE�OON W I 1 °I `V N I V O Rl 2 A °o- ,N j a2 V ai ,j NN ti y I/ W V W io M £E, LE OON v 7011VdJ 91VAL S 9 5£ V� � 3al W � J \ 8 `W W o � 0 O�S�O Q ?�23 —� - :o N &4*KjZlk °I pg 4 V O Rl 2 A °o- � j a2 V ai ,j NN A V> &4*KjZlk W 4 W w j a2 V ai ,j NN OQ v V> W io >W Z v SWI. o Qhvt &4*KjZlk mar �'Wf'� �'ZAvv�'tr BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner. or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: X/11c Mailing Address: -'-'/ E -Mail address Assessor's Parcel Number. 42 - tAo Reason you believe you qualify for the unusual circumstances exception:, Agent's signature Phone: 11711 12 yy, Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements .............................................:........................ Internal Dept. Contact Info: ................................................. ❑ Env. Health ❑ Planning . . 0.Buildin ContacCPersori' g Other -- - - - Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING ......................................... _ _ . _ For Agricultural Commissioner office -use oni c ......................................................................................... y. (to be completed after submittal ) DISCRETIONARY PERMITS (Planning) ❑ Exception Recommended ❑ Exception NOT Recommended Reason/Conditions/Specific setbacks from �Rarc..t w�u rw�� ts�r� W4 a %kMd MINISTERIAL PERMITS(Building) �T I Exception Granted with the following conditions: operations: -t-6-K3t Agricultural Department Signature: Date: FC L oFc341, Oq . r �3 fl Cli ^c, e a t D EC EOV E D° APR 99 2004 F BUTTE COUNTY PUNNING DNISION 4 cs � P � R % �ri.d.ri• , 1N cA�1 �oRN+A ,0 APPROVED Development Plan DATE USE PERMIT VARIANCE MINOR U.P. ADM.PERMIT PLANNING COMMISS. PLANNING MANAGER 60-0 6 to do 3n j n Ipo PO 1 o �V Of Ror, Pb nig CA -Au 3S pl. BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT V . Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING APN No.o 022-240-144 A-9 OWNER PHONE NO. James W. Hawes and Tana M. Hawes 530 846-0272 OWNER'S ADDRESS 30 Lone Star Court - Gridley, CA 95948 LOCATION OF BUILDING 30 Lone Star Court - Gridley, CA 95948 USE OF BUILDING lt64, 7 Equipment Stora a/Sho Area $ U �(�� SIZE OF STRUCTURE 30 50 1,500 X - SO FT TYPE OF CONSTRUCTION: X Concrete Floor WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE Steel Steel Concrete ESTIMATED COST OF CONSTRUCTION 20,000.00 $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: t , i �� "ZO'`� �" FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be AG Building definition. If any change in use or occupancy obtain any necessary permits, inspections, and approvalyrl occupancy. Date June 25, 1999 Permit Fee - $60.00 Signature of The Mate bove and the purpos use confirms with the di s m de, I will ontact Building Division and ply the r I uireme in ect t that time and before ,� �9 -Baifding is exempt from a building permit. -73p� 3 FLOO PAR L P�/. RVG ISSy Receipt No. �,/ Manager Building Division lwa'By. Date 36 L White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Francis L. Stone FROM: Yvonne Christopher, Director - Development Services DATE: June 1, 2004 FILE #: ADM 04-21 PURPOSE: Administrative Permit for Francis L. Stone on APN 022-240-144 for a temporary second dwelling to be located at 30 Lone Star Court, Gridley, on property zoned A-5 (Agricultural, 5 -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 Francis Stone. 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. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. lg 0 Date ermittee Signature Date Jos h aker ening Manager 00, M ee StaOfsh P vi, ,row . s�Ye �9r ve�efia�ive I a� 20���.71oY' 5c�een 59 3S' r, Pp C 0 L �-' � / T °r- G All J? a at/TT5 Go ���IFORNrA APPROVED DATE JUR frgrent Plan USE PERMIT e VARIANCE MINOR U.P. _ADNI.PERMIT o/ PLANNING COMMIES. PLANNING MANAGER ?oss,b► vef(yclose. r' r OOL ,a_ qv 40' V U'A(kb F- 4 d iI P.� A U4 19/ U4 UO: D I ra:L Div 01 1 Ji ll' _�90-11414 I¢cpraPrlo UQUOT u aT BIDWELL IT LE 6 ESCRGW COMPANY 4-148352 • I aXo e1tCX RKONDED XAR TO �.- Mr. 6 lire• Jannaes Hawes a.. 30 ;.one star Court Orid:ey, Ca. 95948 Ch t' 90-012414 pec Fae 7.00 1114% TAX 9•AtE2tENi9 TO DOC 170.5077.50 Recorded Total i Sa^.e as above Official Roccrds ; County of ta.. Butte Candace � . Gz.=hs Ent Recorder i K 2 -�- _ St00ar. 29-Mar90 � — X22-240-149 Individual Grant Deed TR&Nsffl THIS poRN FUANISHF0 BY 111OWCU T.'T E b ESCA W CdKP� 7 PA:D ffThc urderspcd gsar::o-fs) Ccc arc($): c mrouy rur.sftr:ax is S 17C.50 ( x) co -?gad a- ! sa ue of ?ropertp conveyed, or t ; � 1 } eor..;.uted oa `:.I value :css va::e o! dens and encl:^tlsnsees rccl:n:io �t tirnc o• save. , ( x) Un corporate_' a:ea. ( ) C:py o` ant! ;OR A VA:UABLECCNSIDERAT:O!�,:ecapt of w- 70 is `ercb) aeY-au:cd�d, } DONALD L. HOJGit.ON and VICKIE L, HOCGH:OF, hseband and wifs, as I Joint Tenants I 1.crcby GRA\T(S) to W. &jzS a.4 =;Lyjo `l, YAnES, husbard a .d wi!e, as Joir.L• Tera: t5 I I 1.:c fQ:1DWiq dcscr:bcd:cal plop c:ty i, Eric Ststc o(C fotr:a: t Coxq of Batte i I SEE EXAIBI; A A ^.ACiff] HERETO AND.!0A)B A PAR: HEREOF I . I II I i l 1 March 26, 1990 -�^ slated • Do!:4,,1, I. t�iougrn FORKIASTATF OF CALI�G=� CCt'm(if Butte }Si Vickie L. !hCg%tPr I on Mar -0 25. 1990 _ Ware � -•— I nc. INC uadtx.giEd. a Itaary Ntc:s'n sm let said S atc, petson1:1yappetred Donald L, Houghton_ .-------���J aid Vickie L roughtcn--- ` PteS Cykwvmtoaua.pmvcdtamroPt`ebxasofnt- } •iu ••1.y�t�'.� n!.toery rnEts:c to be tSt persoa_6rentt ra.:,e��� t•t i� • (6 Fo �E tc�terbeJ to the Wial:n :JINrCnt and aeknOWdCged � .. • •e : •' '•.'1;4.t rtrtt they esecutedthe une _ W;i COACT WITNf55NyhwlantlolhnAtEtl ;!•, j:.= rit U.,;tIg7,1S93 `� I•.. --mow: ra (� -uftlDretl:trYe„w,L't1J. J Rebecca L�Ble eaa towArsat4 NAIL TAX ATAIWENTS AS OIRECI'Eu ASOU Description: Bntte,CA Documcint-year•DocID 1990.12414 Page: 1 of 2 u 1 1 1 1I Order: mmm Comment: 04/19/04 08:58 FAX 530 877 3443 0 003 �. gQ-11414 MISIT A The land referred to herein is described ea follows: All that certain real prOpSrty situate in the Caunly of Butte, State of California, .described as follows: g9RCHL B: Parcel 1; as shown on that certain Parcel Nap, beinq Lot 5, of M i Bgy wnReyUg Colony No. 11, in Section 35, Toship 18 Borth, in Gridley, gutts.County, California, filed in the office of the Recorder, County of Butte, State of California, on April 6, 1962, in Book 88 0£ Yaps, at page 7. PARCEL B: ' A non-axolusive easeruent for road and public uti:ity Iyarpo9es on, over and under the Southerly 40 feet of Lot 4 of Gridley Colony Unit No. 11, as filed in Book 6 of Maps, at page 56, in the office of the Butte County xecordor. PARCEL Cr A right of way for road and public utility purposes over Sone Star Court 59 Shown on tae parcel Map filed in the office of tba Recoider of the CPWi a of Butte, Stato of California, on April 6, 1982 in Book. 88 of MAPS, P896 7. $RCEPTINO THAT portion lying within Parcel A describQ4 above. AP No. 022-21.0-144 ff 010 d>r OOLUMEW Description: Butte,CA Document—Year.DocXD 1990.12414 Page= 2 of 2 order: - Comment: u e c cc uo' -L r-'; c-oN AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 28 -Kay -2004 2004-0032253 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 agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A11 that cartain real property situate, in the Wunty of Butte, St ate of California, described as follows: FARCHL B: Parcel 1, as shown an that certain Parcel May, beir-1 Lot 5, of Gridlay colony No. 11, in Section 35, scvnehip 18 Korth, "a 2 East, M.D.S. 6 M., in Gridley, Butte.County, California, filed in the_oJ.fimQ th2 RaCOxder, County of Butte, state of Califomia, on.AprtT"6; 1982, in Bookee of Yaps, at page 7. Date State of California ) County of Butte ) On May 28, 2004 before me, Veronica M. Azevedo, Notary Public personally appeared James W. Hawes an___personalty known to me (or proved to me on the basis of satisfactory evidence) to be thqJ arson s whose erne s r subscribed to th thin instrument an ac now ed a me thatye/sire a xecute the same in r ei uthorized capaci ies and that by We/het/ eir i natures n the instrument, th person s r the entity upon behalf of which th erson cted, executed the instrument. WITNESS my d1,1, hand and official seal. Signature 77t'Le A.P. 9 - 6v,2a2 - 2 CC -./ Y�l Seal: VLWNICA M. AW4W COMbtion # 1453852 �y Pu�c - CaNt rnlo kft County MIr Caom. ErbDec 2.200 OSP WTMENT TF ° ° - ° �ouN�.l QC Wo�`�5 Department Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538.7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement ' rLESS THAN 1 ACREI Project Description: Project Location and/or Parcel Number: fz J/6 -1 1 •� 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: /�_ �j 1/ Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 O.B.- I OWNER-BUIE IDER VERIE'ICATION Attention Property Owner: An "owner-buildee' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 13 NO 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: may.. PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major world NAME: ADDRESS: CITY: _PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (lured) the following persons to provide the work indicated: ' NAME . } ADDRESS PHONE TYPE OF WORK SOCIAL SECURITY DATE:_ %- �. NOTM: This Owner-BulUer Yerykadon is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BTJIDDER INFORMATION Dear Property Omer. o.B.- An application far a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you sbould be aware fiat as "owner -builder" you are the responsible party ofrecord on such a pennit Big Permits are not required to lie 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; youshould be aware of the following information for your benefit and protection: ? If you employ or ot3res wbe engage nay persons other than your immediate Family, and the work C=hiding materials and other costs) is $300 or more for the entire pro]ec4 and such persons are not licensed as contractors or subcohrtractors, Bien you may be an employer. ♦ If you are an employer, you must register WI& the State and Federal Govenmients as an employer and you are subjwto several obligations including state and federal income tae withholding, ibderal social security taxes, s C°mP=5`aUon m=Mcej disability insta ance costs, and unemployment compensation coons. There may be financial risks for you if you do not carry out these obligations, With ect to ins, and these risks are especially serious resp worker's compensation, ♦ For more specific information about your obligations under Federal Law, cooract the internal Revenue Samm (and, Business mon). For more specific information about your obligations Wulff State Law contact the Department of Benefit Payments and the Division of industrial Accidents. If the stniotm a is intended for sale. Property owners who are not licensed comcaators are allowed to perforin their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be mitractors is to secure an "owner bugdm,, building perm3ffft's gone t r*eqimplyingthatthepropertyownerisprovdinghisor her own are not requfred m be labor and material personally. Building Information about licensed by Prop�3' owners unless they are perfarming their own work personally. caam 6m tinmn'ty or at bon N �actars may be obtained by contracting the yrs State License Board in your Pleasecomplete � � �� Ste, CA. 95814. "Owner Builder Verification" on tie reverse side of this form so that we can confirm that you are aware of these mattarL The building permit will not be issued until the verification is rehaned. NOT F-- TYus 0wner-Bu8fi7rnfornra8na is required by Section 14830 ofthe Cdgornla HeaM and Safety Coda STATE OF CALIFORNIA ,*ENT � BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT . . . DIVISION OF CODES AND STANDARDS tt REGISTRATION AND TITLING PROGRAM STATEMENT OF FACTS This unit is a: -0 Mobilehome 0 Commercial Coach ED Floating Home 0 Truck Camper Decal (License) No -(s) iTrade �Name �n�- Serial No.(s) I/We, the undersigned, hereby state P Q' i Uj V Atb�b M,.A\)dr4v0�\j . I/We further.agree to.indemnify and save harmless the Director of Housing and.Community Development, State of California, "arid subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on at . (Date) (City) Signature(s) Printed name(s) '`VG/< (State) �lVr Address 7 "/� Jq % A r 1 y 1) � l/ )ly City l2 /�/� 1 r� State /� . � �(J / -- ----- - Eutte Coun I, LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION ?,^ +;; "�' ?t F i y • DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 June 18, 2004 Francis L. Stone 444 Plantation Drive Paradise, CA 95969 CERTIFIED' MAIL Re: Administrative Permit, ADM 04-21 APN 022-240-144 Dear Mr. Stone: Enclosed is your validated Administrative Permit No. ADM 04-21 to allow a temporary mobile home on property zoned A-5 (Agricultural, 5 -acre parcels). The property is located at 30 Lone Star Court, 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, Roni Thornton Office Assistant II Enc. cc: Land Development Division (g) Building Division (y) Environmental Health (p) Department of Forestry (gld) Larry Painter _ Carl Durling p/ A)� T -;r LW-N� PAA.A-t.- �- BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner. or Authorized Agent must complete the following and return with the required site plan to.- Development o.Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name:. /51�61VCIS Cr, Phone: Mailing Address: E -Mail address N r71-d"l )5,Pv . Assessor's Parcel Number. _0 Z-2 _ y tp t L& Reason you believe you qualify for the unusual circumstances exception:, orized Agent's signature Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ....................tact.................................................. ............................................................................. Internal Dept. ConInfo: ❑ Env. Health ❑ Planning ❑ Building - VOther Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING ................................................................................................................................................................................. For Agricultural Commissioner office use only:. (to be completed after submittal ) _DISCRETIONARY PERMITS (Planning) ❑ Exception Recommended ❑ Exception NOT Recommended Reason/Conditions/Specific setbacks from adjacent gricultural %rcal K04-Tv' 2 s�^a7*4 lou wt�ta Wo 1. 751'1 7l vo.A o' L4A -ce ree.,. _..j MINISTERIAL PERMITS(Building-) Exception Granted with the following conditions: T Agricultural Department Signature: Date: / 131'°- . C % v 4� 341.09 ok- Q, o OP. I tkt. I S' a. ECEOV AP :R" Cou rt P I )?IpH �nT °F, TIS N/ Ra F siG 3 N0 II I!N �n1PA9, / pv � �I.Dfl. I CO3 o I'A Ip0RN►A APPROVED Development Plan DATE USE PERM VARIANCE MINOR U.P. ADM.PERMIT . PLANNING COMMISS. PLANNING MANAGER 6o'o . Ir �C X �a ro 65- GANAI- 35- ' ---- -- �N1.`pt�neieaT� 2/1 / _ . —,rn D