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026-050-052
�k 2 6 - 0 5,61jr S A -Ia�FRiD -TURNER- GARDNER EE/S Lincoln Blvd, at Stanley Ln, Oro Permit #4876-78E(ele ser) arena light S F R Lincoln Pe rmi t I ing & well zwk 9/x3//?g 26 -05 -52 - UT EMANJfS -- S [�BUTTE ASSOC. Permit #3 3�7 Permit #187L��,PE(Public restr oms) E 26-05-52 �.,-�H Vq Permit #31�(I st renewal/18V�4-83/) �026-050-052` 04-247F STOKER, JR' 2080 STANLEY DR, OROVILLE! --j Cont:.PICIL-DECANN,' NEW -MH PERM END NEW 'SITE !sz con f F RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, I INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. J.R. STOKER AND CATHERINE C. STOKER REAL PROPERTY OWNERILESSOR 1230 PLUMAS ST. MAILING ADDRESS YUBA CITY YUBA CA. 95991 CITY COUNTY STATE _ ZIP 2080 STANLEY DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA. 95938 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-2472 (530) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE FLEETWOOD HOMES OF OROVILLE DEALER NAME (if not a dealer sale, write "NONE") 1061581 DEALER LICENSE NO. FLEETWOOD HMS OF CA. 2004 4453A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMMIUMBER CAFL417A/B27342-WP12 45'4"X 13'4 '744' X 13'4" PFS0848489/90 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 026-050-052 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. 08/23/2004 10:43 FAX 15307552821 1 SLITTER ESTATES Aug -23-04 09:42am From -First American Title Yuba City +5306711611 RBGORDING R9QL111MED BY AND WMlEI+! RECORDED MAIL M I.R. Sinker and catherine C. sultan 1230P"0.0U4+ Uea 4c.� C+ Q 64,q1 A.P.N_ -,C 5:1 Q005 T-167 P.006/007 F-402 Lrv.0 U11H111111��1�Ifl��IAllll�ll OfficialRecords j AEC FEE l�.0ra Cout►t__y Qf I CANDACE1J.Tlr�6RU8BS Recarda AOS<a9ARY 01 KSON @918 1�1 78Aurm 1 Aageoi of 2 Above Tete Une for Rewdods Use Qday He GRANT DEED 'N ► M[ftr4 re0 Cr M942) NdW*)' WWMEWAVTWW&TAX S0s t1rY TWFeRTAX 60.00; 5U1tW MpNUMWr FE j mraputod an the m 4uarauarr or AM valab N pmParlY QWQyW' OR =Pum an the ovisweravan & fug value I= vaWue ar pens god/or enaunbranws ralraWng at dine of salq u+h�ao:porareQarea; r I Cbrcrorowne, arta FOR A VALUABLE C©NMDERATION, rerelpt of wh,Ich is hereby acknawledged, I.R. S`tbkw and eathahrie c. stoker, husband and wife hereby GRANn to 3.R. Stoker and Cathedpe C. Stoker, husband and wife45 Joft WpVmmmW& Tamnis the fo110Wing described property In the unincorporated area of OrovflFe, County of Butte, State al' Calffornlsa: ParCQ111-A: Parcel 1, as shown on that cartaln parcel Map, filed In the offlo0 of the Reecrder, County of gutta, State of California, on October 12, el 2, 3962 in book 89 of panmaps, at page 55. Parcel a-6: A non•exduslve right of Way for road and pupae 141111110061 as shown on that certain Parcel Mayr tiled In the office of tate Recorder, Caunity of Butte, state of California, an October 13, 3982 In book 89 of parcel maps, at peg® 65. Aug -23-04 09;43am From -First American Tl tie Yuba City X9,N.: 026-050-051 +5306717611 Grant peed-.eontlnued 08/23/04 MON 10:33 T-167 p.007/007 F-402 "vu. =Ma Wl4b Date: 0712912004 (TX/RX NO 96341 0005 STATE of } bafbm me, pemnidly appeared a.r%61 Cft_e'r7e_G. personally known to me (or proved to me an the basis of satlsFa ry evidence) to be the person(s) whale names) isiare subscribed to the within Instrument and acimowledged W me that he/she/they cwzutad the same (n ius/her/di& authorized c apadty(le6) and that hiss/her(thelr slgrrature(s) an the Insuwwt the persen(s) or the entity upM behalf of which the pemon(s) acted, executed the Instrument. Wll'NKS my nand and official seal, 7'h/s afea far rXUW no�alse� 5lgtlat�tr8 K FU%1� a AFRUL 18 2406 14Y clommwWn Explres: Notary Name: Notary Phone: Notary, ft(stretlan Numbw. tawny of Principal Puce OPBuslnm. i i I i . i i . Pape 2 a 2 08/23/04 MON 10:33 (T%/R% NO 96341 2005 BUILDING PERMIT NUMBER: 04-2472 Address or location of unit: 2080 STANLEY DR. PALERMO, CA. 95968 Legal Description of Real Property: AP#: 026-050-052 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: J.R. STOKER AND CATHERINE C. STOKER Owner's address: 1230 PLUMAS ST. YUBA CITY, CA. 95991 INSIGNIA OR HUD NUMBER: PFS0848489/90 SERIAL NUMBER OR V.I.N.: CAFL417A/B27342-WP12 MANUFACTURER'S NAME: FLEETWOOD HMS OF CA. YEAR: 2004 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C i�_ / i �3 KM OFM 'ORNIA '.: •_,' • ...,:.::: ,:: Bus WJ�gpORTATJC3IA{yD�HOUSINGAGENCY NUMBER: t DEPARTMENT, pFHOUSING ANI�GOIGIIMUNITY DEVELOPMENT ,,hIrVI..SrION 0',yF.CODESAND STANDARDS V 73PAURED HO S)N0:PROGRAM �+ . tVl'AiVUP. i�" IFIC T t ATE QF (RSGt . h `t -Rub'". S • - � : '.. ., HA THI iS.A DU ICATE MCO.ENTER.ORIGINALMCO NO r •�'iACTURED•w[nII/1EOR�'Ri1t9P'Tt'rinur,�•�r�w,i :e.:.. +fi { Z ~ :SFD (SlNOI:E FAMILY DWEtuWNCj .❑.MWMfi3(Mld�7+.UNLT,AAANUFACTURED.HOUfiR� -- �T� ..SECTIONS SING-- _...: , Y.NCOMMERCIAL-OA'.i;•. .. ' ` . ` ,. OCCl9PANCY G1OlJP'' - . . •010 Olt=; MANUFACLIOENSE NUMBER: MAN ESS: .:. c.-- . " • T 1POODL7IND CA 95 7 G ESTED RETAIL PRICE: .•MANUFACTURER TRADE NAME: RIP.), .. "USODIs9�ND P1►RK' ' r :N10t3ELNAMEANO/OFNUMBER :;:. •. ma4� "`rF: 445 Z DOC, r - DATE MAFACTURE: t 3A 0 13/x004 ,..,. DBA: -Fi+88T9POOD CALIF. DEALER NUMBER OR.; DATE OF TRANSFER: OF OROYIL3.8 TRANSFER�Eb%E ' ;.: `03-118/2.004 ,D S: ORO -7.1 ;- street .:' - • �� 95965 ' INVENTmRY.CREDiTOR NAAAE: CI State I >: ,... •FLkRZ:9P00D AIL � . • -CGRP .. :d1 INV S . 3�� ON •. 80IIST (Street)''c.. (Cl TE 77008 State) ip SECTIOtF MANUFACTURER -SERIAL NUMBER 1� NCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT 1 '1ZAa734— INCHES INCHES POUNDS P8308484544 .160 89 CAFL4'17B27 342-; �PPla • 9 4b0' PPS0848490 528 160 16,600 .... .5 -• r _. _:- • .1411 _- .. .. _ • _ l . • ft ..:INC.' TRANSPORTER`ADDRESS• C;;: stele. 95938 :DESTINATION FOR UNIT DESCRIBED ABOVE: ar I'eeRifyundeapeneRYofPar)uyL1f,*thela.- f-tha'Stntetrue pFCalif3rrii�lhat.the"abovefaW aree andaorreat . 'ExeaitedonK YOLO at-' .. (Date): (City) • ` (County) (State) CA SIGNATURE OF AUTHORIZEDAGENT: ISTRIBUTION: ORIGINAL (PINIq FORWARD -TO INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). ' 1 (WHITE) FORWARD'TO DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 85812-1828, WITHIN FIVE (5) DAYS OF RELEASE. CbPY'2 (YELLOW) DELIVER M TRANSPARTER TO ACCOMPgF1Y THE UNIT TO ITS DESTINATION. .} COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER' i r ICD 483.0 - Side?1 ' STATE OF CALIFORNIA ' �,�,,,� BUSINESS, TRANSPORTATION AND HOUSING AGENCY bs`4 . , "` DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT B .. DIVISION OF CODES AND STANDARDS ` REGISTRATION AND TITLING PROGRAM`'"" ° STATEMENT OF FACTS This unit is a: 0 Mobilehome F-1 Commercial Coach. Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) I/We, the undersigned, hereby state: / D I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on P ' 3 -OLS �W..4j (Date) (City) (State) Printed name(s) Address City , State FLEE7WCOD, So a i� Woodland Park Series 4453A 3 Bedrooms • 2 Baths • 1,190 Square Feet O cc 0- a Q! = J W D W � U M Z Q O U W � OPr RECESSED ENTRY Fleetwood Homes of Oroville 2243 Feather River Blvd. Oroville, CA 95965 530-532-3301 Fax 530-532-3304 www.fleetwoodoroville.fhretailer.com Fleetwoo`� Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating r nd improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is f1por length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. V. — wu17inanR03 Exterior • Fiber cement siding built to resist weather damage • Full 3:12 roof pitch for exterior eye -appeal • 2" x 4" exterior wall construction provides a sturdy frame • Transverse floors with 2" x 6" floor Joists for better support • 36" Inswing front entry door with deadbolt, peephole and brass knocker. for your family's safety ' • Inswing rear door with deadbolt'and window add natural light Interior • Decorative vinyl covered sheetrock wall panels that are easy to clean • Standard 17 oz. carpet in all living and bedroom areas for high performance and low maintenance • Textured ceiling throughout (vaulted In some areas) provides an open look and feel • Linoleum at front door for a formal entry look Baths • Easy -case laminate countertop with hand laid, 4" ceramic tile backsplash provides attractive color accent • Recessed medicine cabinet provides convenient storage space in each bath • Ceiling exhaust fan provides extra ventilation in each bath • Window In each bath to provide natural light • Porcelain sink with single lever faucet In each bath W Kitchen • Easy -care laminate countertop with hand laid, 4" ceramic tile backsplash provides attractive color accent • Brand name appliances provide confidence and hassle -free service - 30" free standing gas range - 14 cu. ft. frost -free refrigerator • Single -lever metal faucet with sprayer • Bank of 4 drawers provides convenient storage for your utensils • Double cell porcelain sink adds flexibility In kitchen activities • Elegant crown molding provides a finishing touch to overhead cabinets Utility, Safety and Energy Features • 30 gallon gas water heater is efficient and requires low maintenance • Gas furnace provides name brand confidence and hassle -free service • Overhead utility shelf for added storage space • Zone II insulation package for energy efficiency Includes: Low -E white vinyl framed, dual -paned windows, R-22 ceiling, R-11 wall, R-11 floor • Shut-off valves at all plumbing fixtures for your convenience • Plumb/wire for washer and electric dryer provides convenient hook-up Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in f oorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. 002003 Optional Features • Dishwasher and garbage disposal for quick and easy kitchen clean-up • Skylights of various sizes brighten any room • Recessed entry adds charm and distinction to your home's exterior • Refrigerator and range upgrades meet your culinary needs • Deluxe carpet selections for increased performance and beauty • 1/2" rebond carpet pad extends the life of your carpet • Ceiling fan circulates air for a "spring breeze" feeling all year long • One-piece fiberglass tub/shower combinations are beautiful and easy to clean • Wood burning fireplace creates a warm, cozy home environment • Dormer options create a variety of charming exterior looks • Increased roof loads are designed for the demands of mountain areas • Sliding glass exterior door welcomes more natural light Into your home • 40 gallon gas water heaters provide energy efficient hot water for your family's needs • Zone III Insulation package to meet the needs of the climate where you live, Includes: white vinyl, dual -paned windows, 2" x 6" exterior walls with R-33,19,22 Insulation FLEETWGIOD, • FLEETWOOD HOMES of CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 18 N. Pioneer, Ave., P.O. Box 1308 Woodland, CA 95776 (530) 662-3223 WU17/JUN03 SITE PLAN .. .. .. ,.Q'�s� :...._.. ........:.. ... -. .. .. ...•••......_........... ...................... ... ............ ......... • .�. . �.. �. .4 -__-�, ..tom'• ,_..� . ..................... ................... ....... ................................ : y --may..... .. Qy............................... :......:......;.....:..........._. ............... .. ;.. : .A : : : : ... : : : : : : .. .. ... _. .. . . . . . . . . . . . . . ®. .. .. �... ... _ .. .. .. ... ........ .. 40 .. M :......:.....;......;......;.....:....;......:...;......:... .. .. .. .. ........ :....: ...............................:.................`. :` :�...... .. .. . • ... .. .. ... .. .. ............ ... .. ............ ... 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II �.............>.....<...... ..................._. .. .. .. .. . ..:.. .:.. �. . t [ t t G- _ ......................... . .. j ...... �1 ci` r..�............. ..... .. .. ...........:.. LTH : :.... .. .. __ . NM ENTAL I1EA . o ENVIf?0 . .................................................... :...... :.....:. . °.. .. .. .... .. `..... .. .. .. 4..... 2 -- :i t�.:........ ....:. .:.. . . . . ...:....:....:.. . . . . . . . TE -DRIVE-;:-***! .................... f�CiUNTYC�I IZ .. ... .. `t cT : ,. c ...... .. .. .. lT::. .. .. .. .. e ....... v� ..,,.. ,- ... .. .. .. ................... .. v� ,.... ... .. ... .. t4 ................:.............................:............... .. .............a. i......;.... .. p �.. t•... ._ ......................................................................................._... T j ... .. .. .......... ...................................................................................... ±- ©� Assessor's Parcel Number. ® ® 91 — 020 — WOR— Scale: 1" = 54 Owner Name Address 0 Phor Site Location Contact: Name Phone ff.�537- 1670 0acber 23,2M3 - i w FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres a.00r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ' ZONING: GEN PLAN: - USES: NOTES 1 RESIDENTIAL � 026-050-052 24 04-72 Y PERMIT NO. — STOKER, JR 2080 STANLEY DR, OROVILLE Cont: PHIL DECANN ; NEW MH PERM FND NEW SITE THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SOA ✓FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER II I OFFICE � OPY �— � �o Address L r ByCT Dater BY. f JOB FINAL ED (Date) Signature m J=OK �'• 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete '6. Gas; Location -Test-Wrap;-/ P' L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector - 6. Water; MH -Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 ,Date Card B-1 Date Card B-1 Date, Card,B-1 Date PERM VENT END SYSTEM (ONLY) Line 4. a est -Demand -Valve ricit ; MH Test 1.0 40 ,WNat H Test ,and Sewer Connected I�iCicense Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 .3- C i A3z- { 8. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 10. 1. Zoning Requirements -Setbacks -Easements Light Niche 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Card B-1 Date Card B-1 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 1 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 I Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s t 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Interior/Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29. 2 Appliance Circuits in Kitchen & Conductor Size GA 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect _ 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fin place -Clearance to Openings Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 36. A.C. Ducts Insulation & Support Glass Protection 37. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 38. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Water & Sewer Connected -C/O to Grade -HD Approval 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 s Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Come. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fin place -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 Certifidate-Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: i r FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 ' vNATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Importart Read the instructions on Mes 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Carpany Use: BUILDING OWNER'S NAME Policy Number Ron Stoker BUILDING STREET ADDRESS (Including Apt, Unit Suite, and(or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 2080 Stanley Dr. CITY STATE ZIP CODE Oroville CA 95966 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 026-50-052 BUILDING USE (e.g., Residential, Non{esi Wftl, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDEILONGfTUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( Of - ##' - ##.#fF or ##.#####) ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ® Other. FIRM SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2 COUNTY NAME B3. STATE Butte Camay Unincorporated Areas I Butl a I CA B4. MAP AND PANEL 176. 3 fl. B7. F1RM PANEL NA, _t(m) B9. BASE FLOOD ELEVATIONS) NUMBER B5. SUFFIX W. FIRM INDEX DATE EFFECTNEIREVM DATE 88. FLOOD ZONE(S) (Zone A0, ase depth offloodan) 06007985 C Jun 8, 98 Jun 8, 98 A 1745 tsl u. rnaHme Ute source or me base mw trevamn (tlrt) aaia or Dase m aepth entered in b9. ❑ FIS Profile ® FIRM ❑ Community Determined - ® Other (Describe): Feld measurarr�rtt B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Desaibe): _ B12. Is the building located in a Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under ConsbucfiW ® Finished Construction *A new Elevation Certificate will be required when coristruction of the building is complete. C2. Building Diagram Number 6 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al AX, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARAE, ARIA1-A30, AR/AH, ARIAO Complete Items C& -ami below according to the building diagram spedfied in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to Mused for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum navd 29 ConversioNCanments NA Elevation reference mark used BC1229 Does the eevalion reference mark used appear on the FIRM? ❑ Yes ®No o a) Top of bottom floor (including basement or enclosure) 176. 3 fl. o b) Top of need higher floor NA, _t(m) a o c) Bottom of lowest horizontal struclvrot member (V zones only) NL. _ft(m) (' S o d) Attached garage (top of slab) NA. ft(m) o e) Lowest elevation of machinery ardor equiprnent W `° servicing the building (Describe in a Comments area) NA . --A(m) E o f) t arrest adjacent (finished) grade (LAG) 173. R(m) Z.0) o g) Highest adjacent (finished) grade (HAG) 173. fl.(m) o h) No. of permanent openings (flood vents) within 1 ft above adaoent grade NA ?� `o ) Total area of all permanent openings (flood vents) in C3.h NA sq. in. (sq. an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Frank James Purcell LICENSE NUMBER 60924 TITLE RCE COMPANY NAME Jim Pursell Engineering ADDRESS CITY STATE ZIP CODE #5 Madrore Ave. Orovr1le CA 95965 SIGNATURE �, DATE TELEPHONE 5345332131 FEMA Form 81-31, January 2003 See reverse side for continuation. 'Replaces all previous editions IMPORTANT: In these spaces, copy the comesponding information from Section A For Inswance Canpany Use: BUILDING STREET ADDRESS (Inck" Apt, Unit Sure, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Nurrber 2080 Stanley Dr. CITY STATE ZIP CODE Company NAIC Nunes OM& + CA 95966 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVoompany, and (3) building owner. COMMENTS ® Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting h mmafion for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is NA t(m) _in.(cm) ❑ above or ❑ mellow (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6$ with openings (seepage 7), the need higher floor or elevated floor (elevation b) of the building is NA tt(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery andlor equipmrent servicing the building is NA t(m) _in,(crm) ❑ above or ❑ below (check one) the highest addacent grade. (Use natural grade, d available). E5. For Zone AO only: If no flood depth number is available, is the tap of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The properly owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community - issued BFE) or Zane A0 must sign here- The statements in Sections A, Q C, and E are oared tote best of my krm4edge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME Ron Stoker ADDRESS CITY STATE ZIPCODE 2080 Stanley Dr. Oroville CA 95965 SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is autha¢ed by law or ordinance to administer the oommunity's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable items) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation infomhation. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building looted in Zone A (without a FEMA -issued or communitymissued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. PERMIT NUMBER G5. DATE PERMIT ISSUED G7. This permit has been issued for. ® New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: —t(m) Datum: _ G9. BFE or (in Zone AO) depth of flooding at the building site is: _. _ t(m) Datum: _ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE COMMENTS DATE LJ Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE S 7 u T2 OWNER PERMIT NO. A routs inspection indicates that the following violations"of butte county Ordinances exist at the abov address and should be corrected. Please notice this office when correction of work is com eted. If you have any questions pertaining to this matter, or need additional explanation, pie se ontact this office immediately. J,' G /4 . t �c Px, X 2 v5� ,fit✓r�rw,.�,�- a c��/e�JS ��S w I n 5t 2-� 4- Corti C� I) v v` -) I4,LfM 6-V --e 'f' aut 1 �Y6 1 ifr nr, o v rU . n Date REV 10/92 Inspector I S 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 PERMIT NO. BP042472 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: 09/15/2004 APN• 026-050-052-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2080 STANLEY DR PAL Date: Contractor. Map Index: Description: NEW MH ON PERM FND(1190) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: STOKER, J R. & CATHERINE C. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2080 STANLEY signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any 530-533-3880 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: STOKER, J R. & CATHERINE C. 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 sate. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). A. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: DE CANN, PHIL 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.). 169 BARDOLINO LANE ❑ 1 am Exempt under Article 3 of the usi ess and Professions Code OROVILLE, CA 95966 // (530) 534-7670 Date: ,Owner: License #: 670920 WORKERS' COMP S ION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 1190 S.F. Policy#: ' Valuation: $77,350.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any persons any manner so as become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: 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 I hereby affirm that there is a construction lending agency for the i is reby issued under the applicable provisions of the Bntte County .ode a or t do work indi abo for hich fees have been paid.performance of the work for which this permit is issued (Sec 3097 Civ.) L Name: j� Date: W Address: EXPIRES ON: V ate ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. U- . Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the qwner. 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 o ic' I forth or ocu nt o utte County. I hereby authorize representatives pf Butte County to nter on the above mentioned property for inspection purposes. Print Name: c l/ Signature: �1 Date: ❑ Owner ❑ Contractor 13 Agent for Owner 13 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 REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name j� First Name 13 Address City ' State Zip s - Phone 633 _ 2 O J O Fax E-mail APPLICANT NAME CONTRACTO Name aAVA Address Zip City r� State Zip Phone Fax E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address . Zip City Fax State.. Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X_ For office use only: Zoning Pro dress Flood Zone Cross Street SRA Yes Policy Number Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP BIN # Description or Scope of Wo Sq. Footage llql ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by Receipt #: L f oupV Date: 8193/6q Amount: 1. 0 Bldg SRA �/_ ,{�y �d • USheriff 7 SMIP 00 Other -7' (0 4�1- Total REV 7-27-04 // CLOCATION AN D�1 _. �VO- o 3 a Pro dress City � 1 Cross Street WORKER'S COMPENSATION - Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Wo Sq. Footage llql ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by Receipt #: L f oupV Date: 8193/6q Amount: 1. 0 Bldg SRA �/_ ,{�y �d • USheriff 7 SMIP 00 Other -7' (0 4�1- Total REV 7-27-04 &_ 4 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a .permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) . ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6., Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Ketunds can oniy 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 KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Centel Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: sAb �Z� ASSESSOR PARCEL NUM" Proposed Building Use: (j.Q 5W'o ,� r Y Counter Technician:E7Date: �3 a Items required in order to apply for a permit. All boxes MUS a checked OR marked NA in order to apply. -4- 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Cl 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 0 6. Energy compliance design and supporting documentation in duplicate. V 7. Statement of Intent for Non -heated and AIC fo ential Buildings. 8. Manufactured homes: (A) Data sheets an Installation inst, B�Marriage line info, (C) FWoran, (D) Tie down or fnd plans, all in duplicate. ra tirk e. C.arre ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ; ❑ 13. Detached Accessory Building Form filled out by the owner ' ❑ 14. Hazardous Material Form ct -1.- 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ...... OW 21. Fees as shown on the attached Schedule of Fees Due Sheet.....'.'*****'*'' heet ....................... ❑ 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval (A) Use:(B)Parking:(C) Parcel Check:_ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ,-07 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization ......................................:. .... ............... ......... 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ , '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... 37. -.p Grant Deed, tT H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed f the a e it m land requirements for obtaining a building permit. Applicant: �5� Mfi�ate: �'- 1. Index permi"pplica ion dont a above items numbered:ZXPlan Check Letter 2 ddl'�al items required , Contractor, e ' r, owner, was advised of the above data by �phone, ❑ mail, O counter, by Date: esign , owner, was advised of the above data by Pl phone, ❑mail, ❑count r, by Date: 0 ans reviewed by: i'Y�L. Date: �( l 3 fK/ Plans approved by: Date: C� Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.414JSE ONLY Fiat Flan Attachad Raw Flan Attactta� Sant to B.C. LD Owner Locatio AP# Plan Approved for: Sewage Disposaater Su ply: Public Private Well Clearance for dwelling. Other 09 IA^ Hold final for: Final clearance O.K. for: NOTE: &I rt �— _ �— — — Environmental Health 8/96 N LI Date ;�• i `. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 I SCHEDULE OF RECEIPT OF FEES OWNERY A.P. # Oo QS PROPROSED BUILDING USE DATE a b RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES Tb (paid at School District Office (form avail ble after Plan Chect) . ka 3. SHERIFF FEES (paid at Building Division) y�o'00 Residential............ X $360.00=$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ r # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. ` 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7: SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan cheXI�ngpfoVss. APPLICANT DATE 3 — G Pursuant to GovemAent Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) School -District A.P. Number Property Ownii, V, BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. 0�2-ot�7 oq Property Location/Address Subdivision Residential Development No of Living Units Commer,cial/industrial 4 LL -L New I BuildingDepartmentRepresentative Lot No. Sq. Footage V Mobile Home Addition/ *Supplemental to (Group R) Installation Conversion Permit # *(No foundation inspection) ........................ .......... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) 9 Sq. Footage Addition (including Exterior oofed Areas) a3 � . Date 6/ District Identification* No. D �, —+School District certifies that f � 0 S. 0 S+&41 (Street Address) has complied with the requirements of Resolution No. representing 119 square feet. School District Paid by Check # Remarks: ,T IQ, Seo (Applicant) (P,-73- 4(A9 I (Phone Number) Lob (state) (Zip Code) by payment of $ 2926 S FULL N Date No You may protest the Imposition of the fen Identified above by submitting a vnttton protest to the District, In compliance with lrovemment Code Section 66020(a), wfttdn 90 days from the date fen am paid. Failure to submit a timely written protest vAll'prohlblt you from challeNing the Imposfibn of the fees In any court action. 11, subsequent to the School District Representative signing this % Butte County Schools Impact Fee Certification Form, the School. District Is ,"R by the applicable Local Planning Agency that this proIeet Is being niviowed under the Caltftrnla Environ mental Quality Act (CIEQA) Ahls project may be adjectloadditional school fees to fully Its Impacl: on the school dhfticft schools. White (applicant), Yellow (building department), Pink (school district) feeform.x)s (10/03)dm.m AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 GORY of Document Recorded 13 -Sep -2004 2004-0055224 Has not been compared with original BUTTE COUNTY'RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building pen -nit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this.property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: CLS 'SkoLoo On 4Na4 G►nrcel dap Nn rCte.r C � i-�o rnt a , On CX-1-0�:Se.r 12 , Ia l�2 Un bid k gq of -i-h e Pay- ce.t `n'a P 1 00.- P��9 (,� Date `� PROPERTY State of California County of 36-444—=' On � USk -7, (.o , LD& before me, personally appeared .1. CLcAyy\Citr► %&_r eWk(d CQ�(�L�Csii� 1(WK, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed�sea rument. WITNESS 4 hand and o Ici Si ature I Seal: HEIDI R. HUKILL S COMM. 01411254 m W r Notary Public -California Ch BUT E COUNTY A. P.li a--0SO--�� ' Comm.xp.4di1 =� My mm. Exp. April 15, 2007 Building Permit Number: Owner Name: 6-o K&r Residential Construction Requirements 04-aR 472 DIPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is t unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) i COMPLY WITH ITEMS CHECKED BELOW t: _ Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate + will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood ` elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. S. The boitom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. 0 Page 2of 2 Building Permit Number: 0—,947z- Owner —a47ZOwner Name:540Kv(- i Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of _Lo_ feet from the side and I0 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. r 1 1 FL E ,O�OD® Woodland Park Series 4453A • 3 Bedrooms - 2 Baths • 1,190 Square Feet �U > C:�. < Mz rl t ENTRY Fleetwood Homes of Oroville 2243 Feather River Blvd. Oroville, CA 95965 530-532-3301 Fax 530-532-3304 www.fleetwoodoroville.fhretailer.com • Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and Improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterlor wall, and is an approximate figure. Length Indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. wUr 7irnna03 CITY STATE ZIP CODE Oroville CA 95966 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 026-50-052 BUILDING USE (e.g., Residential, Non-residential, Addition, Acoessory, etc. Use a Comments area, if necessary.) Residential LATRUDE&ONGI TUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( #1P - ##' - ##.#1t" or ##.###W) ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ® Other. FIRM SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFTP COMVIJNITY NAME & COMMUNITY NUMBER B2 COUNTY NAME B3. STATE Butbe County Unincorporated Areas I Bulgy I CA B4. MAP AND PANEL FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 87. FIRM PANEL NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 NUMBER ELEVATION CERTIFICATE 136. FIRM INDEX DATE EFFECTIVEIREWSED DATE Important Read tete instructions on pages 1- 7. (Lace A0, use depth of flooding) 061107 985 SECTION A - PROPERTY OWNER INFORMATION Jun 8,98 For like Campany Use: BUILDING OWNER'S NAME 174.5 Policy Number Ron Sboker BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 2080 Stanley Dr. CITY STATE ZIP CODE Oroville CA 95966 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 026-50-052 BUILDING USE (e.g., Residential, Non-residential, Addition, Acoessory, etc. Use a Comments area, if necessary.) Residential LATRUDE&ONGI TUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( #1P - ##' - ##.#1t" or ##.###W) ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ® Other. FIRM SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFTP COMVIJNITY NAME & COMMUNITY NUMBER B2 COUNTY NAME B3. STATE Butbe County Unincorporated Areas I Bulgy I CA B4. MAP AND PANEL 87. FIRM PANEL B9. BASE ROOD Et.EVATION(S) NUMBER 65. SUFFIX 136. FIRM INDEX DATE EFFECTIVEIREWSED DATE 88. ROOD ZONE(S) (Lace A0, use depth of flooding) 061107 985 C Jun 8,98 Jhuh 8,98 A 174.5 810. Indicate the source of the Base Hood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile E FIRM ❑ Community Determined E Oti>er (Describe): Field measurement B11. Indicate the elevation datum used for the BFE in B9: E NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): _ B_12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes E No Desi nation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: E Construction Drawings' ❑ Building Under Construction' ❑ Finished Construction t 'A new Elevation Certificate will be required when corttuctiorn of the buflding is oomjka C2. Building Diagram Number 6 (Select the building diagram most similar to the building for which this certificate is being cornpleted - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones All AW, AE, AH, A (with BFE), VE, V1 430, V (wit BFE), AR, ARIA, ARAE, AR/Al-A30, AR/AH, ARIAO Complete Items C3. -a4 below according to the building diagram specified in ltern C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum ncivd 29 Conversion/Comments NA Elevation reference mak used BC1229 Does the elevation reference mark used appear on the FIRM? ❑ Yes E No o a) Top of bottom floor (including basement or endosure) 176. —t(m) o b) Top of nod higher floor NA. —ft(m) V) o c) Bottom of lowest horizontal structural member (V zones only) NL.—Aft.(m) , o o d) Attached garage (top of slab) NA. ft(m) S o e) Lowest elevation of machinery and/or equoru t 1-74. U per cc'n ve!5� "n INW LD servicing the building (Describe in a Comments area) �, D o fl Lowest adjacent (finished) grade (LAG) 173. ft (m) z' m o g) Hoest adjacent (finished) grade (HAG) 173. fl. m) N o h) No. of permanent openings (flood vents) within 11 above adjacent grade NA o I) Total area of all permanent openings (flood vents) in C3.h NA sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and seated by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Frank Janes Pursell LICENSE NUMBER 60924 TITLE RCE ADDRESS a# #5 Madrone Ave. SIGNATURE f FEMA Fo 1-31, anuary 2003 COMPANY CITY Oroville DATE . gi42�/ See reverse side for continuation XW--j4t*-1 530.533-2131 Replaces all previous editions ANT: In these spaces, copy the comesponding information from Section A. Unit, Suile, ardor Bldg. No.) OR P.O. For Vmrx oe Company Use: 2080 Stanley Dr. CITY STATE ZIP CODE CaMany NAIC Nurrrbo OM& CA 95966 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticompany, and (3) building owner. COMMENTS ® Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Item E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be cornpleted. E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being wed – see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is NA ft(m)_in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6$ with openings (seepage 7), the n eA higher floor or elevated floor (elevation b) of the building is NA it(m) _in.(cm) above the highest a Qaoent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery andlor equipment servicing the building is NA ft(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinww? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's auf oozed represenfabve who completes Sections A, B. C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community - issued BFE) or Zone A0 must sign here The statements in Seclrom A, t3 C, and E are correct to the best of my M►owfedge PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the communitys floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable btern(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMAassued or oommunity4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. NUMBER I G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE G7. This permit has been issued for. ® New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: — —t(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _• _ fl -(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE t3(J-TT� ^/-�� COMMENTS UNG DlE�lP�'1A.1R Er. - D_` R ❑ Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions 1. Owner's Name -.i 2. Assessor's Parcel Number: 3. Installer's NameL�, �� 4. Is the sitecurrentlyunder permit? Yes[ J No[Permii No. 5. Is the site an existing site? Yes[ , ] N oN (If Yes, furnish two plot plans), ' 6. What is the electrical rating of the mobilehome?_Amperes. 7. What is the mobilehome site circuit breaker ting?Amperes. ,J 8. What is the electrical rating of the mobilehome site? _ Amperes. 9. Is the main service remote from the mobilehome site? Yes[ .J No[�4,If it is, what is the rating? ab.b Amperes. 10. Is there any other electric load to be served by the. mobilehome site electric service C.e. well, garage etc.)? Yes[ ] No[ J If Yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes.- ` 11. Type of gas service at mobilehome site: Natural[ ] Propane[ .None] ] 12. Size -- k. of 3g ` pipe at the mobilehome site from the meter or inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? ?=2(fL). 14. What is the mobilehome*gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane).. --- PROCESS PHIS PERMIT APPLICATION ELECTRICAL, MECHANICAL, AND P'LUMBINO CONSTRUCTION ( NOT . PLAN CHECKED . SHALLCOMPLY WITH CURRENT EDITION OF NEC, UIVIO AND. ,,UPC. May 1995 5 8.5 Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish Setup Model Number. Lf 4- I�i 3 A Width: (ft.) Length: ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manu actured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[✓f Other: SUPPORTS: Concrete block[ -� Other: Provide T"�own Specifications for all Mobilehomes: C P F �x,�- cv,tk Pier Footings Sizes and Location MOLE WIDE MiJLTI-WIDE Lias 1 i . e 1 Liao Z Line 2 ................................................................................................ Main B== LineZ................................................................................................ Z Line 1 Line 3 Line 2 ................................................................................................ Main Beam .............................................................................................. Lice 2 Lb" 1 Line 1 Piers: Size minimum: 0 4 x zI . Spacing maximum:' m ` From ends -maximum ` o ` 3 4 Line 1 Openings Size minimum: [ Z,( ] x [ -Yl. Each side of openings with width over: I 4t - ` b ` Line 2 Piers: ;:, Line 4 Piers: Size minimum: r iijxr2-� 1. Size minimum: x Spacing maximum -6 o Spacing maximum: ` From ends-maximumi v From ends -max -=um ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): A-yu?e ►Z,tic� Y8i�3o �f8x3° .2yx3 6161,1 11 y, , j` 1 0 3`, $ �f BUTTE COU N I AVER BUILDING DEPARTMFF wt APPROVr' O 00 H • Q;) 6 C.. F REOROOM I1 174 SOFT. w !) 4658 M EGRESS M0 13'--11 0-0 ® z < --i z o m 0 0 u _ 19 O O N AZ —�8'-3" lRECcpr 1 OPT HEAT TAPEON UNOERS 658 4 �5OF FLOOR 4 1- 1 4 OININ . AREA E bINK 6' 102 SOFT. E I TCHEN 1 B�ROO a� l �.5 CIRC T�9 5 ref w ao SE T r 5 30 C IOj 30 0 OPT 21N OPT 7 RED OR OM I2 6 138 SQ.FT. 6 3658 EGRESS —121-4"— OPTIONAL 12'-4"OPTIONAL [t OPTIONAL PFS Corporation Madison .4 919103 HUD Manufactured Home Construction & Safety Standard NOTES/LEGEND p Reeept (See fleet 0 O u48t =1 • rnennc.tat ® EehsueL & Celina raft O IWeh Sinwks perm ■ Doer W titans ® Oectrkal Panty 60■ G ORIO M P.41ter d9 fa XM Register O M suppbr paeon i Peet Fteb.VA pr MIN: RAG 1 4210 ROO 20620 I e. sPeolVoeBea. sliesttens Opeer+ peps. red ac la W width ald ham* 2) ImA Deer prom pwW be butt as on emct nu7rar Imato about Iht Ir))glh and/ar t16tL sits. efwen�iAtb has ane 6 Will. vent aro0 neat W489 requirements b muyr eoeh rsnwm P. dne0X mamurat wq na7ruelrerM a0tCte0 w ost Oete Iva : 3D lbs Unit 2K8 Pool Load Haight BearingPeel Pier Lead Boom Blre •� d 1611 120' 1.6 3v°"B NA 0 127 1.76' TJI4• A M�72K44P) NA 0 121r 1.76'-d4• 1334 12 f.7lY 32 �,.TJI 1 1/2' p A 6'4• 0 1270TJIB 841• 0 127 1.7b B A Ib'47 4769 120R --w— 76' 13' 13'4' 4634 1.76' Til 11IY €E> A X31'=10'9r4rJ 120• 1. b' B �� 9d-0' 4634 1.7 Tip 1 1n• F= -7' .Y• 0 F I.J6 9 38J' S8'd• 0 120' 1.76 p, Tip t In' 4 O> :• B � '� 44'4• .oro -1 .aer 1334 •cv �./o 1.73• bt E28811. Tip .._ . 4- Uve Load: 40 Ibs r e0 W POM LOW I Helel Bwflna Post Pier Lao 1 Beam strep T A A O4' 0'4' ►214 120' 1.76• 3 8 NA RA 120' 1-76 32 1214 Til 4' B NA 0 ! 'IF: 22 8 04• 0'-0' 1003 127 11 22 1000 Tip t U2• C A 8•' —FT -17-1320 1721 1 1.7 B 8�0 127 f.76r 9 8001 Till 1lIr A •10' IB -0' 127 1. 8 D 18.8• 1 4021 12 1.77 Til 11n• 14'-f0' 16' 0' 4806 127 0728 B 3'4• 13.Ir 102 120" 1. Lbl 1 tn• A 94'-17 37.7 4996 120" Ur 0 E B 30'4' w4• 981 120' 1. er 9 L8L 11n' A 31'-t7 Y-0" 4998 f t.i5• 9082 B 30'4• W-ir 1184 –7-7W Tip 11fY P A 30- 30'•9• 1400 120^ 7b 9 B 38'.34 38••6" 1408 120" 1.76• 0 2809 TJI 11n• 48.4' 43' 9 1 1.73' 1883 ' B 44 943 127 1.7b 0 Til 4' ,aA, -SEAM AND FLOOR DIMENSIONS 301 /4 " .,I-... 991/2" F w l - - - - - - - - - - - - - - - - - - - - - / - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -------------- 30 1/4 " 26'- 8 30114" " -,-------------------------------------------------------------------------------16 991/211 m 8 131- 4 --------------------------------------- ------------------------------------.------------------ 301/40 --'-----------301/4" r c a � ***** NOTE -d TOTAL LENGTH DIMENSIONS > � H =0IVOODLAND PARK SECTION 45 4 FOR STANDARD � 4453A ©SECTION= 44= o" 2X4 EXTERIORO WALL O ' O ' �P Y 2"x 2"x 3/15" STEEL ANGLE m W I C7 Q IL 0 Z O U In W CQ r m N Ln m m m Lo m LD N m m v CDm N N u� CD DETAIL "Al CHASSJS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-113UNC—A307 x 4 BOLT WITH KUTS (4) REQUIR°D 3/8- CAD PLA -ED BOLT, NUT do WASHER COUNTER BOREO FLUSH WITH 9OTTOM AT 8" O.C. (8) REQUIRED 1/4" STAND BASE /— ABESCO ABS PAD #503 36" mix TO BOTTOM OF PAD I 01/2'x 3" C.R_ LOCK PJN WITH 01/8' BRIDGE PIN 01 1/2" SCH 40 PIPE- RISER WITF 1 01/2" ADJUSTER HOLES AVD 3/8" THICK TOP PLATE COACH "C" FRAME 2" CHANNEL i/4"x1-1/4- TEK STS (2) REQUIRED 1/4." GRIFPER BASE 1/2" A307 801.1 (2) REQUIRED 3/8"x S'x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED 10.00 09/16 HOLE (iYP) STAND BASE TO P VI EW 17918 1/4" GRIPPER PLATE COACH "J" FRAME TEK STS (4) REQUIRED 1/4' GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED C—BEAM J—BEAb4 ATTACHMENT ATTACHM_--NT 8" 1/2" DIA. MOLE (8) PLACES 30" =7 STEEL FRAME TOF VIEW ST �ItALTRAM 941111iTY Cam !m nploc Torin f on! A s'•° .�5111'AJlMN0�0lA1'lR11�YEAI1! iFlilCAfo<i1fCA7BL1� � �itila� • .. ilrrsfC�l+i •. .: • - ani Onal�wl�>twi�allr <<,:. ` TUF--1 PERMANENT _ FOUNDATION SYSTEM �+•n aar•wi . AHLSCQ-GUS GUARD COMPAISY • 5851 FLORIN - PERKINS ROAD SACRAMIIITO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE POIVAi)0, PE—LISTING NO. F94249 SHEET i of 3 0 GENERAL NOTES GUS GUARD TUF-1 IIEEZGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE '4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON A FA RLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPOPTS SHALL BE LO:ATID AND SIZED FOR THE LOADS AS SHOWN IN THE 'MOBILE HOME INSTAUATION INSTRUCTIONS". c, IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR, WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNFT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COWPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. E. STRUCTURAL STEa_ FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO ANS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE 'CUS GUARD ASSENBUES SHOWN ON THIS PAGE SHALL BE LISFEO AND LABELED BY 6SK AND ASSOCIATES FOR THE FOLLOWING LOADS: ATLOWA,BLE LOADS: HORIZORTAL VERTICAL G'JS GUARD TUF-1 2200f 6000# GUS GUARD MGP PAD 22001 6000IF GUS GUARD E -Z TLE PAD 220Df 6000f S. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THS MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. S. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTAWNG GUS GUARD TUF-1 LNITS AS SHOWN ON' THIS PAGE OF TYPICAL FOUNDATION 'LAMS. 10. T14E GUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD ,PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEEO THt HEIGHT SOF THREE FEET. 1SMULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED rTHE NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS E= SAME AS SHOWN REQUIRED PER EACH UNIT. ` U2_" SiNGa-WADE UNITS REQUIRE ADDIRONAL RESTRAINT.: (SEE SHEET 13) :• 1304L AL COMPONENTS OW ATTACHMENTS ITEMS SHML BE PROTECTIVE ODATED. L4,:WHEN CONCRETE .SLAB 15 IN E{ISTANCE, PAD IS NOT 16. FOUNDATION FLOCKS 16'x 16"xl2" POURED IN PLACE AT GROUND LEVEL MAY BE USED Al INSTALLERS DISCRETION AtTEMATWE TO PADS. SItiGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' WIN. / 8' MAX. E= 2' MN. / 11' MAX. S= 6` MIN. /16 MAX. S= 6' MIN_ / 22- MAX. VARIES 10'-70' (SEE TA3LE ON SWEET #3) -' E S S S E ❑ ❑ I RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER a (TYPICAL) a ❑ ❑ 8' NOM. 2' NOM. ❑ ❑ PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES ClFFS£T TO OTHER SIDE TO THE MANUFACTURER OP. THE SUPP RT AVOID CLEARANCE PROP -EMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) .nary _ STATE APPROVAL MANUFAC'TUK9111TOMEJMOMA NNA FOUNDAMON SYSTEM > TIBALTffAND SATM 0O1D%RTii'i= I&M APPROVED Expo �' �F CIS~► -14 kd-U �AED. ANCHOR STAND TO CONCRETE SLAB WITH —,UF -1 PERMANENT � -OUR;(4) l/2'z 3 1 j2" EXPANSION ANCHORS. ' �u EDUNDATION SYSTEM GUS" GUARD TUF-i FOUNDATION SYSTEM PROVIDES ALLOWABLE SNDW LOAF TO 10C PSF WHEN INSTALLED ABFSCO-GUS GUARD COMPANY -1WIT14-EXISTING STANDARDS REQUIRED BY COACH 5851 FLORN - PEFYJM ROAD '4gA'NUFACTURER OR REPLACE THEM ON A ONE TO ewrotiatcrrrn r.k oc4" 'ANE' BASIS. SUB=F YO COARBCTIOIM NCTED APn(YVAL D01138 NOTAUTHORM OR/L"ROW AW OMISSIONS OR DEVLAnON FRAM REQUMEWT9M40F APPLICABLE STATS LAWS ANDAbWXA3WW - Stave of CslLffemis OODRS ARID IJ1r; MW T3Y �� $PA NO. ; L-- i� `_ I I 1 Tl is Plan AomnvsI EimTrm if:)fy!5 ) I WAYNE T. POLVADO, PE—LISTING NO. F94249 -SHEET 2 of 3 g .v m m W C7 Q- V z H O U N W m c¢ W N m N Ln m co Cr) Lo cn Lo N m m v m m N N uo m 3/4" DIA, x 18" LG. 1/2"x 3 1/2" 1/2"x 8" LONG(4) REQUIRED EXPANSION ANCHOR-. ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT & WASHER ,4) REQUIRED (4) RECUIRED COUNTER BORED FLUSH WITH 60T -OM AT B" O.C. (8) REQUIRED CONCRETE PAD INSTALL4T10N POURED IN PLACE 16x16x12 CIONCRETE FOUNDATION INSTALLATION , ti ,1_ - CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED t/4" GRIPPER BASE 1/2-13UNC-A307 x 4'-� BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJJSTER HOLES AND 3/f - THICK TOP PLATE 02" SCH 44 PIPE STAND . WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 0 g STEEL FRAME rn �► 18 1/2" � �t i E - Z T! / 36" MAX TO BOTTOM OF PAD B 4 01/2"x 3" CR. j LOCK PIN WITH 01/8- BRIDGE PIN i 1 f J MM71MEDS UNPt'3 LIGH— HEAVY—WEIGHT PLASTIC PAD INSTALLATION GTH OF MOVIE WIUTH OF HOME 10 12 14 16 VADTHI OF HOME 2 28 44 UP TO Ai' n2C, 8 8 12 "-1' to 66'12 10 i 0 vu 10 12 18 Bi' -1' to 8t120 20 24 SITIGIR WIDE UNITS LENGTH HOME WIUTH OF HOME 10 12 14 16 IIP TO 44' 6 6 6 $ 44'-1 to 6fi' 8 8 8 8 d8'-1' to 8b 10 i 0 vu 10 NUMOF TUF- UI1WD NUMBER OF TUF-1 REQUMDBER 1 REQ NOTE; SINGLE WIDE UNITS REQtKRE (4) E -Z TI_ GU PADS. GUS ARD TUF-1 PIERS ARE 70 BE PLACED AT APPROXIMATELY EQUAL mTERYAfS ALONG EACH FRAME RAI" N06 1791 Exp Le - 9� OF GAL 37" TUF-1 PERMANENT FOUNDATION SYSTEM ABMCO-CM GURD ACOWAA'Y 5851 FLORIN - PERKINS ROAD SACRAMENT -0, CA 95823 PAD PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL FCUNDATTOTI SYSTEM NC SAFETY CODE, SBCnON 1011 APPROVED SUBJBC7 TO 0ORRHCf10NB NOTED i& APPROVAL DOES NOT AUMORM DR AYPRDVE AM i' OMISSIOMS OR DEVIATION FROM REQUIREMOM Ol API?L_CABLEETATE LAWS ANDREGULATIONB -Sots of Oxtiiosoia" A aat E sad C--=4FS AIS STAND / BY / (►�� / BPATtO. "llFlsnAmffA9Expha_ _�, WAYNE T. POLVADO, PE—JSTING NO. F94249 SHEET 3 of 3 SITE PLAN ....................................; 4� ...... :....;.. o, ............................. .. a..'. : ' :oo� CH Q EtKPD OT P .... ..,.... ,�................,......_.. _. _. :....:.....:..... ;::._ =..:- OMPLY WI H t HH�EN�° �N............_. ... .. . ° ...................Q...:.....:......: ... ;......:....:.................:.....�......; :.. .. t.. :.. .4Q. /� �:4 .. ...............4Q•. ...................... . . .. ......... ...... :- ' ... . . ..... ...... .. ... .......................... .. .f .... .. .. .. .. .. .. .. .. ... .. - _ j .. .. ...... .... ...... / d -4, .. .. .. .. ...............` •� .. (( .. .. . . t.. ...... .............. .. ..... ...... J�% . ... ...... ....... . ff ............... ........... .................. �: ...... ..... ......... .. .. ... ............ ...... .. ..........................................i • O: VI N ..... ...... . 2 1l .... ............. .. L.* ...... ..• ` O .. .. .. ........... .. .t. ........ .. V , ... .. ... rv'( .... ...................... .. :(. ...... ,: .. _ N o: ' ;.�..., �. I art on .. .. .. .. �j:T� i �..... t -.. . : .. .. :.....:......:.....�.....:......:...........: .. ........... »................ :. .:......:.:.. .. .. . . ...:.. ...:.. . . �. t .....--•....: ....................................;...... .....'......i. . ;.:........... .. ?• .i,�1�1 V : ...:.....:......:......: ............ .. ............ I f -,� p:..::.. ►"`a r �- r. . vic! '� ......................0 {%'1 e_ �1 ............. .. ............. .. ..Q. 1 c • s... ..0 ®d �: .....» .. .. i .. C . ... .. I :. ........... r Q L� i:4L �s • .. :.. PLANNING DIVISION - ' \ BUILDING PLAN APP w � .�. '`` tel= i Use: - .. .. .. .. Da .. Ye: ;... 9: arida' +ri ....: ................... w .......... Sigr*a�h:. tom.... y� :. . ..............:.::...::::..::: . . . . . ,...:. ... ....... . ..... ... ... ..;..... �...........:......i. tk...... .. .. .............. 1' �. 1q• 41. 1!� 19-4... .. .. .... ....... .. .i..... .i •:::.::•r• .. .. .. .� .. ............................................... o .o© r —*UII MING DEPA 70 assessors Parcel Number. )wrier Name Address / Phor aite Location on ®®" 0J E"" ® V1 ® Scale: 1" . Phone' S;7,t0 �.-K9 JD — D- 5377670 0�,�Z03 FOR OFFICE USE ONLY ` Zoning: . General Plan Desig: Size' Acres 5- OD 4 e a.OT - ADJACENT PARCELS SIZE (AC): ,5r ZONING: GEN PLAN: USES: F I . U1 SITE PLAN REVIEW APPLICATION Dater o y Permit Number (if applicable) AP# D � �-- o.S o- C) Q APPLICANT INFORMATION Parcel Size: a.a . Owners Name: Owners Address: .2 0 R Ori & , . 4 Telephone No.: T 3 3- 3 k R O Situs Address: Proposed Use: U Residential s N New Single. Family Residential ❑ Single Family Addition ❑ ,Single Family Remodel ®, Mobile Home - . �/ F1 Residential Accessory ( - l ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ;7P ❑ Mu1 - Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic Agricultural Exempt Building Other: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ . Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) V$6Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved ' 01 • By ��� Gail Date $' ALL ITEMS CHECKED APPLY TO THE PROPERTY " Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) v Flood Zone: 14 Flood Panel No.: ) 7 Index Date: m 00 ❑ Sacramento River Reclamation District (Approval must be obtained from the dalifo a ' Reclamation Board) E] Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 1 120 Side /0 r Side Street Rear /D Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ^s Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other --------------------------------=----- Subdivision Map Special Fees Formula ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) # Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ` . ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone EJMeet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: I ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: CoS• Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required., ❑ Property owners responsible for roa EJ 07 T--- A -re Summary of Specific Requirements: { This information provided in this summary is based on of review. the application information and on the*best available data at the time - CALarrys\Building Permit Site Plan Reviewl.doc TPM 1 BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. . Owner or Authorized Agent must complete the following and return with the required site plan to: • Development Servi Name: Mailing E -Mail address rtment, 7 County Center Drive, Oroville, CA (530) 538-7601 Assessor's Parcel Number: n,2 4 - 0,5n - 0,15-2, Reason you believe you qualify for the unusual circumstances signature Phone: !6 -L?a - 33 ORW Date ENVIRONMENTAL HEALTH AUG 12 2Oa4 1 COUNTY CENTER DRIVE UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ................................................................................................................................................... Internal Dept. Contact Info: ' ❑ Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: ........................................................................................................................................................................................ For Agricultural Commissioner office use only: (to be completed after submittal) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) ❑ Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: Agricultural Department Signature: Date: YMC 7/1/03 3 ' " a ' a DETAIL "B" ' /0.00' 8 - _ 0.9/'_ - - J i FD. //P"REBAR LS 4202 PER 00 w., LP L 9'900 PER /01 QD 112"/.P. LSt900 PERIM) • ' " PCL. � EB/ � ' , NPcL DETAIL 'A" /p PCL./O S \79 j;, 7 m ." ✓ m p�0p(gf� i � wELG 2 �, fOP�EPC'" FD. //2"REBAR LS 4202 PER /Rl BASIS Of BEARING 7M£ EAST LINE OF PARCEL I OF THIS MAP, TARE& I BErWEEN Pomrs INDICA.a9 NOO.OB'/6"E AS PER 7/ MAPS 85 �Da _ NOTE: rNAr PORT/ON OF PARCELS I e 2 OESIGNAr£0 ' AS surer mw is SUB/ECr TO A Rr a T. RIGHrOF•WAY PER 2169 OR 404 NOTE: MINE /1 NO EVIDENCE rD /NDl 1 AVA/LAB/L/fr SCALE l"•100' OF DOMESTIC WATER ON PARCEL I. J E 0 0• 0000 ° pE°` E �` B°° � _ „ap'3p�' I 1 E' g P 0 p I `E+Jop`��N +� °q°� ��oe5` N68.34E rs/ 0.92, 9/'/rorau LOCATION MAP I �PO,G Of L BQ O g R O NH•54'/B"£/N, R/2J9.00' 4 NTS J 1 gPJfOc �q• 4� ' a N 44.08'£ 18/239.10' to - 1 0. �4 `E C / m N © N34.43*18"E IR, is) 490.MI tt' 190.02' 1 °° •gg R /e b NJl•Q1'[ 2 1 0065 N00•25'o3"w /IP,M/ "QR6'/Ml v 1 y / Z a$ n a•te W /o,s� 2re.'e' LEGEND gE ® No0•25'o!"W /Ml'53.45' N o0.25,W W /N/ 80.41' 4r-- FOa, MOnVME&r AS NOfm NOO•21'O!"w owl /7J.00' RW.- sET l/p' REBAR LS 4208 1 'b o— Paw OE7ERM/N£D ONLr ' , .� '(P ►` ' "' PARCEL (2) % Q � /07.98' /S,N/ E� • e C m 73.62' /S,M/ /Ol - 2279 OR. J/! 1.00ac. w Z IR) - 7/ MAPS 61 g ✓ IB.71'/M/ /S1 - UNRECORDED PLaf O -J?? BY R.E. SOUL£ DTD. -APR. 1962, ON FILE /N rNE OFF/CE OF 6.OA. 40'STRIP DE£OED To BUTTE ceAwyEo"TD 9urrE RNs ar 1 PARCEL(b g o Q OE�FO'I95 OEEO9 III G /.78 AC .O.R� O.'t AC. N . m II I� I I FO. 112'1.P. LSt900 40.01 229.77• -krr 797.3!' /N COMC AS P£R /R/ PARCEL M A P �7- S 88•36'19•W /M/ 7 ( 1 1 B7. 4YM /0,9/ 666.6.7!'' o A PORTION OF THE N.W. 114 SECT/ON 5, T /BN, R 4E, M D.N. , UNINCORPORATED I a AREA Of BUTTE COUNTY, CALIF. FOR h _ TOMMY GARDNER ErAL. I CALL POS/r/ON NOTE: AN AFFIDAVIT OF OWNERSHIP IS BEING CONCURRENTLY RECORDED IN O/I C 1/4 SEC. S THEAFFICE OOF��UTTE COUNTY RECORDER UNDER SERIAL NUMBER SURVEYORS CERTIFICATE. 5' �� COUNTY SURVEYORS CERTIFICATE RECgRDER RTIFICATE YET �S THIS MAP WAS PREPARED By ME OR UNDER My D fST_IOIY ANU'1$ THIS MAP CONFORMS WITH THE REOUIREMENTS OF TH=SUBDIVISION FlLED THIS /p'�DAYOF ._,1 BB..L. AT hl Lk olm. ' ENGINEERING BASED UPON AFIELD SURVEY IN CONFORMANCE WRN TH-F,7,,�IREI:/ENf60F MAPACTAND LOCAL ORDINANCE. DATED:- I,Ifai u, SURVEYING `•y N BDOR-82— OF MAPS AT PAGE d*Z- AT THE REQUEST OF o THE SUBDIVISION MAP ACT AND LOCAL ORDINANC RT,: THE REQUEST rN£ OFFER of OEO/CATION/s No7ACCEP7E0 Ar rms r/M£. ��Z�. �� _ i PLANNING OF IONMY GAROMER ON OCC. IP 1 1 HEREBY STATE T� THAT THIS PARCEL MAP SUBSTANTIALLY CONFORMS T �TH AlOARDVE° OR SERMLNO.__.,+�_;O7LS_ 4e NOR M. BFCN KIR LA • ORO DAM BM.. SUITE CONDITIONALLY APPROVED TENTATIVE MAP, IF ANY. �. S`r /.-- COI1NTY iO1tV61WIRKWLDER OROVALE. CALIFORNVI B59SS (BIN S]TLOGB /A L�•1./,G�_ u LEB RCE Hz2 By ea D A ✓O'er NN O. CNRISTOffFR3 LS 4POBi COUNTYSVR v0R DEPurr -C 309-8/ snr Rv 1c -os -24 SITE PLAN ( NMEHTAL HEALTH 1 ............ :...... ............. ....... ...................:...... .QE . . ..:........ .. .. ....:.. . : . . .. .x�:.:.... ......:....... . _:. .::.... ... ...:. :.. : • .. ... ...:......:......................_ .............-•••..................PFJOER ... ..:.... 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T ... 1- s .. t�``..... .. .. .. �2 U>1 .. ........................... �.- ..i: ;......ti.....:......j......}.. .. .. .. .. .. ........j. .. ............. ... .. _ `y;.. ..... v. 7. C NTY CEN �. ;.. :.....: Cry ..N. .. .. .. � .... .. ............ ., . ;... :::..;.... p :.....:............:.....:............:.....:............:.....:...........................................:.............. = ... .. .. Assessor's Parcel Number. Q ©®— Q 0 0 — 0 0 © Scale: Owner Name f Kl='I.-;? Address / Phone No. Site Location ',� VI Contact: Name 0iF Phpne6�5 a X990-- 0-53�i67p October 23,2003 FOR OFFICE USE ONLY Zoning: General Plan Desig: j Size, Acres ' 4.00" } 1 - i PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC):_ ZONING: GEN PLAN: USES: 0 MN A o� Department of Public Works 0 County of Butte O 01. Michael Crump, Director LAND DEVELOPMENT DIVISION o Storm Water Management Program ( 7 County Center Drive Oroville. CA 95965 A�eIIC Wo�,�9 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACREI Project Description:�r S + Project Location and/or Parcel Number: S G �- By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more :of land may result in revocation of grading and/or other permits or other sanctions provided by law.' " Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 I ' a 30 01-0' 1 PERMIT NO. — P PERMIT EXPIRES l OWNER RTTTTF HORRFMAN' S ASSn('. _ CONTR. nWNFR . ' v, ASSESSOR PARCEL 96—n5-59 LOCATION U4 T.i nrnl n R1 ud, at Ctanl ajr T n, nrp i F� r 35F y 1 Temp. Power Pole Called PG&E Temp. Elec. Service t p S ce Called PG&E + Temp. Gas Service ? +) ' } ' Called PG&E .JOB FINALED (Date) 1 Signature t . Robert, C. Brooks 7.6 Arbol Avenue Oroville, CA 95966 August 18, 1987 Butte County Building Department 7 County Center Drive Oroville, CA 95965 t Gentlemen: The Butte Horswemen's Association has applied for a building permit on their parcel, AP 26-05-52. One requirement'is that ' the floor of the building be at or above the 100 year flood elevation,. The property is located on the east side of Lincoln Boulevard, and on the south side of Wyman Ravine. There is a county bridge at this location, designed so the soffit will be above the 100 year flood. The soffit is practically at elevation 174'. The Flood -Hazard Boundary Map ( sheet 6; the site is actually on sheet 7 near the match line to sheet 6 ).on file at the county office shows 100 year flood elevation 174' at this location. I take the 100 year flood.elevation to be 174' at the ? proposed building site. I have set a Temporary Berfth Mark at elevation 174.42 at:the site. If more information is'required, please contact. me. Very truly yours, R.C.E. 15,140 P�»e tvee. o�ec„- west' c.c. Butte Horsemen's Association. = OK = Not OK - =Not Applicable RESIDENTIAL (Single and Duplex) _ = hlot.Ready Date UIWERFLOOR (Plans) OK except #'s "1.;ening requirements-Setbacks-Easemen s Ftg., Main; Soils-Steel-Elec. Grnd.-/ Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. W., Porches & Decks; Soils -Steel-/ /"Ftg. Del temwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel $005.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors i 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-MateriakSupprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 �= Date//- "'/Card -B1 Date Card -134 DateU--- BjCard-B1 Date Date PLUMBING (Permit) OK except #'s ]b Watpr Ht vent -Access -Combustion Air -117. Water Pipe; Test & Anchors -Nail Protection v .W.V.; Test-Fttngs & Anchors -Nail Protection s , irst Floor -Tub Access 2 ower, 2nd-FI"oor-Tub Access & Anchors Card -131 Date Date /.ZZ and -B1 Date Card -131 Date Card -131 Date i Date ELECTRICAL (Permit) OK except #'s 22,11FIxture & Transformer Clearance -Ins. Protection 3. Elec. Receptacles Spacing -Lights & Switches at.Doors P22r-Size Boxes & No. of Conductors -Stapled +'26. Romex Installed Close to Edge of Studs & C.J. 6. Equip. Ground made up w/Meeh. Fasteners -Bond Gas & Water 27. -2 -Appliance Cifduits in Kitchen & Conductor Size 28'-SII6feed-Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 297119nge Gilt. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 0. Service -Riser Conductors & Ground -Main Disconnect 31. quip. antes Panels-Motors-Mech. Equip. 32-CAothes-Closet Light -Shower Light -Spa Light Card -81 2 Datef - krd-81 Date Card -B1 Date Card -B1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic C rd -B1 Date Card -131 Date and -61 Date Card -131 Date Date FRAMING (Plans) OK except #'s P56. Sills, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound L4e-Bearing Walls over Girders & Floor Nailing 41417.-braft Stop in Walls (rat proof) R2. ire Stops; Furred Ceilings -Stairs -Chases -Tub -,13. Header & Beam -Size & Bearing Date FRAMING (Continued) 4!v�angers-Post Caps -Anchors -Connectors te4_5. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 4 . irep ace i A Flue -Fireplace Throat ,47. Attic rotection-Draft Stop -Ins. Baffles 48. -Sill Hgt. & Dimensions 49.E ire ro ec ion rammg 50. 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits i - ea room -Rise -Run -Landing -Fire Protection -53-. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers i64 -Siding -Nailing Veneer 55-coes - np creed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 5 .ear alts; Nailing -Bolts a ion-Walls-Clg. ra ion- alts-Wndws Card -B C&` , Date Card -B1 Date Card -131 Date Card -B1 Date Date PNAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61-Smoke-Betector- 62. urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 63 -Bedroom -Exiting, 64-G f-1-&-Bath-Fixtures & Tub Access -Spa -65. Elec: Trim-&-Subpanel; Beaker Sizes -Labels _66. -Stairs-& Rails -67-Fireplace or Stove; Clearances -Hearth lec.-Outlets-at ood Panel; Int. & Ext. 69. it. Eixt.-&-Appliance; Grnd. -Air Gap -Cooking Clearance ,7.0-E1ec-Outlets Receptacles at Kit. Counter 71._Garage-Fire-Doo-; Swing -Landing -Closer 72:-A:G-DucYin Garage=Damper 73.Wtr-Htr Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection `7 Ib., Elec. & Mech. Equip. Listed for Location 75-E-1ec-Receptecies-4n Garage; (G.F.I.)-Romex Protec. 7.6-Insulation=Foam-Looked in Attic ❑ Yes -7-7.-Guard-Rails-&-Deck Construction -Post Caps 78-Fdn-Vents-&-Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 79. Following instld.; Drive ❑ Yes-1p_alks O Yes ONO -- Planters NoPlanters ❑ Yes ❑iNo-_ _80 -Stucco; Brown -Finish, 81. A C.-Unit-Disc.onnec2- Electrical, Plumbing i..02 -Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Open!ngs. L83. iter Well; Disconnect, Electrical, Plumbing 84,-E-xterior-Etec.Trim; G.F.I. Receptacle -Underground -85-VenittaCon f ro hout House -86. ss rotection BT_Gofinetions-from Previous Inpections 88-6asTest=Nle7ers Tagged; Gas -Electric -89-Waterer wer onnected-C/O to Grade -HD Approval 30 -Energy -Compliance Certificate -Other Certificates Card-Ble, Datez .2_V Card -B1 Date Card -131 U Date Card -B1 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) = OK 0 = Not OK = Not R Not-Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except#'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -81 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -81 Date Card -81 Date 2. Footings; Size -Spacing -Marriage Line Card -81 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -81 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -131 Date Card -131 Date Card -131 Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751, 7 County Center Drive, OroviIIe — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWN A routine inspection Indicates that the following violations of County Ordinance exist. at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matte�r,�or need additional explanation, please contact this office immediately. l n ..4 fl E q 62 a Inspector Datei COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector i /Zt Date L ��" COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-275j 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE IS5,: e / �_ 7c1- 7 OWNER PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. R /a— /— R-7 Inspector G' L Date / 02 / JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS MIT 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �$ VON • APPLICATFOWAND PERMIT ✓✓✓ ASSESSOR PARCEL NUMBER 026-0 -0-052-0 Z NING &4 BUILDING PERMIT OWNER Butte Horseman's Association TELEPHONE 534-7593 SQ. FT. OCC. BUILDING VA ATION OWNER'S MAILING ADDRESS P.O. Box 352 Palermo, Ca. 95968 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEN ER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $. ARCHITECT OR ENGINE J LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT O NGIN E 'S MAILING ADDRESS Z % y Penalty $ BUI DING ADDRESS Stanley Drive, Oroville, Ca. 95966 Permit fee $ �'_ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 11 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Restroom SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New[M Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ 60 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 A CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM, OR ACDNS. (ACC. BLDGS. 2/zQsgft NEW CONSTRESID, RANOOUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200500 9ALO3o FIXED APLNS.® Ex. OCCUp. OUTLETS P(RESID )REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Ho Misc. 9 15.00 Permit Fee $ / ti WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the. County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _ b, i�_� Q�"� Date Signature of Applicant — Owner \ g pp ❑ Contractor ❑ AgentK.lition An OSHA permit is required for excavations over 5'0" deep and or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ / TOTAL PERMIT FEE $ 0CUP. CONST.TrPC aM// FLo PARCE PD MD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PEW EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date _ s — Receipt No. ZZ 0- F_ WHITE-O.P.W.. YELLOW-ASs 9sOR. PINK -INSPECTOR. GOLDENROD -APPLICANT VIRA _ a. r, 7 11,4- ` COUNTY OF BUTTE - DEPARTMENT-OF.,.P,UBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA,.�IFORI�iA 95965 - TELEPHONE: 916/5344541 ,, xis i PERMIT APPLICATION' DATA SHEET Permit No. OWNER 2%GG� A. P. No.' Proposed Building Use�Building Inspect . Date 'ti S At time of permit application, I was advised tlie,yfollowing data must be submitted prior to permit processing and:/or issuance: • DATE RECEIVED APPROVED Sys 1. All items have been submitted. 2. Plot plans in duplicate./triplicate, signed by preparer of plans... . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , , , 9. Letter of signature authoriza ion. . . . . . . Witation approval from aIt Dept. /jnning approval for (A) U (B) acing:tificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), Qlk- 15. Improvements may be required. , . , . , . , , , , , 17—z. 7 16. Mobilehome Installation Data. . . . . . . . . Pre-Inspec. request to (Dote) 17. Pre -Inspection for- Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of leo 22. 3, When you issue the permit,roce�s as follows: Mail to ner, Mail to contractor. �J Telephone �-� and hold for pickup amoffice, Deliver w/inspector. ►' Other -: Copy of plans sent Health Dept., The following data must be submitted 1. Index permit for above items No. - 2. o._2. Additional items required: Applicant ,Date _Fire Dept., Other - Date t t permit issuance: (Circle new item not checked above). Contractor, designer 40as advised of above required data by—phone _--naII ounter bAn-8ate .1 Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Z Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW TO Buildina Department FROM: a Environmental Health SUBJECT: Sanitation Clearance TTc o�sc us45g-/4/ Jam. OovnerLocation AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water.._ Supply Final clearance O.R. for: Water Sunply- Clearance for ' Other Cs�,p�pn.+ �i9�i� "Ty Sanitarian -/� , 7 Da —� Robert -C. Brooks T6 Arbol Avenue Oroville, CA 95966 August 18, 1987 Butte County Building Department 7 County Center Drive Oroville, CA 95965 Gentlemen: The Butte Horsemen's Association has applied for a building permit on their parcel, AP 26-05-52. One requirement is that the floor of the building be at or above the 100 year flood elevation. The property is located on the east side of Lincoln Boulevard, and on the south side of Wyman Ravine. There is a county bridge at this location, de -signed so .,the soffit will be above the 100 year flood. The soffit is practically at elevation 174'. The Flood,Hazard Boundary Map ( sheet 6; the site is actually on sheet 7 near the match line to sheet 6 ) on file at the county office shows 100 year flood elevation 174' at,this location. I take the 100 year flood.elevation to be 174' at the proposed building site. I have set a Temporary Bench Mark at elevation 174.421 at,the site.h`., If more information is required, please contact. me. Very truly yours, '3�R.C.E. 15,140 C.C. Butte Horsemen's Association."11 - 7242' COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this.information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is.received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) LpQe signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: p\pr-2 Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. .1 will provide some of the work:but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date 6—� () -in NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are pexK mitted to issue the permit. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,.Oroville, CA 95965 PHONE DATE �' {91.6)533-7541. 4 Butte Horseman's Associates June 11, 1987 P.O. 'Box 352 Palermo, CA 95968 ME:Building Permit Application #1874-87 A.P. #26-05-52 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER / X/ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise X Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Use Permit to expand in ARM -1 Zone. Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works j F. Glander Chief Building Inspector MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE 7/85 Bldg. Permit # /jrr75/--P OWNER -*WAMS /455oew- 4 r1ZVJ A.P. # 44 -0,5 -aa A. GENERAL e/!zoning requirements (sideyards, parking, special conditions, Planning approval). �! Valuation. /iignature by R.C.E., Architect or Building Designer. mprovements and drainage -- Land Dev., DPW; City of Chico; City of Biggs. Y. Complete plot plan with dimensions, easements, other buildings, and other per- tinent data. Jro�See previous permits and plans in file for expired permits, change of use, violations, etc. Flood hazard. B. OCCUPANCY REQUIREMENTS d'0'- Building use Rtb ?/ Occupancy Class 3*0***'Building floor area _ 4A-'o'__Tota1 allowable floor Basic allowable floor Basis for increase /-am sq. ft. area 4►po O area Type of Construction Occupant Load :. sq. ft. sq. ft. 6110" Occupancy occupancy group requirements (Chapters 6-12). p� Occupancy separations (Sec. 503). ,7w --Area separations (Sec..505). LOv"Pirewalls due to location on property (Sec. 504). 4-c" Maximum height requirements (Sec. 507:). 10 ---Attic separations (Sec. 3205). AO. -*"Ventilation and special hazards requirements (Chapter 6112). 42. Fire extinguishing systems, 20 sq. ft. opening/50 linear ft. (Chapter 38). _49 ----Fire alarm systems (09 Sections of Chapters 6=12). 34 Mechanical code requirements. (Grease hood w/fire sprinkler system - Chap. 20). 45. Health Dept. Plan Review - (1) Restaurant Act; (b) Commercial Pool. -L6—Smoke detection system. fir- Fire Dept. Plan Review and/or Fire Marshal Plan Approval. .-I8: E-lectrical Code Requirements (Pools or hazardous occ.) (Art. 680 & 500's). . 'hysically handicapped requirements (State Law). C. TYPE OF CONSTRUCTION REQUIREMENTS V0007*'ire retardant roof coverings (Sec. 3202). �A! " arapet walls (Sec. 1709) g/��ilet room floors and walls (Sec. 510). Physically handicapped (per State Law). Guardrails (Sec. 1711). 'Detailed types of construction requirements (Chapters 17-22). ,..Proper roof pitch_ for roof covering (Chapter 32). and ventilation (Sec. 3205). . Roof drainage (Sec. 3207). 'lights (Chapters 34 & 52). images and platforms (Chapter 39). interior wall and ceiling finish (Chapter 42).. —Fire resistive requirements (Chapter 43). MULTIPLE FAMILY AND COMMERCIAL. PLAN CHECKING GUIDE (CONT'D) 7/85 C. TYPE OF CONSTRUCTION REQUIREMENTS (CONT'D), "Wall and ceiling coverings (Chapter 47). sem. Mass and glazing (Chapter 54). Human Impact (Sec. 5406). Lkof'o' Building Materials - Check: Grade, Species, Allowable Stresses, ext. or int. -- Example: .(Glu -lam Beams w/cert. 24F ext. grade). Foam plastics (Sec. 1712). D. STAIRS, EXITS, AND OCCUPANT LOADS 1�GG- ral Exit Requirements (Sec. 3301 & 02) (Post occ. load, etc:). Zwo' Number of exits, width and locations (Sec, 3303). Doors (Sec. 3304). Corridors and exterior exit balconies (Sec. 3305). S+ --Stairways, rise and run, width, winders, and construction (Sec. 3306). ...( ' orizontal exit (Sec. 3308). !Exit and smokeproof enclosures (Sec. 3309). ,Aw-- Exit signs and illumination (Sec. 3313 & 14). .F Aisles and seating (Sec. 3315 & 16). ]an -'Exits for occupancy groups A-E (Sec. 3317 - 3321). E. ENGINEERING REGULATIONS, DESIGN, QUALITY MATERIALS, AND DETAILED REQUIREMENTS Complete plans sufficient to show how building is proposed to be constructed and to verify conformance with Chapters 23-29. Plans must include plot plan, door plan, foundation plan, elevations, and complete structural details. 3/ Energy design, calcs, and necessary details (State Law) & compliance statement on plans. 3.—Veneer (Chapter 30) . _ 1mneys and fireplaces (Chapter 37). 5- -Plastics (Chapter 52). b ----Excavation and grading (Chapter 70). i?' -Continuous or Special Inspection (Sec. 305). #8 -:'°Factory or other certification. .9 -.-$oils or compaction data. 19 ---Noise regulations. 11. Footing reinf. Min. Two A bars (cont.). 12. Engineering Calc(s) should include: (ai --Roof - Ceiling. 44rr'-Ploor - Ceiling. (s,)_�-F6undation . Imo ---Walls -- Large openings? (consider lateral). 4—'Lateral: (jp)- oof Diaphram. (ear Walls. (Al'Anchorage & Tie -Downs. ('Connections thru-out. 4 -)—Retaining Walls. COUNTY OF BUTTE - DEPARTMENT 0F 7 County Center Drive - Oroville, California 95965 - PUBLIC WORKS Telephone: 916/538-7541 APPLICATION AND PERMIT ,_PERMIT N0. ASSESSOR PARCEL NUMBER 26-05-52 ZONING BUILDING PERMIT OWNERTELEPHONE BUTTE HORSEMAN'S ASSOCIATION 534-7593 SQ. FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 352, Palermo, CA 95968 CONTRACTOR'S NAMETELEPHONE OWNER 1st renewal permit CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN NONE Fireplace Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 25.25 ARCHITECT OR ENGINEER DONALD R. ROPER LICENSE NO. Plan Checking Fee ,$ Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS STANLEY DRIVE Permit fee $ 35.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 OROVILLE Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other rPSt7rnom SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New Addition emodel ❑ Util' i s ❑ Installation ther Describe work: 1st renewal of permit #1874-87 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pen It of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed. contract- ors. (Sec. 7044) I am exempt under Sec. Bu in ss and �ro�essions Cgde for this r n .r � NEW CONST. DWELLING OCCUP.EI\ , OR ADDNS. ACC. BLDGS. I 20sgft NEW CONSTR TI -OUTLET 2,SOea NON-RESID .BRA CH CIRC I S POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eAL030 FIXED EX. DCCUp. OUTLETS P(RESID IREA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc.lYiring 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE I declare unde a alof perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against VIIabilities, judgments, costs, and expenses which may in any way accrue st sa' ounty in cone nce the granting of this permit. •�This Date ture of Applicant — Owner El Contractor ❑ Agen tk An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 35.25 Occup. CONST.TYPE JSrI1OOLJFLOOOJPARCFLJ PD ND IssuE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PUBLIC By /f�/ PERMIT EXPIRES Date 8-19-89 the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. v WHITE-D.P.W.. YELLO -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Departmont of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Named _ % Address /� Ph%9e �pe of Work 17�i.(if., i�[/�- -��.itr, /-/�lil.aA .r rYss�r.ii�w .�_Y U: 1 Signed: Property Owner 2.,ti�E�� Social Security Number Date X_-- a��l'z NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE — DEPA MENT OF PUBLIC WORKS A 7 County Center Drive — ille, California 95965 Telephone: 53 .41 4 APPLICATION AND PERMIT _ BUILDING SQ. FT. OCC. BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER P 't F $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE �^ 2.5OeE Owner erml ee Mailing Address l '� VaI + Telephone No. Contractor Mobile Home Facilities Mai I Ing Address Misc. Wiring PERMIT FILING FEE $3.00 ,Q Telephone No. Building Address S „t 0 �� �►'�1 eu �4" Q _ Single Family ❑ 10 my 111(9- A. P. No. b r D >6— " Zoning & Planning Ftes' 0 -Sarti•ta4err Fire Dept. Fire Zone Use Permit EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p .-151 w—P'lans Recld I Parcel ADaroval Plans Aooroval _ BUILDING SQ. FT. OCC. BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER P 't F $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE �^ 2.5OeE NEW C ONST R. (POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. erml ee W cin 4C P + ELECTRICAL No. @ FEE Mobile Home Facilities 15.00 Misc. Wiring PERMIT FILING FEE $3.00 ,Q Main service 600V OR LESS 100 AMP OR LESS 5.00 r Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD -L 100 AMP 2.50 , t, {� Main service OVER 600V 100 AMP OR LESS 25.00 rem, a 1 1 Y\ � Main service EA. ADD'L 100 AMP 1.00 NEW CONS(DWEL ING OR ADDNST ACCLBLDGOCCUP. Y) 20sgft 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: ,cense No. Classification I am exempt from the Contractors License Laws of the State of Cal ifomia. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � Date Signature of Permite 'a Agent Receipt No. )1 6�5 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant NEW CONSTR. muL 1 "U 1 "' NON-RESI D. BRANCH CIRCUITS 2.5OeE NEW C ONST R. (POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. EX. OCcUp(OUTLETS OR FIXT11RES 50 @?SC BAL@iC Ex. OCcUFIXED APPLNS. OR p• OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL rt$3 @ FE PERMIT FILING FEE .00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WOR�J) l �y By _ Date -7 I f � —Building permit expires Date k ! 1 -7 1 _ 9 ✓ COUNTY OF BUTTE — C ,,PARTMENT OF PUBLIC WORKS �7 7 County Center Drive-,= Oroville, California 95965 Teleie: 584-4541 /(f/ APPLICATION AND PERMIT BUILDING Owner �Sr — "r I SO. FT. OCC. BUILDING VALU ION Mailing Address Telephone No. C 1 _ l T Contractor UJ V\� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address- CZ�Permit Plan Checking Fee&/or Penalty Fee $ Ile PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 6' Oma- Zoning & Planning Water piping 1.50 o Each gas water heater or vent 1.50 F . =6a� I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking I Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ons ec d I Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ C CE' ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 .Main service 6001 OR LESS5.00 100 AMP OR LESS `rQ Q V Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD•L 100 AMP 2.50 t � � Main service OVER Miov 100 A60MP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OOR ADDNST ( ACCLBLDGS.CCUP. S1 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y NEW CONSTR BRANOUTL T NON-RESID. ( BRANCH CIRCUITS ;2.50ea -C NEW CONSTR. POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI1RES 0 B Ex. Occup. FIXED RES. OR P• OUTLETTSS (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. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with'the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned pr Jerty for in pec ion purposes. s � X Date Signature of Permi o Agent Ir Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Venti Iation Hood 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 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. OF PUBLIC WORKS By Date c Building permit expires Date AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2004-0056224 Recorded OfficialRecords COPE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:02PM 13 -Sep -2004 REC FEE 7.00 CONFORM 1.00 Jason Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents ofthis.property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SkoLo n on -} ► n rcel Map, JP lei n p F' e reCv r_de_r I cDur) OF �� �. G-C�a C)n Ocrl-o?,er 12 Ia (n2 tan boo k 8q pay- Ce 1 fnGp I 0.A qa�q uc Date ,,2� `�i PROPERTY WN State of California County of�� On before me, personally appeared .J • %I_0Am0A S-tp & C ofy\-d- C a(iaL j(Q personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed instrument. WITNESS in hand and o Icial sea N, �1 n A. Seal: HEIDI R. HUKILL f COMM. 01411254 m y v a Notary Public-Califomis H W , BUTTE COUNTY -� My Comm. Exp. April 15, 2007 0 �C � - - :, r3 r' � Cil -- +�►1�'1�1'�t, - 3F beo�lo�oA _ _o•ro�i� iCi�s�1t) 10 O"llso 1 3TM � r!�•s0alA y J-11AUH A m CES.tt?tN WA07 :. Ve.UU-1 .,TTI. ti •