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024-090-053
NOTES ' RESIDENTIAL 11 024-090-053 �. 04-0024 ;r PERMIT NO. LUCE,-JERRY - 217 NIELSON AVE, GItIDLEY { Cont: H&H CUSTOM BUILDING + NEW DECK SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER } JOB FINALED (Date) !� Signature -� �? CHECKED BY J=OK 0 = Not OK . NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location -Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy MISCELLANEOUS Date DECKSGOY RS, CARPORTS, GARAGES (Plans) OK except #'s 3. 4. 5. o ' equirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Date 7. Card B-1 Date Card B-1 Date 9. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 12. Braced Wall Panels 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size. Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKSGOY RS, CARPORTS, GARAGES (Plans) OK except #'s 3. 4. 5. o ' equirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 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 i Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope - Card B-1 Date Card B-1 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Card B-1 Date • Card B-1 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 65. Smoke Detector 5. Stemwalls, Main; Steel-Blockouts-Wrapped 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 72. Elec. Outlets at Wood Panel, Int. & Ext. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 75. Garage Fire Door; Swing -Landing -Closure 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 78. Plb.; Elec. & Mech. Equip. Listed for Location 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 81. Guard Rails & Deck Construction -Post Caps 15. Access & Ventilation 16. Insulation 83. Following Instid./Drive 0 Yes O No/Walks O Yes Cl No/Planters O Yes O No 84. Stucco Brown -Finish Date 85. A.C. Unit Disconnect, Electrical -Plumbing Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 91. Corrections from Previous Inspections 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 94. Energy Compliance Certificate -Other Certificates 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Date Comments at Final: Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date • Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter - 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instid./Drive 0 Yes O No/Walks O Yes Cl No/Planters O Yes O 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 - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 04-0024 ASSESSOR PARCEL NUMBER 024-090-053 ZONING BUILDING PERMIT OWNER - L.UCE JERRY TELEPHONE 218-8762 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 217 NIELSON AVE. QIDLEY 95948 448 0 V 5824.00 CONTRACTOR'S NAME Hsi CUSTOM BUILDING TELEPHONE 846-0874 CONTRACTORS MAILING ADDRESS PO BOX 1341 GRIDLEY 95948 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 5824.00 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 217 NIFMON AVF. GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ 124.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ff, Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPEOF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: T)17 '► • Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service EO.A OR LESS 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is lin�r, full force and effect. License Class 1 T . C ^ I;� Lic. No. Z.1 L Z OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury tFat I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exdusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A J 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50Fr, q�1DT' MULTI.OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES B20 @ 1.000 Ex. Occup. oFlxuxEDrs Aa oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I Eff, I have and will maintain workers' compensation insurance, as required by Se6tiom F 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation s range carrier and policy number are: Carrier LI (I A04 t9 All, _14 ,TC MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood i 6.50 " Ventilation"/ /f --t PERMIT FEE $ Policy Number 0 '7 , s (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with,those provisions. ..� j Q X ( �J'..._- jr^ �" Date /: 7— Signatb a of Applicant - ❑ Owner ❑ Ciontractor ❑ Agent r An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. �� Mobile Home Installation Fee $ Energy Inspection Fee $ cc CONST. TYPE TOTAL FEE $ 114.111 HAZ. ,.-- D. FEES IMP FLOOD FLOOD COF ,--��--- pggCEL Pp -- H= JSSUE V This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica d above for•Which fees have been paid. / i (. • C By Date ' J PEdMIT EXPIRES ON Date Recei t No. /%1l!.. .' �, j`�;t►! ;'.// l.L4. t 1U p -- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES t.: A RESIDENTIAL PERMIT NO. 024-090-053 04-3484 STOCKTON, TED 217 NIELSON AVE, GRIDLEY r r CONT: BORGES, RAY ADD GARAGE o y ,o0 zV SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -,STANDARD HOUSING LETTER i 0 JOB FINALED (Date) Signature J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 't00002Xing 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings ` Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ISCELLANEOU rz- J Date DEC , C ERS, CARPORTS,4G (Plans) OK except #'s 't00002Xing Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. 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 Date Date 7` o Card B-1 Date Card B-1 p Card B-1 ate Card B-1 POOLS (Pla s) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration -Walls -Windows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 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 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 36. A.C. Ducts Insulation & Support Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 37. Vent Fan, Exhaust above insulation Elec. Outlets & Receptacles at Kit. Counter 38. Condensate Drain & Overflow, Size & Grade Garage Fire Door; Swing -Landing -Closure 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet A.C. Duct in Garage -Damper 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 80. 41. Sills Proper Materials & Anchors 81. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 82. 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 83. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 84. 46. Headers & Beams -Size & Bearing 85. A.C. Unit Disconnect, Electrical -Plumbing 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 7 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: ovww.buttecounty.netldds PERMIT NO. BP043484 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/21/2005 APN: 024-090-053-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. Site Address: 217 NIELSON AVE GRI License Class : License Number. Map Index: Date: Contrac OWNER -BUILDER DECLARATION Description: garage (840) attached I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city.or county which requires a Owner: STOCKTON, TEDDY &DEBBIE permit to construct, alter, improve, demolish; or repair any structure, prior 217 N I ELSON to its Issuance, also requires the applicant for such permit to file a that he or she is licensed pursuant to the provisions of GRIDLEY, CA. signed statement the Contractor's Slate License Law (Chapter 9 commencing with Section 95948 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally 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, Applicant: RIGHT -WAY CONSTRUCTION intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who doe's such work himself or herself or through his or her own employees, that such Improvements are not Intended or offered for :. 45 SHELDON AVENUE provided sale. If however, the building or Improvements are sold within one GRIDLEY, CA 95948 year of completion, the owner -builder will have the burden of that he or she did not build or improve for the purpose of 530-846-6611 proving sale.). O 1, as owner of the property, am exclusively contracting with iicensed.contractors to construct the project (Sec. 7044, Business and Profdssions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, Contractor: RIGHT -WAY CONSTRUCTION and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ 'I am Exempt under Article 3 of the Business and Professions Code • 45 SHELDON AVENUE f owner. GRIDLEY, CA 95948 D 530-846-6611 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the following declarations: " License #: 434058 C3 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the ' Labor Code, for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier. Policy#: Total Square Ft: 840 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $20,160.00 issued. I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that. i I should become subject the workers' Icompensation provisions of Section 3700 of the Labor Code. I shell Gvl (� VX forth ith corn y with those provisions. ov Date: ��j Applipt: 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 1 hereby affirm that there is a construction lending agency for the This pe mitis hereby issued under the applicable provisions of the B:ittn Cnunly Co. n 2ndJor- — Resolution t o work Indicated above for which fees have been paid. (, performance of the work for which this permit Is Issued (Sec 3097 CIV.) ' ey: D te: �� Name: 'rn ��`"' PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505; 25533, and 25534 of the California Health and Safely 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 lam the owner or the duly authorized agent of the owner. I agree to comply with -document of Butte County. I hereby all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of an. official form r au horize representatives of Butte County to enter upon the above mentioned property for Inspection purposes' i� � � C /7 . 'Signatur • •�'� rinl Name: 1� /J � Date: � .❑ Owner ❑ Contractor , i ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP04348.4 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penally of perjury that I am licensed under Issued Date: 01/21/2005 APN: 024-090-053-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of / the Business and Professions Code, and my license is in full force and effect. Site Address: 217 NIELSON AVE GRI License Class : License Number: S Map Index: Date:/ l - S Contrac OWNER -BUILDER DECLARATION Description: garage (840) attached I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city.or county which requires a Owner: STOCKTON, TEDDY & DEBBIE permit to construct, after, improve, demolish; or repair any structure, prior 217 NIELSON to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA. the Contractor's State License Law (Chapter g. commencing with Section 95948 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not RIGHT -WAY CONSTRUCTION intended or offered for sale (Sec. 7044, Business and Professions Applicant: Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for 45 SHELDON AVENUE sale. If however, the building or Improvements are sold within one GRIDLEY, CA 95948 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 530-846-6611 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdssfons Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: RIGHT -WAY CONSTRUCTION and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 'I am Exempt under Article 3 of the Business and Professions Code 45 SHELDON AVENUE Date � of owner: GRIDLEY, CA 95948 530-846-6611 WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 434058 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier. Policy tt: Total Square Ft: 840 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $20,160.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' 0�� compensation provisions of Section 3700 of the Labor Code, I shall q0 forth ith,com y with those provision r � Date: � � "'� c -t� ��/ Appli 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 Cn A enrilor I hereby affirm that there is a construction lending agency for the Resolution t o work Indicated ab a for which fees have been paid. performance of the work for which this permit Is Issued (Sec 3097 Civ.) t as Name: BY D %t'e�: PERMIT EXPIRES ON: v� Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that 1 em the owner or the duly authorized �ogdnt of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the *puwose official form pr -document of Butte County. 1 hereby au horize representatives of Butte County to enter /upon the above mentioned property for Inspectirint Name: Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor IP (0 0 0 0( �0 BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT APPLICATION `� 6 0 AND SUBMITTAL REQUIREMENTS 53 9i ` 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY** i OWNER Last Name L' ® �/ First Name Address City St Zip Phon Fax E -mai E-mail i APPLICANT NAME ARCHITECT/ENGINEER Name 104110510WSAF/'�rAFA Address WORKER'S COMPENSATION City Subdivision Name State Zip Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT NAME MEce:IN - 1 ■ _ Addie 104110510WSAF/'�rAFA -09M WORKER'S COMPENSATION Type Const. Subdivision Name - v APPLICANT SIGNATURIF For office use o I : AP#o2 Zoning Flood Zone SRA I Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: PERMIT NO. BPOV Y BIN # LOCATION AP#o2 Property Address City 6-1z-1 Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY —Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be OVER FOR SUBMITTAL REQUIREMENTS L, K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Receipt M 0616 Date: r?" (,j / 0 SRA Sheriff oZ SMTP Total REV 7-27-04 "t SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation, in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required)., ❑ 12. Hazardous Material Form (for Commercial Buildings only). _3._S.anitatiDn-and-site pl.ariappmvalfromtbe_EnAronmenfal.bealib-Depadment. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ ' 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not .issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR WILLDAN Scott Rutherford (530) 538-7160 srutherford@buttecounty.net Plans Transmittal For Review Per Contract 12/10/2004 Applicant: Stockton, Ted Permit 04-3484 Project Type: IGarage APN: 024-090-053 100% 70% Plan Check Fees $ 219.96 $ 153.97 $ 219.96 $ 153.97 WILLDAN Fee $ 153.97 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 7 County Center Drive M Oroville, CA 95965 (530) 538.7601 Telephone w (530) 538.7785 Facsimile M TO: ' FROM: N;J. M 1 SUBJECT: O DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford@buttecounty.net Plans Transmittal For Review Per Contract 12/10/2004 Applicant: Stockton, Ted Permit 04-3484 Project Type: IGarage APN: 024-090-053 100% 70% Plan Check Fees $ 219.96 $ 153.97 $ 219.96 $ 153.97 WILLDAN Fee $ 153.97 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION • 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: S7aC 7-6 % ASSESSOR PARCEL NUMBDRD �C� �� - o a 0 s 3 Proposed Building Use: 6±0I C__ A f 7-) W_j Counter Technician: �� Date: / 2 �. 6 L eq Ite utred in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1�► 1Site plans, 3 or 4 sets, signed by the preparer of the plans.. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ;}C �❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form p� 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other '71 (/ v" i Remaining items needed tq, uejthe permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... 0 20. Erosion Control Plan Required........................................................................ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of For y plan approval ❑ paid. Sent by: ............ 24. tanning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ �5. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................^................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner-Buiider Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $_ ❑ 38. Other: .. t1 ❑ 39. Other: 0) When issued Telephone and hold for pickup. Ic-n�a o yL= 7 o- I have been in, of the above ' ems and requirements for obtaining a building permit. Applicant: Viz; Date: 1-c)o �- `f. Index permit application or,t+�e above items numbered: Plan Check Letter 2.Saitems required (/esigner, owner, was advised.of the above data by phone, ❑ mail, ❑ counter, by ate: � L)J esigner, owner was=advised ofihe above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: 7 Date: Plans approved by: Date Structural reviewed b : Date: i Structural approved by: Date: Note transfer by: Date: Yellow: Building Division ; ` M E.M.!$ ONLY Plot Plan Anachad �— Floor Plan Anactead� y , Sent to 13.0.. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposa Water upply: Public Private Well Clearance for dwelling. Other C,,A iz,2 Hold final for: Final clearance /O.K/. for: NOTE: /Pac_1,�,f Environmental Health Specialist 8/96 Da O�QPRTMENT C,o o�UTiFo , O o c O O U t4l �y V@CIC VWV Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538.7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI 63A -'e �%�/� ��ytl�911 Project Description: Project Location and/or Parcel Number: r 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: (Zxj .y �-- Date: QKzf Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Fa TRUSS SCHEDULE Tails Project: STOCKTON GARAGE County: BUTTE CO. Contractor: Endeavor Homes I Date: December 6, 2004 Roof: COMP. Plan: CUSTOM Snow: 0 Drawn By: MT Tail Cut: Plumb Descdpbo-M Ii WIVMIU. M-11HI II. t IN�- Project: STOCKTON GARAGE County: BUTTE CO. Contractor: Endeavor Homes I Date: December 6, 2004 Roof: COMP. Plan: CUSTOM Snow: 0 Drawn By: MT Tail Cut: Plumb F ndeavor homes P.Q. box 19+7 Qroville, Ca. 95965 (5 50) 554-0500 Stockton Garage Rigktway Const. iTek® Re: Stockton Garage stockton garage MiTek Industries, Inc. 7777 Greenback Lane Suite 109 Citrus Heights, CA, 95610 Telephone 916/676-1900 Fax 916/676-1909 The truss drawing(s) referenced below have been prepared by MiTek Industries, Inc. under my direct supervision based on the parameters provided by Endeavor Homes. Pages or sheets covered by this seal: R14414553 thru R14414554 My license renewal date for the state of California is June 30, 2006. //EtOF ESS/p� A. B �r N . C66424 * EXP. 6-30-06 !' CIV1\ �P �TFOF CALIF December 1,2004 Bourez, James The seal on these drawings indicate acceptance of professional engineering responsibility solely for the truss components shown. The suitability and use of this component for any particular building is the responsibility of the building designer, per ANSI/TPI-2002 Chapter 2. Job Truss Truss Type Oty 34--96/24-0.0, 33=99/24-0-0, 326/24-0-0, 20=236/24-0-0 garageR14414554STOCKTON Max Horz2=12(load case 3) LOADING(psf) SPACING 2-0-0 CSI DEFL GARAGE Al GABLE 1 �Ply1Stockton TCLL 16.0 Plates Increase 1.25 TC 0.19 Vert(LL) -0.02 21 Job Reference (optional) Endeavor Homes, Oroville, GA 95965 2-0-0 12.0.0 3<4 = 4x4 % 4x4 1 11 b.1DD s Sep 17 2004 MITek Industries, Inc. Tue Nov 3012:49:47 2004 Page 1 12.0-0 2-0-0 Scale =1:45.4 Lf M 4D L9 LJ LL 3x4 = 24-0.0 :9(4 = N 11166 Plate Offsets ()(,1): [11:0-2-0,Edge) 27=96/24-0.0, 28=99/24-0-0, 296/24-0-0, 38=110/24-0-0, 37=96/24-0-0, 36=96/24-0-0, 35=96/24-0-0, 34--96/24-0.0, 33=99/24-0-0, 326/24-0-0, 20=236/24-0-0 Max Horz2=12(load case 3) LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) Vdefl Ud PLATES GRIP TCLL 16.0 Plates Increase 1.25 TC 0.19 Vert(LL) -0.02 21 n/r 120 NMI) 220/195 TCDL 10.0 Lumber Increase 1.25 BC 0.07 Vert( I-) -0.03 21 n/r 90 �oQ�OFESS/pN�( BCLL 0.0 Rep Stress Incr NO WB 0.02 Horz(rL) 0.00 20 n/a n/a porches exist, they are not exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 BCDL 10.0 Code UBC97/ANSI95 (Matrix) End Detail" 4) All plates are 1.5x4 M720 unless otherwise indicated. (%?qAW8dtI gntinuous bottom chord bearing. s'Tq C10- P � FOF CqL1FQ Weight 124 lb LUMBER TOP CHORD 2 X 4'DF No.1 &Btr G BOT CHORD 2 X 4 DF No.1 &BtrG WEBS 2 X 4 DF Std G OTHERS 2 X 4 DF Std G BRACING TOP CHORD Sheathed or 6-0.0 oc purlins. BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. REACTIONS (lb/size) 2=236/24-0-0, 31=74/24-0-0, 30=74/24-0-0, 22=110/24-0-0, 23==96/24-0-0, 24=96/24-0-0, 26--96/24-0-0, 27=96/24-0.0, 28=99/24-0-0, 296/24-0-0, 38=110/24-0-0, 37=96/24-0-0, 36=96/24-0-0, 35=96/24-0-0, 34--96/24-0.0, 33=99/24-0-0, 326/24-0-0, 20=236/24-0-0 Max Horz2=12(load case 3) Max Uplift2=75(load case 3), 23=25(load case 4), 26=3(load case 4), 27=1 (load case 4), 28=3(load case 4), 37=25(load case 3), 35=3(load case 3), 34=1 (load case 3), 33=2(load case 3), 20=-77(load case 4) Max Grav2=236(load case 1), 31=74(load case 1), 30=74(load case 1), 22=130(load case 2), 23=96(load case 7), 24=96(load case 1), 26=96(load case 7), 27=96(load case 1), 28=99(load case 7), 29=67(load case 7), 38=130(load case 2), 37=96(load case 6), 36=96(load case 1), 3546(load case 6), 34=96(load case 1), 33=99(load case 6), 32=67(load case 6), 20=236(load case 1) FORCES (lb) - Maximum Compression/Maximum Tension TOPCHORD 1-2=0/32,2-3=32/14, 3-4=16/19, 4-5=-14/31, 5-6=15/40, 6-7=14/49,7-8=15/58, 8-9=15/68, 9-10=9/73, 10.11=36/25, 11-12=36/24, 12-13=9172, 13-14=15/66, 14-15=15/56, 15-16=14/45, 16-17=15/34, 17-18=14/25, 18-19=16/14, 19-20=32/14, 20-21=0/32 BOT CHORD 2-38=0/39, 37-38=0/39, 36-37=0/39, 35-36-0/39, 3435--0/39, 33-34=0/39, 32-33-0/39, 31-32=0/39, 30-31=0/39, 29-30=0/39 28-29/39, 27-28=0/39, 26-27=0/39, 25-26=0/39, 24-25=0/39, 23-24=0/39, 22-23=0/39, 20-22=0/39 WEBS 31-39=51/0, 10-39=51/0, 30-40=51/0, 12-40=51/0, 19-22=90/6, 18-23=-04/24, 17-24=70/16, 16-26=69/18, 51/10, 3-38=90/6,4-37=-64/24, 5-36=70/16, 6-35 9/18, 7-34=70/17, 8-33=71/19, 9-32 51/01/0710-12=0/49, 39 0=010 �oQ�OFESS/pN�( NOTES 1) Unbalanced roof live loads have been considered for this design. 2) This truss has been designed for the wind loads generated by 80 mph winds at 25 It above ground level, using 6.0 psf top chord dead I and 6.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category I, condition I enclosed building, of dimensions N C 66A 9A A 45 ft by 24 ft with exposure B ASCE 7-93 per UBC97/ANSI95 If end verticals or cantilevers exist, they are exposed to wind. . porches exist, they are not exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 * EXP. 6-30-06 3) Truss designed for wind loads in the plane of the truss only. For studs exposed to wind (normal to the face), sMiTek "Standard Gabl see End Detail" 4) All plates are 1.5x4 M720 unless otherwise indicated. (%?qAW8dtI gntinuous bottom chord bearing. s'Tq C10- P � FOF CqL1FQ December 1,2004 A WARNM - Ver{Jy dedilm parameters and READ NOTES ON TNfS AND DVCLVDSD ADTEE REFERENCE PAGE AW 7473 BEFORE USS. 7777 Greenback Lane Design valid for use only with Mfrek connectors. This design Is based on u Suite 109 g b upon parameters shown, and B for an individuals design component. Clbus He Applicability of porton parodual we and proper Incorporation al component b bracing to Insure of building designer - not inns designer. Bracing shown Heights, CA, 95810 Is for lateral support of Individual web members only. Additional temporary bracing to Insure stabliy during construction Is the responslbilliy, of the erector. Additional pennonent bracing of the overall stucture is the responsibility of the building designer. for general guidance regarding fabrication, quality, control, storage, delivery, erection and bracing, consult ANSI/TPII Quafily Cdtedo, DSB-89 and BCS11 Building Component M iT®k° Safety Information available from Truss Plate Institute. SE3 D'Onofrlo Drive, Madison. WI 53719. Symbols Numbering System General Safety Notes PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property Damage or Personal Injury 3/4' 'Center plate on joint unless dimensions indicate otherwise. l . Provide copies of this truss design to the Dimensions are in inches. Apply plates both sides of truss and building designer, erection supervisor, property securely seat. owner and all other interested parties. J2 J3 J4 2. Cut members to bear tightly against each t/g TOP CHORDS other. �/g -► f- c2 c3 JS 3. Place plates on each face of truss at each o c, joint and embed fully. Avoid knots and wane O U �� ; O at joint locations. �+3 U �,e = U 4. Unless otherwise noted, locate chord splices CL O CL at '/4 panel length (± 6" from adjacent joint.) ~ CB c7 cb O BOTTOM CHORDS 5. Unless otherwise noted, moisture content of •For 4 x 2 orientation, locate lumber shall not exceed 197. at time of fabrication. plates 1 /8" from outside edge JI J8 J7 J6 of truss and vertical web. 6. Unless expressly noted, this design is not applicable for use with fire retardant or preservative treated lumber. *This symbol indicates the required direction of slots in JOINTS AND CHORDS ARE NUMBERED CLOCKWISE 7. Camber is a non-structural consideration and connector plates. AROUND THE TRUSS STARTING AT THE LOWEST JOINT is the responsibility of truss fabricator. General FARTHEST TO THE LEFT. practice is to camber for dead load deflection. WEBS ARE NUMBERED FROM LEFT TO RIGHT 8. Plate type, size and location dimensions PLATE SIZE shown indicate minimum plating requirements. The first dimension is the width 4 4 9. Lumber shall be of the species and size, and x perpendicular to slots. Second in all respects, equal to or better than the dimension is the length parallel CONNECTOR PLATE CODE APPROVALS grade specified. to slots. BOCA 96-31, 96-67 10. Top chords must be sheathed or purlins provided at spacing shown on design. ICBO 3907, 4922 LATERAL BRACING SBCCI 9667,9432A 11. Bottom chords require lateral bracing at 10 ft. spacing, or less, if no ceiling is installed, Indicates location of required WISC/DILHR 960022-W, 970036-N unless otherwise noted. continuous lateral bracing. NER 561 12. Anchorage and / or load transferring connections to trusses are the responsibility of others unless shown. 13. Do not overload roof or floor trusses with stacks of construction materials. BEARING Indicates location of joints at ® 14. Do not cut or alter truss member or plate without prior approval of a professional which bearings (supports) occur. d 145 lion, engineer. M iTekV\/NJ V\2p/lq 15. Care should be exercised in handling, erection and installation of trusses. Mi7ek Engineering Reference Sheet: MII-7473 © 1993 MiTekO Holdings, Inc. Job Truss Truss Type Qty Ply stockton garage R14414554 STOCKTON GARAGE Al GABLE 1 1 Job Reference (optional) enueavur names, urovme, um way NOTES 6) Gable studs spaced at 1-4-0 oc. 7) This truss has been designed for a 10.0 psf bottom chord live load nonooncurrent with any other live loads 8) A plate rating reduction of 20% has been applied for the green lumber members. LOAD CASE(S) Standard 5.100,s Sep 17 2004 MiTek Industries, Inc. Tue Nov 30 12:49:47 2004 Page 2 A WARNING - ll design pa cuneeWn and READ NOTES ON TBrS AND 1117CLUDED s!N'EB REPERERCE PAGE MH 7473 BEFORE USE. 7777 Greenback Lane or.� Design valid for use only with MITek connectors. This design Is based only upon parameters shown, and b'or an Individual building component. Suite 108 Applicability of design poromenters and proper Incorporation of component is responsibility of building designer - not tens designer. Bracing shown Citrus HeiBbls, CA, 85810 Is for lateral support of Individual web members only. Additional temporary bracing to Insure stability during construction Is the gree. Bracin of the erector. Additional permanent bracing of the overall saucture is the responsibility of the building designer. For general guidance regarding fabrication, quality control, storage, delivery, erection and bracing, consult ANSI/TPII Quality Criteria, DSB-89 and BCSII Building Component M iT®kms Safely Information available from Truss Plate Institute, 583 D'Onofrio Drive, Madison, WI 53719. Symbols Numbering System Q General Safety Notes PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property Damage or Personal Injury 3/; *center plate on joint unless dimensions indicate otherwise. Dimensions are in inches. Apply 1. .Provide copies of this truss design to the plates to both sides of truss and building designer, erection supervisor, property securely seat. owner and all other interested parties. J2 J3 J4 2. Cut members to bear tightly against each „ TOP CHORDS other. �/e ♦ �_ /e cz JS 3. Place plates on each face of truss at each Q co joint and embed fully. Avoid knots and wane ZC,3 y�3at joint locations. 2"O U 5 u U Uat 4. Unless otherwise noted, locate chord splices O '/4 panel length (± 6' from adjacent joint.) •For 4 x 2 orientation, locate ceCL c6 BOTTOM CHORDS 5. Unless otherwise noted, moisture content of lumber shall not exceed 19% at time of fabrication. plates 1 /8" from outside edge it J8 J7 J6 of truss and vertical web. 6. Unless expressly noted, this design is not applicable for use with fire retardant or preservative treated lumber. *This symbol indicates the required direction of slots in JOINTS AND CHORDS ARE NUMBERED CLOCKWISE 7. Camber is a non-structural consideration and connector plates. AROUND THE TRUSS STARTING AT THE LOWEST JOINT is the responsibility of truss fabricator. General FARTHEST TO THE LEFT. practice is to camber for dead load deflection. WEBS ARE NUMBERED FROM LEFT TO RIGHT 8. Plate type, size and location dimensions PLATE SIZE shown indicate minimum plating requirements. The first dimension is the width 4 4 9. Lumber shall be of the species and size, and x perpendicular to slots. Second in all respects, equal to or better than the dimension is the length parallel CONNECTOR PLATE CODE APPROVALS grade specified. to slots. SOCA 96-31, 96-67 10. Top chords must be sheathed or purlins provided at spacing shown on design. ICBG 3907, 4922 LATERAL BRACING SBCCI 9667,9432A 11. Bottom chords require lateral bracing at 10 ft, spacing, or less, if no ceiling is installed, Indicates location of required WISC/DILHR 960022-W, 970036-N unless otherwise noted. continuous lateral bracing. NER 561 12. Anchorage and / or load transferring connections to trusses are the responsibility of others unless shown. 13. Do not overload roof or floor trusses with stacks of construction materials. BEARING Indicates location of joints at ® 14. Do not cut or alter truss member or plate without prior approval of a professional which bearings (supports) occur. engineer. MiTek® ® 15. Care should be exercised in handling, erection and installation of trusses. MiTek Engineering Reference Sheet: MII-7473 © 1993 MliTek® Holdings, Inc. Job Truss Truss Type Qty Ply Stockton garage Vdefl Ud PLATES GRIP TCLL 16.0 Plates Increase 1.25 R1441455 STOCKTON GARAGE A COMMON 18 1 Mr20 220/195 TCDL 10.0 Lumber Increase . 1.25 BC 0.42 Vert(TL) -0.24 Job Reference (optional) a.TGG s bep 1 f 2uu4 MI I ex Inoustnes, Inc. Tue Nov 3012:49:46 2004 Pagel -2-0-0 6.4.14 12.0.0 17-7-2 24-0-0 26-0- 2-0-0i 5-7.2 5-7-2 6.4.14 2-0.0 Scale =1:45.4 44 = 4 '=0 = 3x4 = 5x6 = B-3.4 15-8-12 24.0.0 B-3.4 7-5-8 B-3-4 LOADING(psf) SPACING 2-0.0 CSI DEFL in (loc) Vdefl Ud PLATES GRIP TCLL 16.0 Plates Increase 1.25 TC 0.21 Vert(LL) -0.10 6-8 >999 360 Mr20 220/195 TCDL 10.0 Lumber Increase . 1.25 BC 0.42 Vert(TL) -0.24 6-8 >999 .180 BCLL 0.0 Rep Stress Incr YES WB 0.23 Horz(TL) am 6 n/a n/a BCDL 10.0 Code UBC97/ANSI95 (Matrix) Weight: 94 lb LUMBER TOP CHORD 2 X 4 DF No.1 &Btr G BOT CHORD 2 X 4 DF No.1 &Btr G WEBS 2 X 4 DF Std G REACTIONS (lb(size) 2=965/0-3-8, 6=965/0-3-8 Max Horz2=12(load case 3) Max Uplift2=30(load case 3), 6=30(toad case 4) FORCES (lb) - Maximum Compression/Maximum Tension TOP CHORD 1-2=0/32, 2-3=1977/0, 3-1=1745/0, 4-5=1745/0, 5-6=1977/0, 6-7=0/32 BOT CHORD 2-9=0/1822.8-9=0/1249,6-8--0/1822 WEBS 3-9=327/68,4-94/573, 4-8=01573.5-8=327/68 BRACING TOP CHORD Sheathed or 4-7-2 oc purlins. BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. NOTES 1) Unbalanced roof live loads have been considered' for this design. 2) This truss has been designed for the wind loads generated by 80 mph winds at 25 ft above ground level, using 6.0 psf top chord dead load and 6.0 psf bottom chord dead load, 100 mi from hurricane oceanline, on an occupancy category I, condition I enclosed building, of dimensions 45 It by 24 It with exposure B ASCE 7-93 per UBC97/ANS195 If end verticals or cantilevers exist, they are exposed to wind. If porches exist, they are not exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 3) This truss has been designed for a 10.0 psf bottom chord live load nonooncurrent with any other live loads. 4) A plate rating reduction of 20% has been applied for the green lumber members. LOAD CASE(S) Standard Q�OFESS/p N . C66424 * EXP. 6 30 06 S'T CIVIC �P (0F CAUFO�/ December 1,2004 . A WAR=w . veft design Daromefers and READ NGTES ON ms AND mrd vDED Ar17'EE REFERENCE PAGE MU 7473 BEFORE Ds& 7777 Greenback Lane Design voild for use only with MITek connectors. This design Is based on u Suite 108 g N pan parameters shown, and h for an Ir - not truss component. Citrus He Applicability of design paromenters and proper Incorporation of component h responsibility of building designer -not huss designer. Bracing shown Ights. CA, 85810 Is for lateral support of Individual web members only. Additional temporary bracing to Insure stability during construction is the responsbillity of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding fabrication, quality control, storage, delivery, erection and bracing, consult ANSI/TPII Quality Criteria, DSO -89 and 00511 Bunding Component M iT®km Safety Information available from Truss Plate Imtitute, 583 D'Onofrb Drive, Madison, WI 53719. " , 1 ,/ Symbols Numbering System'. Q General Safety Notes PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property Damage or Personal Injury 3/4' *Center plate on joint unless dimensions indicate otherwise. 1. Provide copies of.this truss design to the Dimensions are in inches. Apply plates to both sides of truss and building designer, erection supervisor, property securely seat. owner and all other interested parties. J2 J3 J4 2. Cut members to bear tightly against each 14, TOP CHORDS other. �/e -► ' C2 C3 J5 3. Place plates on each face of truss at each o �> joint and embed fully. Avoid knots and wane p y� ; O U at joint locations. �1 U 4. Unless otherwise noted, locate chord splices CL " 0- O at'/. panel length (± 6' from adjacent joint.) - Ce C7 Cc O BOTTOM CHORDS 5. Unless otherwise noted, moisture content of • For 4 x 2 orientation, locate lumber shall not exceed 19% at time of fabrication. plates 1 /8" from outside edge J 1 J8 J7 J6 of truss and vertical web. 6. Unless expressly noted, this design is not - applicable for use with fire retardant or preservative treated lumber. 'This symbol indicates the required direction of slots in JOINTS AND CHORDS ARE NUMBERED CLOCKWISE 7. Camber is a non-structural consideration and connector plates. AROUND THE TRUSS STARTING AT THE LOWEST JOINT is the responsibility of truss fabricator. General FARTHEST TO THE LEFT. practice is to camber for dead load deflection. WEBS ARE NUMBERED FROM LEFT TO RIGHT 8. Plate type, size and location dimensions PLATE SIZE shown indicate minimum plating requirements. The first dimension is the width 4 4 9. Lumber shall be of the species and size, and x perpendicular to slots. Second in all respects, equal to or better than the dimension is the length parallel CONNECTOR PLATE CODE APPROVALS grade specified. to slots. BOC•A 96-31, 96-67 10. Top chords must be sheathed or purlins provided at spacing shown on design. ICBO 3907, 4922 LATERAL BRACING SBCCI 9667,9432A 11. Bottom chords require lateral bracing at 10 ft. spacing, or less, if no ceiling is installed, Indicates location of required WISC/DILHR 960022-W, 970036-N unless otherwise noted. continuous lateral bracing. NER 561 12. Anchorage and / or load transferring connections to trusses are the responsibility of others unless shown. 13. Do not overload roof or floor trusses with stacks of construction materials. BEARING Indicates location of joints at ® 14. Do not cut or alter truss member or plate without prior approval of a professional which bearings (supports) occur. I d 4 43 1111 engineer. MiTek' V\/N V\Yq 15. Care should be exercised in handling, erection and installation of trusses. MiTek Engineering Reference Sheet: MIX -7473 © 1993 Mrrek® Holdings, Inc. N;�V W I LLDAN Serving Public Agencies January 17, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1287 Jurisdiction Job No: 04-3484 Assessor's Parcel No: 024-090-053 Applicant: Robert Fletcher Description: Stockton Garage Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: # Plans: Two (2) copies of architectural drawings sheet 1 of 1 signed 12-09-2005, and Two (2) copies of site drawings sheet 2 of 2 not signed or dated. * Truss Calculations: Two (2) copies dated 12-01-2004, by James Bourez, P.E. The plans have been stamped withthe Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. APPLICABLE CODES Unless noted otherwise,.- all 'comments are based: on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC" • Part 3, known as the California Electrical Code and abbreviated herein as "CEC" • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC" • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC" • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" CODE ANALYSIS Type of I Type of Sprinklers Stories V Floor Total Sq Ft .� y Occupancy Construction_ S Ft ' ..._ .. . __ U-1 V -N No 1 840 840 CONDITIONS OF APPROVAL } 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. r SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. = Sincerely,' Clay Salzman Gordon. Wright, P.E. Plans Examiner Plan Check Engineer Cc: Alice Mefford, E-mail: amefford@buttecounty.net Robert Fletcher and Ray Borges, Fax: (530)846-0155. Ted Stockton, 217 Nielson Ave. California 95948 Page 2 of 2 C:;oirn.ty of Butte T'e:rmiY:Nuniber 04-3484` Wi(.ldan t.'.roiect Number 1.435 +-.1287 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 IIII'IIII'��"I((I("I'II�II(III'I 2003-0088655 Recorded i REC FEE 10.00 Official Records I CONFORM 1.00 County Of I BUT I CANDACE J. ORUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kathy 09:02AN 24 -Dec -2003 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JERRY E. LUCE AND JULIE J. HANKS-LUCE 7 COUNTY CENTER DRIVE REAL PROPERTY OWNEMESSOR MAILING ADDRESS 269 WILLEY WAY 95965 CITY COUNTY STATE MAILING ADDRESS 03-283 Y 530 538-7541 BIGGS BUTTE CA 95917 CITY COUNTY STATE ZIP 217 NEILSON AVENUE DEALER NAME (if not a dealer sale, write "NONE") INSTALLATION MAILING ADDRESS, IF DIFFERENT DEALER LICENSE NO. GRIDLEY BUTTE CA 95948 CITY COUNTY STATE ZIP JERRY LUCE UNIT OWNER (if also property owner, write "SAME") _ 309 WILLEY WAY MAILING ADDRESS BIGGS BUTTE CA 95917 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-283 Y 530 538-7541 B LD PERMIT NO( --) TELEPHONE NUMBER a 11-20-03 SI A OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SKYLINE CORP. 2003 LEXINGTON MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMF/NUMBER 2T -91 -0282 -S-A, B. C 68'x42' ORE 450296.7 8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AT # 024-090-053 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. LEGAL DESCRIPTION A.P. # 024-090-053 All that certain real property situated in the County of Butte, State of California, described as follows: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 9,1972, IN BOOK 41 OF MAPS, AT PAGE 80. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' ;' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 /PERMITO. (Rev. 12/96) APPLICATION AND PERMIT 01-1492 ASSESSORPARCEL NUMB 024-090-053 ZONING A5 BUILDING PERMIT OWNER ]LUCE ,TERRY TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 217 NIELSON AVE GRIDLEY 95948 576 U 10,368.00 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flinn Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 76.05 SUILDINGADDRESS 217 NIELSON AVE. GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE S213-05 LAT N0.2 SUB�QIOWS{JAAKj OB 4.87AC �L�1 ��FF11—O0 PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DETACHED GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S FLOOD;X,1110C ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LESS Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. AC I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLAS. s° 3.5¢FT. NEW CONS T. MULTI.OUTLET NON -RE NS 7.50 POWER APPARATUS 6 SINGLE OUTLET CSR. Ex. Occup. OUTLET OR FIXTURES BAL p "00 .50 Ex. Occu . GvntDrs AtsID.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed it the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' laws of California, arul agree that'rf I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with those provisions. X Date //-- % % to 3 Ignature of Applicant - I<Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI_ S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 213. 05 :HA:Z. D. FEES IMP FLOOD X _ COF PARCEL -- PD HDcompensation This permit is hereby issued under of the Butte County Code and/or indicated bov r wh' h fees have By PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. Date /1/417/M I Date Receipt No. U5 WHITE-D.D.S.-B.D. CANARY-ASSE S I K -INSPECTOR GOLDENROD -APPLICANT �f COUNTY OF BUTTE -DEPARTMENT OF -DEI E',-OPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, OrovilleA 9596 , C 5 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: `�� "Ciiunter Technician: Date: I ( -0 Items required in • i `order to apply for a p t. Al xes MUST be checked OR mfjed NA in order to apply. I. Plot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit .will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 0. Letter of intent for non-residential buildings......................................................... 1 . Detached Accessory Building For filled out by the owner ..................................... 2. Hazardous Materi m......................................................................... Other rm ining items needed to issue the permit. (May require addition al l pin review uppon receipt of the following items.) Fees as shown on the attached Schedule of Fees Due Sheet... �•� f %. c � , Statement of Intent for Non -heated and A/C Buildings ............................... / 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit........................................................................* ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: © l< (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. ncroachment Permit for driveway from the Public Works Dept. (construction approval ri j `q�ccupancy� Pre -Inspection for required ............. t.i Contractor's license information. (Number, Name Style, Classification) ..................... I i� Worker's Compensation Carrier and Policy Number ............................................. 5. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... , I ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑3,0� ❑ Grant D d, ❑ N.H. Title/St tement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 31. Other:�) When issued Tel and hold for pickup., I have been infor ed of/th&a s ancYre gm nts for obtaining a building per i Applicant: / Date: 1. Index permit a • lication for the abo a iwas numbered: Plan Check Letter 2. Additional it s required Contractor, designer, owner,w sa advis i f the abs o�ve ata by pho e, ❑ mail, ❑ counter, by Date: Contractor, designer, owne ,was advised of the above data. b ❑ phone, ❑ mail, ❑ count e , b Date: Plans reviewed by: �e: Plans approved by: Date: Structural reviewed by: // a % / Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY �02 Plan Attached Floortaw Plan Attsslsed t ��� � giant to ®.D. 3- ' TO: Building Department'I} FROM: Environmental Health SUBJECT: Sanitation Clearance O 46 ner Location AP# Plan Approved for: Sewage Disposal Water Supply: ublic Private Well Clearance for dwelling. Other QAAQ 9:,- 9^ '71 1`\ �,j Hold final for: Final clearance O.K. for: NOTE: NMI Environmental Health Specialist 8/96 Date 4, . 40 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4 } 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03-3452 SESSO ARCELN MBER ZONING I A5 BUILDING PERMIT O y yCE, �Y yV� TELEPHONE SO. FT. OCC. BUILDING VALUATION - OJ,1 'S MGAn SAVE GRIDLEY 95948 1UpJb8.QU Cahrr CR JOR�S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 11 % . Uo ARCHITECT OR ENGINEERS MAIUNG ADDRESS 1 Plan Checking Fee $ 76.05 131f7EtSON AVE., GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LI.S•U5 LOT No.2 suBiY loNws_SOB 4.87AC PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DETACH GAWB Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S EU)OD;X,1110G ELECTRICAL PERMIT Fling Fee 20.00 R LES 800VMain Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. aC] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BUDS. 3—y FT. NOWR61UT RANCHO CIRCUITS97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FDCrURES1 aye p . 0 Ex. Occup. OF -EDA Ra ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurances carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) >❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any ma.iner so as to become subject to workers' compensation laws of California, and `agree that ff 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall �% forthwith comply with those provisions. fX Date //-- / 7 .p ' _ Signature of Applicant Owner ❑ Cbntractor ❑ Agent An OSHA permit is required for excavations aver 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 213.05 MAZ. -- D, ¢ FEIABP — FLOOD X =DF PCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above'' or w ich fees have been paid. l l� By Date/,/,f �'7 PERMIT EXPIRES =Date Receipt No. .r�tr.cy.y ��•�"� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "NOTES RESIDENTIAL 024-090-053 V63-3452 PERMIT NO. _��. _ 217 NIELSON GRIMY AVE,, CONT: UNKNOW DETACHED GARAGE 4 1 r x SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) 0 Signature CHECKED BY /= OK 0 Not,OK = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except ri's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / /'Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Discorinect Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except We 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERSCARPORTS GARAGES (Plans) OK except ti's 07 oning Requirements -Setbacks -Easements ioungs; 3. 4. Tyd Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. C orts; Windows -Doors 2. 8/Frmg.; Sills -Anchors- Studs- Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels RU bdl r- , Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = OK 0 = Not GK - = Not Applicable = Not Ready RESIDENTIAL (: Date Hangers -Post Caps -Anchors -Connectors Underfloor (Plans) OK except #'s Cling. Joist-Rftr. Ties -Purl in -Roll Brac.-Truss-Shting.-Rfng. 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Infiltration -Walls -Windows 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Gas Test -Meters Tagged, Gas -Electric 11. Water Pipe; Test -Anchors -Regulator -Service Test Water & Sewer Connected -C/O to Grade -HD Approval 12. Electric Underground Energy Compliance Certificate -Other Certificates 13. Plenums & Ducts; Clearance -Material -Support -Ins. Address Posted 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Card B-1 Date Card B-1 16. Insulation Card B-1 Date Card B-1 Date Date Comments at Final: Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties -Purl in -Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Ratter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows 79. Insulation -Foam -Looked in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 0 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive 0 Yes Q No/Walks ❑ Yes :1 No/Planters 0 Yes ❑ No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: { ., r"z.� ,�:_s.'v :::v'w*,r.: r ... �--•sr ,.r :.xj ti°1i"% .,., .: _ _....- COUNTY OF BUTTE ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 MainStreet • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pl` ase,contact this office -immediately. -�-� V I C) 6�1/0 1-7 Date 12– — Z --0�7Inspector t. FEV 10/92 National Pollutant Discharge Elimination SWPPP Non -Certification for Proiect # County Storm Water Permit Compliance System (NPDES) Phase II & for Butte By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BNTs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: - /-�_s - I0 . By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. -1d: //—i 7-0 3 NPDES & SWPPP Non -Compliance Certification Draft Butte County Stoimwater Plan COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D➢V➢510P➢ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 1311 , PERMIT NO. P4—ev.12/96�) APPLICATION AN D PERMIT ESSOR7.N1N ASSESSOR PARCENMBEA V�v SUILDI MIT L GA-5— OWNER ELFPHONESQ. FT. OCC. BUILDING V ALUATION O MAILINA SS / 114 0 NDERS MAIUNG ADDRESS 4-11 M �1• i d I ' ► "�`-+ Total Valuation $ ARCHRECT OR ENGINEER LICENSE N0. FilingFee $ 20.00 Permit Fee $ ARCHfrECr OR ENGINEMS MAWNG ADDRESS Plan CheckingFee $ BURD@IG ADDRESS �� �7� Energy Plan Checking Fee $ $ —�) PERMIT FEE $ , LUNO, SUBD�QN'SNAME p � ) PARCEL PLUMBING PERMIT Feng Fee 20.00 7 y, 7 L Each Trap -or 7.00 USEOFSTRUCTURE SEI Solar t um water heater 23.00 S uplex ❑ Mobilehome , Other Water piping---, 15.00 SPECFV Each gas water heater vent 15.00 TYPE OF WORK Gas piping system 1 - 5 ouU 15.00 New ❑. Addition ❑ Remodel ❑ Utirifies ❑ Installation ❑ Other ❑ Building sewer 15.00 I Mobile Home I S i G I W - 0.00 .PERMIT, FEE PAID SRA SHERIFF $-2. � - —ns OTHER AMOUNT RECEIVED $ 1t DATE RECEIVED �� ra RF[EIPT # PERMIT FEE 1 $ �4, 0 20.00 I Main Service N A DR LESS 23.00 Main Service aooA t000A 46.00 NEW CONY. / DWELLNG OCUP. OR ADO9.5Q NS. ` i ACC. BLD$. II Ex. Occup. ( oun.Er OR F=uRm ) N I_ BOLsa I Mobile Home I ,4ERMIT FEE 1 $ / �' /\-,I-\ 0 .MECHA AL PERMIT I Fling Fee 1 20.0 CooY'ng Hood PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ `ONS �rXY TOT `L FEE $ HAZ 0. FEES P FLOOD CDF P EL HD t>E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON m.,rol Z� J V -0 • AijrnlfA WAiAr Onikiruir Aur RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 24 -Dec -2003 2003-0088655 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE TRIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JERRY E. LUCE AND JULIE J. HANKS-LUCE 7 COUNTY CENTER DRIVE REAL PROPERTY OWNER/LESSOR MAILING ADDRESS 269 WILLEY WAY 95965 CITY COUNTY STATE MAILING ADDRESS 03-2831 530 538-7541 BIGGS BUTTE CA 95917 CITY COUNTY STATE ZIP 217 NEILSON AVENUE DEALER NAME (if not a dealer sale, write "NONE") INSTALLATION MAILING ADDRESS, IF DIFFERENT GRIDLEY BUTTE CA 95948 CITY COUNTY STATE ZIP JERRY LUCE UNIT OWNER (if also Property owner, write "SAME") 309 WILLEY WAY MAILING ADDRESS BIGGS BUTTE CA 95917 CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-2831 530 538-7541 BrMYS PERMIT NO TELEPHONE NUMBER `ag&W 11-20-03 siMATLmE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO SKYLINE CORP. 2003 LEXINGTON MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 2T -91 -0282 -S-A B C 68'X42' ORE 450296.7.8 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSORS PARCEL NUMBER AP # 024-090-053 HCD FORM 433(A) REV. 8/91 LEGAL DESCRIPTION A.P. # 024-090-053 All that certain real property situated in the County of Butte, State of California, described as follows: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 9,1972, IN BOOK 41 OF MAPS, AT PAGE 80. ry c R1 t7.Y�is.�1i.3 5 Y k=FOLTNDATIONi SYSTEM 6 t }: CERTIFICATE OFOCCUPANCY- . i F r BUILDING PERMIT NUMBER: 03-2831 Address or location of unit: 217 NEILSON AVENUE, GRIDLEY CA 95948 Legal Description of Real Property: SEE ATTACHED AP # 024-090-053 (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JERRY LUCE Owner's address: 309 WILLEY WAY, BIGGS CA 95917 INSIGNIA OR HUD NUMBER: ORE 450296,7, 8 SERIAL NUMBER OR V.I.N.: 2T -91 -0282 -S-A, B, C MANUFACTURER'S NAME: SKYLINE CORP. YEAR:2003 OFFICIAL APPROVING INSTALLATION: ( ", 2�;& DATE: 11-20-03 PHONE: (530) 538-7541 H.C.D. 513C Dec -24-03 03:09A rd SOLD COLUMBIA MANUFACTURED HOMES TO: 1361 W 2ND ST THE DALLES, OR 97056-3509 FINANCED BY: BOM13ARDIER CAPITAL INC .... e """RESOLD ............. PO BOX 991 102 COLCHESTER VT 05446-0991 Aooroval No./Name Approval date 7736096 09/18/2003 Floorplan COD r� Oesuibe ether terms SKYFIN Date -Snipped How Shipped Order -Date ONtine Date 10123/2003 CONVOY 01812912003 10118/2003 DOM (HUD-Tsg.Datc. 4fu9t. Ordor No. Date ?shred .. 10/1712003 10/23/2003 6722CT 2T•91..0282:5_B... 2T -914282 -S-A 4CK 28 CATH 66' x 14' 66'x 14' 68'x 14' Root Load-_ Wind2ont_. Heet2 na-_. 30 PSF ZONE 1-15 PSF 3 w.U.e..GenlaCASOA Lebo] Numeer(d)... ORE 050296. ORE 450297, ORF~ 450298 vOLUMIE INCENTIVE PROGRAM A.eWrwe �mrneye(ennanamw t) proem., aootles to ml6 ")oo. rur 1O .nromellon tel10P1° ental to VIP ibrrow Co,"1811en P.O. Bok yU §1i MI IN G6511"r4J taio•iaa•iu,) Dealar's_.Customar; Ll10E- ne: some ryenine Deal. Induolne daes.w-il s one orates are •wno0 snot cereal ,neem w. >TIC4: C�Ixti or oast emk reos.ed ra rroa•snase CO"M or ION ImO-Dpsoee not Conal Ivle GRAND- TOTAL 1�96.7615.00 �6, 755.00 y"ene ane on* to soft* doe. -al aacc ura9 rasp -.*,Gar I. acal.od Dy s.r,..e Cor6ul.,7 L&92 napo*: T v�neerygneDRe rDraernD.lecRsdee...y.waacceoo�caollnaarc•eaa�-n BALANCE DUE NOT ICe TO DEALER WnM ecD.pine il:wry DI Ino MrD"6w1 t>++uro ,p oxamin• nome Iarer�Uy ane Hw eranep. a 06"909 -oleo an .your C.leer Owl r1,04, WIKn rr.41 De ,elu-ed by tno d+.e,. We CS -nal-" •eWone*,;Ir ler lo: a w (SIGNATURE) DATE o6"eee Ie kdm6e n trDran eles� nel6uoanranDrl6oe o• den,op6,.+ m%do ~ et:aepl-'�a del -en. DUPLICATE INVOICE - DEALER COPY SEE CERTIFICATIONS -ON -REVERSE, 509 773 3889 P-02 Wavy HOMETTE CORPORATION 550 BOOTH BEND ROAD P. O. BOX 388 MCMINNVILLE.OR 97128-0368 (SM472-3181 PRODUCT NAME CUUE NO. LEXINGTON_ 2T SHIP TO; COLVMB1A WANUFACTUREa-HOMES 1361 WEST 2ND STREET THE DALLES, OK 97058-3509 $ B 1'EPRI�E�;'' >, :` 2,390.00 : 4..,., 7 1 TECHNICAL INFORMATION 2.055.00 Iulelon'10d11ion. PVDlw- Approkllnme- Type 12' SAVE -A112 -REVERSE HITCH 550.00 TKckneee NICKEL KICK PLATFIS Ce111n9 R35 10.25 Cellulose Wall R21 5.5 Fiberglass I100r R33 10.58 Flbemlass Root Load-_ Wind2ont_. Heet2 na-_. 30 PSF ZONE 1-15 PSF 3 w.U.e..GenlaCASOA Lebo] Numeer(d)... ORE 050296. ORE 450297, ORF~ 450298 vOLUMIE INCENTIVE PROGRAM A.eWrwe �mrneye(ennanamw t) proem., aootles to ml6 ")oo. rur 1O .nromellon tel10P1° ental to VIP ibrrow Co,"1811en P.O. Bok yU §1i MI IN G6511"r4J taio•iaa•iu,) Dealar's_.Customar; Ll10E- ne: some ryenine Deal. Induolne daes.w-il s one orates are •wno0 snot cereal ,neem w. >TIC4: C�Ixti or oast emk reos.ed ra rroa•snase CO"M or ION ImO-Dpsoee not Conal Ivle GRAND- TOTAL 1�96.7615.00 �6, 755.00 y"ene ane on* to soft* doe. -al aacc ura9 rasp -.*,Gar I. acal.od Dy s.r,..e Cor6ul.,7 L&92 napo*: T v�neerygneDRe rDraernD.lecRsdee...y.waacceoo�caollnaarc•eaa�-n BALANCE DUE NOT ICe TO DEALER WnM ecD.pine il:wry DI Ino MrD"6w1 t>++uro ,p oxamin• nome Iarer�Uy ane Hw eranep. a 06"909 -oleo an .your C.leer Owl r1,04, WIKn rr.41 De ,elu-ed by tno d+.e,. We CS -nal-" •eWone*,;Ir ler lo: a w (SIGNATURE) DATE o6"eee Ie kdm6e n trDran eles� nel6uoanranDrl6oe o• den,op6,.+ m%do ~ et:aepl-'�a del -en. DUPLICATE INVOICE - DEALER COPY SEE CERTIFICATIONS -ON -REVERSE, 509 773 3889 P-02 Wavy HOMETTE CORPORATION 550 BOOTH BEND ROAD P. O. BOX 388 MCMINNVILLE.OR 97128-0368 (SM472-3181 PRODUCT NAME CUUE NO. LEXINGTON_ 2T SHIP TO; COLVMB1A WANUFACTUREa-HOMES 1361 WEST 2ND STREET THE DALLES, OK 97058-3509 $ B 1'EPRI�E�;'' >, :` 2,390.00 : 4..,., 7 1 LAP SIDING ENTIRE MOME-4INSTALL 2.055.00 ARCHITEC'URAL SHINGLES-.- 695.00 1 12' SAVE -A112 -REVERSE HITCH 550.00 T .BRUSHED NICKEL KICK PLATFIS 90.00 1 (2) WIND NEHALEM DORMER 1.995.00 1 EXTRA 10' ACCENT DORMER 295.00 9 (9) 3RAKE AXLES REP IDLERS 450.00 1 BUSK INTERIOR PAINT 500.00 1 $LAB OAK CAS COORS 430.00\ 2 WIREISUPPORT FOR PADDLE 130.00 1 67 -PANEL -PASS -DRS- 360-00.. 1 1022 SKYLIGHT -HALL BATH 260.00 1- SOLATU6E-40-BATH- 245-00 1 (GAS) FIREPLACE INSERT- 595.00 1...S.TEREO%CDPLAYER W/4. 195..0.0 1 LEVER DOOR HANDLES 125.00 1. CREAM CERAMIC TIL F 10.00 1 WHITE APP PKG 0 1.195.00 1 CAP CEILING ON CORNER 295.00 1 40 GAL (GAS) WMEATER 300.00 1 (GAS) FURNACE 175.00 1 HEAT PUMP READY $0.00. ._112 BATH OPTION- 675.00 1 MUSHROOM.CERAMIC TILE 2-5-09 1 24• CHROME STRIP LIGHT 25.00 1 CERAMIC TILEENTRY 30.0.00 1 C MIRRORED WIROBE DOORS- 135.00 1 OLIVE CERAMIC_TILE, 26.00 1 i PC LASCO OVAL GARDEN TUB 95.00 1 39' MIRRO"' STRIP LITE 60.00 1 MUSHROOM CERAMIC TILE 30.00 1 PASSAGE DOOR INTO W/ROSE 55.00 2 PANEL W/ROSE COORS 160.00.. Subtotal page 2 51.385.00 TOTAL PRICE WITH OPTIONS $86,745.00 FREIGHT ( 211 ) 7,035.00 SALES- TAX 2 2 4 F ADJ ASSOCIATION DUES 232 ► 75.00 FACT_O.Y.CUSTOM CARE.PKG(-. 636.1 2,900,00 pec -24-03 03:08A 509 773 3889 P_01 December 24, 2003 Tammie Powell Butte County, California. fax number: 530-538-2140 Reference: Jerry Luce, 217 Nielson Ave, Gridley, CA; building permit #03-2831 As per our telephone conversation yesterday, I have enclosed the factory invoice -for the Luce home showing the manufacturer, serial numbers, HUD numbers, date of manufacturer (HUD tag date: 10-17-03). As I described..on the phone, the MSO is still with the flooring. finance company (Bombardier Capital Inc) and will only be released to us after the home is paid in full. The payoff is -expected -the. first..of. next week.. After that. it. takes a. week o.r .two .for the flooring company to Eend us the MSO. Hopefully, the attached information is adequate for your-pu-poses. Should you have any questions; please -call -me -at 509-945-5936. Yours,-tru , L. M. (Bud) Nolen paRner attachment:. factoryInvoice-for- dealer's -customer- "Luce' Columbia Manufaclured Homes 13&t W:. Second-•-The-Dalles; OR -97059 541-296-7070_ STATE OF CALIFORNIA ' » BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT s DIVISION OF CODES AND STANDARDS ' REGISTRATION AND TITLING PROGRAM n oeh`� STATEMENT OF FACTS This unit is a: ElMobilehome 0 Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name 5 �_ "_1 'k % Y" 'e— I/We, the undersigned, hereby state:.- �jjpc.-�- (VA c*- /I e— 4-) r Serial No.(s) b e_�. � � a, c el d 01 I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on -,9'- 9-v3 at B. l'� S �7 (Date) (City) (State) Signature(s) Printed name(s) .ler,- Address .26 19L✓ �--' City �� 9Q S , State r a 12/04/2003 10:38 MID VRLLEY TITLE OROVILLE � 5382140 lb(UVBV REQ G IltECOEtOIN MID VALLEY TITLE & ESCROW CO. AND WI MN UtORDED MAIL TO. JERRY AND JULIE LUCE 269 WILLEY WAY BIGGS, CA 95917 ORO -C A.P.N.: 024-090-053 S -aqua Order No.: 214972MAM NO. 188 D01 ilN�l�illdi�li1111181��NII�ItI�! Recorded Official Records CouEOfBUT I REC FEE 7.00 I TAX 79.75 + CANDACE J. 6RUBBS 1 Recorder 1 ROSEMARY DID(SON 1 Assistant OE:e3PM 21-Qct-2ev I Kathy 1 Page.1 of 1 Above This Line for Recorder's Use Orily GRANT DEED Escrow No.: 214972MAM THE UNDBR,SIONE;D GRANTOtt(s) DECLAREW THAT DOCUMONTARY TRANSPER TAX IS: COUNTY $79.75 X l compered on N)l value of pro =Y conveyed, or computed on full value less value of liens or encumbrances remaining at tune of sale, X) unincorporated area; [ ) Ciry of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby aftowledged, IR. ANTHONY $ESS, an Unmarried Man hereby GRANT(S) to JERRY E. LUCE and JULIR 1. HANKS-LUCL?,_Husband and Wife as-Joiut Tenants the following deaedbed property in rhe unincorporated area of the, County of Butte State of Califomia; PARCEL 2. AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN T10 OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STAVE OF CALIFORNIA, ON MAY 9, 1972,, IN BOOK 41 OF MAPS, AT PAGE 80, R. ANTHONY ESS Document Date: Ocipbrr 15, 2003 STATE OF CALIPORNIA As COUNTY OF e- On belbrc me, �rli,ll E personalty appeared NOTARY � sT personally known to me (or proved tri joe on the basis of ekdafact(kry evidence) to be The persnn(s) whose mme(s) ie/are subscrlBed to the wUhin (nstrumerrt and scknow(rda) o to c A that hc/eheYdtey executed the sante In hls/heNthair authorised eepxtry(ler) and that by his/hor/their slgnature(s) on the lnatntment the pottoMa) or the entity upon behalf of which the peraon(s) eetrtl, executcd the C81)tnent. WITNESS my hand and ofnclsl seal. Slgnatur Mail 'Tax Stateawits to: SAME AS ABOVE or Addnees Nested Rntnw Order No. Escrow No. I Loan No. WHEN RECORDED MAIL TO: R. ANTHONY HESS 1815 VIA EL PRADO, STE. 301 REDONDO BEACH, CA 90277 DOCUMENTARY TRANSFER TAX $ ..... 44.13.r.......................... .�omputed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encumbrances remaining at time of sale. GRANT DEED IIII 111111 I Illi i it { 11111!1 I I! f11lf 2003—t1�033793 Recorded Official Records CountyBUTTE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 12:52PM 27 -May -2003 I REC FEE 7.00 1 TAX 61.60 1 SHORTAG -.22 1 1 I I 1 Shauna IPage IofI ABOVE THIS LINEtdR_RECORDER'S USE or Aaent Oetermfnlno tax — FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, SUNBURST KIWI, INC., A CALIFORNIA CORPORATION (formerly known as Tom -A -Hay Farms, Inc.) <hereby GRANT(S) to R. ANTHONY HESS, A UNMARRIED MAN, AS HIS SOLE AND SEPARATE PROPERTY the real property in the City of - GRIDLEY County of BUTTE , State of California, described Parcel 2, as shown on:that certain Parcel Map of a portion of Lots 3 and 4 of*Gridley Cc which Parcel Map was filed in the office of the Recorder of the County of Butte, State California, on May 9, 1972 in Book 41 of Parcel Maps, page 80. Parcel Number 024-090-05: Dated Or- / 2 - 63 STATE OFd'.6L1>°6Ridffi' Q t'' /�/� �� }ss. COUNTY OF �fJn--f,c %`L } On YUA ( 2 3 before me, personally appeared 2q r ' ,0 , personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/herRheir authorized capacity(tes), and that by hls/herAheir signa- tures) on the Instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand and offici I sal. Signature LA3 41 .3 SUNBURST KIWI, INC. A CALIFORNIA CORP. -01�� FRANK C. LENAHAN, PRESIDENT OFFICIAL SEAL r � � SUSAN N. LAWLER ,jOTARY PUBLIC STATE Of NEW MEXICO. My commission expires: MAIL TAX STATEMENTS TO: R. ANTHONY HESS (This area for official notarial seal) P.O. BOX 7000-806 REDONDO BEACH, CA 90277 1002(l, FROM : PHONE NO. Oct. 03 2003 07:41AM P2 Oct 03 03 07:44a Jack Bequette 530-846-0842 p•2 October 3, 2003 To Whom It May Concern, I, Anthony Hess, hereby give my permission for Mr Jerry Luce to obtain the necessary building permits to place an manufactured home on property located on Neilson avenue located in Gridley, Califotnia. The APN for the subject property is M-4-090.053. Signed Anthony Hess FROM : PHONE NO. : Sep. 11 2003 10:15AM P2 SEPTEMBER 10, 2003 BUTTE COUNTY PLANNING DIVISION TO WHOM IT MAY CONCERN MR. & MRS JERRY LUCE HAVE"MY PERMISSION TO APPLY FOR A PERMIT TO INSTALL A MOBILE (MODULAR) HOME ON MY PROPERTY LOCATED ON NEILSON AVENUE IN GRIDLEY, CALIFORNIA, BUT NOT TO PLACE ANY MODULAR OR MOBILE HOME ON THE PROPERTY UNTIL ESCROW HAS CLOSED. THE ESCROW ACCOUNT NUMBER IS 215972-3-MAM. THE APN FOR SU3JECT PROPERTY IS 024-090-053. CORDIALLY YOURS, AN HONY HESS P. S. IF YOU HAVE ANY QUESTIONS OR INQUIRY, I WELCOME YOUR CALL. (310) 792-0194 Butte CountyDepartrnent ofDevelopmentSenices ADMINISTRATION • BUILDING' GIS " PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile December 31, 2003 Mr. Jerry E. Luce Mrs. Julie J. Hanks -Luce 269 Willey Way Biggs CA 95917 RE: equest for HCD 433A mo a ona, foundation system) Loc 'on: 217 Nelson Ave., Gridley CA 959 AP # 024-090-0 Dear Mr. and Mrs. Luce: o The State of California requires a separate check written out to H.C.D. for $ 33.00 to process your documents. Please submit said check to Butte County Department of Development Services Building Division, 7 County Center Drive, Oroville CA 95965. The recorded 433A and supporting documentation must be mailed prior to the State of California removing the mobile from State license rolls and' the Butte County Assessor treating the mobile as real property. Should you have any questions concerning this matter, please contact Alice Mefford or Tammie Powell at (530)538-7541. Thank you. Sincerely, �yirrr� � Tammie Powell Plans Application Assistant s NOTES t' RESIDENTIAL 024-090-05303-2831 PERMIT NO. __LUCE, JERRY-r--� °--- - --- a� 1VIELSON AVE, GRIDLEY NEW MH PERM FND -'- SPECIAL h SPECIAL CONDITIONS 1 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS + VERIFY . I USE PERMIT CONDITIONS SUB -STANDARD. HOUSING LETTER t . OFFICE COPY l_ Address GAS Meter By Date ELECTRIC Meter By Date Old ri w�.P w&-Jb 'JOB FINALED (Date)' o Signature 4=OK. 0 = Not OK = Not Applicable )MOBILE HOMES . =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG 2. Fooyr(gs; Size-Spacinq-Marriaqe Line / 4v -Gas; MH Test -Demand -Valve .&-'5ectricity; MH Test Q!Water; MH Test 7. W.rand Sewer Connected Gas and Electricity Tagged xits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 17�� MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 7. Well Clearance & Disconnect 2. 8. Utility Clearance 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date Carports; Windows -Doors Card B-1 Date Card B-1 Date 8. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 10. 1. Zoning Requirements -Setbacks -Easements Ext.; Steps -Doors -Landings 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 2. 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to .Grade -HD Approval 5. 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 8. 10. Exits; Insp.-Sketch Health Department Approval 11. Cert. of Occupancy 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date . Card B-1 Date PER NT END SYSTEM (ONLY) 2. Fooyr(gs; Size-Spacinq-Marriaqe Line / 4v -Gas; MH Test -Demand -Valve .&-'5ectricity; MH Test Q!Water; MH Test 7. W.rand Sewer Connected Gas and Electricity Tagged xits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 17�� MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing ' 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes ❑ No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -- BUILDING DIVISION-- '' DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 ' 7 County Center Drive • Orgville, CA • (530) 538-7541 CORRECTION NOTICE tF <� 03 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, plea-s—e-co ntact_ this offic, a immediately. t � C Z77—& c c— Date / REV 10/92 COUNTY OF BUTTE - DEPARTMErNT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96)APPLICATION AND PERMIT O 3 'a A5NO BUILDING PERMIT OWNRY LUCE _ 87 T HONFj 5-1 �/Ubt) SO. FT. OCC. BUILDING VALUATION WNERS MAILING ADDRESS 2156f W= WAY BIGGS CA 95917 R 143,640 00 CONTRACTOR'S A�77C��T77O��RCONTRACTOR'SNAME OW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 396.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 439.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Util•Ities ❑ Installation ❑ Other ❑ Describe Work: BTW MH PERM FM Gas piping system 1 - 5 outlets 15.0019-00 Building sewer 15.00 Mobile Home IS G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 R UES 800VMain Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Ed I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service CoA TO iDooA 46.00 NEW CONST. DW ,NG °SCUP. OR ADDNS. ( 8 ACS. BLDS. SO 3.50FT. NOµp°SID. MULTI -OUTLET @7.50 POWER 8 SINGLE OUTLET SIAPPARATus R. EX Occup. OUTLET OR FDITURES BAL @ 1 000 D A Ex. Occup. oFuT,ETSRE�SIo) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation ,,�of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. c� X _ Date O � /.Z '" O nature V Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ corer. TYPE TAL FEE $ 547.75 HA2. �., D FE IMP O D CDF set P CEL p0 HD L-1 ISSUE Ll This permit is hereby issued nder of the Butte County Code and/or indicated above for which fees have ByD PERMIT EXPIRES ON 0— 20/2 the applicable provisions Resolutions to do work been paid. e udcoITE•D.D.S.-B.D. 10ated rRe,ceiptNo._5K5_—&3,0 J. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ��^7;. a ,... ._ .. � ., •.��� w - �r�t+y"�i+ry.. •"v YL r. . .- •'a' z',1,..._..,.:#... -a. cry ,.... �.. .,Y,� . COUNTY OFBUTTE-DEPAWTME T OF DEVELOPMENT SERVICES-BUILDING'DIVISIOLV(N) /Jl 7 County Center Drive, Oroville,, ;,C A 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: `-�� ` SSESSOR PARCEL NUMBER Proposed Building Use: M M ' V' Counter Technician: Date: ' Mems required in order t apply for a permit. All b es MUST b checked OR marked NA in order to- ply. �-1. Site plans, 3 or 4 sets, signed by the preparer o the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance des/ nand supporting documentationjn duplicate. 6. Manufactured hom&gA Data sheets and installation in Marriage line inKKC Floor Plarf�Tie down or frd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metg ldg Plans, (B) Fnd plans and calcs In ta I triplicate, (C) Eleons in triplicate -(1 Floor plans is triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. 4 Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ _ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ Fire Sprinklers............................................................................................ 14. Agricultural B ffer clr and s4 plan apr from t e Ag Commissioner Sent by DI< -_:5�15. Other -1. VmVng items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 1 Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 7. S a ment of Intent for Non -heated and A/C Buildings ..................................... . 8. Sanitation and site plan approval from the Environmental Health Department in DYDVI 19. City of Chico Plumbing permit........................................................................ V2'1 California Department of Forestry plan approval ❑ paid. Sent by: ...................... Planning approval for (A) Use: O)<(B)Parking: (C) Parcel Check: Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 43. NPDES Form................................................................... 24. ........ Encroachment Permit for driveway from the Public Works Dept.. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 2 . Worker's Compensation Carrie and Policy Number ............................................. 28..0 er-Builder Verification (V Given to owner, ❑ Mailed to owner) ..................... WLelcr of Signature authorization.................................................................... % rdedcopy of Agricultural Acknowledgment Statement .................................... / ❑ 31. Manufactured home utility clearance............................................................./ �2. Exisjing yiolatigns and/or expired permits ...................................................... .. Z ree M.HTitle/Statem acts; � Leterfrom L�issued Check �, a ne for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant:te: ,_e9y 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, y Date: Contractor, designer, owne�,yv s dvised of the oveIta by phone, ❑ mail, 01 count , b Date: Plans reviewed by: -Vj/�� Date: -0 Plans approved by: Date: ' Structural reviewed by: Date: Structural approved by: VDate: Note transfer by: Date: Yellow: Building Division Y? E.H. USE GAILY -Piot Pian Adtechod � not, Pian A ct ad TO: Building Department b3 263 FROM: Environmental Health SUBJECT: Sanitation Clearance A A 1 4 A4� ge AA ,tQ � —o I Own6r Location AP# Plan Approved for: Sewage Disposal_ Water Sup -ply: PL-1 Private Wel Clearance for dwelling. Other 4E41 � la)L� Final clearance O:K. for: NOTE: P) DAZIJ I A-:;> / R d'As Environmental Health Specialist Date 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 PROPROSED BUILDING USE 1. BUILDING PERMIT FEES --- Balance Due ..................... A.P. # (J l av 6S3 DATE I U J RECEIPT # DATE REC. ]evi tional Fees Due........... $ sed Plan Checking Fee.... $ OL DISTRICT FE-— (pai at o D' tri Offic rrrt11�'1 n C e &3. SHEFF FEES (paid at Building Division) Resideval............ 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 Distnct Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I waE 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 QDATE"/-2 - e3 Pursuant to Government Code Section 6602), 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-Apolicant Pink -Owner (rev. 2/2003) RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: JERRY AND JULIE LUCE 269 WILLEY WAY BIGGS, CA 95917 ORO -C A.P.N.:024-090-053 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:23PM 21 -Oct -2003 REC FEE 7.00 TAX 79.75 Kathy Page 1 of i Above This Line for Recorder's Use Only Order No.: 214972MAM GRANT DEED Escrow No.: 214972MAM THE UNDERSIGNED GRANTOR(s), DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $79.75 [ X ] computed on full value of property conveyed, or [[ l computed on full value Lss value of liens or encumbrances remaining at time of sale, X ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, R. ANTHONY HESS, an Unmarried Man hereby GRANT(S) to JERRY E. LUCE and JULIE J. HANKS-LUCE, Husband and Wife as Joint Tenants the following described property in the unincorporated area of the, County of Butte State of California; PARCEL 2, AS SHOWN ON 'WHAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUN' Y OF BUTTE, STATE OF CALIFORNIA, ON MAY 9, 1972, IN BOOK 41 OF MAPS, AT PAGE 80. R. ANTHONY HESS Document Date: October 15, 2603 STATE OF CALIFORNIA )SS COUNTY OFJ,ps Gry p ) On 614_ r 7,0 Z003 before me, 4 -'Ay" ��..' NOTARY personally appeared 9, �„�\�.,,,� \ s 5 personally known to me (or proved to me- on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that Le/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature KA1 E. L 16commbslon #� 1122199 tkftW Kdit - CaMornk) La Avetes county ,my Comm. Expkes AS 1, 2007 Mail --ax Statements to: SAME AS ABOVE or Address Noted Below �L . ..• .. ... � .<. ..... .. .• ^.ly,�.-.s-.A.. !..!r!`MFAr .. •..n.._... .ti�...r. r..�r,.�� n.. . � _. _`. .�..,+^-s �.+-. ..� r I �. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One torm per Building) School District•Building Department No. A.P. Number Juri ction: City County Property Property ............. O Residential Development ✓� Sq. Footage -A Z, No'of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # rs-1 '(No foundation inspection); Commerc al/Industrial Sq. Footage rAAddition (Including Exterior Roofed Areas) M Building Department Representative Date c (Floor Plans revie ed by School District Personnel) Distfict Identification No. 1 � ILt k %l t \ ,1,RNd School District certifies that (/( Q (Applicant) Q\V(! (Street'Adcjress) (Phone Number) C� q�l� (City) d (State) (Zip Code) has complied with the requirements.of Resolution No. by payment of $ representing to �� square feet. AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit . you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls 00/98)dmm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 24��3—i0�7359�3 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02e29PM 21-0ct-2003 I REC EEE 7.00 1 COPIES 2,00 1 1 1 1 1 I Kathy I Page 1 of �l 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: pa 's +n v>-, -�-�� car �-� n D rc.c � (-e. � bycl e d L V , e_ 0--F C C o -F e, rc- ,G rel .e_ r v,P 9 l vi'�' i`cl C a i rv\ I q / 6n ff\ J )q -7Z, L_ n ►3vvk 41 o,� Map Pa jC, (?U. Date State of California ) County of BUTTE ) On OCTOBER 20 ,0� before me, MARY A_ THnMPSnNE NOTARY personally appeared ,T[IT.TP. J_ T.Urp personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures) on the instrument, the person(s) or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS my hand and official sea _ _y AMPSON Signature , (P, /f 1 G�ii ._ Seal: 1351470 0 iNg alifornia nty A.P. #_ ��� [} —�� R. 15, 2006 .)lL COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PE ^�vER�I 7 County Cente Drive Oroville, California 95965 •Telephone (530) 538-7IT NO. (Rev.12/96) APPLICATION AND PERMIT (�J / ^ ASSESSOR PARICEL M �\(�.( `, /C owNER��7 (J IL zowN BUILDING PERMIT SQ. FT. OCC. BU LDING VALUATION OWNERStNT-\ CO RACTOR'�10,MMAIUNNG TELEPHONE ADDRESS Ift NSTRUCTIONLENDER Fireplace NDER•S MAILING ADDRESS Total Valuation Is ARCHfTECT OR ENGINEER ucENSE No. Filing Fee $ 20.00 Permit Fee �4 oZ $ ARCHrrECT OR ENGNEM S MAIUNG ADDRESS$ Plan CheckingFee 1 BUILDING ADDRESSEnergy Plan Checking Fee $ --�(� PERMIT FEE $ CEL MAP LOT NO. � SUBON5ION5 NAME e V,,_,� ^ (;� CJ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Oth=_r SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent TYPEOF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe Work: Y Gas piping system 1 - 5 outlets 15.00 — Building sewer 15.00 Mobile Home I S G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Filing Feel 20.00 aoov oR s Main Service 2ooA oR LEsLEss 23.00 ,q,,y� I 1 O t" � l j� \ W-7 PERMIT FEE PAID j SRA$ SHERIFF $�j� OTHER $ $ I $ I ' � AMOUNT RECEIVED $ DATE RECEIVED. /� 0 3 �• RECEIPT # 3g5 Main Service 200A To 1000A 46.0 NEW CONST. DWEL.PJG OCCUP. OR ADDNS. ( b ACC. BLDS. so. NEW CONS MULTI -OUTLET @7.50 NON RESID. RANO C C OWER APPARATUS (IPS INGLE OVTLET CIR. OUTLET OR FDRURES 20 O t.00 EX. OCCU aAL @ .so EX. OCCU FDCED APPLNS. OR 5.00 OUTLETS ESID.) FA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood . 1 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ CCC CONST• TYPE TOTAL FEE $ HAL� D CDF p EL � 6Stn This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. - By Date PERMIT EXPIRES ON Date Lexington Triple Wide Series Standard Features LIVING AREAS • Carpet w/ 1/2" Rebond Pad • Valance w/Mini Blinds • Chandelier Dining Light KITCHEN • Oak Cabinet Doors w/Residential Hidden Hinges • Oak Cabinet Fronts • Pantry Per Floor Plan • Composite Sink w/Single Lever Spout Faucet • Drawer Over Door Base Cabinet Construction • Adjustable Shelves in Overhead Cabinets • Lined Overhead Cabinets • Steel Side Roller Drawer Guides • 15 Cu. Ft. Double Door Frost Free Refrigerator • 30" Electric Range • Space Saver Microwave at Range Hood • Dishwasher • Recessed Spot Lighting • Center Shelves in Base Cabinets (except sink areas) One Row Ceramic Tile Back Splash • Ceramic Tile Counter Top Edging BATHROOMS • Oak Cabinet Doors w/Residential Hidden Hinges • Oak Cabinet Fronts • Linen Closet per Floor Plan • Porcelain Sink w/Over Flow `c? Pop Up Drain • Single Lever Faucet at Sink • Decorative Mirror • Privacy Locks • Paper Holder • Towel Bar • Power Vent Fan • One -Row Ceramic Tile Back Splash • Ceramic Tile Lav Top Edging • Fiberglass Tub/Shower Combo in Hall Bath • Oval Tub w/Separate Shower Stall in Master Bath • Lav Drawer Bank Per Floor Plan Elongated China Commodes • Residential Raised Lav Base in Master Bath BEDROOMS • Walk-in Closet per Floor Plan • Carpet w/1/2" Rebond Pad • Ventilated Wire Shelving in Wardrobes ,Z)" on forming to the Classified conBRINGING AMERICA HOME. BRINGING AMERICA FUN. as Federal Manufactured Home Construction and Safety Visit us at our web site at www.skylinecorp.com Standards. EXTERIOR DESIGN DETAILS • Residential Dormerw/Columns �Q Siding Accent Per Floor Plan • Endwall Treatment w/Trapezoid `82 Transom Windows per Floor Plan • Large Covered Porch per Floor Plan • Deadbolts Front cQ Rear Doors • 6 Panel Steel Front Door (56") • 9 -Lite Steel Rear Door (66") • Insulated Low "E" Vinyl Windows w/grids • Residential Eave Overhangs (3 -sides) • 25 -Year Shingles (Fiberglass Class A Fire Rated) • 2 X 6 Sidewalls, 16" O.C. • Exterior Receptacle w/GFI Breaker • Exterior Light at All Exterior Doors • Fiber Cement Siding • Foundation Ready • Door Chime INTERIOR DESIGN DETAILS • Cathedral Ceilings Throughout • I/z" Tape Z2 Textured Gypsum Walls Throughout w/Residential Baseboard Molding • Textured Ceiling • Hollow -Core Wardrobe Doors • Upgrade Door Moldings, Pre -finished Jambs 32 Hinges • Hallway Carpet w/1/2" Rebond Pad • Overhead Cabinet at Washer/Dryer Area ° 30" Passage Doors (per Floor Plan) • Wood Window Sills • Bedroom Ceiling Lights • Skylite at Entry Foyer per Floor Plan ADDITI®NAL FEATURES • UL Classification B2 Inspection • 40 Gallon Water Heater • Water Shut-off Valves all Fixtures • Main Shut Off Valve in Utility • Delta Fixtures Throughout • Plumbed for Washer • Wired for Dryer • Wired for Freezer • Exterior Hose Bib (2) • 200 Amp Service Entrance • 2 X 6 Floor Joists, 16" O.C. • Graduated Fiberglass Heat Duct • Perimeter Heating • Toekick Register Kitchen `d2 Baths • Detachable Hitches ° Copper Wiring • Smoke Detector w/Battery Backup �Q False Alarm Control • Super Good Cents Insulation Package (R-53 Floor, R-21 Walls �2 R -e38 Ceiling) The Higher the "R- Value" the Greater the Insulation Power For your comfort and safety. Skyline iome designs are approved and each home is inspected by Underwriters Laboratories for conformance to Federal standards. Dimensions stated to industry standards. Width and length dimensions are nominal and are not to be used for setup of home on site; consult selling retailers for exact specifications. Overall length docs not include approximately four foot hitch. The square footage is approximate and based upon nominal exterior floor size. Room sizes are measured from floor ends and wall centers. Because of progressive product improvement,. all prices B specifications are subject to change without prior notice or obligation to Skyline Corporation. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Canter Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 04-0024 ASSESSOR PARCEL NUMBER 024-090-053 ZONING BUILDING PERMIT OWNER LUCE. JERRY TELEPHONE 218-8762 SO. Fr, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 217 NIELSON AVE. GRIDLEY 448 0 -- 5824.00 CONTRACTOR'S NAME H&H CUSTOM BUILDING TELEPHONE 1846-0874 CONTRACTOR'S MAILING ADDRESS PO BOX 1341 GRIDLEY CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ L -00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 217 NIELSON AVE--- GRIM17 Energy Plan Checking Fee $ PERMIT FEE $ 124.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEtOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov oR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force and effect. License Class - I Lic. No. Z��g Z Z' DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structere is not intended or offered for sale. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for whch this permit is issued. 19 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the parformance of work for which this permit is issued. My workers' compensation ins ance arrier and policy n mber are: Carrier la_4c t 74. Policy Number 0 M9 541-- (The above sections need not be completed if thfi permit is for work of a valuation of one hundred dollars ($100) Q less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with ose rousions. X 4 Date 1-7- Signa of Applicant - [I Owner [3 Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 st ries in height. f Main Service 200A TO 1000A 46.00 NEW CONST. DWELING OCCUP. OR ( a ACC. S. s0 3.5QFT: CNS. NON.RESID. MULTI -011 UTLET 97,50 PowER APPARArus a SINGLE 011REr CIR. 200 1.00FIXPPUNSBAL o .50 Ex. Occup. ounzr OR FIXTURES)7 Ex. Occup. OUTLEEDTS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 EE PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 124.00 , --- D� IMP --- -- FLED ---- CDF --- pgRCEL --- p0 -- HD - ISSU LV— This permit is hereby issued under of the Butte unty Code and/or indica dab hich fees have By PE MI XPIR the applicable provisions Resolutions to do work been paid. Date ((( - Date Receipt 394297/$124.00 WHITE-D.D.S.- Dr CANARY-ASSOSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 1 ol APPLICATION AND PERMIT ZDIMI NG BUILDING PERMIT 25 v oNSQ OCC UILDING VALUA -TVCV IOJ.. I gI 1 \L CONSmucnomENDER LENDEIYS MAILING ADDRESS ARCMiECT OR ENGINEER ARcLmcr OR ENGINEEr:5 MAILING ADDRESS NO. Fireplace Total Valuation $ UCENSE N0. Firing Fee $ 20.00 Permit Fee $ Plan Checkin Fee $ Energy Plan Checking Fee $ $ PERMIT FEE $ �' LOT NO. SUBDMSIDINSNAME PARCEL. MAP PLUMBING PERMIT Fling eel20.00 Each Trap 7'00 ° USEOFSTRUCTURE Solar or heat pump water heater 23.00 � Water piping 15.00 SF ❑ Duplex ❑ MobilehomIA Other s�o-y �� gas Wster heater or vent 15.00 z ��TYPE OF WORK Gas piping 1 - 5 outlets 15.00 Building sewer 15.00 New ❑ Addition ❑ Remodel ❑ U6Ti6es ❑ InSte MW ❑ Other S G W @20.00 M, hI na Heme PERMIT FEE PAID $ /0�4 SRA $ SHERIFF $ OTHER $ $ PERMIT FEE S ELECTRICAL PERMIT OR Main Service zeMoMOYA on LLESSEss Main Service ( 20-70 AMOMA Z g Fee 20.00 23.00 46.00 3.50 a7.5o Ex. OccuP. I OvnET OR M Ex. Occup.UTLEIS OR Temporary Seryice Moble Home FacilitiesWsc. Wirin PERMIT FEE I $ MECHANICAL PERMIT I Feng Fee 1 2 0. 00 6.50 PERMIT FEE 1S Mobile Home Installation Fee $ $ Energy Inspection Fee $ c"` `DNsT' ""PF ITOTAL FEE $ -FJHAZ d FEES NAP FLOOD CDF PARCEL PD 10�� AMOUNT RECEIVED $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work "� indicated above for which fees have been paid. DATE RECEIVED / 613 O By Date TO: FROM: SUBJECT: E.A. use owy Plot Plan Attached Roos Man Atuchad � Sent to P/D. Building Department Environmental Health Sanitation Clearance 9 - Owner Location AP# Plan Approved for: Sewage Disposal-- Water Supply: Public Private Well'* Clearance for dwelling. Other 14 F" A f Hold final for: Final clearance O.K. for: A T -P 4 D ii -NOTe: Environmental Health Specialist Date 8/96 *' • :"!�.- 4�'' � s. . ,. �"�e,-'P'.S.y'Rr:�'�^r'�'ar,.-s-,-�ar,..+�".-�:aapn�w,�^s�.ar2., COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by - PERMIT APPLICATION DATA SHEET Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. 0/� t� � OWNER: Fees as shown on the attached Schedule of Fees Due Sheet .............................. ASSESSOR PARCEL NUMBER City of Chico Plumbing permit........................................................................ " Proposed Building Use: Counter Technician: Date: It ns required in order to apply for a permit. All boxes MUST be checked OR•marked NA in order(o)apply. Contact Land Development about _ Improvements, _ Drainage ......................... 1. Site plans, 3 or 4 sets, signed by the prepares 'of the plans. `I 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Pre -Inspection for required....... 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in ❑ Grant Deed, ❑ M.H. T tle/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these Telephone 7 and hold for pickup. must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by - ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: 0 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form..........................:.................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction................................................................I........................ ❑ 37. ❑ Grant Deed, ❑ M.H. T tle/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 7 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: �2Date: ` 1-7- 0 1. Index permit a catio fo the rove items numbered: Plan Check Letter 2. Additional iterequired Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of :he above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Kate: Structural reviewed by: Date: Structural approved by:jjV Date: Note transfer by: Date: Yellow: Building Division . 1.4 y . _ COUNTY . SEP 15 .;,., 3 DEVELOPAMN9' SERVICES National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title:��— Date: —O NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan r SITE PLAN REVIEW APPLICATION 2 Date: Ci - 7 - ( AN2-� -- (� - Permit Number (if applicable) US - 2-8 3 I Bin Number APPLICANT INFORMATION Parcel Size: % AC_ Owners Name: i G' TZ fzl1% L U C 61 Owners Address: 2(o9 01 LLe-j t/v Telephone No.: 56 a -"B _� � I& &5 C -A C) S C) Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other Septic ❑ Well ❑ Agricultural Exempt Building Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): o DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Qj Site Plan Stamped Approved By k2Date - 2� Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: • ❑Land Conservation Act Minimum Acreage: E] 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 aNP ed) • Flood Zone: Q • Flood Panel No.: W) D 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: P ^ 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 1q_ Side S Side Street Rear S 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 Applicable Development Fees: Standard Fees Amount Formula • ❑ ❑ 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) * 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 El 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 Enviror- mental Health Department requirements C� Page 3 of 5 Subdivision MW/Parcel Map: Map Date of Recording: Lot: 2-- Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: 8 Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 01 ❑ 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 Plat 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. U Page 4of5 h o � o \ I yJ _ z '¢ „ xzll cti— h �a e01� v � a V X59 a Pr9RCEG 2 ro Zp / i a N i / o / 2g5 ti� N 38 Ac. / N32°O/:SS'Le S. W. CorLof 7 !nq Set Bac Lire .38' Pheasant Ac.-,- 051.74--- 2GS.00—+ /3/.3D" 1189' 2S.o/' Z/4,29' i1• i2.54 AJ 8 B ' ZD ' .3/ "E• 6.59.93 "W.C. uic. Ile. 40 • BUTTE COUNTY s�Q io��s� �� .� o 0 �� o - AGRICULTURAL BUFFER NBCATION AND/OR o o UNUSUAL CIRCUMSTANCES REQUEST cOUN'�y Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environme.ital 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, diAded 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: 7 C r C- 'e --- Phone 8 (o 9'" 0 7,,? % Mailing Address: E -Mail address _J / u c e O S / X o Assessor's Parcel Number: (97 - - -3 Reason you believe you qualify for the unusual circumstances exception: Tke- Pre) Per _J 'S +BO SKr ICL I .i ' o a1l0w rX er e. /pa of Q Du Se 10cct :'O/17 - Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures eta) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: subrr.-it 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... Internal Dept Contact Info: ❑ Env. Health ❑ Planning ❑ Building ❑ Other 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 'PlanningMINISTERIAL PERMITS (Building) Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: SMS -Lt P_2rsyV1 ,.oma Agricultural Department Signature: _ Date: C, ` YMC 7/1/03 O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return dus 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 roperty improvement: YES.- NO ❑ HAVE IRYL HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: AME: �iVL1Cr.��' CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise; and provide the major work: CONTRACTOR'S LICENSE NO. 5. II will provide some of the -Mork but I have contracted (hired) the following persons to provide the work indicated: ADDRESS . PHONE TYPE OF WORK l PROPERTYOWNEi�� V� �— NOTE: _ This Owner -Builder Ver fuation is required by Section 19831 and 19832 of the California Health .and Safety Codes This verification must be completed and returned to our ogee before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner. D.B.- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is -$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, woricers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned g ,C. Vi ira, CB.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health mrd Safety Code National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BNIPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BNTs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: ®c&/ n -� NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan 9 � - eautd* of iguttV OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: John R. Tomlinson ADDRESS: 8935 Sinnard Ave. CITY & STATE: Live Oak, CA. 95953 IMPORTANT: DATE OF CLAIM: June 26, 1979 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to install mobilehome on property. (Utill y Permit Appin. - , a-nd NH Installation Permit Applm #3579-79 - Receipt #24977 - AP 24-09-53) --Retain Utility Permit - Plumbing permit fee ----- $23.00 fiting fee ------ 3.00 Amount of refund due -------------$20.00 Electrical permit fee --- $25.50 Retain filing fee 3.00 Amount of refund due -------------$22.50 Land Development Fee Refund Due -- 25.00 TOTAL UTILITY PERMIT FEES REFUND -$67.50 _ Mobilehome Installation permit fee ------- $30.00 Retain 1/3 of fee ------------------------ 10.00 refundAmount of ------------------------------ 20.00 TOTALREFUND DUE ----------------------------------$D 7.50 $97 50 TOTAL $67 50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. day of ............................. 19....... a[................................. Calif..................................................................................... Signature of Claimant 1, the undersigned, hereby certify that, to the best of, my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board ApprovalF__1 (Check one) for the same. Datedthis .................................... day of ............................. 19....... at .............................. , Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS to CLAIMANTS All claims against this._ county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit pricrs 'of articles furnished or .delivered. Claims must be certified -by--the claimant and submitted to the De- partment head for approval. - Upon approval the Department head will forward. claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be .presented io' officials" "fot "a{sprbvl"immediafely upon completion of*services riequested or`maierial-ordered. ' Claims are paid every Tuesday; however, same must` be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. f P INSTRUCTIONS to CLAIMANTS All claims against this._ county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit pricrs 'of articles furnished or .delivered. Claims must be certified -by--the claimant and submitted to the De- partment head for approval. - Upon approval the Department head will forward. claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be .presented io' officials" "fot "a{sprbvl"immediafely upon completion of*services riequested or`maierial-ordered. ' Claims are paid every Tuesday; however, same must` be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. r, COUNTY OF BUTTE -- ,DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 O APPLICATION AND PERMIT 2,P BUILDING Owner ZQ11,41 Gl Sc SQ. FT. OCC. BUILDING VALUATION Mailing Address 41 d1.3'S j��v Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee z2Ce�>, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 g,,o Each Trap 1.50 'Repair drainage or vent piping 1.50 A. P. No. j�,— -" / oning & P nning Water piping 1.50 a Each gas water heater or vent 1.50 W . Sanitation Fire Dept. Fire Zone Use P ,mit Gas piping system 1 - 5 outlets 1.50 EGA Parking Plans Parcel Declaration Parcel Ma 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 %4).©8 l Bldg. Plans Recd �.cVce ,oval Plans Approval Lawn sprinkler system -42.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ :Zj00.$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 g,� Main service 600V OR LESS.1"49 100 AMP OR LESS `5.00 Single Family Duplex ❑ Mobil Home)FJ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING O OR ADDNST ( ACCLBLDGS.CCUP. UN 2Psq ft LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW NON-RESIESID1 , /MULTI.OUTL T CO. SCONTRACTORS BRANCH CIRCUITS 12.50eal NEW CONSTR (POWER APPARATUS .&, NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIiRES 50@250 BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Zoap Li ense No. Classification Misc. Wiring 6.25 21", am exempt from the Contractors License Laws of the State of California. Permit Fee $ g'y� $ 5 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. f h f f MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling LIJ cert) y t at In the per ormance o the work for wh)ch this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. f X ignature of Permitee r Agent ReC�ipt No. ;``14-9> Z -7Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ Z�49e? TOTAL PERMIT FEE $ SP This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date <1 COUNTY OF BUTTE— EPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / 0ULIIUll[.: IVPI:J:IIIaIIV:J UI 111: LUUFIty UI 6Ull: LU :nl:l upon ln: above-mentioned property for inspection purposes. P X ` Date Signature of Perinitee or Agent eceipt No.:215?27 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai ling Address 8 Q�l CL.--e— L. -eIe Tel n e Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �' /�"� �j�>,/ PlanChecking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 L� A. P. No. S /� toning & Planning Water piping 1.50 Each gas water heater or vent 1.50 s Se"ketioeR. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking ParcelEach Plans Declaration I Parcel Map 1 60' R/W I Improvements additional outlet .30 Building sewer 5.00 rLawn Bldg. Plans Recd Parcel Approval Plans Approval sprinkler system 2.00 P Y NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE 1$3.001 PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST /DWELLING ACCBL GS.CCUP. 4'\ 2¢sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style le of: NEW CONSTRESID, BRANCH CIRCUITS) NON-RESID � BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD{OUTLETSOR FIXTIIRES 50L@ BAL 25 Ex. OCCU FIXED APPLNS, OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ 106z TOTAL PERMIT FEE $ 0ULIIUll[.: IVPI:J:IIIaIIV:J UI 111: LUUFIty UI 6Ull: LU :nl:l upon ln: above-mentioned property for inspection purposes. P X ` Date Signature of Perinitee or Agent eceipt No.:215?27 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date O�- M. John Tomlinson P.O. Box 461 Dive Oak, CA 95953 Dear Mr. Tomlinson: ir ,�3atte C LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OEOVILLE, CALIFORNIA 95965 Toloohono: (916) 534-4541 H. W. McDONALD Deputy Director February 12, 1981 RE: Building Permit A.P. # 24-09-53 With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: Installed a mobile home and utilities on your property off Nielson Rd, Gridley area. Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees, All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please co tact -this office. A �Y�l �� a Al i e uJ C m 4; le Yours very truly, q `lea,4 It etv S Clay Castleberry u � Director of Public Works a-c�cSP� ���Gl�ti�.r Gto� ee , r� 'L re -14 es � Le. sC�ti� U Gle. W;// Q w J.F. Glander JFG:dd4 Chief Building Inspector (OLS) "-d /I� j cc: Building Inspector a Assessor F it i FILE NO. I I rI I I 1 I BUTTE COUNTY Public Works Dept. (For Action (For In Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop Equip. & Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Su'r. & Loc. Mapping Drng./Permits Sub. Checking Riaht of Wav BUTTE COUNTY DEPARTMENT Gi: PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: Addres Tenant: 1 Building Type of Inspection requested: 1. Housing Ll 2. Financing 4. Other (specify) Present use of building: " 3. Change of Occupancy to A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Copnectior. to sewage disposal: 12. Connection to wate=r supp_y: 13. Rubbish and garbage facilities: 14. C oam►ent s : B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground:_ 2. Receptacles: ' 3. Fusing: 4. Consent s D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas hearing vents: 4. Comments u `l 7tj E. Other 1., Maintenance and repair.: 2. Fire haza;.ds:. • 3. Safety hazards �� 4. Weatt!er protection: _ 5. Y.Juderfloor and attic ventilation: 6. Comments: F. Ccmm►ercial Buildings 1. Rcof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Rest-oom floors and :galls: 5. Exits: 6. Improvements: _ 7. 8. Comment-: G. Field Problerns or 1'4cla;.io s CSC C�l�l5 7.-W, 1. Problem or -violation ;give /< complete. description) :/MS /1/5rAL(, fE O GAS �,!/�'l- JyO � /�ool���df _l�li, �lS�'�G�J c._��i.�i..l�_ �/zGG �.IGC!� ! %' / 7—i / /ld.rl 6 oaL /_ ^ G cr. A,,"-' 2. What a tio:i taken (give complete. description) • UO ���. SU� / 7" WrCD7- _ /lam - RG G�JI T/�/ti/ /O 3. What_ ai-- iJ n recommended : v -e D r j � �e T A. s.nforta;:tion only •- f�1 c2. 00 Hold for ten (10) days, then wri.-c l.e.t/�' r Write letter. 77D. 'Other: l To. building De,pamment From'e nvironmentw31 Health Sub jecta Sanitation Clearance -53 y tJidC'idI` �Gkdton �fr� Plan approved for. sowage Uispasal f� ..ater Supply Hold final for: Water SuppIl Fii na i Clearance O.K. f'or: water supply Quo.-anee for Ledrooir mobile home. Other Clearance for addition of Date u� O.B.-1 OWWR-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO ❑ 2. I HAVE �M HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORT{ SIGNED: PROPERTYOWNER:----`--`- SOCIAL, SECUPXJFY NUMEBER:_ DATE:__ // 7 - p - NOTE. This Owner -wilder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification -must be completed and returned to our office before we are permitted to issue the permit. OB. -1 I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic 1 C. Vi ira, C.B.O. M er, Building Inspection NOTE: This Owner BuiWrinformadon is required by Section 19830 of the California Health and Safely Code OVER Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: 1.-e G C -t c Phone: 2/A6' Mailing Address. 7pm) z1/h99S . �a Site Address: % AZI �e �� �, o-/ Assessor's Parcel Number: Zone: Please answer questions 1-16, and e --plain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes 9 No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No [f 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off s=te, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation withi_z 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No E S. Do you plan to add a driveway ar modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encnach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES: 10. 11. Will this building have insulated floor, walls, or ceiling? Will building heated Yes ❑ No [D- rr_� this be or cooled? Yes ❑ No 12. 13. Will this.building have a water doset/toilet? Will building have Yes ❑ No v this a sink? Yes ❑ No 14. Will this building have a water heater? Yes ❑ No 0* 15. What type of floor covering will the building have? 1,ejalC 16. What type of wall covering will he building have? t ; � ' OVER 1 of 2 PROPOSED USE: (check only one box) 1. gMesidential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. aPrivate Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered stricture intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop' ❑ Home Occupancy' ❑ Other — Use = 1. Dexnbe type or Wc&J op :. bhnt be appoved by the Butte Comy Platming Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. O«ner's Name: Please Print Lk L� Owner's Signature: Date: // / 7-03 2 of 2 7 C q Al �. O n o � L% JERRY LUCE r NIELSON ROAD v V�� " E to DRAWN BY DARREN DIVER OROVILLE CALIFORNIA 95966 158 ACACIA AVE TELEPHONE (530) 370-7504 I m I n 0 R TM. *V.- Vd a� Dm.,.�,,,,. ad oe�nn ONS ak Mml rni 0� - O Q ti Dm,aid0lw% MMOwr �" � ^ ry N � .. �j p�j� t aao 4t.= woubd dh MMIMM aid rd M VM- 1rd a, wit da Aro awv�s� ad e� O m A wbmW o ar. wb. a u.omnmmmsn o .a w q Al �. O n o � L% JERRY LUCE r NIELSON ROAD v V�� " E to DRAWN BY DARREN DIVER OROVILLE CALIFORNIA 95966 158 ACACIA AVE TELEPHONE (530) 370-7504 I DRAWN BY: D,DIVER CHECKED: Lij LO 6-33-03 SCALE: 1132'=1'-0" 0 J .�. w w 02y- 0�O _oS3 i.L i L. use- 2� , `/f e,?, C'%, 0i 917 o7R7 Do - 6 ® u C LLJU E �E �0 3®v Ld t-- COE r- DRAWN BY: D,DIVER CHECKED: DATE: 6-33-03 SCALE: 1132'=1'-0" 0 J .�. w w 02y- 0�O _oS3 L. use- 2� , `/f e,?, C'%, �',S 917 o7R7 DRAWN BY: D,DIVER CHECKED: DATE: 6-33-03 SCALE: 1132'=1'-0" JOB: LUCE ,4('4;� 02y- 0�O _oS3 CL M . imp Do - 6 ® u xCMO °® v V ® - E �E �0 3®v 40 AM E COE SHEET '(I G PLYWOOD CC EYT, .fib' T-.� • ul -- FRMU& CLIP: r Z4'stV'DF*9..`2"xb' DECKIfJG '(ALTA . GIRDERS _ .• 19s" TAG PLYWOOD CC EXT: ' . 'yrq• MOBILE II6ME OR DECK ' • MTL. FRMu �"' ' � MAX CLIP (EA. DE oc 4%V • . • 4'K4' PDSi' • 2�x IV •z --= GrUARPRAIL 2pE� 4 "11AX: DECKIUG' GIRDER •" Er 1". w PRECAST 4199" POST IER _ An-roME MIACoNAL Igo i �'KI4. rOOTIN6 BUILDI��, • A U l 0• C.� r z� Un STAIR STRIWGER. Nin%. - -TDP VIEW H AIUDRRIL ; MDT 5HOW N • FDR CLARITY. 516 BOL hacec� so 4het+ ar t�._ y'( Sphere. canno ra4-3 +h ro aJc 1). e � a• M d . a ` C `Ny • 9"MINI. 'a0 X: 214" PRFSSURLr - (2) ala• 'rRrATL[' -OA BOLTS RFDW00DrP1ATA* .' N J { '7 ;� 1 � N � N ��IIO�MM0. MMI gRA�1�R� r . �; - -, �,----�--i-----�� � ,t.�_ -- .__..,�...,-�.�-- »• � �w�rarMa wwaur�. ,Et 12E IV X�V_C _ ORAWANG NNWfI Building Permit Number: 0' 28 3 f Owner Name: LxkCG Residential Construction Re uirements IW )RTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CIRECKED BELOW Your parcel lies within a designated 100 -year floodplain. 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: 0-3-0931 Owner Name: �Ucc, jj Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. MFire sprinklers are required in this structure. 10 The following Parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of -t57 feet from the side and 5 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. ...................... t n 01 3 3 Lo 6722CT16828-o014 4CtuKuum - LBA 1115 (Z,bbu 5U.t I.) 11-0 o Nil Your local Lexi to ® dealer is: �D Triple Wide Series ^ ` F ^5-6' 157C-# 15704, ` � J] -----' 25*+D' ' 333601 ' �. Az`* | ��.� l 16 mm u�»* »�»~ m n �---'+-----''Or'' '---77------ |�ijO� '^ ���.-----' - --��— ' --- ----------'---0 ' -- - 7 '4' 4"-" �3»up '-- 'f. FIELD LMATE PIERS UNDER —_--__— nor�o X~ ~ --i —SUPPORTS: -- — O r'F-U PfR SipOR3� 511 FACE o Lf n/mjmwNyk%oAL IM �v�^ `A~°'^^0 3015aOrl"�N[ QNti W-1c`miTAcrmwnenmLOCATION IF opftm.#,. P.%Tlo MRS ORm°mwaFonm�c A Vfobilehome Manufacturer: f Manufacture Yearo-63 If other than single wide, furnish Setu 1 fodel Number: Width: D ` r'(ft.) Length:�p�(ft•) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup %heen „ FOOTINGS: Wood pressure treated oundation grade Other: SUPPORTS: Concrete block[Vf Other: Provide Tie Down Specifications for all Mobilehomes: Wag Peyr f; .4"X44(;n � ro Pier Footings Sizes and Location XljLTI-WIDE SINGLE WIDE Line 1 Line 1 Line 2 Line2................................................................................ .......... Main Beams .............................................. ine 2 Line 2 Line 3 Line 1 Line 2 ............................... Main Beams Line 2 Line 1 a ......................................... ine 5 Tag or Triple me 4 ...... ine 1 Line 1 Piers: Size minimum: �,°' x Spacing maximum: From ends -maximum: ` Line 2 Piers: -�� 0. 5,. Size minimum: Spacing maximum: From ends -maximum Line 1 Openings Size minimum:[? f yo Each side of openings' l °- .t with width over Line 4 Piers: Size minimum:[ x [ Spacing maximum: ` From ends -maximum:_ ` Line 3 Roof Loads: % _�U Agx�b Size minimum X ,� Location (from front): y` ,.7 �1 g1l 12 !0" Line 5 Roof Loads: Size minimum: Location (from front) May 1995 Chi a 1x30 it 4T44' Vol W611 Irl' `t - - 8.4 1. Owner's Name: _ _LD -;e- C i—., & u G e, t 2. Assessor's Parcel Number: /99 ©r p� 3. Installer's Name: Lt C -t 4. Is the site currently under permit? Yes[ ] No[�Q Permit No. 5. Is the site an existing site? Yes[ ] No[ I (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 260 Amperes. 7. What is the mobilehome site circuit breaker rating? 200 Amperes. 8. What is the electrical rating of the mobilehome site? .2 ©© Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[.>q 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 Noe] If yes, please identify the load and size: a) The mobile home site: Load- Amperes- A? b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[X] Propane[ ] None[ ] 12. Size, of gas pipe at the mobilehome site from the meter or tank: Z inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?4> (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION COUN 1 a ^ n E ;�. Ems{"®{■'W�" ?". a17.e+4 F, -:1� �a f �y9 r May 1995 8.5 0 k---10' 12' 14' OR 16--4 T d' N ---- 38" --;{ PRECAST, REINFORCED, LIGHTWEIGHT, CONCRETE PAD , �7 k-- 10 IZ bf OR 16 --1 t INSTALLATION INSTRUCTIONS 1. INSTALL MAGNUM FOUNDATION PA)S AND PIERS TO SPACING TABLE PER THS SHEET. 2. FOUNDATION FOR CHASSIS BEAM, SLP - PORT SHALL BE LOCATED AND SIZED FOR THE LOADS, AS SHOWN BY MANU- FACTURED HOME INSTALLATION 14- STRUCTIONS 3. LEVEL THE SOIL AND PLACE REIN- FORCED PRECAST CONCRETE PAD BE- LOW MANUFACTURED HOME, AS PER LAY OUT THIS SHEET. SAND OR -%" MI- NUS MAY BE USED TO FILL IN VOIDS UN- DER PADS, WHERE GROUND IS UNEVEN. 4. SINGLE AND DOUBLE UNITS: PREFERRED PAD ORIENTATION, WHEM EVER POSSIBLE, IS THAT THE LONG DI- MENSION OF THE PADS BE IN TEE TRANSVERSE DIRECTION. UP TO V2 MzY BE ROTATED SO THAT THE LONG OF TIE PADS ARE PARALLEL TO THE MAN FRAME. DUE TO SITE OR SETUP CONDI- TIONS. 5. SET MAGNUM PIER TO ITS LOWEST SET TING, PLACE IT ON CONCRETE PAD AND ATTACH IT TO PAD WITH -'14" BOLTS. 6. RAISE TOP SECTION OF PIER UNTIL IT TOUCHES BOTTOM CHASSISBEAM, THEN LOWER UNTIL HOLES LINEUP FOR ADJUSTING BOLT AND INSTALL 5h" BOLT THROUGH PIERS THEN TIGHTEN. 7. TURN LARGE NUT UNDER HEAD UNTIL PLATE CONTACTS BEAM AND INSTALL CLAMP PLATES AND TIGHTEN FIRMLY. 8. FOR FINAL FINE ADJUSTMENT AND LOAD TRANSFER TO PAD AND PIEE.S. TURN LARGE NUT UNDER HEAD. e 5' maximum s 22' maximum * needed for Exposure C only See tie down notes 41' 4 PAD NATE I N N PADS ARE 28" OVERSUM TO MAGNUM PIER ALLOW FOR CHIPPING. MAGNUNA PIER DIMENSIONS AB D SIZES INCLUDE 4" FOUNDATION PADS NOTE: A. 13" TO 161" PIER HERGHTS THAT EXCEED 35" B. MA-" TO 231/5" MUST BE CROSS AND LONGITUIDINALLY BRACED C. 201/-" TO 32" SEE DRAWING OF MAGNUM D. 24" TO 35" BRACINGi AND CLAMPING E. 32" TO 52" r MAGNUM FOUNDATION SYSTEMS INC. COTTAGE GROVE, OR 97424 PHONE (541) 942-3465 4� R a s BEAM SIZE NOTES GENERAL NOTES SPACING SHOWN ON THIS PLAN ARE FOR DESIGN LQADS: HOMES WITH 10" & 12" BEAMS. ROOF LOAD -30 PSF 6" TO 9" CHASSIS BEAM CAN NOT CANTILE- FLOOR LOAD -40 PSF VER MORE THAN 8' ON EACH END OF UNIT, DOUBLE WIDE AND SPACING OF MAGNUM FOUNDATION WIND 80 M.P.N. EXPOSURE C PADS AND PIERS CANNOT EXCEED 16'0" SEISMIC ZONE 4 HOME LENGTHS NOTES SINGLE W I]2 DOUBLE WIDE: WIND 80 M.P.H. EXPOSURE C Winds 80 M.P.H. EXPOSURE C SEISMIC ZONE 4 WITH UP TO 44'8 PADS AND PIERS. 4.5' TO 66' 12 PADS AND PIERS. THE DESIGN LOADS SHALL BE CONSISTENT OVER 66' 16 PADS AND PIERS. WITH ROOF LIVE LOAD, WIND LOAD AND SEISMICZONEAS ESTABLISHED FOR PERMA- SINGLE WIDE: NENT BUILDINGS WITH IN A SPECIFIC LOCAL 80 M.P.H. EXPOSURE C AREA UP TO 44' 4 PADS AND PIERS. 45' TO 66'6 PADS AND PIERS. OVER 66'8 PADS AND PIERS. THIS FOUNDATION IS DESIGNED TO BE CON - STRUCTED ON SITES WITHOUT ANY EXIST- XISTTIE TEEDOWN NOTES ING SOIL, PROBLEMS. PADS ARE DESIGNED FOR 1,0001 PSFSOIL AND SHALL BE COMPAT SINGLE WIDE COACHES SHALL HAVE TIE IBLE WITI'H LOCAL SOIL CONDITIONS. DOWNS PLACED AS SHOWN ON THE SINGLE WIDE PLAN IN AREAS. WHERE SETTLEMENT MAY OCCUR MANUFACTURED HOMES SHOULD BE TIE DOWNS SHALL BE RATED FOR A RELEVELED WHEN IT ADVERSELY AFFECTS MINIMUM OF 4250 LB PULLOUT THE MANUFACTURED HOME. DOUBLE WIDE MANUFACTURED HOMES FOR TRIPLE WIDE AND WIDER MANUFAC- IN 80 MPH WIND AREAS WITH EXPOSURE TURED HIOME,USETHESAME PIER LAYOUT C, THAT WEIGH MORE THAN 50600 LB OR FOR EACIH SECTION AS IS SHOWN FOR EACH ARE CONSTRUCTED WITH COMPOSITION SECTION OF A DOUBLE WIDE MANUFAC- ROOFING AND SHEET ROCK CLADDED TURED HOME OF THE SAME LENGTH WALLS, DO NOT NEED THE FOUR TLE DOWNS SHOWN ON THE PLAN INSTALLATION NEAR ASCENDING AND DE - SINGLE WIDE COACHES IN 80 MPH WIND SCENDING SLOPES SHALL BE IN ACCOR- AREAS WITH EXPOSURE B NEED TIE DOWNS DANCE WITH UBC SECTION 1806.5.2 AND AT EACH CORNER ONLY 1806.5.3 UNLESS A SITE SPECIFIC GEOTECHNICAL REPORT RECOMMENDS OTHERWISE COMPAC'ITED GRANULAR FILL OVER 12" 1N DEPTH SIHALL HAVE A COMPACTION TEST PERFORMED TO ENSURE ADEQUATE COM- PACTION IS PRESENT TYPICAL BEAM CONNECTIONS "x2"XA" ANGLI: 6" 1.0Nr3 ENGINEERED FOUNDATION SYSTEM MAGNUM FOUNDATION SYSTEMS DRAWING NUMBER MFS -22F MODEL NUMBER MFS -01F 2 [301:1� 'Sg %"x 1" HUI J) DRILL t "AN"'SAE Mn i�A1SH AND SAFBTYC()CUON !SSBI APPROVED E[ wwrTOCORREC7IOM4?jmw MiRDVALDOBr NOYAUfFWNfmORAlAtOVSANY A"LW-4ftESTAn LAWS AM WMAM44' smarcwarwe DqwbaM d Ngoft tad CHmip D„dW,w INMMK OPCOMANDSTAIIDARDS am __ 9,4 - i P bbftAffl-d&*, • -0-3 SPECIFICATIONS WELD ACCORDING TO A.W.S.D. 1.1-98 SPECIFICATIONS A.W.S. SOLID WIRE ER70S-6 PLATES A.S.T.M. A 36 PIPE SCHEDULE 40 5" BOLT S.A.E. GRADE 5 PADS 30dO P.S.I.28 DAYS LIGHT WEIGHT REINFORCED CONCRETE. MAGNUM FOUNDATION SUPPORT ASSEMBLIES SHALL BE COATED WITH FOREST TECHNICAL COATINGS CHASSIS PAINT 88-E-203 OR EQUIVALENT TESTING TESTS PERFORMED BY PSI LABS MAX VERTICAL TEST LOAD 39,250 Lbs. RATED VERTICAL CAPACITY IS 12,500 Lbs. RATED LATERAL CAPACITY AT 24" MAX HEIGHT IS 4,000 Lbs. RATED LATERAL CAPACITY AT 24"T 35" MAX HEIGHT IS 2,933 Lbs. MAGNUM FOUNDATION SYSTEMS CERTIFICATION: THIS WILL CERTIFY THAT THE SUBJECT, MAGNUM FOUNDATION SYSTEMS, IS CAPABLE OF WITHSTANDING ALL RATED DESIGN LOADS. THIS CERTIFICATION IS PREDICATED UPON THE PROPER INSTAL- LATION AND TIGHTENING OF THE UNIT. SPECIAL CONDITIONS CONTACT MAGNUM FOUNDATION SYSTEMS FOR ANY OF THE FOLLOWING CONDITIONS: SNOW LOAD OVER 30 PSF WIND SPEED OVER 80 MPH EXPOSURE C All. DOI:i:S % DIA. F;xt'I:IrTAS�'N(YI'f:UA=; jTUJjF&' led •3 1 BI?AM CTAMP-END VIM U.S. PATENT # 598629635 NIELSON ROAD r i LANNING DIVISION - BUILDING PLAN APPROVAL I Use: Date: '°�� �� SITE PLAN Parking:- Landscaping: Other Signature: amnvm, maCHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHECKED ) SHAILLCOMPLY WITH CtJRRENT EDITM OF Kl;FC, LIMC ANTE) !JP0- a C he d 1,',T!tY-MQL R 2 --Pages 235[ E R*MT LF P_ 4, DRAWN iD Ld D.DIVER 00 DATE: Lli LO 6-23-03 SCALE: > a) JOB: M (LO, 2 Lal > < WLO Z M 0 !t: < Z r*-, 01 Cj Z LLJ j < (L < ry , ry L) LLJ _j 1.1001% 0 ry J 00 14) cz V sr LO Lr) SHEET # 0 OF 1 M 0 DRAWN iD Ld D.DIVER 00 DATE: 6-23-03 SCALE: Z 1/32'=I'-0' JOB: (LO, _j .:wuj Lj t 11 A �.0 � y L Lt Cj 13 ,??6 ce? ?-6- .917 869-0787 DRAWN BY: D.DIVER CHECKED: DATE: 6-23-03 SCALE: 1/32'=I'-0' JOB: LUCE AP* 02q- 090 -os-3 t 11 A al low! 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