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Home My WebLink About025-220-08325-22-1;9 15'3 Ralph Westerman - 800'off NIS of Stimpson Rd.,app.300' E.of Hwy 70, Oroville Permit #3947-76P E(uti�L. i 041na- ELEC . GAS SUPPORt STRUCTURE REQ. n COMPACTION TEST REQ. 14¢j 25-22-tg; contr: John Beutler, Yuba City Permit #5135-76MHI C �i �a1� Issued-,Z/w:%` ` 1 r a. L° 2nai 800'off NIS Stimpson R&.,app.30O'E.of Hwy 70, Oroville contr: Holmes Mobile Home Serv.,Bango Permit #5925-77B(new decks h awnings/] 025-220-083 05-1306 WESTERMAN, RALPH 132 STIMPSON RD, PALERMO ' Cont: OWNER REPLACE EX PANEL 025-220-083 0 3345' WESTERMAN TRUST, 732 STIMPSON RD, PALE D Cont: SIERRA REFRIG MISC ELEC & HVAC `1306-`2328 025-220-083 MISCELLANEOUS Private Garage/Shop DETACHED GARAGE• 672) 732 STIMPSON RP �a -6 �ob I�4-4- WESTERMAN, FAMILY TRUST I 025-220-6f,* 83, �� PERMIT#95786AG WESTERMAN, Ralph j 732 Stimpson Rd., Oroville Ag Exempt Permit -Cold Stg of Vegatu tiles & Fruit r b I'S - � t;L�A,-; $ rf, a a�T4`+�7.(•rL~ : � thy: - ;�, �_��.'ri2A'��:. fa?P„�' 'kr+Lkr�"'j� 'T '1 tF _ G pao � 76, BUTTE COUNTY •• DEPARTMENT OF DEVELOPMENT SERVICES RD INSPECTION CA • 24 Hour Inspection Line: (530) 538-7635 (Oroville) (530) 891-2834 (Chico) [,in Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2328 Issued: 10/27/2006 Address: 732 STIMPSON RD OP-1yROVILLE APN: 025-220-083 Permit Subtype: Private Garage/� Owner: WESTERMAN, FAMILY TRUST Applicant: HYSMITH CONSTRUCTION Description: DETACHED GARAGE (672) MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set ac s 132 be o -31-a Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 1 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 pC_ to _31.0C Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Z ,�, O Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Z.4. B Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 4118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AND VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 '} A CORRECTION NOTICE ' OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. :+Y zi7 3Y r� 4; `.A tp� ¢y� yl St' Date �r Q Inspector ri., 1 r el) - REV 4/05 Phone # 6 .� �I FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 732 STIMPSON RD Owner: Permit N0: B06-2328 APN: 025-220-083 WESTERMAN, FAMILY TRUST Issued Date: 10/27/2006 By KCG Permit type: MISCELLANEOUS 732 STIMPSON RD Subtype: Private Garage/Shop OROVILLE, CA 95965 Expiration Date: 10/27/2007 Description: DETACHED GARAGE (672) Occupancy: Zoning: Contractor Applicant: Square Footage: HYSMITH CONSTRUCTION HYSMITH CONSTRUCTION Building Garage Remdl/Addn 195 WASHINGTON ST 195 WASHINGTON ST 672 GRIDLEY, CA 95948 GRIDLEY, CA 95948 Other Porch/Patio Total (530)846-4409 (530)846-4409 672 FEE INFORMATION Garage - Wood Frame $329.94 Garage - Wood Frame Plan Check $219.96 SMIP - Residential $1.61 Total Charged: $551.51 Fees Paid: $551.51 Balance Due: $0.00 Receipt No: B684 LICENSED CONTRACTOR'S DECLARATION ;, OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License HYSMITH CONSTRUCTION CSLB-791117 / B / 02/28/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/27/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). 1 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 1645113-005 Exp. Date: Contractor's License Law.). (This section nee not be completed if the permit is for one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 10/27/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 10/27/2006 ` I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Property owner or am authorized to act on the property owner's behalf. 10/27/2006 CONSTRUCTION LENDING AGENCY — 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. 11 Agent for Owner DAgent for Contractor INSPECTOR COPY Lenders Address City State , Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 732 STIMPSON RD Owner: Permit NO: B06-2328 APN: 025-220-083 WESTERMAN, FAMILY TRUST Issued Date: 10/27/2006 By KCG Permit type:. MISCELLANEOUS 732 STIMPSON RD Subtype: Private Garage/Shop OROVILLE, CA 95965 Expiration Date: 10/27/2007 Description: DETACHED GARAGE (672) Occupancy: Zoning: Contractor Applicant: Square Footage: HYSMITH CONSTRUCTION HYSMITH CONSTRUCTION Building Garage Remdl/Addn 195 WASHINGTON ST 195 WASHINGTON ST 672 GRIDLEY, CA 95948 GRIDLEY, CA 95948 (530)846-4409 (530)846-4409 Other Porch/Patio Total 672 FEE INFORMATION Garage - Wood Frame $329.94 Garage - Wood Frame Plan Check $219.96 SMIP-- Residential $1.61 Total Charged: $551.51 Fees Paid: $551.51 Balance Due: $0.00 Receipt No: B684 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License HYSMITH CONSTRUCTION CSLB-791117 / B / 02/28/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commen ' Section 7000) of Division 3 of the Busin and Professions Code, and my license Pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in f once an effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 10/27/2006 penalty [$500]; Please check one of the following: Cont S Si tur!�= Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does RKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). VE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund policy Number: 1645113-0OS Exp'Date: Contractors License Law.). (This section nee not be competed if the permit is or one un re ollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'. Compensation laws of California, and agree that if I should become subject to the workers' X 10/27/2006 compe on ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those Signature Date ons. prowOwner's X 10/27/2006 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building SignatUr Date WARN :FZ TO S CU WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. 1 agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND ALL T AN EM OYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU RED TND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with D AGES AIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEYS FEES. my to enter the above mentioned property for inspection purposes. I hereby certify that I am the Pro arty owne to act on the property owners behalf. CONSTRUCTION LENDING AGENCY 10/27/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for am ittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ner Contractor OR: Agent for OwnerAgent for Contractor FILE COPY Lender's Address City State Zip $0 T r�. , . . BUTTE .COUNTY 0 o DEPARTMENT'OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 - AND SUBMITTAL REQUIREMENTS 0 0 24 HOUR INSPECTION#: OROVIL•LE: (530) 538-7636 •. CHICO: (530) 99172834. o = ': =_ei 0 OFFICE #. (530) 538-7541 A FEE KILL BE REO UIRED AT TIME OF APPLICA TIOAt c0U N'�y website: www.buttecounty.net/dds W. ."PLEASE PRINT CLEARLY" OWNER Last Narr/,�� First Names /C Address 0 City�w� State, Zip q� Phone _ Fax E-mail iAPPLICANTSIGNATUR For off' e uo only/ CONTRACTOR . Name Name Address' r Address Occ. CityG e Zip Sta e n . Fax Phone Lot # Fay .p O E-mail Li c Class iAPPLICANTSIGNATUR For off' e uo only/ ARCHITECT/ENGINEER Name ---- Address' r City Occ. State Zip Phone Name Address Fax E-mail Lot # State L' Number F iAPPLICANTSIGNATUR For off' e uo only/ APPLICANT NAME Name ---- Address . r City Occ. /ate Y� Zi Phone/7 _ Name Address Fax 0 Page Lot # iAPPLICANTSIGNATUR For off' e uo only/ AN 'A - Zonis - 'Ak I Flood Zone SRA Yes No Occ. If hiring anyone otherthan license, contractors, a•certificate of worker's compensation must be shown at the time of permit issuance. Type CoBt. Subdivision Name .' Name Address Map Book Page Lot # Planner Date Approved: PERMIT NO. BP-(= LOCATION AN Property Address 7311--1 s—I a/ City e9 oY�C Cross Street 1�w d WORKER'S COMPENSATION Policy Number 6 Carrier. If hiring anyone otherthan license, contractors, a•certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY..: Name Address OVER FOR.SUBMII I AL KtUU1lKtiv1tN i K:\FORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration; anew application; plans and fee will be required. 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:t6 , Amount: q �`I ll� Bldg SRA , Receipt #: 59_ Sheriff . Date:q, A b • G) SMIP Total REV 2-24-05 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B06-2328 Job Address: 732 STIMPSON RD Contractor: HYSMITH CONSTRUCTION 195 WASHINGTON ST GRIDLEY, CA 95948 Printed: 09/28/2006 3:42 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt Garage - Wood Frame 0010-440001-4210600-1010 $329.94 Garage -Wood Frame Plan Check 0010-440001-4210600-1010 $219.96 09/28/2006 $219.96 SMIP - Residential 1001-0-280-1011298 $1.61 551.51 $219.96 Printed By: Kourtni Graham Balance Due: $331.55 At the time of permit on, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: 1, Date: 09/28/2006 Pursuant to Govegh ent co a Section 6600, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of appro0i l of the Project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at htip:HmuniciDalcodes.lexisnexis.com/codesibutteco/ Reference Number: B06-2328 Location: 732 STIMPSON RD Parcel Number: 025-220-083 Owner Name: WESTERMAN, FAMILY TRUST Description: DETACHEDR E (672) Signature of Property Owner: � FILE Date: 09/28/2006 Phone: Date: 09/28/2006 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds r` - E,�5 crc wry National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2328 Date: 09/28/2006 Location: Parcel Number: Owner Name: Description: 732 STIMPSON RD 025-220-083 WESTERMAN, FAMILY TRUST DETACHED GARAGE (672) By: KCG Sub Type: Private Garage/Shop Phone: By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title FILE Date: 09/28/2006 I 0 NOTES RESIDENTIAL PERMIT NO. —'-025-220-083 ' 05-1345-7, WESTERMAN TRUST, 732 STIMPSON RD, PALERMO Cont: SIERRA REFRIG MISC ELEC & HVAC s J DETACH FOR SERVING UTILITY Address 731- STI U 50,4 RJ CAJle,4 GAS / 123/>� Meter By "' Date ELECTRIC Meter By Date SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALE D (Dat;joc)o(k, Signature J - OK 0= Not OK' • = Not Rhle . =Not Readyeady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Vs 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L W P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except Vs 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Cana B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, 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 #Is 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 = Not OK = Not Appricable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ r 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/0 -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 Cana 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 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/Meth 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 AI 31. Range Circle/ /ga Cu or Al -Oven Circ_ / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Ught-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 Cate 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 AFlue-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-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Cana 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. Dud 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 InstldJDrive O Yes D No/Walks D Yes O No/Plarters 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP0513.4.5 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION _ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/23/2005 APN: 025-220-083-000 the Business and Professions Code, and my license is in full force and effect. License Class : -20-6.33` License Number. {Sa.� 7� Site Address: 732 STIMPSON RD_ PAL Date: S "�l3 G��S Contractor:LJ/9 70 /L`5Li Map Index: Description: NEW A/C UNIT CHANGE OUT, ADDITIONAL OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 DUCT WORK, ADDITIONAL GAS PIPING Business and Professions Code: Any city or county which requires a AND UP -GRADE ELECTRICAL TO SERVICE permit to construct, alter, improve, demolish, or repair any structure, prior AC UNIT. 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 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or Owner: WESTERMAN FAMILY TRUST 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).): WESTERMAN RALPH L & NAQMA J TRUSTEES ❑ I, as owner of the property, or my employees with wages as their 3306 MILKY WAY sole compensation• will do the work, and -the- structure is not BIGGS, CA 95917 intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of Applicant: SIERRA REFIRGERATION HEATING & AIR sale:). CONDITIONING .❑ 1, as owner of the property, am exclusively contracting with JAY JOHNSTON licensed contraclors.lo construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 6899-B CLARK ROAD not apply to an owner of property who builds or Improves thereon, PARADISE, CA 95969 and who contracts for such projects with a contractors) licensed 530-877-0022 pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: Contractor: SIERRA REFIRGERATION HEATING & AIR WORKERS' COMPENSATION DECLARATION I hereby affiFm under penalty of perjury one of the following declarations: CONDITIONING . ❑ 1 have and will maintairi 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 6899-B CLARK ROAD is issued' PARADISE, CA 95969 ❑ I have and will maintain workers' compensation insurance, as 530-877-0022 required by Section 3700 the Labor Code• for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: License #: 452376 Carrier: Policy #: Architect: ❑ 1 certify that In the performance of the work for which this permit is . Engineer: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become . subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Total Square Ft: 0 S. F. Date: Valuation: $0.00 Applicant: Census Code: 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. -- CONS (RUCTION LENDING AGENCY -- -- This,permit ill hereby Issued unde/th�pplicable provisions of the Butte County Code.and/or Re olutions to do work ipolcated/abov for which fees have been paid. I hereby affirm that there is a construction lending agency for the � ' performance of the work for which this permit is issued (Sec 3097 Civ.) t C ///r /' /--� 7 ` S By:\ L'G'/��lll/�Lc'��t�� Dale: :� Name: PERMIT EXPIRES ON: t �''.�S 3 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. QNotification In accordance with Section 1'3827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner.ar the duly authorized agent of the owner. I agree to comply with .all county and state laws relating to building construction. 1 acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby •authorize representatives of Butte County toenter upon the above mentioned property for Inspection purpo es. i �O �.•� t Print Name: �:l W�/ Signature: c,5 Dale: O Owner 13 Contractor ❑ Agent for Owner 0 Agent for Contractor COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES' 7 County Center Drive * Oroville, CA e (530��"3 - J ORRECTIONMOT1C 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 calljfor re -inspection when correction of' work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as intlicaieabelow. 1W501) UAIJeZ 14r vorl� V Date 0 Inspector REV 2/05 Phone # �9) SHOTES RESIDENTIAL 025-220-083 PERMIT NO WESTERMAN, RALPH 132 STIMPSON RD, PALERMO Cont: OWNER REPLACE EX PANEL i OFFICE COPY Address 732-_ S'�ronjo s,) 19R� ✓!%/e GAS Meter By Date ELECTRIC gj Meter By a►^�� Date ' �� SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER w JOB FINALED (Date) Signature�� CHECKED BY J=OK o= Not OK - = Not Rbye " =Not Readyeady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s j Card B-1 Date 1. Zoning Requirements -Setbacks -Easements 4� Date 2. Soils; Special MH Support Sketch Card B-1 3. Sewer, Location -Test -Fall -C/O -Concrete PERMANENT END SYSTEM (ONLY) 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft1 P LPG 2. Footings; Size -Spacing -Marriage Line 7. Well Clearance & Disconnect ~ 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connecto? 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 DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacirig-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 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacirig-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 �® 9 a �v - = Not Applicable Read . =Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steer-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 Bol-s-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Cate 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 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/Meth Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ca. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Sower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card 3-1 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. Fumace-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 AFlue-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 Cana 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. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. 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 InsttdJDrive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. AC. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT' 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO51306. PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 05/18/2005 APN: 025-220-083-000 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: 732 STIMPSON RD PAL License Class : License Number: Map Index: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury 'that 1 am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 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 the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with.wages as their sole compensation, will do the work, and -the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of A sale.). In` I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ I am Exempt under Articl of the Bus' ess and Professions Code tj Date\::) Y Owner: WORKERS' COMPENSATION DECLARATION I I hereby affirm under penalty of perjury one of the following declarations: O 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy # I certify that in the performance of the work for which this permit is issued, .1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: J Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred .thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Description: REPLACE EX PANEL - HOUSE AT 732 STIMPSON Owner: WESTERMAN FAMILY TRUST WESTERMAN RALPH L & NAOMA J TRUSTEES 3306 MILKY WAY BIGGS, CA 95917 Applicant: WESTERMAN FAMILY TRUST WESTERMAN RALPH L & NAOMA J TRUSTEES 3306 MILKY WAY BIGGS, CA 95917 Contractor: WESTERMAN, RALPH 732 STIMPSON RD OROVILLE, CA - 95965 530-682-1333 License #: 854042 Architect: Engineer: Total Square Ft: Valuation: Census Code: code, interest, and attorney's fees. ' `�i� n I S• 0 S. F. $0.00 1 - 1 ✓ � I CONSTRUCTION LENDING AGENCY This permit is hereby iss ed under the applicable provisions of the, Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to (!o or ndicate above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) - I 1 Name: By: //D\\at%e: Address: PERMIT EXPIRES ON: v S� O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ; I 0 1 Notification in accordance with Section 18827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official f m or document of Butte County. I hereby authorize repreqeQtalives of Butt Count to enter u on the above mentioned property for inspection pur es. Print Name:�� tSignature: Date: O Owner O Contractor ,Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP0513.45 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION " I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/23/2005 APN: 025-220-083-000 the Business and Professions Code, and my license is in full force and effect. License Class: ^2-0-6'37 License Number: ffSo 376 Site Address: 732 STIMPSON RD PAL Date: 49 'd3 os Contractor:C1�cTOifi(J� 294) Map Index: Description: NEW A/C UNIT CHANGE OUT, ADDITIONAL p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 DUCT WORK, ADDITIONAL GAS PIPING Business and Professions Code: Any city or county which requires a AND UP -GRADE ELECTRICAL TO SERVICE permit to construct, alter, improve, demolish, or repair any structure, prior AC UNIT. 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 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or Owner: WESTERMAN FAMILY TRUST 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).): WESTERMAN RALPH L & NAQMA J TRUSTEES ❑ 1, as owner of the property, or my employees with wages as their 3306 MILKY WAY sole compensation, will do the work, and the structure is not BIGGS, CA 95917 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 does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of Applicant: SIERRA REFIRGERATION HEATING & AIR sale:). CONDITIONING ❑ 1, as owner of the property, am exclusively contracting with JAY JOHNSTON licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 6899-B CLARK ROAD not apply to an owner of property who builds or Improves thereon, PARADISE, CA 95969 and who contracts for such projects with a contractor(s) licensed 530-877-0022 pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: Contractor: SIERRA REFIRGERATION HEATING & AIR WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: CONDITIONING ❑ 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 -6899-B CLARK ROAD is issued. PARADISE, CA 95969 ❑ I have and will maintain workers' compensation insurance, as 530-877-0022 required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: License #: 452376 Carrier: Policy #: Architect: ❑ 1 certify that in the performance of the work for which this permit is Engineer: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Total Square Ft: 0 S. F. Date: Valuation: $0.00 Applicant: Census Code: 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 permiti hereby issued under a .pplicable provisions of the Butte County Code and/or— I hereby affirm that there is a construction lending agency for the Resolutions o do work ipdicated bov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) , Name: Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, . handling and use of hazardous materials. Cl " Notification in accordance with Section 18827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that 1 have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with ..all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby ...all representatives of Butte County toenter the above mentioned property for inspection purposes. upon 370(W51OaA��l PrintName:�.t� Signature: Date: o?3 ^ DLJ^I cS O Owner 0 Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS CJ 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 841-2834 BP OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION BIN N Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Lastme , Naptp6rt-M �P.� Fit ... A- Address �} I, m is _4,f;,0�� City Orw 0 ( C Lz- St Stated PhQp - 96'7 yS- Fax 1U. 01 E-mail O� EF - CONTRACTOR Name.,,,, Name Address 91lcf Address Cit T�+4p(S� Stated zip Phone 9-7-7_ i90 ZZ Fax E-mail Lic. # S 3-70 Class 6-20 c _W APPLICANT NAME ARCHITECT/ENGINEER Name O� Address Zip � City Faxg7,7_ �tiZL State Zip Phone Lot # Fax E-mail State License Number APPLICANT NAME Name; 0 � bt,s4cm Addre City � S�t� Zip � Phone %.77_ V02,Z Faxg7,7_ �tiZL E-mail APPLICANT SIGNATURE X For office use only: Zoning S Flood Zone SRA I Yes Occ. ; Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc LOCATION Property Address 9 a S so to R4 City 1 Oko (tae Cr ss Street WORKER'S COMPENSATION Policy Number 0620Ra7-�� G� Carrier 574`fu F(m d 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 p /v Address Description or Scope of Work: G h 1 ,44)6 6- D Niz-r leo k � 5 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 required. 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. Page 1 of 2 Received by: `� Amount: ��Bldg Receipt #4 366747 C /S �,// P -01491M SRA Sheriff SMIP Other (9, Ly Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS ~° The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051306 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I , I hereby affirm under penalty of perjury that I am licensed under Issued Date: 05/18/2005 APN: 025-220-083-000 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 I.V. effect. Site Address: 732 STIMPSON RD PAL License Class : License Number: Map Index: Date: Contractor: Description: REPLACE EX PANEL - HOUSE AT 732 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the STIMPSON Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: WESTERMAN FAMILY TRUST 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 the Contractor's State License Law (Chapter 9 commencing with Section WESTERMAN RALPH L & NAOMA J 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 TRUSTEES violation of Section 7031.5 by any applicant for a permit subjects the 3306 MILKY WAY applicant to a civil penalty of not more than five hundred dollars ($500).): BIGGS, CA 95917 O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and -the- structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an 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 Applicant: WESTERMAN FAMILY TRUST sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of WESTERMAN RALPH L & NAOMA J sale.). TRUSTEES I, as owner of the property, am exclusively contracting with 3306 MILKY WAY licensed contractors. to construct the project (Sec. 7044, Business BIGGS, CA 95917 and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Articl of the Busi ass and Professions Code Date�2 owner: �'� �---- Contractor: WESTERMAN, RALPH 732 STIMPSON RD WORKERS' COMPENSATION DECLARATION IOROVILLE, I CA hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for 95965 workers' compensation, as provided for by Section 3700 of the 530-682-1333 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as License #: 854042 required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect: Carrier: Engineer: Policy #: 34 1 certify that in the performance of the work for which this permit is issued, .1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Total Square Ft: 0 S. F. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Valuation: $0.00 . forthwith comply with those provisions. Census Code: Date: .. Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one - hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor. code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issp under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do �. or ndicate above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: U Address: PERMIT EXPIRES ON: So Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O , Notification in accordance with Section 18827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any ocial f m or document of Butte County. I hereby ffi atives of Bounty to nter u on the above mentioned property for inspection pur' es. uthorize repreZA'�n�Z Te— Print Name: " b,f " CC,- Signature: Date: ,O Owner 0 Contractor ,Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use only: OWNER LastAam e5 ,r�cc i Nato? 1 SRA Addre s ', o t., R - City ` 11 (0 City to r Zi � Phoneg 6 , Phone Fax E-mail E-mail APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER ONTRACTOR Name _-Address SRA Address I No lA L -Y-\ !SltatEC,l'� City Subdivision Name n Zip C� Phone `.PLS ax E-mail Lic. # Z las APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone _-Address SRA City I No State Zip Phone Subdivision Name Fax E-mail Lot # State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Flood Zone Cross Street D � a SRA I Yes I No Address 9( p . Subdivision Name Map Book City Lot # Planner State Zip r of Phon g� 3 Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Pro erty Addre s 5-1 Flood Zone Cross Street D � a SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: r PERMIT NO. � 5. 13b4 BIN # LOCATION AP# OD 15- a� Pro erty Addre s 5-1 ity Ir 1) L) ' a^ Cross Street D � a WORKER'S COM ENSATION Policy Number Carrier j V-1 A 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: C r 0 C 2 Sq. Fockage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Receipt #: 436 I Date ` O C) e-> Amount: 5 Bldg SRA Sheriff SMIP _Other Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 a. �../ s / s/ ~ D� .} ' �ar.lii/l/��y�� r �+� .� ,, - , ,, j�c> vLJ �, �. .- a X �' X ams-h-�-�/��y � �/7 O� � �� LAND DEVELOPMENT BUILDING :/EI,Y�R011ENIL HEALTH PERMIT CLEARANCE Bur/ding Permit No. OWNERS NAME: Cp 4_Cn')n '1) K r `lsdY 1 VR'NT LAST NAME FIRST OW& COUNTY ZONING - DESIGNATION: /� S� FLOOD ZONE:__ c/ A.P. NUMBER: - >;C 2%b�✓ INCOILR NLlL Y 5 /fotr s �' X FLOOD MAP: 4'70 /7 APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: / nATF of CRFATInN- D 3 l! Z s l ?G DFFr) RFFFRFNCF- LEGAL ACCESS PROVIDED: YES NO- LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTSICONDITIONS: PT,v Lors 14 /r !.✓A rr' 3,4 nyr- c,r p ZS' — z Zv --a�-G MAP INFORMATION: DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. _ 4. Maintain a ft. leachfield setback from _ 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 7. Connect to a public water supply. _ 8. Connect to a public sewer system. 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the 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 Fire Department specifications, serves the parcel. _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) — 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Psynrsnt to be nude to tW P!<wmkbg Dhds+ion. _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. 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. - _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20. _ 21. 22.- 23 24. 25. i 'Na 1N3WdO73A30 d 311n.. kmnoa bl7 9661 g Z 330 LD 9/95 - CAWP5I\FORM-.-,--DGPERM.CLR I BUILDING DIVISION •a . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT c PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment;w ere agricultural products are processed, treated, or packaged, nor shall it be a place used by the public.'x ASSESSOR PARCEL NO. D a / ZONING C; ,►—� OWNER. /� L=S� 14 AJ PHONE NO. OWNER'S ADDRESS � � G /14I LOCATION OF BUILDING ^ USE OF BUILDING U / � 't� Fo &6'�au SIZE OF STRUCTURE ' ' /U� — x —� :_ T SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING J ROOF TRWG FLOO Ll TII / _ — (— OHO RUCTION @ESTIMATES W (j o AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows:r FRONT — 2J /Xq" SIDES S S, i" `� REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. J5 AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the re uirements in effect at that time and before occupancy. Date Signature of Owner Permit Fee - $60.00 The above described AG Building is xegWom a bujiding permit. rff I PAPEL Ey I Rn IS Receipt No. Manager Building Division, v By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date 3 %S BUILDING DIVISION )i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT -Agricuftural building is defined as follows: Agricultural building is a structure designed and nstructed to house farm implements, hay, grain; poultry, livestock, or other horticultural products. This structure s all not be a place of human .habitation or a place of employment where agricultural -products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. / J ZONING OWNER 14\ k4 f7 � 7 le PHONE NO. 2�4(m OWNER'S ADDRESSn n/ I I LOCATION OF BUILDING D USE OF BUILDING SIZE OF STRUCTURE Jn4 X _ So. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING -1z L==-- ROOF C r;E4L, FLOO - Ll L - ESTIMATEQ.:CSQn�,5O RUCTION $ %� m AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: �S r _ FRONT _ J� �'''`�' SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made I will contact the Building Division and obtain any necessary permits, inspections, and approvals to co yl it the requirements in a -'' that time abefore occupancy. Date Signature of ner Permit Fee - $60.00 - Receipt No. t/ I�Q � &� The above described AG Building is exempt from a building permit.. V FL D PAR L P.D. ROOFI I G Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date 01 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT ARPUCATION DATA SHEET Building Inspector A. P. No. Oa�'' -e -exI Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome d to and manufacturer's installation instructions, 2 sets. ........... Feesof $ 0• - .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. . . 13. Flood elevation letter (100 year flood) by California Engineer. 014!e -Y . X / r-uLETIIJ/� 14. Sanitation and plot plan approval Health Department. ...�Gv... )_ "15. City of Chico plumbing permit. ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..... Preped ansion req.ueis 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. - 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Pig check li�t. .......... . ........................... W en.pO issue the permit, process as follows: Mail to o(ner. Mail to contractor. Telephone and hold for pickup attQlt !i office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. . Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works I declare that the proposed construction of the O l C1f Storal)e (� under Building Permit Application at oL SOMI , A.P. # C90, A) a - 06 l will be used as indicated so will not be considered a buildings "lowest floor." I am aware that the floor level is below the 100 year flood elevation and will advise prospective buyers of this condition. Property Owner XAP / Address Phone Number Date— Lowest Floor means the lowest floor of the lowest enclosed area (including basement). An unfinished or flood resistant enclosure, usable solely for parking of vehicles, building access or storage in an area other than a basement area is not considered a buildings lowest floor. Provided that such enclosure is not built so as to render the structure in violation of the applicable non -elevation design requirements. I Residential Garages, Residential Storage Buildings, Agricultural Buildings, Residential Crawlspaces and all Residential Buildings are subject to the requirements listed on this document. Buildings located in designated flood areas generally must have the lowest floor elevated at or above the 100 year flood elevation. "Lowest Floor" means the lowest floor of the lowest enclosed area (including any basement). An unfinished or flood _ resistant enclosure, usable solely for parking of vehicles, building access or storage in an area other than a basement area is not considered a buildings lowest floor (provided that such enclosure is not built so as to render the structure in violation of the applicable non - elevation design requirements). if the floor is not elevated and, the structure is exempt from the ."lowest floor `requirement," (see above) than the following must be done: A) Building designed and anchored to prevent floatation, collapse or lateral movement. B) Building is constructed with materials resistant to flood damage. C) Building constructed by methods and practices that minimize flood damage. D) Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. Note: We will normally accept the following as compliance with the above conditions: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be at or above the 100 year flood elevation. (Plate height less than 24" above grade or engineered design required). 3. Electrical, heating, ventilation, plumbing and A.C. equipment and facilities located above the plate (100 year flood elevation). 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 flood water. 7. Lowest Floor. Declaration form signed by property owner (other side of this form). On residential buildings where the "lowest floor" is elevated at or above the 100 year flood elevation, the crawlspace must comply with items 3, 4, 5 and 6 above. OVER 7 County' Cencer'Drive,' Oiov l'I CA 95965 Phone:i.916-538-7541 DATE: 7/31/95 A.P. # 025-220-061 _ With reference to the -above. subject: s.: i Attached s.: - - - - Attached ation-for permit "- - Mobilehome Utilities _Installation - Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by-preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy -Design -Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss -details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of S , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City -of Biggs/Gridley.. Planning approval for Land Develcp^ent (a) Imprcveme::ts (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Stvle, Class) or exemption statement. Certificate of crkmans Co:^pensaticn Insurance. Owner -Builder Verification Form. Recordedc=py of Agricultural Acknowlecge;tert Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans -in accordance with changes marked in red.,.. Copy of recorded 60' right-of-way to a public road. YOUR PROPERTY LIES IN THE 100 YEAR FLOOD ZONE, YOU NEED TO CONTACT A CIVIL FNaTNFFR 'R STHENBAUILDIFNGG� SUBTTJECTFTO THE 7 CONDITIONS SHOWN ON THE ATTACHED F.E.M.A. Should Nyou �iati_a gasti&•concerning-the above, please contact _ of this ,office. Y rs very trLily, Mic ael C. lieira, C.B..O.. MCV: ahb Manager, Building Inspection FLOOD PROGRAM FORM. r J • PERMIT NO.' 5925-77B f PERMIT EXPIRES Setback �L OWNER Lydia Perry Forms Main Bldg. CONTR. Holmes Mobile Home Serv. , Bangor Footings LOCATION (A.P. 25-22-61 StemwalI Slab 800, off NIS Stimpson Rd. ,app.300' E.of Hwy 7( Piers Garage Oroville Footings Stemwa I I Slab III Carport _ { Footings j Slab Patio t t k 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION REZ£ORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil PIPIkg Parapets 1st Flo Restroom Finish 2nd Floo Windows 3rd Floor Sidina To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically A Ilan -es Relnf. Steel Final Fixtures Bond Beam FIRE S RINK ERS' Motors Framing z— Test Water Htr. Stucco Final Subpanels Mesh MECHA ICAL Gird. Fault Prot. Scratch Heatino Service Brown Cooling Temp. Pole IFinish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----------------• Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping M0131LEUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS I, I 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Cal ed PG&E Te Gas Serv. Called PG&E JOB/ -Z i FINALED (Date) (Signature) (NOTE: An entry must be made on this form each time you visit the job site.) j E Gas Piping & ,J 6 Temp. Gas Sanitation EPLACE Final Relnf. Steel Final Fixtures Bond Beam FIRE S RINK ERS' Motors Framing z— Test Water Htr. Stucco Final Subpanels Mesh MECHA ICAL Gird. Fault Prot. Scratch Heatino Service Brown Cooling Temp. Pole IFinish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----------------• Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping M0131LEUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS I, I 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Cal ed PG&E Te Gas Serv. Called PG&E JOB/ -Z i FINALED (Date) (Signature) (NOTE: An entry must be made on this form each time you visit the job site.) j E COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 6_5 G _%% :5` 77 APPLICATION AND PERMIT ^1 r/ V tYciiia,Ivca VI UIQ IaUUllly UI DUtte to enter upon ine above-mentioned propertyyffor inspection purposes. X ��k»� Al�cni�� Date Signature of Permitee or Agent Receipt No. 1:10 -7 5_1,_--- 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 be aid. DIRECTOR F P BLIC WORKS BY Date /% /6 —.7 7 Bilding permit expires Date BUILDING Owner / SQ. FT. OCC. BUILDING VALUATION Mailing a/.; A!!d`` ") , C)I� I.•�� C Q t� 1( I• pdress Teleph Le �, ,1 J7 Fireplace Contractor H ®)_ 'Ei P,u Total Valuation Mailing Address 111 Q a Permit Fee Plan Checking Fee &/orPenalty I lepho a No. SJ 4® Permit Fee $ m Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 On 'R14 aleD!PEach Trap 1.50 Repair drainage or vent piping 1.50 1 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. , Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F _ W . San Ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel eclaration Parcel Ma 60' R/W P Im roveme .s P Lawn sprinkler system 2.00 s Recd Parcel Approval Plans A royal Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER E] No. @ FEE PERMIT PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER Main service 00 AMP oR LESS 25.00 Main service EA. ADD•L loo AMP 1.00 r t�� NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2¢sgft NEW CONSTR. MULTI -OUTLET NON. RESID, ( BRANCH CIRCUITS) 2.50ea �Nlf n.� ��` ll::..YY�ICC I NEW CONSTR. POWER APPARATUS .&) NON•RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �1q M L IC.11 Ex. Occup(OUTLETS OR FIXTURES)BA@L @1 5t( Ex. Occu FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 p License No. 2. 1 3i jj Classifications � to 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. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. j I certify that in the performance of the work for which this ermit is issued. I shall not employ an P, p y y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ V tYciiia,Ivca VI UIQ IaUUllly UI DUtte to enter upon ine above-mentioned propertyyffor inspection purposes. X ��k»� Al�cni�� Date Signature of Permitee or Agent Receipt No. 1:10 -7 5_1,_--- 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 be aid. DIRECTOR F P BLIC WORKS BY Date /% /6 —.7 7 Bilding permit expires Date A This set of plans and spec*-T;r:e,tinns MUST be kept on the lob at (-,Il Corns and it is L!.nlnWful to ma!re r!nV C�t^!r.tr�c rir nit^rn'�r•,oss On 5i". ,P Y✓IthOUt written nermission fror..-s ?l.e r`--ni-,7j•MAnt of Public Works, County of Butte. Pik 'he Bldg. Setback shall be 5 ft. from he ide property line and 50 ft. from he ::enferline of the road, permitting a m xi - mum of a 2 fr. eave overhang but enti .ely out of all easements. NOTE:—lkii P1.-. ;E ;cats ^ V ori:rnnnsi'lp S'.Z6 ira Accordance w.11"l-, Recagni,'de;a C cod Fractices and! of a qualify prescriaeJ for fhe Specified use in the Uniform Building, Numbing & L9echanical..Codes and the Nalloncl L-:--ctrical Code. •f jos � �''Y ��y � --- C i BUTTE COUNTY BUILDING DEPA TIVIENT APPROVED 01 .4 I/1 J 4 2 0 1 I A- ''ERMIT NO.... 3947-76P,E PERMIT EXPIRES OWNER Ralph Westerman CONTR. Owner LOCATION (A.P. 25-22-61 800'off N/S of Stimpson Rd.,app.300'E.of Hwy 70, Oroville Temp. Power Pole Called PG&E _ Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Z z Called=PG&E " JOB FINALED (Date) (Signature) t } •i 2 0 1 I A- ''ERMIT NO.... 3947-76P,E PERMIT EXPIRES OWNER Ralph Westerman CONTR. Owner LOCATION (A.P. 25-22-61 800'off N/S of Stimpson Rd.,app.300'E.of Hwy 70, Oroville Temp. Power Pole Called PG&E _ Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Z z Called=PG&E " JOB FINALED (Date) (Signature) Mesh - I I COUNTY OF BUTTE — DEPARTMENT OF. PUBLIC WORKS BUILDING INSPECTION RECORD Grd. Fault Pro Scratch BUILDING B ILDING (Cont'd) Service Z 2 Z PLUMBING Setback Firewall r Soil Piping Ducts Forms Parapets t 1st Floor Permanent Main Bldg. Restroom Finlighk 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall r Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for physically handica ed Conformance of ex. structure Final Appliances Gas Pi in Temp. Gas Sanitation & Test a1P Z Z Patio FIR LACE Final Z Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel �. Final Fixtures Bond Beam FIRE S RI KLERS Motors Framing Test Water Htr. Stucco Final I Suhnannlc Mesh - I I M CHA ICAL Grd. Fault Pro Scratch Heating Service Z 2 Z Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final Z DATE REMARKS OR CORRECTIONS �o� s (NOTE: An entry must be made on this form each time you visit the job site.) "'r : ,t ..'h. 't`la-..?s`1F "n•�la�crxfE L�7^•+..�='tiL.Cua"�!4�ti`f" 1 i Y h COUNTY OF BUTTE DEP:A:. TMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE i OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY y This mobilehome has been installed in accordance with theuu�)ner uirements of the California Administrative Code, Title 25, Chapter 5, permit number —moi �3�' 7� for the following location:d0 Owner �S=r�C'.��a ,.�✓P.2.�.-�_ Owner's Address O (✓�-�� "'� < <• < Mobilehome Mfg. � �%1� Model Year/—fl? Insignia No. �W7s76 '/- 7Serial No. '`f � 0 It is hereby certified for occupancy at the above described location and may be occupied. Director of"Public Works Date / i $y '^ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED i• i0B'1:i,1?l'MM.I% INS'I'ALLATI.DN lP1SPECT10N CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Se.c.5085) YesY.No 3. Are foot.in";s and supports properly sized, spaced, and braced as er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 &-5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Ye SX No 5. If wyre than a single unit, are crossover connections properly installed? (Sec. 5088) Yes. No 5. Water A. Is fl xl'ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No— C. Bac o a i ornia a proved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum k,"•per foot slope and is it properly supported? Yes No •C:. Are any leaks detected in drainage system after runnin 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No D. I o tate of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line irilet without reductions other than the mobilehome connector. YesX_ No .c . B. Test OK as per following procedure? YesX No 1. Open all appliance connector valves. e� 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes'ZNo 9. Electrical A Is service large enoiiglk to provide .:idequat_e amperage to mobilehome. (must equal rating of mobilehome iaitii a ::;in.ij-um of 100 amp) and other facilitiE!s on lot, i.e., water pumps, caDarna, etc.", Ycs_X_ No B. Is there proper clearances around panels? Yes7XNo C. Is power supply cord or feeder assembly properly fused' Yes 1\10 D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pe estal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one load of a test instrument to the mobilehome grounding conductor and apply thi�. e U�e 'Lc .au to each Riuul.LCiiuuit supply conductor, including rieili rat. 5. All nor. -current, carry-i_ng metal parts of the mobilehome (aluminum siding, gas line, writer line), including fixtures and appliances, shall be tested for continuity from such egilipment and the grounding conductor. 6. Upon 'completion .of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity to=;t ;hall then be made between t:he grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. ;. . Ts job card si-ne:d by health Department for water and sanitation? 1.1.. I - everything olcay, sign off card and ta- services. 'MOBILi:i? ME DATA Manufacturer and/or Namest:yl.e � _._ If .er.gth S 7 Width ata Vehicle Serial No. �ti7vr7Col�7 State Identification No. Al'6 — 41;tional Infor-�iaticDn or Comments: COUNTY OF BUTTE — -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965�f _�� Telephone: 534-4541 � / APPLICATION AND PERMIT .+c.acnlau vca VI U,c Vvull ly VI Quilt lV CIIICI UPUII IIIc above-mentioned property for inspection purposes. a"g2ZD Signa of Permiteeor/Agent Receipt No. I��'7' 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 P,d,BLIC WORKS By 4�ate ding per2texp=resate BUILDING r S! I j, �� 1 p Own r V1 vv I� SQ. FT. OCC: BUILDING VALUATION Mai I i ng Address RN jN (Telephoneo. S3 Contractor Fireplace Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address .O r 6F /VO/Lr .� d/" PLUMBING No. @ FEE PERMIT FILING FEE $3.00 W . �*7'I S A O RoJc OD =AS'' Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping 1.50 'toning Yerifica 'on _OpJV, Each gas water heater or vent 1.50 A. P. No. ,Oa.Zaj "' ° ' s Gas piping system 1 - 5 outlets 1.5U J6. Each additional outlet .30 v Fees W. C. S io FireDept. Fire Zone Use Permit Building sewer 5.00 Q,eb EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Im rov ments P Lawn sprinkler system 2.00 Bldg. Plans Recd Parte pproval Plan Approval Permit Fee $ A 2.oJJ J$at NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FElab PERMIT FILING FEE $3.00 Main service 1V OR LE 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family❑ ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 fD�uplex MINIMUM E*� sp. i T. MINIMUIY, _ NEW CONST. ( ACCLBLDG DWELING OCCUP. &) 2�.sq ft OR ACDNS, NEW CONSTR. MULTI.OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea - 1 NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@�1 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 $a 6 0$ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. IVI I certify that in the performance of the work for which this IIAJ 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 E2O Hood Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ vl .+c.acnlau vca VI U,c Vvull ly VI Quilt lV CIIICI UPUII IIIc above-mentioned property for inspection purposes. a"g2ZD Signa of Permiteeor/Agent Receipt No. I��'7' 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 P,d,BLIC WORKS By 4�ate ding per2texp=resate NOTE:—All Materials & Workmanship Shall Be in Accordance with Recodni7ed Good Practices anti .of a quality prescribed for the Specified use in .the Uniform Building, Plumbinq & Machanical Codes and the National Electrical Code. r is set of plans sAs MUST be Kept on the job at all times and it is unlawful to make any changes or alterations on same without writte permisson from the Department of Publir Work County of Butte. NI ,1 Th . Setback shall be 5 ft. from Aside property line and 50 ft. from the centerline of the road, permitting a ximum of a 2 ff. eave overhand. .)e tic system and location _ dab ant to be as per Bu to County Wealth Dept. Re - qui encs. X permit will 6e tequirea for We installation of the mobilehome. Iornr'413 7 y7-74 All utility connections shall be �=b loc ed. within 4 ft. outside the rear C thir section of the mobile home on t e left (road) side of the mobile homI'vew I 4M. e S —1. 300 I f ` i BUTTE COUNTY i, v BUILDING DEPARTMENT t APPROVED p c ,COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT WORKS nps authorize repr ntat(ves o e County of Butte to enter upon the above -menti property inspection purposes. X Date 3 /,0� Signatuure�of PPeerrmmiitee or Agent Receipt No.` v �`�9.L 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 BLIC WORKS Vildi�ng permit expires Date BUILDIN Owner Lr SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor (b e CE U`1L Total Valuation Mailing Address /l) C,�j^p Permit Fee Plan Checking Fee&/or Penalty eat� T�e:hone No. �� Permit Fee Building Address � rs �E Ai M Saes PLUMBING No: FEE PERMIT FILING FEE $3.00 . Pill. � . � F{A/ >(-) Each Trap 1.50 `/ V L Repair drainage or vent piping 1.50 WaterP� 9 i in 1.50 P Each gas water heater or vent 1.50 A. P. No. Zoning $Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I W.C. I sft"teEi FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Declaration I Parcel Map 60' R/W Impr vements Lawn sprinkler system 2.00 u Bldg. la s f<7 Parcel Ap vol P s Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 u s ! 0 Ad 11 V �y..'.� 2 OR LE Main service 10000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Er Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADONS. ( ACCLBLDGSCCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET . (MULTI NON -RES'.BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleo _ 4� k) 1 L, ogTL e e Ex. Occup(OUTLETS OR FIXTURES)@� 109 FIXED APP LNS. OR Ex. Occup.(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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 3 authorize repr ntat(ves o e County of Butte to enter upon the above -menti property inspection purposes. X Date 3 /,0� Signatuure�of PPeerrmmiitee or Agent Receipt No.` v �`�9.L 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 BLIC WORKS Vildi�ng permit expires Date 1. Owner's name: Q (- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 2. Installer s name: -VV%d-k) LlJc JtrU( V L:f�- t'K, No /4_- — (If yes, identify the load and size: (Load) 3. Is the site currently under permit?. /cam No 2 rr 9. What ( If yes, furnish ,Yes permit number A i/s p� J `" � -6 OR 10. What Is the site an existing site? Yes / '/ No Natural / / LPG 11. What (if yes, furnish two (2) plot plans.) (ft.) 12. What 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and '(This information not required if pipe length clear of all setbacks and easements? Yes No or less than 50 ft. on LPG.) (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- / G O Amps 6. What is the mobilehome site service rating? --------------------- i % Amps 7. What is the mobilehome site circuit,breaker rating? ------------- 6 Amps 8. Is there any other electric load to be served by the mobilehome site service?,--------------------------------------------------- Yes / / No /4_- — (If yes, identify the load and size: (Load) (Amps) 2 rr 9. What is the mobilehome site gas pipe size? --- ------------------- 1 (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------=-'---- .(BTU) '(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA Mobilehome Mfr. �o ) �� Setup Model No. Width _ .(ft.) LengthT Expando Size ft.x ft. (Draw support dedetails below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on..file with the County of Butte). *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED - Si Footings-(check.-one) i / .Wood either pressure treated or Center Center Support fdn. grade. Support Footing Sizes Locations (in.) 2. Concrete pad. x 3. Other,' specify Supports (check one) Ad Concrete block ! -T j -� x ,3 (in.)(in.) / / 2. Concrete piers � 3. Steel piers (ft in . 4. Other, specify _ --,Typical Support l�x )Footing Size ( in. • (in.)(in.) d I --- 113- WE. .r-/ Max. Pier Spacing t. in.) in.) I I X3— - -- --- (in.)(in.), Max. Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED r-r— Parpli ♦ Landscaping. .W•n 1 Job Name: Varies Garages Truss ID: B1 Qty: 1 BRG X -LOC REACT SIZE REQ'D TC 2x4 DFL #1 Plating spec ' ANSI/TPI - 1995 UPLIFT REACTION(S) Support. 1 -230 lb 1 0- 1-12 1516 3.50" 1.62 BC 2x4 DFL #1 THIS DESIGN IS THE COMPOSITE RESULT OF MULTIPLE LOAD CASES. Support 2 -230 lb 2 23-10- 4 1516 3.50" 1.62" BRG REQUIREMENTS shown are based ONLY WEB PLATE VALUES 2x4 DFL STANDARD PER ICBG RESEARCH REPORT #1607. IF HANGERS ARE INDICATED ON THIS DRAWING, This truss is designed using the on the truss material at each bearing Loaded for 10 PSF non -concurrent BCLL. THEY ARE BASED ON 1.5" HANGER NAILS FOR MULTI UBC -97 Code. Bldg Enclosed = Yes, Importance Factor = 1.00 MAX DEFLECTION (span) • PLATING BASED ON GREEN LUMBER VALUES. 1 -PLY AND 3" HANGER NAILS FOR -PLY GUN NAILS ARE USED, THE Truss Location = Not End Zone L/999 IN MEM 7-8 (LIVE) L= .0.17" D= -0.12' T= -0.29" BC Dead 8.00 psf 2- 0- 0 GIRDERS. IF 2.5" HANGERS MUST BE RE-EVALUATED (BY OTHERS). Hurricane/Ocean Line = No Ex Category = C ft Bidg Width 24.00 ft OUTICAL MEMBER FORCES; Tc COMP. (WR.)/ TYNS. CSI Design Spec UBC -97 Design Spec TRUSPLUS 6.0 VER: 176.4.2 The American Forest and Papa Association (AFPA)islocated at111119th Street, NW,Ste 800,Washington, DC20038. Bldg length = 32.00 = Meanroof hei ht = 22.16 ft, mph = 75 g2-3 1-2 -3001(1.15)46860 0.56 al111 60.55UBC Standard Occupancy, Dead Load 12.0 psf JTR. -2611(1.15)/ 3-4 - -2672 4151.60 0.55 (L(L(L1.15)J)J/ 4-5 -3001 1.15 / 4681.60 0.56 BC COMP. ((WR.3/ TENS. ((DUR. )) CSI 1828(1.153 0.45 7-8 209(1.60)% 8-9 -395(1.60)/ 2789(1.15 0.64 WB COMP. TENS. (((DUR.CSI 2-7 -567 1651.60 0.10 jll!,R�J� 3-7 -801.60/ 788 1.15 0.35 3-8 811.60/ 788 1.15 0.35 4-8 -5671.15/ 185 1.60 0.10 6-2-0 _� 5-10-0 5-10-00 6-20 6-2-0 12-0-0 17-10-0 24-0-0 12-0-0 12-0-0 1 2 3 4 5 4.00 4.001 4-4 W:308 W 308 R:1516 R:1516 U:-230 U-230 2-01 1 2 -M -i 24-0-0 6 8-0-0 �7 8-0-0�8 800 8-0-0 16-0-0 24-0-0 WIL Ttu P�Sd,grrtss tesfare 20 �� unless h twrt b "18 a� Ff (�� a. NDC' 20�2a eosd Pored J�iM �etails R Pte 5120/2005 Circ tes a ase came a es are sdto as a ve. g b�e stud laces to a l b arta vwt sof u ura tales ) WARNIN Read all notes on this sheet and give a copy of it to the Erecting Contractor. Cust: Mitchell's Building Supply This design Is for an Individual building component not hiss system. it has been based on spedficalions pmoided by the component manufacturer W0: D ri ve_T_0301203_L0000 5_100001 and done in accaNancewith the current versions of TPI and AFPA design standards. No responsibility is assumed for dimensional accuracy. Ds g n r : BW #LC = 16 WT: 126# Dimensionsareto be verified by the component manufacturer andfor building designer prior to fabrication. The building designer must ascertain that TC Live 30.00 psf DurFac3 L=1.15 P=1.15 theicurls t ad on this design meet oraceedthe loading b by the local building code and the particular application. The design assumes H�NIEWO�� that thetop chord is laterally braced by the roof or floor sheathing and the bottom dead is laterally braced by a rigid sheathing material directly TC Dead 14.00 psf Rep Mbr Bnd 1.15 unless otherwise noted. Bracing shown is for lateral support of mrtywne is members only to reduce budding length. This component Rep Mbr Comp 1.00 TRUSS ®1 RUSS shell not be placed in any environment that will cause the moisture content ofthe wood to exceed 19% and/or cause connector plate corrosion. BC Live 0.00 psf Rep Mbr Tens 1.00 4445 Northpark Dr. Fabricate, handle, install and brace this thus in accordance with'JOINTDETARS by Tmswal,'ANSIRPl 1', NVECA I' -Wood Truss Council ofArnericeStandardDesgnResponsibilities, 'WWDUNGINSTAWNGAND BRACING METAL PLATECCNNECTEDWOOD TRUSSE5 BC Dead 8.00 psf 2- 0- 0 ' Co7o Springs, CO 80907 .(HB -91) and MB -91 SUNWARY SHEET by TPI. The Trus Plate Insldute(TPI) is located at Dorwhio Drive, Amason, Wsrwnsm 53719. TOTAL 52.00 Design Spec UBC -97 Design Spec TRUSPLUS 6.0 VER: 176.4.2 The American Forest and Papa Association (AFPA)islocated at111119th Street, NW,Ste 800,Washington, DC20038. psf DEFL RATIO: L/240 TC: L/2 Job` Name: Varies Garages Truss ID: BG Qty: 1 ORMCAL MEMBER FORCES: TC 2x4 DFL #1 Plating spec • ANSI/TPI - 1995 This truss is designed using the BC 2x4 DFL #1 THIS DESIGN IS THE COMPOSITE RESULT OF UBC -97 Code. GBL BLK 2x4 DFL STANDARD MULTIPLE LOAD CASES. Bldg Enclosed = Yes, Importance Factor = 1.00 PLATE VALUES PER ICBO RESEARCH REPORT #1607. IF HANGERS ARE INDICATED ON THIS DRAWING, Truss Location = Not End Zone Loaded for 10 PSF non -concurrent BCLL. THEY ARE BASED ON 1.5" HANGER NAILS FOR Hurricane/Ocean Line= No Ex Category = C May use adequate staples for gable blocks. 1 -PLY AND 3" HANGER NAILS FOR MULTI -PLY Bldg Length = 32.00 ft Bldg Width = 24.00 ft BUILDING DESIGNER MUST VERIFY GABLE LOADS! GIRDERS. IF 2.5' GUN NAILS ARE USED, THE Mean roof height = 22.6 ft, mph = 75 [+ gable bracing required @ 58" intervals, HANGERS MUST BE RE-EVALUATED (BY OTHERS). UBC Standard Occupancy, Dead Load = 12.0 psf i exposed to wind load applied to face. PLATING BASED ON GREEN LUMBER VALUES. See "General Gable Details', C002065035. I 4-3-13 1= 0-3-13 111101211 csle2 C6 6� T4-0-0 N - a 40 4-0�; 10 24-00 12-0-0 12-0-0 , 1 2 3 4 5 6 7 8 19 101 12 13 14 15 16 17 4.00 4.0 3-4 4-0-0 4-0-0 TYPICAL PLATE: 1.5-4 r' o P/ aaey divd dua 61—� -s;d' N td ab d 4-00 --� 24-0-0 20 OVER CONTINUOUS SUPPORT VVHI`CIVIIV Wead all notes on this sheet and give a copy of it to the Erecting Contractor. Cust: Mitchell's Building Supply This design is for an Indivddual building component not truss system. h has been based on specifications provided by the component manufacturer W0: Dri Ve_T_0301203_L00005_100001 ®: and done in accordance with the current versions of TPI and AFPA design standards. No responsibility is assumed for dimensional accuracy. Dirnensionsare to be by DS g n r • BW #LC,= 16 WT • 159# veered the component manufacturer and/or building designer priorto fabrication. The building designer mast ascertain that . me loads utilized on this design meet or exceed the loading imposed by the local building code and the particular application. The design assumes TC Live 30.00 psf Du rFacs L=1.15 P=1.15 HOMEI/IIOOD that the top chord is laterally braced by the roof or floor sheathing and the bottom chord is laterally braced by a rigid sheathing material directly Re Mbr End P 1.15 USS attached, unless otherwise noted. Bracing shown Is for lateral support of components members only to reduce buciding length. This component shall not be in TC Dead 14.00 psf Rep Mbr Comp 1.00 ®TR placed any environment that will cause the moisture content of the wood to exceed 19% and/or cause connector plate corrosion. BC Live 0.00 psf 4445 Northpark Dr. Fabricate, handle, Install and brace this truss in accordance with 'JOINT DETAILS'byTmswal,'ANSIrrPI1%VirCA1'-VtbodTruss Council Rep Mbr Tens 1.00 Colo Springs, CO 80907 of America Standard Design Responsibilities, 'HANDLING INSTALUNGAND BRACING METAL PLATE CONNECTED WOOD TRUSSES BC Dead 8.00 psf P O. C. Spacing 2- 0- 0 TRUSPLUS 6.0 VER: T6.4.2 -(HIB-91) and 111B-91 SUMMARY SHEET' by TPI. The Thus Plate Institute UPQ Is located at D'Onofio Drive, Madison, Wisconsin 53719. Design Spec UBC -97 American Forest and Paper Association (AFPA) Is located at 1111 19th Street, NW, Ste 800, Washington, DC 20036. TOTAL 52.00 psf DEFL RATIO: L/240 TC: L/24 dt sL,]JI lit k! l If PON. R 1•R a � o Certificate of Conformance Certificate 054074 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below. ANSI Standard A190.1-1992, For Wood Products— Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design.Stresses RITC 117.93 — Manufacturing—Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Ert9ineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. 7130 2�)k+:_I '0NI SrTr_10M N l31.S_31 T098i,680CST by Thomas G. Williamson Executive Vice President EvGINEeAER WOOD SY$TEMS Is a related corporation of APA — THE EN61NEEAED WOOD ASSOCLATYON 7011 South 19th Street - P.O. Box 11700 - Tacoma, WA 28411.0700 Telephone: (293) 966.6600 - Fax Number; (253) 665.7295 v LT :t7T c•t3Ct??,'0fL0