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026-133-006
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RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING'DIVISION 7 COUNTY CENTER DRIVE ' OROVILLE CA 95965 IIIIIIIIII'IIIIiIIIIIIIIIIIIIIIIII 20105—�01 983.: Recorded Official Records . Count, I REC FEE 10.00^ 1 CONFORM EOf BUTCANDACE J. GRUBHS I Recorder 7 COUNTY CENTER DRIVE ROSEMARY DICKSON I Assistant 09:33AN 08 -Apr -2005 I Kathy I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section,18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property, described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its, contents to all persons thereafter dealing with the real property. DONALD K & BARBARA J HECKATHORN BUTTE COUNTY BUILDING DIVISION REALPROP ERTYONNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 2525 NORTH VILLA AVE 7 COUNTY CENTER DRIVE MAILING ADDRESS ;MAILING ADDRESS - PALERMO BUTTE CA . 95968 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP - CITY COUNTY STATE ZIP SAME 05-0585 530 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUI G P„VRMIT NO. TELEPHONE MBER SAME - CITY COUNTY STATE ZIP 'sIGN19MFURE OF LoCfL AG OFRICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME') .. DEALER NAME (if not a dealer sale, write "NONE") SAME NONE MAILING ADDRESS - - DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION SAHARA 1981 UNKNOWN ' MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAL205640/ 1 64'X 24' SNAG 112347 ,. SERIAL NUMBER(S) LENGTH XWIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY. LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 026-133-006 - HCD FORI4 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. . _ ._. _ • . . . . . , ,:. , . , .. � 4 COPYof Document Recorded " 08, Apr 2005 2005 0019830 RECORDING REQUESTED BY:. Ha%snot-eoared vith or BUTTE COUNTY..,RECORDER. AND WHEMIZECORDED MAII;.TO BUTTE COUNTY BUILDING DIVISION . 7 COUNTY CENTER DRIVE - OROVILLE'.CA 95965 .Y _ SPACE ABOVE THIS LINE FOR RECORDER USE ONLY, NOTICE "OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM. Recording of this -document at the request -.of the local agency indicated is in accordance with California Health -and Safety, Code Section 18551 'This document is evidence that such Iocal agency has issued -a certif cate'.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"personsihereafter dealingwith the real property. DONALD.K'&:BARBARA') HECKATHORN ., BUTTE COUNTY BUILDING DIVISION . REAL PROPERTY OWNER/LESSOR - - - LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY - 2525 NORTH'VILLA. AVE 7 COUNTY CENTER DRIVE, MAILING ADDRESS - MAILING ADDRESS - PALERMO. BUTTE' CA 95968. OROVILLE BUTTE : CA 95965 •' CITY •� :COUNTYSTATE - ZIP.: - CITY COUNTY .STATE - ZIP SAME 05=0585 (530) 538-7541: - INSTALLATION MAILING ADDRESS;:IF DIFFERENT' r BUf G PZ-RMIT NO. - TELEPHONE WMBER SAME Crnr. ... COUNTY. .. , STATE -' ' ZIP - L - G OF LOC L AG Y OF CIA TE SAME NONE UNIT OWNER (if also Property owner, write "SAME") 'DEALER NAME (if not a dealer'sale, write "NONE") - SAME NONE MAILING ADDRESS DEALER LICENSE NO: .SAME, - .,.CITY -..COUNTY ., STATE - ZIP UNIT DESCRIPTION SAHARA 1981 UNKNOWN' MANUFACTURER'S NAME<' DATE OF MANUFACTURE-.MODELNAMEJNUMBER - CAL205640/1' ` .64'X 24' SNA/B11.2347 - LENGTH X WIDTH - - - INSIGNIA/LABEL NUMBER(S) - SERIALMJMBER(S) - .. - - 'REAL PROPERTY LEGAL DESCRIPTION. :ASSESSORS PARCEL NUMBER '026-133-006 . v SEE -ATTACHED:,- HCD FORM 433(A) REV. 8/91 BUILDING PERMIT NUMBER: 05-0585 Address or location of unit: 2525 NORTH VILLA AVE, OROVILLE CA Legal Description of Real Property: AP#: 026-133-006 SEE ATTACHED (x) Mob.ilehome/Manufactured -.Home O 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: DONALD K & BARBARA J HECKATHORN Owner's address: 2525 NORTH VILLA AVE, OROVILLE.CA INSIGNIA OR HUD NUMBER: SNA/B112347 SERIAL NUMBER OR V.I.N.: CAL205640/1 MANUFACTURER'S NAME:SAHARA YEAR: 1981. OFFICI'AL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C � � � � b i�� 1 J a �( �� .E � 1 i i` - �� ii.q. r r c i! � ,ti�a i ..i t � ✓�H`1 �)<' r -7� f CERTIFICATOF�OCCLJ�PANC�' l b,, � X4,5 �, •h'�i _'1 G.., . ,hfe �, ., mn 3re i� r.��Q? ��l,.�r$.r,iri ?XPr� �a1�: 3-rt� l��_r. fy.� ��.r.�.iF'ne..�i. Asa' t.1�,.d. �'-- et ? sc_.i4. ;F.7 , "u. k �� ,1 �:i.s--:rRrr_9i e BUILDING PERMIT NUMBER: 05-0585 Address or location of unit: 2525 NORTH VILLA AVE,.OROVILLE CA Legal Description of Real Property: AP#:- 026-133-006 SEE ATTACHED (x) Mobilehome/Manufactured Home O 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: DONALD K & BARBARA J HECKATHORN Owner's address: 2525 NORTH VILLA AVE, OROVILLE CA INSIGNIA OR HUD NUMBER: SNAIB112347 'NOTES - RESIDENTIAL ' i PERMIT NO. — 026-133-006 05-0585 i HECKATHORN,DON 2525 N VILLA, PALERMO CONT: ALL AMERICAN, EX MH PERM PND SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature r q 0 0 = NotlDK = Not Rbe . = Not Readyeady 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/orJoists- Decking - Brad ng -Stairs - Rai ls 4. Water;.Location-Test-Easement Needed (Sketch) 4: Wood Awn.; Posts Beams Rftrs-Connectors ' 5: Electricity,Location-Clearances-Grnd-/ /Amp -Concrete Shthg-Frg-Bracing 6. Gas; Location -Test -Wrap;-/ ., /" L 'ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures P-Nat7or7 P' L"ft./ /' LPG,,, .6: Carports; Windows -Doors 7. Well Clearance &.Disconnect.. 7. Electric 8. -, Utility Clearance - :. : 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses' t 9. Siding; Nailing Veneer -Stucco Mesh 10: Roof; Shthg-Roofing Date- Card B-1 Date Card B-1 11: -Ext.; Steps -Doors -Landings Date Card B-1' Date Card B-1 12. Braced Wall Panels Date MOBILE HOME INSTALLATION-(Plans)�OK'except #'s ' 1. Zoning Requirements -Setbacks -Easements .: Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Date _ Card B-1 Date Card B-1 3.' Gas; MH Test -Demand -.Valve -Connector - Date POOLS (Plans) OK except #'s 4. - Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure;. Steel -Connections -Thickness ` "7 Water and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining _ •., 8. Gas;and Electricity Tagged 4. Elec.; Receptacles and Lighting,'Distanc_ e-GFI - 9- Tie Downs=Type-Installation Cert: -. -5. Elec.; Pool Lighting; 15 Volts-GFI 10-. Exits; Insp.-Sketch, 6. Elec.; Enclosures; Conduit -Entries -Terminals -Listed 1,1.- Cert. of: Occupancy : 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 Date Card 13-1 Date - Card 5-1 9. Health Department, Approval Date Card B-1 Date Card B-1 10. Plumb.; Cir. Test -Water Supply Test, Date PERMANENT END SYSTEM (ONLY) - 11. Light Niche 1. Zoning Requirements -Setbacks -Easements 12. Enclosure; Fencing -Alarms 2: Footings; Size -Spacing -Marriage Line 3.- Blocking, Date Card B-1 .Date .: :. :Card B-1 4. Gas; MH Test -Demand -Valve Date' Card 8-1 Date Card B-1 5. Electricity; MH Test 6. Water;,MH-Test 7. Water and ,Sewer Connected '- - 8: Gas and Electricity Tagged 9: Exits 10. License Decals - 11. -Verify #'s with Office _ Date Card B-1 -', Date.. Card B-1 , i Date.. Card,B 1 Date Card B-1 i • \ - • ..� .. _. •fit' - .. .... -. .. _. _ _ r J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (: 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.-/ T' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe &Anchors 70. 23. Fire Sprinkler; Test 71. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Plb.; Elec. & Mech. Equip. Listed for Location 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 79. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI 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 85. A.C. Unit Disconnect, Electrical -Plumbing Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Exterior Elec. Trim, G.F.I. Receptacle -Underground 36. A.C. Ducts Insulation & Support Ventilation Throughout House 37. Vent Fan, Exhaust above insulation Glass Protection 38. Condensate Drain & Overflow, Size & Grade Corrections from Previous Inspections 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Gas Test -Meters Tagged, Gas -Electric 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 96. 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 Tingle & Duplex) 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 T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor r❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: `PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR.STATE LAWS.- AWS.LICENSED LICENSEDCONTRACTORS DECLARATION - - hereby• affirm under penalty- "of perjury that 'I .am' Ilcensed' under provlsioris of Chapter9 (commencing with Section 70r)0) of Division 3 of Y Issued -Date: 03/16/2005 APN: 026-133-006-000 - the Business and Professions'Code, and my license is In full force and effect . , License CI s; l✓— `F License Numbe3 Site Address: 2525 NORTH.VILLA AVE PAL Date: D contractor: �J Vii•, I .vim` Gec'c Map Index:.. " Description: EX MH ON PERM FND- ` '. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License law for the following reason (Sec. 7031.5 Business and Professions Code:' Any, city or county which requiresa ` permit to construct, alter, improve, demolish, or repair any structure, prior .Owner: HECKATHORN DONALD K,& BARBARA J. to its Issuance, • also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 2525 N VILLA AVE t 7000) of Division.3 of the Business and Professions Code) or that he or PALERMO, CA she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5, by any applicant for a permit subjects the 95968 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑. I, as owner of the property, or my employees with wages as their sole compensation, will, do the work, and the structure is not - Intended or offered for sale (Sec. 7044; Business and Professions. '.Code: The'Contractors' State License Law does not "apply to an' } owner of property who builds or-improves thereon, and who does A licant: HECKATHORN DONALD K & BARBARA') such work himself or herself or through his or her own employees, pp provided that such improvements are not intended or offered for sale. If however; the building orImprovements are sold withimone year of completion, ,the owner-builder will have the burden of proving that he or she:did not build or improve for the" purpose of sale.). • ❑ " I; as owner, of the property, am exclusivelycontracting with licensed contractors to construct the project (Sec. 7044, Business Wand Professions Code. The Contractors' State License Law does notApply:to an owner of property who builds or improves thereon, i and who contracts for such,projects with a contractor(s) licensed pursuant to the Contractors' State License-Law.). Contractor: ALL AMERICAN FENCE & MOBILE HOME . .. ❑ :• ;l am Exempkunder Article 3 of the Business and Professions Code SPECIALIST " Date:. Owner: 3122 CLAREMONT DR WORKERS' COMPENSATION DECLARATION s OROyI LLE; CA -95966 I hereby affirm under penalty of perjury one of the following declarations: consent to 'self-insure' for (530).534-1943 a I,have and will maintain a certificate of workers', compensation, as provided for, by Section 3700 of the Labor Code, forthe performance of the work for which this permit License #: 321671 Is Issued. ❑ -,I have and will' maintain workers' compensation Insurance,' as required by, Section 3700 the Labor Code; for the performance of .,the work for which this, permit is Issued. My workers' compensation Insurance carrier and policy number are: Architect: Engineer: carrier: Policy #: E I certify that in the performance of the work for which this permit•is to otal Square Ft: O S F. Issued, I shall not employ any person in any manner so as become subject to the workers' compensation laws of California, Valuation: $0.00:.. -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. Census. Code: / L Date � APPI Gant:,-'-,-, is WARNING: Failure to secure workers compensation coverage unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars- (3100,000). In addition to ".the cost `of compensation, .damages as provided for In Section .3706 of the Labor - S`�`9 L J code, Interest; and attorney's fees. ON LENDING-AGENCY "`-.. CONSTRUCTION `This permit, issued unde e a plicable- rovisions of.the Butte-County-Code and/or- P Y P P Resolu ons. o work Indicate aboy for,Which fees have been paid.. I heretiy affirm that there is'a construction lending agency the performance of the work for which this permit is,issued (Sec 3097 CIv.) : `o Narne: ,_� By. Dale, / PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage;,, ' handling and use of hazardous materials... ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ "' Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information.is correct, and that I am the owner or the duly authorized agent the owner. I agree to comply.with all county and slate laws relating to building construction. I acknowledge it is unlawful to alter substance of any official form or document of Butte County: I hereby authorize representatives of Butte County to enter upon the above mentioned property for.inspectlon p , �/✓ c 'S-6. AD Signat� Print Name: . •°� / / _ O..� Date. ❑ Owner L9�Contractor• El Agent for Owner C]Agentfor .Contractor " ;.. - ..C: Building Permit01-16-04 pp 1 B. . r _'. n f, _. ...," � ^rte-. ,..: � ..a .. _ .. •+ t -._ ', ;" , `PERMITS BECOME NUCL•AND VOID ,,1 YEAR`FROM THE DATE OFISSUANCE,'OR IF'WORK.IS DONE, IN VIOLATION OF ANY COUNTY OR STAITE'LAWS 1. LICENSED'CONTRACTOR8'DECLAR4TION r t Y hereby, affirm under;penaity of perjury; that' I yam licensed under r provisions of Chapter 9;(commencing with; Section 7000) of Division 3 of Code, ''-: ISSUed Date `-03/16/2005 JNA:_026' 133-006.=000 = the Business and.Profession's and myaicense Is;in full force and x zPN -...,' r '. '- 4 :'k effect: r Y License Cl s ' ��• `fi License'Number-'_7 •"., ';. •., a 'Site.Address. 2525 NORTH VILLA E,PAL' = AV Date: a Contractoh ((.( a/r� Ma index k f � r� <, TOWNER-BUiLbER'DECLARATION ;P:hereby`,affirm_under-penalty of-.perjury=,that.l -am, exempt from the:, Description.. EX MH ON PERM FND { 'Contractors-`State.L'icense Lawafor theJollowing'reason:(Sec: 7031.5" ' Business and, Professions Code ,:Any cityor county which requires a = _ jpermit to construct alter, improve demolish or repair•any structure prior x ; Owner HECKATHORN DONALD KA& -`BARBARA J ry to ,its issuance also•requires'theI applicant for: such permit to filea, signed statement that lie or she is licensed-pursuant'to the provisions,of ;the Contractor's State License Law(Chapter s commencing with Section'< 2525'N VILLA AVE 70,00) of -Division 3 of the Business and Professions Code).orthat he.orl - PALERMO CA "she'Is exempt,therefrorn' and the tiasis for: the alleged exemption Any ° violatiom,of Section 7031.5 by any applicant for.,a permit "subjects the 9596$ applicant toa civikenalty:of not more thamfive ,hundred dollars' ($506).):", O, l, -as owner -of the property,'ormy,employees with wages,as their b solecompensatlon„ will 'do"the •work; and `the, structure is not F •;.intended'or offered for sale (Sec: 7044,- Business and Professions <. y Code: _Contractors'State License Law does not apply to..an,` ° n .'The ownerbfproperty who builds impro,,ves.thereon, and who does; t ; Ne, HECKATHORN DONALD K' &"BARBARA J such work.himselfor,herself:or through his of her own employees;- AppllCant -' proJlde_d.thatauctheh'imp�ovements are"npt-6 end66' f offered for. sale., if fiowevei building or improvements are sold; within one ear of,, completion,,the owner -builder will' have the' burden of•- ".i proving that he or: she didnot build.orimprove for'the,purpose of ^wale)..•-,. � - ' .,Y.t P .."f ❑ r'1asowner of the property am -exclusively' contracting with iicerised contractors to'construct, the-project,(Sec. 7044; "Business ;,and'ProfessionsCode. The,Contractors' State License Law does not fipply to an owner of property who build s`or,irfiprovesthereon, ": and who contracts for such projects- with ;a contractor(s), licensed pursuant to the Contractors :State License Law.).." wt Contractor ALL AMERICAN NC FEE & MOBILE -HOME O- . I am Exempt under Article 3bf the'Business and, Professions Code - SPECIALIST aH Date: -Owner -'.3122 CL'AREMONT DR WORKERS'COMPENSATION-DECLARATION ` of OROVILLE CA- 95966 I hereby affirm`underpenalty orpe4uryone the following.decla�ations: - 01' .- 11 have,and wiu maintain a certificate;'of consent to self -insure for (530) 534-1943 :workers' compensation 'as- provided- for`by Section 3700 of the,. Labor, Cocle for the performance of,the work for which`this permit • License #: 321671 is issued. Wr "compensation ` ❑ I have and will maintainworkers Insurance as required by Section 3700 the Labor Code, for -the performanceof. the work. for which this'permit is issued. My workers' compensation. Insurance carrier and policy number are Architect y Engineer ' Carrier./!?// Policy #. , Y' ~ Id .`I certify that in the performance of the work for which this permit Is 0 'S. F. issued, I shall riot employ any person In any manner so as to otal Square Ft. become subject to the workers%•compensation laws of: California, Valuation: $0;00. ';and agree that if I should-' become, subject to the workers' 9' compensation provisions of-Sectwn 3700 of the tabor Code .t_shall forthwith.complywith those provision Census Code r /( r pZss t� s' Date: - App, nt WARNING Failure to secure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and one thousand •dollars -($100j000), inaddition to the cost of 1�4 ,hundred compensation, `damages as`provided4or In Section 3708 of the Labor.. ` :code; Interest, andSattomey's'fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued uncle a applica_ b,e provisions of the Butte County Code and/or �: T 1 hereby 1. affirm that there is a construction lending, agency fort Resolu ns o work Indicate abov .for Ich fees have been paid ,. r performance,of the work for which this permits Issued (Sec 3097 Civ) - BY•' Date y Name -' Address PERMIT EXPIRES ON: Date 0 : -1 hereby. certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage .. , ,! 'handling and use oI KA ardous materials. ❑ Notification in accordance with Section 19827..5 of California Health & Safety Code is not applicable to the scheduled construction of this project. r0 ` Attached are copies of the required E.P.A. notification forms .. - Is and that I am the owner or the duly authorized agent of the owner, [agree to comply with; tI hereby certify that i'have read this application, that the above information correct, ;all:countyand state laws'reiatih6g to building construction- I;acknowledge itis unlawful to altei the substance of any official form or documentof:-Butte, County I hereby authonie'representat_ives of Butte County to enter upon the above mentioned property for inspection r 1 Signatu 7 f f L C .� :W _�5� Print Name- a �44�,Q .; Date: �.,, O Owner, r 1 ` tntractor a- : ❑Agent for Owner rs, O Agent for Contractor ,.. B. C: Bwldinp Permit 0.1-16-04.pp BUTTE COUNTY DEPARTMENT OF. DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION q AND SUBMITTAL REQUIREMENTS -� • _ 'p 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834.;. p OFFICE #:(530) 538-7541 �1 .` A FEE_ WILL BE REQUIRED AT TIME OFAPPL•ICATION - • OV N1, Website: www.butteco'unty.net/dds w **PLEASE PRINT CLEARLY** ; APPLICANT NAME OWNER Las ame , City r�> first Na SRA City City State Zip Phone 3 Phone E-mail' Fax E-mail Cas APPLICANT NAME CONTRACTOR Name City r�> Addres SRA City Fax State Zip Phone 3 Fax E-mail' E-mail Lic. # Cas APPLICANT NAME ARCHITECT/ENGINEER Name City r�> Address ' SRA 'City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME N XJ -ATdr—ess City r�> Stat— SRA Ph Fax E-mail APP ICANT SIGNATURE For,office.use onl :. _ Zoning Property Address Flood Zone Cross Street SRA Yes No . Occ. 'Type Const Subdivision Name Map Book [Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc LOCATION AP#U�^ �3 Go Property Address [C. All Cross Street WORKER'S COMPENSATION Policy Number,' Carrier If hi ng anyone.other than license contractors, a certificate of worker's compensation thust be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year -after the date of application.. In order to renew action on an application after expiration, a new application, -plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid. the fee. The request must be made prior to the expiration of the permit and no construction work has beendone. Filing fees, plan check fees for work plan checked and -other department costs are not refundable. Received by Amount: Receipt #:40 554 9 Date: ,3 �J SRA Sheriff SMIP Other Total REV 2-24-05 SUBMITTAL' & PERMIT REQUIREMENTS The following drawings and specifications must besubmitted to the Building Division in order to apply for a I ermit. INCOMPLETE SUBMITTALS WILL NOTBE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK... ❑ 1. Site plans, '3 or 4 sets, signed by the preparerof.the.plans: No graph paper! as ❑ 2... Complete plans, 3 or 4 sets, signed by the"preparerof the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed`calculations. ❑ 3: -Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4., Energy compliance design and -supporting documentation in duplicate. ❑ 5. Statement, of,lntent for Non -heated and.A/C for -Non -Residential Buildings: ❑ 6. eManufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie_ down orfnidplansi all in duplicate. ❑ 7. Metal:bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans`intriplicate. All of these must be stamped and wet-siqned 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. 1110. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12:,H'azardous Material Form :(for Commercial Buildings only). Remaining items_ needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) . ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES. Form. ❑ 5:: Encroachment Permit for driveway from the Public Works Dept. (construction approval priorto occupancy). ❑ 6.. Contractor sdicense informatign. N, umber,`Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ' ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please -contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who -paid the fee. The request must be made within, -two 'years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only., be made if no construction work has been done. Filing fees; plan check fees for work plan checked and other department costs are not refundable. f OVER FOR BUILDING PERMIT APPLICATION K:\FORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 �.--u• .- � � ._...-.w �{. .. �.. �n� -s ... '., � r?r_ � ^- ._-. _.J.. - r .. -. � 'ti-..r?lrr''Y'. `+.r. � .. • -. � C_ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 . PERMIT APPLICATION DATA SHEET OWNER: A SESSOR PARCEL NUMBER Proposed Building Use: �'l Counter Technici 1 Date: Q Item required in order to apply for a permit.Al boxes M ST be checked OR marked NA in or er o apply. -` 1. Site plans, 3 or 4 sets, signed by the preparer o the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A)Dara chapts and installation inti) Marriagne info (Cl lour (II) Tia rinwn or fid plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ' ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs 3� yrs ❑ 12. Letter of intent for non-residential buildings Cl 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form O 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 ........................................... ........ Erosion Control Plan Required........................................................................ ....... 2 . Fees as shown on the attached Schedule of Fees Due Sheet... 4..09,19.. j ❑ 2. City of Chico Plumbing permit..................:......................................I......... ❑ 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 ......................... ❑ 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. [Perant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 38. Other: ci 39. Other:, When issued Telephone �1!9 LLo and hold for pickup. I have been infor add of the above items and requirements for obtaining a building permit. ; Applicant:GU��� Date: 1. Index p pplication for the above items numbered: Plan Ch L er nal items required Contrtracto designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: / USS or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ cunt r, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed Date: Structural approved by: Date: Note transfer by: Dater -3 IWO Yellow: Building Division -- STATE OF CALIFORNIA ^. DEPARTMENT USE ONLY BUSINESS,. TRANSPORTATION AND HOUSINGZENCY:. DEPARTMENT USE ONLY - DEPARTMENT OF..HOUSING :AND COMMUNITYiDEVELOPMENT._• DECAL NO. - TRANS CC,�E -�, _ DIVISION OF CODES�AND STANDARDS :, �. _ 'MANUFACTURED HOUSING PROGRAM- " STICKER'NO . DEALER REPORT.OF SALE OR LEASEWITH AN SMUS cc OPTION TO BUY Q USED'MANLIM' RED HOME, ; MOBILE HOME;$MULTI-UNITVMANUFACTURED =_ exP DATETAX:TYPE HOUSING `OR COMMERCIAL COACH = -, ILT ,LPT 'EXT•. �� _. y. CAT LE USE CODE = - - - .' :; ORIGBUIL SALE.OR LEASE PRICE *i - ILT EXEMPT COST CODE. % ! RATBMG YEAR -� i n-:� ..� .�-r'1 .,5 ❑:MUMH :OCC'GROUP...- ...:;....... ...3 �...-'. P. -i ..-2 ( - CURRENT/ �SALEoQLEASE PRICE`�, '.CURRENT SALE or LEASE DATE NAS* OF FA^CTURER r ly C MFG LICENSE.NO .; � R.. f . -�/Il..l' 1 i► H' ��������+�-. J�•'i' ;���T ��r �• -J ♦ � � .10- �,yy11 • l J' 7 � N e, .."` j - r MANUFACTURER,TRADENAME +x ° i MANUFACTURE MODEL NAME OR NUMBERx DATE OF MANUFACTURER. - ?- FOUNDATION TYPE (check onelit r - DATE.FlRST SOLD'NEW _�� - ^�".� � ,� �f-v�•ti . �.d'Q µ' �:❑.18551 (Perm) -��1-6873 ;..6ECX I7<L. r DECAWCENSE,7 -. - ^ ,MANUFACTURER SERIAL NUMBER(S),. ;` HUD,LABECor HCD INSIGNIA-NUMBERISI =LENGTH finches ' ..•WIDTHIIIncheel •.', WEIGHT RML-.�: • :.r ! :`�Y�� '� -r 4 � `i ,z. �,'' /t�`..J a ...- - ''''•.��es-.;.a_�,,,.,y Receipt Number -? - - _' : = Receipt Date - - 'ADD SECTION 13 -DEPARTMENT. USE ONLY :' `"' - _ .. _ .; Clerk . .. 1' T` R@glstared " .:.. Last First... Middle APPFl ` [Print true ,R1,'?'NoRoJ m .# + .. ,-._- -� :v .'. ` _ -.,y,,,,..•, .. -. -,: ter. x-<._ . .. Li :DEALER NAME:.SIGNATU E,OF AUTHORIZED AGENT .t . RF name(s)] 2 - ; 1Qij9�,-....n/�'' "_' r G 3. SON NO If.appUceble„check one'of the.followmg -.,TENCOM`OR--•❑ JTRS ❑.TENCOM AND❑COMPRO j•= '- _ •�PEN7� ' Current Mailing 3treei_ �PEN2 Ada�eeZs.. _ - 5��-�� Crty ,.s:,� ,.�CountY K •, -State .v <I .-Zip ><. �� r Future M@Ilfng street j fix's F a ✓ y�r” t/,�h%//�i �a TxF •Address (It' z a p j 'l � � a'�,K r fferantthen'ebovelF - a- . o CItY " - County �. f "^` ' �h' �-ws 'r z SY St t 4' •max ��"'��- -' _ : '! !a+�r' 'sem: ,.+•- e�[ •�!J J �T�� � �r.- SIYUs (loatio cn) ' Address of Unit .Stree s:+r a-DUPT .. City _ Counzi!typQ Legal Owner p: > _ ��C'� t 13D .(Nenholder) [Print true •' 7 77 ;If applicable check one of the following ❑`•TENCOmbFt _ JTRS ❑ TENCOM ANDS ❑. COMPRO RRE Mailing Address streetJ- chy scats Zip s� 77. Junior Cienholder:.[vdnt r i; -PLT SIT t T / If epplicable,.check-one,of,the following ❑;TENCOM OR _ -r �❑ �'rRS'- _ r• 'f, ❑ TENCOM AND: ,- - ❑i - 41 COMPRO ' UTP.. - RT . "'. Mailing Address 7.> -Street..r . ,. _ : �.,: - - �•: .� City - State - Zip ASF_ . CERTIFICATION; .. •.CCP �� ;;The.applicanC end.,dealer.signing below•state-to.the best of -their -knowledge. and.belie[.that all statemen- de dn this applioation•are.true end correct:,-Thedealer'certlfies •'thatthe described'unit Ia in' eom Ilan a -with all rovisions of the Health and�Safet Code�'end. a ertment re uleiI.n.M ted. ursuant to. the `Health. end Safet 'Code. ;r. SIGNATOR F NEW"REGISTE WNER(S : - !' — ��1 .'TOTAL r VS i .. ,-._- -� :v .'. ` _ -.,y,,,,..•, .. -. -,: ter. x-<._ . .. Li :DEALER NAME:.SIGNATU E,OF AUTHORIZED AGENT .t . .< ..; • . DEALER ADDRESS: -. ?F;: ` - ; 1Qij9�,-....n/�'' "_' r G SALESPERSON NAME,n4&S�LESPE SON NO HCD 480 _Q/97) Copy 1 Department, Copy 2` Purchaser, Copy 3 Tax Assessor Copy 4 - Dealer Book` ' No. 294317 _ - 5��-�� _ t - �� r - - tom, .,•t a c_, C, ;,,i • o_ ..-; ....,;. �.a �) ". .. -. - 1. 9-- �-':L '<I � . Y RURCHAI SER'S TEMPORARY IDENT1FiGATIQN-00PY This s. i:ho ternparary registration for the manufactured home, mabilehorne, multi -unit manufactured. h6 singr or commercial coach d �t Ad €rr,the trontof this- forrr�:..p�'receipt of th`e-conplpte;'appiication _from the selling dea'ler,'tl-oriinal registration will be rssu ci by -,the Department. NUnles;.the unit is placed 'on a permanent foundation imaccordance with 18551,Js subject -to local prol36y'taxation,'ar" is otheiirrrse�exe pt,:.this unifwill:-be subject to.,yearly-iicense fees with..thi ;,Department. NOTICE30 PURCHASER AIjbw.approximately eight to twelve weeks to receive the original registration from the Department. If you have not'received ttie. registration within this time,_contact the selling dealer.. If you have anyadditionalquestions you may contact the D'epartment:at: _ u�.,, bep�hm' e'nt of, •Housing and -t 6m', munity -Development, Registration and Titling Section; R:0-. Sox 2-1141 -Sacramento, GA _ -2i 11. The telephone numbers e._{916 _323-9224 or 1-80Q- 52-8356. -958,1 _ �.. _ f. r. _ • _ t ` _ , t ��;`4 � ��� �� ..�•�� k '-ti err _. _ L. _ �, ,� .- �-.. , .. »'fit-' t » t S �r ,'A i; � _h a �.� .y P•" � niA 7 S E � 1'', a ,, r '• f i j LAND DEVELOPMENT" OROVILLE It s BUILDING / ENVIRONMENTAL HEALTH PERMIT CLEARANCE Bullding Perinif No r OWNERS ", s A.P. ,� NAME "l i - i2 = NUMBER;_e'�! 'PR JNT4AS NAME FIRST . - . ADDRESS % LOCATIONUG COUNTY ZONING'' DESIGNATION " FLOOD MAP: FLOOD ZONE. APPROVED' cONDITIONALL'Y APPROVED RESOLVE PROBLEMS PRIOR TO APPROVAL:..".-" PARCEL CREATION BY— DEEDS OR MAP' DEED INFORMATION. DATE OF CREATION... DEED REFERENCE LEG LEGAL PROVIDED YES NO LEGAL ACCESS REQUIRED: YES' NO Y COMPLIES WITH COUNTY,STANDARDS. FOR DEED CREATION:• YES NO ' . jvj � � / j fj COMMENTS%CONDITIONS:_ C-0/w611yey 8 �7f'�SE � � 1-S G✓ E'�z E Co M�3ini�o /A i � 2 P�4,2C �. s �.�- Cc�er�F o F /L1�eG Eie S'fJEC/,F! I!1/ff/C/f /7i4"�CEG /S Tb 8aJ�EyEGvG� M,4/NT�4/� MAP INFORMATION: E72G Eat `CE'i2 T / l= i C�4 T'E . DATE'OF.RECORDING..' . f. " LOTS BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS. AT PAGE23) YES NO. IF -.YES, MARK APPROPRIATE ITEM(S) BELOW:' A. Construct road to B. Meetparcel size required by zone. C. ;Meet current E.H.D:,requirements. :CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP.: ALL FEES TO BE PAID TO THE BUILDING DMSION UNLESS OTHERW/SE NOTED-;' 1. Maintain a 50 ft building setback from.centedine of road 1 _ 2s Maintaina ft building setback from nght=of-way/centerline Comply with:Zoning code foebwlding setback from'road 4: Maintain a 100 ft.-.leachfield setback from' all existing wells: f 5':=' Maintain a ~ft. leachfield setback`,from= .r 6: Pay water#ender fees inthe amountof $ to Battalion_ Number of the Butte County; Fire Department: _ 7. •Meet:the Fire Safe Regulations of Butte County and P.R.C. 4290.. . i Connect to:a,public'water supply. T 9. Connect to a public sewer. system. a r 10. ,Automatic fire suppression' sprinkler systems. shall be installed in :all residential structures, in accordance with the'National fire Protection Association. Standard for the' Anstallation.of sprinkler systems in one and two'family dwellings and mobile homes, NFPA Standard,T3D ,unless a pressurized community4ater system, with hydrant's that meet Fire Department specifications, serves the parcel: '} 5 - tn 97 1189 f `Rec 'Fee 15. 00 1 Check F} z15 OOn i AFTER RECORDING RETURN'TO 7 Recorded I`- r ° Oific.ia'1 Recoids al t r Butte County Public Works County of r jI Butte' LAND'DEVELOPMENT DIVISION , Candace J ., Grubbs ` I r�, k , 7' County' Center Drive I _ F D%oville GA T95965. ,Recorder sg r * 5 10. 17am 2` -Apr '97 I"PUBL` XX 4 v�,p. r 5� � �� A ,. •r u.7-7 } fie - "` a CERTIFICATE, OF MERGER .:, LANDS: BEING MERGED) a - PTs APgNU(NIBERt(S) �� 1 3 'CJ6 l ' "7� = Gy S ,SUBDry ISION%PARCEL -MAP 8 P' r'{ PAGE y BLOCK LOTS) a ,BOOK +' ; As of the' day of those lands no above are merged ;to,create one single parcel of land as described on Exhibit , attached hereto { t MIKE ,CRUMP BATE " "Director of Public Works z OWNERS' CONSENT TO MERGER ,� } c'..g -5 •5 t 3 4 t TJ 3° ' as owners of all that real property to be merged do hereby consent and agree to the merger�of suc h lands into -fie single parcelSas`desenbed.on Exhibit'`"A" attached hereto r ALL SIGNATURESMUST BENOTARIZED: 6 ; - k t y �SIGNATU�E. ;J � k f. .''i T' •f .1� l�f4 t' - 4. - ir' .s. ^SIGN'A, URE Y DATE 4 t LD 153017/961 I, t`p ,} 4J t } t Lr✓� t ` i 1p Cy S rt f f c+. n 'f. ,, , jT l .,r ., .r Y > f 1 -``t , � ,; �' - _ ♦d "f '^s rE"' . A.. , ° v' x. W k .:' i e o ,- 1V1�C1.HAEL,iMOONE,- t '" s -A M�Ro Av � , q , "CIVIL ENGINEER: ' - `,�,;; �` Y t k :s ,f' OItOVILL CA 95966' K11, _RCE 20647' P � ` (916) S33 2131: ' r7 , �s �IiC :t' � f `, s�i k aY '`F a, q )� ��.. Y., .v, r d s t ,, - .� t. t. 2 r X A -�°i ;ice 2 . ^ Z.F V X. ,'.' ; . DESCRIPTION.- -,--,I';.'- �_ 4x t' , k t' r,. `:s r ,rYb'a>r - - .�� �,, w f, a . ,� y ,� ,�r �(� c`v N! F n it y i' t' 1 f, Y �. i :G 9. 'y ,f d4' -r fi, PARCEL 1 (Assessor's Parcels Number 26 133 O1): , '' ' ;� �,�11 `� t Vit°, r L •� 1. y n= �' `" ' *�' r ...- . I 1,�., , r a '4 i 6 ;-1 Beg}nri.ng .11 `at the northwest -:corner, of Lot. #1''in;Bloci.k 43 as shown 'on ` `' q 1 that :'certain map ,yentitled !'Map- of.: the'. Town 'of Palermo; . Butte ''County, a ,:, ;California" , whicl sFinap,- was, recotded in the office of the _Recorder° ofr s , } the ,County of ''Butte', ,oState': df 'California, on "February 17 1i — -in' p.a4 f y1f t :y Boo :,5 of� Maps, at' Page,,,4, �"thence southerly. along the' wdst line of; sai, R he, Southwest corner -:of Lot 6 of .�� lock.,43 150 feet ;more or ,.less `.to' t Block: 43, ythence'along' "the _.south line 'of Lot .6 4 150 . feet •more ''or less z � tos the southeast corner of � Lot..�6 ; thence 'along ,the west `acne : of Lot z4j n '` 1"50 I. feet more or less to :the nortfieast corner' of Lot 1, thence along ^° .. f the, north {dine, of,,Lot--1 150. feet more or Ies. ' the true point of beg ,nziing being .,, e northwest- corner of . Lot 1 �'t S', G S d N d Zb - ,4.` 1 f S 4 -TI - '� e b '4 A �f: rbt { - J. S i �\ "� ' "r1. 9 y" I Y y ,11 �:r, 4 E� PRS k e �; a fir_ f ����' CHAf( ss% �a T x 11_1,1; �;; x r Z i, i_ �� t . tet 14 J t '` i7 ' ei t :S j �- a V ,, .' �,'� ,I t. g a - , �, kI .1 ) x F N\P ',, j T �'_:% ///�� s d, :v Y " a , } !� i N'r < Y tE i ' e "t �,.r r $ ,� tv�. 4 r ti � f : , ,F , LSA J. " ,, �` f k S li:,, 9 i '1 4. -� '!' f ° ' y b; � R ,� t t 1,. - .,.1. f s . i �' `� � �� .11 ' Y k ; � � . z c t a , 5.r Y�� , a_y ;�,� z r _ s n , t., i .4 , .3 r i a f- ,� i �,, , aye f _y, I v I ' �.t a F. ,�. x -� �� , M1 ti b-° 'i-, r 'T , i t ,� + d �, r' r t;" r r ",. a q-, �g' '} t - ti 4 1m r ` 4 i rc w 1. al f F •- x y I' Y % S k ,,; .. �I 1, i Yv -� 4 y:^•s S '^�' p Y - Y'" x _ yt �. t �A' fr ' A - r�fi�1 ,S �- 6, iy L k ..-� .,y v , e� `1 7 � r `,� k t' ,� � -"� i i e v fix. _ - -., NOTES ` RESIDENTIAL l 99-0574 +. F02",-", 33-006 PERMIT NO. ,._..ATH01M Don & Barbra 2527N. Villa, Palermo Contr:owner f SPECIAL CONDITIONS CHECKED BY 3 SRA . } FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. i SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS - SUB -STANDARD HOUSING LETTER' OFFICE COPY Address i GAS Meter By Date ELECTRIC 1 i Meter By �o Date I - JOB FINALED (Date) Signature I- V= OK 0 = Not OK i r = Not Applicable MOBILEBILE HO MES } (MISCELLANEOUS + ; =Not Ready - Date MOBILE E -UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS GARAGES, (Plans) OK except #'s Zoning Requirements -Setbacks -Easements t1 1. -Zoning Requirements -Setbacks -Easements oils; Special'MH Support Sketch ii - -2. Footings; Soils -Size -Depth= Spacing -Connectors -Steel wer, Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing Stairs -Rails er; Location -Test -Easement Needed (Sketch) J 4: _ Wood Awn.; Posts:Beams Rftrs.-Connectors ectricit ' -ocation-Clearances-Grnd /Amp -Concrete ) Shthg -Frg-Bracing" ` ➢ as; Location -Test -Wrap;-/ /J[� 'ft. 5. Alum. Awn.;,Columns-Connections-Splice-Decal-Enclosures !, /'.Nat. or/ /"L -11d PLPG V i 6. Carports; Windows -Doors 7. Well QWa 33Fice & Disconnect )i 7: Electric tility Cie n 8. Frmg.; Sills-Anchors- Studs- Rftrs ;Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh - 10. Roof; Shthg-Roofing •" Date 64EW Date Card B-1 11. Ext.'to -Doors-Landing S pss Date Card B-1 Date . Card B-1 12. Braced Wall Panels - Date . MOBILE ME INSTALLATION (Plans) OK except #'s - on' Requirements -Setbacks -Easements Date Card B-1. Date Card B-1 - mgs; Size -Spacing -Marriage Line Date Card B-1 Date` Card B-1 G 1-i Test -Demand -Valve -Connector .. Date FINAL (Plans) OK except #'s ' le tricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements rain- Test -Fall -Flex Connector w 2.' Soils; Compaction -Structure Stability . ate ' H Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness lr and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining as and Electricity Tagged' 4. Elec.; Receptacles and Lighting, Distance-GFI 9. e-lnoa<ation Cert. 5. Elec.; Pool Lighting;.15 Volts-GFI - ch 6. 'Elec.; Enclosures; Conduit Entries -Terminals -Listed Cert. of Occupancy T. Elec.; Bonding; Metal W/5' -Circulating Equip:: Heater 12. Permanent Foundation Only; License Decal 8. , Elec.; Grounding; Equip. -w/5' Circulating Equip. -Pool Lghtg:. - Boxes- Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1• Date Card B-1 9. Health Department Approval Date Card B-1 Date Card B-1 10. 'Plumb.; Cir. Test -Water Supply Test Ir - 11. Light Niche Date Card B-1 iDate 'Card B-1 Date " Card B71 Date - - • Card B-1 r k' V= OK 0 = Not OK - = Not Applicable = Not Ready -J RESIDENTIAL (: Date Hangers -Post Caps -Anchors -Connectors Underfloor (Plans) OK except #'s Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Fig. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ P Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped Brace Interior/Exterior Wall Panels 6. Stemwalls, Garage, Steel-Blockouts-Wrapped Insulation -Walls -Ceilings 6a. Hold Downs and Special Anchors Infiltration -Walls -Windows 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Card -B-1 Date Card B-1 9. D.W.V.;Fall-Fitting-Test-2 Way C/0 -Sewer Test Card B-1 Date Card B-1 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test FINAL (Plans) OK except #'s 11. Water Pipe; Test -Anchors -Regulator -Service Test Ext. Steps -Door & Sidelight Protection -Landings 12. Electric Underground Smoke Detector 13. Plenums & Ducts; Clearance -Material -Support -Ins. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 14: Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 66. 15. Access & Ventilation 67. 16. Insulation 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. PLUMBING (Permit) OK except #'s 72. 17. Water Htr.; Vent -Access -Combustion Air Baffle 73. 18. Water Pipe; Test & Anchor -Nail Protection 74. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 75. 20. Shower Pan; Test, First Floor -Tub Access 76. 21. Test Tub & Shower, Second Floor -Tub Access 77. 22. Gas Pipe; Sixe & Anchors 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection Date Insulation -Foam -Looked in Attic Card B-1 Date Card B-1 Date Guard Rails & Deck Construction -Post Caps Card B-1 Date Card B-1 Date Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 82. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 83. 25. Size Boxes & No. of Conductors Stapled 84. 26, Romex Installed Close to Edge of Studs & C.J. 85. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 86. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 87. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 88. 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ❑ No 89. 31. Service -Riser Conductors & Ground Main Disconnect 90. 32. Equip. Clearances Panels-Motors-Mech. Equip. 91. 33. Clothes Closet Light -Shower Light -Spa Light 92. 34. Smoke Detector 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date MECHANICAL (Permit) OK except #'s Card B-1 Date Card:B,1 35. A.C. Ducts Insulation & Support Card B-1 Date .Card B-1 36. Vent Fan, Exhaust above insulation Card B-1 Date Card B-1 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42, Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing - 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access' 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ❑ Yes ❑ No/Walks 0 Yes ❑ No/Planters ❑ Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card:B,1 Date Card B-1 Date .Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 2"x 2"x, 3/16" STEEL ANGLE DETAIL "A" CHASSJS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND. 3/8 THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES i ABESCO ABS PAD #503 STEEL FRAME SEE DETAIL "A" 3/8" CAD PLATED BOLT, NUT & WASHER COACH "C" FRAME COUNTER BORED FLUSH WITH BOTTOM 2" CHANNEL AT 8" O.C. (8)� REQUIRED a 1/4"xt-1/4"- 1/4" STAND BASE TEK STS � ABESCO ABS PAD 1503 (2) REQUIRED 36" MAX TO BOTTOM OF PAD I 01/2"x 3" C.R. LOCK PIN WITH 01/8- BRIDGE r PIN I 1/4- GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED 10.00 0 0 10.00 O o 09/16 HOLE (TYP) STAND BASE TOP VIEW 17918 cpy��, OF COQ 37" TUF-1.PERMANENT FOUNDATION SYSTEM 18 1/2- ABESCO-GUS GUARD COMPANY ����_TA 5851 FLORIN - PERKINS ROAD BUI�n ANG DMS"'10N SACRAMENTO, CA 831 4�'B PH: (800) 382-8831 APPROVED FAX: (916) 383-5207 COACH "J" FRAME 1/4" GRIPPERrzr 1/4"x1-1/4" PLATE TEK STS (4) REQUIRED 1/4- GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED C -BEAM J -BEAM ATTACHMENT ATTACHMENT 8" 1/2" DIA. HOLE (8) PLACES 30" -I STEEL FRAME TOP VIEW 'I)WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 1 of 3 P STAB' two a M � - nAL'NA11D>4A mcomfBc'rlafblest ? ' A!!l ovw summ"COR>R>mCT101imam a® ,�' a �dM'AL1DO�1rOrillt�ORt�alA?IRd�A111r ^-t1�': a�rawarawa�a• as a���eel9 a.�r� 'I)WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 1 of 3 P GENERAL NOTES GUS GUARD TUF-1 1. DESIGN 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 CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS". 4. 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 UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7, THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF-1 2200# 6000# GUS GUARD MGP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 2200# 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT, s (SEE SHEET #3) ._s. 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT 16. FOUNDATION BLOCKS 16"x 16"x12" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) -' E S S .i_ --S E I � u u u 0 o u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER a (TYPICAL) a 0 0 a 0 0-f- 0 0 0 0 8', NOM. 2' NOM. PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES. OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) Q�rj! E 17918 xp. OF C REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF — 1 PERMANENT FOUR (4) 1/2"x 3 1./2" EXPANSION ANCHORS. FOUNDATION. SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLEDABESCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. I au• (Rnn) iR7—RRA1 STATE APPROVAL MANUFACTURED HOMWOmM HOMIJ FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18331 APPROVED SUBJECT To CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANT OMISSIONS OR DEVIATION FROM REQUIREMENTS Of APPLICABLE STATE LAWS AND REGUTA71ONS State of California Dep a t Of Housing and CommmdW DwtskVn" O CODES AND STS BY (o ice) SPA NO. This Plan APnroval Exeirea —_ _ WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 o Ir ' 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) REQUIRED COUNTER BORED FLUSH WITH BOTTOM 1 AT 8" O.C. (8) REQUIRED 1 iAI . �1 1 11� 1� .,L I ; 1 •. . 1 1.. yl 1 1 1 CONCRETE PAD INSTALLATION CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION 36" MAX MUTI—fig UNITS o • :T OF PAD \. 01 1/2" .SCH 40 PIPE RISER WITH-- 01/2" ITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE o 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 o STEEL FRAME 18 1/2" i E - Z TIE PAD LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION LENGTH OF HOME 24 WIDTH OF HOME 26 28 44 UP TO 44' 8 1 8 1 8 12 44'-1' to 66'1 12 1 12 1 12 iI8 66'-1' to 80 20 20 20 24 SINGLE WIDE UNTM LENGTH OF I HOME I 10 WIDTH OF HOME 12 14 16 UP TO 44' 1 6 1 6 1 6 1, 6 44'-1' to 66'1 8 1 8 1 8 1 8 66'-1' to Sol 10 1 10 1 10 1 10 LOCK PIN WITH NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED 01/8" BRIDGE NOTE: SINGLE WIDE UNITS REQUIRE (4) E—Z TIE PADS. GUS GUARD TUF-1 PIERS ARE PIN TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL I Q�o4Esslo oil:'. �`� / :.�� :F•. ' WAYNE T STATE APPROVAL FOUNDATION SYSTEM TH AND SAFETY CODE, SECTION 15551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Of HOU81 i COmmnalQ� DOYOSOpf�IDaat DES AND STANDARDS BY r1ATR Z� c SPA NO. / This Plan Approval Expires (0 ".c 'e' -'a POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 0 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION -7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ---PHONE (916) 538-7541 APN: / { PERMIT NO.: r 1�J< Owners: Name: Owner's: / Address: Mobilehome f= Year of .)127 Manufacturer V '� Manufacture: / Serial number ��r/ Z� Insignia or n f or V.I.N. r HUD number Official approving installation te: ff the mobilehome is 4oved or r4ocated, the mobilehome Installation acceptance shall become invalld/This form shall not be used when the mobilehome Is Installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor ND��x•�,.-� -. r`NEXT�STO SMA_��t._,ro.r 07 GROUND `LEAVING ANCHOR AND CHASS WITH STABILIZER PLATE. g"-12" OF SHAFT EXPOSED. BEAM, AND DRIVE INTO THIS PROVIDES SECURE. GROUND. a PROTECTION AGAINST LATERAL . MOVEMENT. CONTRACTORS 'VERIFICATION NS Z 3 c I CERTIFY .THAT I HAVE INSTALLED THE AB ANCHORING NGHSYSTEM ORETO THE M AS EBUILD NG STRUCTURE,R THE INSTALLATION �NSTRUCTIO W I HAVE MADE NO MODIFICATIONS TO THE A CONTRACTORS LIC.#_ --- COMPANY NAME:__ W SIGNATURE: a � .,�, 0 M sIRAr tee* 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12' FROM ANY EDGE. #615 WET 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY DRY. r` CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. COUNTY OF BUTTE =A� BUILDING DIVISION DEPARTMENT'OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - -(916)-891.-,2751 7 County Center: Drive; Oroville, CA - (916_) 538-7541 :747 Elliott Road, Paradise, CA. -.(916j -872-6307 Pr; CORRECTION NOTICE WNER P R M I T N0. A routine;inspection indicates, that.the following violations -of Butte.County Ordinances exist at the above address and should be'corrected. Please notify this.office when'coriection of work,:' " -is completed. If you have any questions pertaining to this matter, or need additional explanation; Please contact this office immediately. ,% ) y116_C,1.4' _ e i Date Inspector REV 10/9 4 COUNTY OF BUTTE BUILDING DIVISION' DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916_) 891-2751 7 County Center Drive, Oroville, CA - (916).5384541-:., ^ "" 747 Elliott Road, Paradise, CA - (916) 872-6307 F CORRECTION NOTICE OWNER PER IT NO.;";cw, _ A routine. inspection indicates that the following violations of Butte County Ordinances exist at -` the above address and should be corrected. Please notify this office when correction of work's="`yi Is com leted. If you have any questions pertaining to this matter, or need additional explanation,". A` �.� ple secntact this office immediately. "r t /. . 40 /K - ' - -�i✓SMT / / &/6,0/ .. .. LL Fs. IF - W -. E -. .. 12 Date - Inspector REV 10/92 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION "r =;7 County Center Drive • Oroville, California 95965 *,Telephone (530) 538-7541 g� P (Rev.t"2/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-133-006 -�' ZONING ar 1 BUILDING PERMIT - OWNER - HECKATHORN, DON & BARBRA 7534 _7076 SO. FT. OCC. BUILDING VALUATION OWNERS MMUNG ADDRESS 2525 N. VILLA AVENUE, PALERMO CONTRACTOR'S NAME O W 1VER 1V TELEPHONE ' CONTRACTORS MA UNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total `Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ —2a= - Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAKING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking fee $ $ }.� ^� S ` / — PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex R Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities P( Installation,❑ Other ❑ Describe Work: MHU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL' PERMIT Fling Fee 20.00 Main Service 2�oDOAY oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: l I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO tOooA 46.00 NEW CONST. DWE1LJNG OCCUP. OR ADDNS. a acc. S. SO 3.5¢x: NON•aESIND MT. ULTI-OUTLET @7,50 P.OwGLE APPARATUS a ounET CIR. Ex. OccuOUTLET OR FD(TURES 20 ® 1.00 BAL ® .50 Ex. Occu . oUTLETs�a ,D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ wi nn WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'> compensation laws of California, and agree that f 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp with those prow ns. X Date )/G P Signature of Applicant - ❑Owner ❑Contractor ❑AgentT- An OSHA permit is required for excavations over 5'0° deep and demolition or construction of structures over 3 stories in height Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FE $ 166.00 D. M c PAR H Lssu This permit is hereby issued under of the Butte County Code and/or indicated above for which ees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date / to rReceiptNo. 264536 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Mfrs CC vlj,� \ j6 1 7 �V dN i..•J(dr•,t y 1 Ir 1 r/i {�44)rW ,4. L COU_ NTY OF BU7 TE'- DEPARTMENT OF DEMOPMEA�T' SERVICES - BUILDING DIVISION + `;°' 7'COUNTY CENTER DRIVE `� OROVILLE, CALIFORNIA 95965''- TELEPHONE (916) 538-7541 PERMITAPPLICA•TION DATA'SIYEET OWNER: t-1404 , l7dt ✓ yASSESSOR PARCEL NUMBER — 3 Proposed Building Use: 4�4A4— Building Inspector:AbebLIttedDplior Date: -3 — Z'C --At time of permit application, I was advised the following datamust to permit processing and/or issuance: Date Received By When you issue the permit process as follows El Mail to owner, ❑Mail to contractor. � �1-,gyp ❑Telephone .S 3 �% '�%:' and,hold for pickup at office. ❑ Deliver with inspector. u, licant: j ate � Copy of Haz-Mat form sent 11Health Department, ❑ Fire Department, d AirzPollution Date: By: Copy of plans sent 11 Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index pernrit'application for the above items numbered: ❑ Plan Check List 2. Additional items required- Contractor, equired Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by ' _Date: Contractor, designer, owner, was advised of the aboverequired data by ❑ phone, ❑ mail, ❑ Building Division counter; by Date: Contractor, designer, owner, was advised of the above required data by q, phone, ❑ mail, :❑ Building Divi 'on counter, by Date: Contractor; designer, owner, was•advised_of the above regaired:data by o phone, ❑ mail, ❑ Buil ' g D' 'sion counter, by Date: Plans reviewed by: Date: a ) Plans approved by:. Date, S Sets of plans on hold in ❑ Plan Cabinet, o A.P. folder .N,* F } Note transfer by: Date: Yellow Copy - Department of Development Services, Building Dtivision. . ❑ 1. All items have been submitted.----------- ' ---------------- =------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ----------------- ------------------------ 113. Complete plans, 3/4 sets, signed by the preparer of plans. ------ ---------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation.----=----------------------------------------------- El 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------=------ ❑ 8. Hazardous Material Form. ----------------------------------------------------- ------------------------------------ �.. ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ - El 1�'�. Fees Of $ -------=----------------------------------------------------------------------------- t fees as shown'on the attached schedule. ------------------------------------------- ---- 0 0.12. California Department of Forestry plan approyal/fees- --------------------------------------------------------- ❑ Flood elevation certificate.' ------------------=--------------------------------------------------------------------- anitation and plot plan approvaMa) . Health Department. -------------------------------- ------------ ❑ 15.City,of Chico plumbing permit ..-------------------------------- ----------- ------------- ---------------=----------- t . ❑ 16. Plot,plan and business license approval from the City of Biggs - ------------ V El 17. Planning approval for (A) Use: (B) Parking: .. --------- -=--------, �$ ❑ ontact Land Development about ❑ Improvements, ❑Drainage, ❑' I egal Parcel. ----------------------- C /� i71 �l 19. Encroachment Permit for driveway (construction approval prior to occu anc ) v -t-/-+ -2 A 'P20 Pre -inspection for required. Request to Building Inspector on >, (Date) j•;. E12 i. Contractor's license information. (Number,.Name Style, Classification). ----:-,--- „-=---------- --- El 22. Workers' Compensation canner and policy number. --------------------------- ------------------------------- E]23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------------ - Mk -, E124. Letts of signature authorization. ----------------------==-------------------------------------------------------- ! 125. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1126. Letter of intent on building use.----------------------------------------------------------- ------ .,w 027. Manufactured Home utility clearance.--=--------------------------------------------------------.---------------- ; 028. Existing violations. and/or expired permits.---------------------------------------------------------------------=' .. . ❑29. 0433A, ❑Grant Deed -,,E] M.H. Title, ❑ Check to H.C.D $-------- =------ ',e.. ❑30. other: When you issue the permit process as follows El Mail to owner, ❑Mail to contractor. � �1-,gyp ❑Telephone .S 3 �% '�%:' and,hold for pickup at office. ❑ Deliver with inspector. u, licant: j ate � Copy of Haz-Mat form sent 11Health Department, ❑ Fire Department, d AirzPollution Date: By: Copy of plans sent 11 Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index pernrit'application for the above items numbered: ❑ Plan Check List 2. Additional items required- Contractor, equired Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by ' _Date: Contractor, designer, owner, was advised of the aboverequired data by ❑ phone, ❑ mail, ❑ Building Division counter; by Date: Contractor, designer, owner, was advised of the above required data by q, phone, ❑ mail, :❑ Building Divi 'on counter, by Date: Contractor; designer, owner, was•advised_of the above regaired:data by o phone, ❑ mail, ❑ Buil ' g D' 'sion counter, by Date: Plans reviewed by: Date: a ) Plans approved by:. Date, S Sets of plans on hold in ❑ Plan Cabinet, o A.P. folder .N,* F } Note transfer by: Date: Yellow Copy - Department of Development Services, Building Dtivision. . E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sant to B.D. - 1� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Su ply: Public Private Well Clearance for dwelling. Other. Hold final for: Final clearance O.K. for: (VOTE: i� �-7D LUQ Environmental Health Specialist Date 8/96 OWNER -BUILDER VERIFICATIO N f , OWNER -BUILDER VERIFICATIO N OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property'. improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible party ofjecord on such a permit. Building permits are not required to be signed by properry,owners unless they are personally performing their own work. If your work is being performed by someone other than yourself,, you may protect yourself from_possible liability if that person applies for the proper permit in his or her name. Contractors. are required by law to be licensed and bonded by the State of California and to have a business license from; the city orcounty. They are also required by law to put their license number on all permits•for, which they apply. ; If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should.., be aware of the following information for your benefit and protection: If you ,employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you`are subject to several obligations.including state and federal income tax withholding, federal social security,taxes, . workers compensation insurance, disability insurance costs, and unemployment compensation contributions...` ♦ There maybe financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. Ifthe,structure is intended for sale, property owners who are not licensed contractors are allowed to perform.their work pel sonally,or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contactors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you., are aware of these matters. The building permit will not be issued until the verification is retumed. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE:. This Owner -Bu ilder,Information is required by Section 19830 of the California Health and Safety Coda OVER COUNTY OF BUTTE`- DEPARTMENT. OF. DEVELOPMENT SERVICES BUILDING,DIVISION�' .s County:Center Drlve • 'Oroville; California 95965 - '+> Telepholie :(530) 538-7541 PERMIT. • �Rev,2/96)'}�,� �� �_�� 1 APP. LICATION AND PERMIT' f<Lj As8E980RPARCEl NUMeeR �-•7 /" .I 2 .�i. �'""°_ -. BUILDING PERMIT f = '• ,.bO TELEP110NEa SO FT. _ 'OCC., BUILDING VALUATION " , s•MNaING AD t 7:( TEIEF"ON8 n C0NTRACT0R'8 MA1 ING ADDRES8 - - +. •+ ` ,`t,.� k'' r t CONSTRUCTION LE►AEA" IEHDEA'S;AWWHirepIace -. Total Valuation' S• •ARp1RECT-OR ENOINE61`� i-3 '. �� LEesE .. _. Flin " Fee S . ARCWECTOR 04GPIEER9 MAaINo;ADOREBs _ .•; ' - Permit Fee S Plan'Checking Fee, S eURDM ADDraEss .ZS oi Energy Pldn Checking Fee S ='PERMIT FEE : " :.. �. PARCEL PL =Filing Fee 20.00 PLUMBING .PERMIT USEOFS.TRUCTURE Each Tr : 7.00 Solar or: heatpump.water heater 23.00 SF ❑ Duplex' Mobilehome'� .Other Water i in 15.00 SPECIFY:!- - Each. as water heater,& vent. ar ... z TYPE dF,WORK g Gas piping stem t - 5 outlets 1'5.00 s New ❑ 'Addltbn ❑ sRer►iodel ❑ U66ties`l Instillation' ❑ Other ❑ BuikJin :sewer 15.00 Describe' Work' ` Mobile Home C4?20:00 �v �- RMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 +; Main Service,o�RLE�ss-.23.00 y MaiK.Service aouA TO I*WA , 48.00 k .. r r y - NEw CONST. DwEiu+G occxlP.', 3.5480 OR ADOM. eLns. FT. - NEW CONS 1. -1a'Acc. . MULTIFOUTLEr NON•REBID.: Q7.5O ... - .. APPARATUS aPOwEii CIFJ + , • 00 EX. •Occu OUTLET OR.FDRUREB _ 20'0 LSO.. i� n P Ex: Occu OMA oR 5.00 ' OI)1lET8 ESID. EA r r 9 Temporary: �- o a Service 3.00 . 2 ' y Mobile Home Facilities 20.00 ' - Mlsc: Winn ° 23.00 PERMIT FEE _ MECHANICAL'PERMIT , Fling Fee 20.00 a a Heatin - -a: Coolin -Hood 8:50 'Ventilation f ° PERMIT-=FEE ! 4 ._ Mobile Home Installation Fee S Energ'y'..Inspection^Fee OCC a CONST: TYPE TOTAL"'.FEE HAZ 0.. FM IMP FL000 CDF PARCEL M i0Y 6SUE This permit ls'hereby Issued under.the-applicable provisions of the Butte County' Code' and/or, Resolutions -to do work ��� indicated'above#or which fees have been paid. � .` ✓ L` 1_>. : x' r , a r By ^' Date" ReceiptNo -` PERMIT, EXPIRES ON , WHITE-D.O.S.-B.D.; SOR' Y PINK-INSPECTOR • GOLOENROD-APPLICANT COUNTTOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '7 County Center Drive 99 Oroville, California 95965 • Telephone (530) 538-7541 PE MIT (Rev. 12/96) APPLICATI(5N AND PERMIT 1�� ASSESSOR PARCEL NUMBER 026-133-006 PT ZONING IZ_ I BUILDING PERMIT OWNER HECKATHORN, DONALD & BARBARA TE534NE7076 SQ. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 2525 NORTH VILLA AVENUE, PALERMO CONTRACTOR'S NAME OYV IVER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total ,Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEERS MAJUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2527 NORTH VILLA AVENUE, PALERMO Fee Energy Plan Checking F $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )ff Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IS Other ❑ Describe Work: MHI RE • 99-0574 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (iP20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service o.OR LE s 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main sow TO lOooA 46. 00 NST NEW CONST. DWELLING.00CUP. OR ADDNS. a ACC. eLDs. so SO 3.50FT N"ONRESD MULTI -OUTLET RANCH IRCUITS @7,50 POWER APPARATUS &.SINGLE OUTLET CIR. Ex. OccupOUTLET ORF*.7mES 20 1.00 enL .so Ex. Occup. DM, '(.,,6.)0E, 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall Nnot employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provis' ns of section 3700 of the Labor Code, I shall forthwith comply ivith _visions. - X Date _-�� Sig ure of plican . ❑ ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTALFEE$ 43 0 HAz c— D PEES — IM PLpo j I/ CDF P,w HD ssu This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been 'y�_ By / I D PERMIT EXPIRES ON provisions to do work paid. / e C UV t,;)' eceipt No. 265000 F HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,:COUNTY OF BUTTE -.DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION: .4 CounIY Center Drive '• Oroville..California 95965 • Telephone'(530) 538-7541' PERnur c IRev.tu9ei..: ': APPLICATION ANDPERMIT.- 9- A.fpWll►AACd Ml1+01 '-``O;o�'.. • ' r cz6 /33 t- f mw10- - ' -BUILDING PERMIT owrinl s *. b"ori .eLfLo 'ao"°"a �3 -7a7 Sp, FT.: '' OCC: BUILDING VALUATION :;VJodt T�Coi . ;. I ' - . CCWPACI OQWS-NAM ..-• .- Old t TQOMo" CONTR4CTORa K4AJW ADDAM . F 001@T"XT1011un10oa. woos WARM ADOVMS Firs Ince • Total Valuatlon . _ AACWMCT OR EHOIuM • ' uwsa 110. - Firina Fee i. 20.00 wlc,mcT,oR &MUMS NAAJNo ADOR MS : " Permit Fee Plan Checkin Fee • .. i euLOMADORds.- " Energy Plan Checking Fee t " } 1. ,PERMIT FEE LOT AQ ., t{�OIVrDN71M1!'... - ,• ,.. ►A'Wft VA/. PLUMBING PERMIT Filling Fee 20.00 Each Tr 7.00 ' USEOFSTRUCTURE Solar. or heat pump water heater 23.00 SFO Duplex :0: Moblehome �a Other Wager I to 15.00 '� Each gas water heath or vent 05.00 .. TYPE OF WORK Gas piping "tam 1 - 5 outlets 15.00 New O •' "Addltlon. O ; RemodN O UOQlfaa : O Installation �. Other O Building sower 15.00 Describe Work'f`�" Montle Home S d W 020:00 PERMIT FEE _ ELECTRICAL PERMIT -Filling Fee 20.00 Main Service zooA 23.00 tvAnin Service aooA`.To IooaA 4Q.00 .OR ADOW.HrW OWBLNO O '1- 3.5tPfOT, NDIa•RBIO: " 1111LTF01rTLlT 0(7.50. - }_- - .. - .. P'OWM APPARArA 200tz 0%"M ca Ex. occup. ouru r oR n wo► m e Loo EX: OCCu Poo:oAPPua.OR 5.00 } Temporary.Servicis 23.00. Mobile Home Facilities 20:00 MsC. Wiring 23.00 , r PERMIT FEE i ' - MECHANICAL PERMIT Fling Fw 20.00 Heating' Cooling r Hood Ventilation. F V PERMIT FEt f w :+ Mobile Home Installation Fee _ Energy Inspection- Fee. „- . - - - . • ', OCC 00-T. TYPE TOTAL FEES !!! + -w�Z 0. fEE7 WP P.000 00P PAACl1 PO HD This permit Is hereby issued under the spplichble provisions . of the Butte `County Code -and/or Resolutions to do work indicated above -for which. fees have been paid., By Date . ReceiptNo. S00o PERMIT EXPIRES ON COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, .OROVILLE CA 95.965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER A.P. #_Q2(,— (33—b 44 PROPOSED BUILDING USE >14 4L DATE RECEIPT # DATE REC 1. BUILDING PERMIT FEES --Balance Due ....... ***''**'* $ -- Additional Fees Due ........... $ • F -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ / J ,SCHOOL DISTRICT FEES D/`loy 1^l' L (paid at District Office) _aKD6HERIFF FEES (paid at Building Division). m ®, Residential ........ x $360.00 644, — Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x _ _ $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6.1' ERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) " 7. SRA FIRE INSPECTION' AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised -the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. PPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified'that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) .. :,t , r;,,- ify.Y y._ r.. `,` -i;. rI`. ' .rrf il N. .,�f ;,�t b Y J x" C, .iJ:.. n., r rc'; t ,L7 �'•t'L9c. ;;a .;ir �` ""T"�?� ti I' I� f{k :r '.i• t.. y M af It , .�A _.•�i' ��-�.� ..a'_,. _1 iFl. - a!\`Mlle "', t_ -_;Iia .$.r;twr .Ni, 4. ':•n� r,.. .. li �w 1 ' ' <s'.1�*���;},a �+'lA r�: tl.�.r3,:'e i'_�.i�. 8. n��..3 � �•�•1 �- ���;rG ._ � �_4r, Vr^., ,� � ��. .3'}L./t'_ � - � il. ,}i ;7. _,r. �,j ��(.`r: r'itl r';�3t; .`�� ItI'.�'.�.�.,�.1•. ..�.. � : iiL A. • i}i1I`''ir�74W'1i:1�'�r'if a€l �:1�'t"r� r., ,;t.i� ;i:�:� `.J>'�: til*�:7( fJ�. "l: . 'fl: `s���F.,, ��1 ,, ., .t.... �. 3't „'� '.'—.i;. ' •.fes �)• lAS r, (?U� ... :I! f..rif„'ff 7•iifli.:°� � i '60;S.'�r,t�Y'.. Lli •77tt1' .� �. .,� �}.,-i�� , ..,. , i/ ('A .. - ..r , r• ^ t 1. � tip-_. fl is 1, tiro. 1: X.)r� .. •~ C_ OUNTYpO"F BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION a , ' s " 7. COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 959,65 - TELEPHONE (530)538-7541`" rv.r PERMIT APPLICATIONDA DATA SHEET OWNER: -D— 1-,/,!cpo ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector:-'/? - Date: At time of permit application, I was advised the following data must be su dbmrtte prior to permit r"sing and/or issuance: Date Received By .: ❑ 1. All items have been submitted --------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior. to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------=------------------------------------ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.----------------------------------------------------- '--- dous Material Form. ---------------------------- "__--------------------------------------------------------- t.q��anufactured Home data and installation instructions including T S ecifications------------------ ❑; O ees of $ -------------------------- --------14 ---- -------------------- --- ----- --- impact fees as shown on the attached sched' v � �,- _ :51 %, ,. ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------- ` ❑ 14. 'Sanitation and plot plan approval Health Department. ---------------------------------------- ❑ 15.. City. of Chico plumbing permit. ----------------------------------------------------------------------------------- 016. Plot plan and business license approval from the City of Biggs. --------------------------- ------------------ A67 Planning approval for (A) Use: (B) Parking: .-------------------------- El 18* Contact Land Development about 11Improvements, ElDrainage, ElLegal Parcel. ---------------------- t o s 3 ❑ 19: Encroachment Permit for drivewayconstruction approval prior to occupancy)- - by e; i; ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor.°s license information. (Number, Name Style, Classification). ------------------------------------ r 022. Workers' Compensation carrier and policy number. --------------------------------=- Owner -Builder -Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------= ❑24. Letter of signature authorization. ❑ 25 . Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on'building use. --------------------------------------------------- -------------------------------- ❑27. Manufactured Home utility clearance. -------------------------------------- ------------------------------------ .028. Existing violations and/or expired permits. ------------------ s--------------------------------------------------- 1129. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $--------------- 030. --------------❑30. Other: When you issue the permit, process as follows El Mail to owner, ❑Mail to contractor. & Telephone- 3y— 70? 1 9 and hold for pickup at office. ❑ Deliver with inspector. 6 \Applicant: Date: Copy of Haz-Mat form sen. o Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plaris'sent q Health Department, ❑ Fire Department, ❑ Other: Date: 1. Index permit application for the above items numbered: ❑ Plan Check ` List 2. Additional items required: Contractor, designer, owner, was advised of the. above required -data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone,, ❑ mail, ❑ Building Division, counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter tiy' ` Date: Contractor, designer, owner, was advised of the above regi fired data by ❑ phone, ❑ mail, ❑ Building D' on counter, by Date.;' a Plans reviewed by: Date Plans approved by: Date: f . a Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P.`'folder r Note transfer by: Date: .L- 2 Mobilehome Manufhcturer: Manufacture Year; If other than single wide, furnish'.Setup Model,Number- Width: Length:o _(ft.) Tagalong or Expando Size� On all mobilehomes manufactured - after ,'-, October -7, 1fin 073, -nish" manuracturers installation manual and structural setup sheets. I - FOOTINGS: Wood pressure treat or -foundation grade[ "Oth SUPPORM, Concrete blockV-I' Other: jr_7 7- Provide Tie Down Specifications for all Mobilehomes: �epS CL S Pier Footings Sizes and Location SINGLE WIDE mumn abE Line I 1. Line 2 Lim 2 .............................. ............ ................. Main Beams Line 2 2 Line I Line 2 ............................... ................................................................ ..Main Beams ................................................................................................ 11110 .................................................. Ta or Triple ................................................. Line I Piers: Line 1 Openings , Size nu - Si minimum: r lxr Size minimum: 4 Spacing maximum: Each side of openings From ends -maximum] with 'Width over:` /—,A 30 Line 2,Piers: Size inim-mum: .1 -flew- X Spacing maximum:. From ends -maximum. Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 4 Piers: Size minimum: Spacing maximum: From ends -maximum IM OVER VOWO"o 0 9 , p I r ry - 2 -, 1. Owner's Name: - - 2. Assessor's Parcel Number• 3. Installer's Name: 4. Is -the site currently under`permit? Yes No ] Permit No. . 5. Is the site an existing site? Yes�No[ ] (If yes, furnish two plot plans). j 6.- What is the electrical rating of the, mobilehome?//�y?, .Amperes 7. What is the mobilehome site circuit breaker rating?_2-',QAmperes:.a 3 8. What is the electrical -rating ofthe mobilehome site? Amperes „. 9. Is the _main service remote from the mobilehoirie site? Yes[ 1 No[ ] If it is, what is the rating? Amperes. -.; - 10. Is there any other electric load to be s _ '� by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ J No[ If yes, please identify the.load and size: a) The mobile home site: _ Load- b) The main service: k Load- - :.Amperes= 11. Type of gas service at mobilehome site: Natural[ ] ; Propane[ .None[ 12. Size of gas pipe _ at the mobilehome site from the meter or tank: inches. Ir h 11 What is the gas pipe length from the meter or tank to the,inobilehome? ft. ; :.. --L( ) 14. :What is the mobilehome gas demand? I ` B.T.0 * *(This information is "not required if the pipe length is less than 6 feet ion natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION �1'iF'Ysw.'r' _ I..F 'r^ ,7�'.i'n"'�k'"yvy''Y�.i77{i y.,,��'�i?.�f�q�d>'�.i�M1' yr I �71�'�.�/�Yv`iL$',�"1��c.A1'�"+w1�1i7`A:t�+F.: l� .• ` Ir - • BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATIOWFORM :. . ( (One form per Building) School District. ! i _1 Buildin Department No.,, . . 9 P -. A.R. Number.. Ds��`-��`-0(iia"Jurisdiction cityCounty Property CMmer 00, AOL ,Property Locatio Address f; ' Ls2'7 ,l Subdivisio I � Lot No: J . Residential Development,, Sq. Footage No of Living .. Mobile Home -Addition/ "Supplemental to .. (Group. R) Units Installation Conversion Permit# (No foundation inspection) ........................................................................... fit.. .. CommerciaVindustrial 0.. Sq. Footage •; �,. New .. .. Addition Qncluding E7Renor Roofed Areas) k�l 19Building Depmeet Reptesentative„ D e .. (FloorPllans reviewed by School District Personnel►- trict IdentificationNo. 9,(/` O' School District certifies that (Applicant) ,. . �� n), d (Stree ddress) " (Phone Number) (City)- has City) has complied with the requirements of Resolution No. ^t repres ting_ square feet. �\ 0 .',,,School. District Representative �G�JL Paid by Greek� Remarks: 4. 9 9: (zip Code) ti by payment of AB12926_ FULL MITIG4P' N $ Date Inn' n-: N ✓VY� /I 0 Notice: You may, protest the imposition of the fees Identified above by submitting a written protest o the District,, in compliance with .Government'Code Section 66020(a), within 90 days from the date fees are'paid. Failure to,submit a timely written protest will prohibit you,, from challenging the imposition of the fees in any court action.' f If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form; the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California,Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully -mitigate its impact on the school district' s; schools. ¢ White (applicant), Yellow (building department), Pink (school district) fee(orm;xls 110/98)dmm Environmental Health APR 2 -2 1999 7 County Center urive' . Oroville, Ca 7 7 Environmental Health APR 2 -2 1999 7 County Center urive' . Oroville, Ca RESMENTIAL 026-133-001 & 05 HECKATHORNj Don & Barbara" 2525 North Villa, Oroville Mobilehome Utilities V=OK - O = Not OK allotReady MOBILE HOMES Date MOBILEJiOME UTIUTIES ns OK except7' Card BA Date' Card B-1 mg,Requirements - Setbacks - Easements c 1 Special MH Support Sketch Card B-1 Date Card B-1 L.ocatkxt-TesWall-C) Concrete 3. Decks;.Girders and/or Joists-Decking-BracingStairs-Rails Location -Test -Easement Needed (Sketc tricily; Location-ClearancesGmd-/ /Amp 1. Setbacks -Easements Gas; tion -Test -Wrap - Put /', Nat or C•ft / ,; ell.Clearance & Disconnect } Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Date( �rd-B-1 Date Date Cann B-1 Date Date MOBILE NSTALLATION (Plans) OK 7o 9. Siding; Nailing -Veneer -Stucco -Mesh .. i equirements-Setbacks Easements t Date MISCELLANEOUS DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements a` Card BA Date' Card B-1 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel Card B-1 Date Card B-1 Date 3. Decks;.Girders and/or Joists-Decking-BracingStairs-Rails :rate '1 1. Setbacks -Easements 4. Wood Awn.; Posts-Beams-titrs.-Connectors Shthg.-Rfg.-Bracing } 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses j 9. Siding; Nailing -Veneer -Stucco -Mesh 9. Health Department Approval 10. Root, Shthg-Roofing Card B-1 — — -� 11. Ext; Steps -Doors -Landings Card B-1 , &-WS%r -Test-Regulator-Copnector } and Sewer Co&iriected-C/O to Grade -HD Approval Gas a tncity Tagged k' Type -Installation Cert.n 1 nsp:Sketch j .`' '' Certof,0ccupancy j . t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r Date Card BA Date' Card B-1 .Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Uning' 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts -GR 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/9 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool LBhtg. . Boxes-Enclosures-Pane4boards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O Not OK RESIDENTIAL (Single & Duplex) Not Ap licable P Not Ready Date UNDERFLOOR (Plans) OK except #s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg.,•Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3.-,Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. •-Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, Steel -Wrapped Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 8. ,Piers -Fireplace Ftg.-Steel Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -,Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings _ 16. Insulation I nfiltration-Wa I I s -Window s Date Date Card B-1 Date Card B-1 Date Date - Card B-1 Date Card E-1 Date Date PLUMBING (Permit) OK except #'s FINAL (Plans) OK except #'s 17. Water'Htr.; Vent -Access -Combustion Air Baffle Ext Steps -Door & Sidelight Protection -Landings_•,, 18. Water Pipe; Test & Anchor -Nail Protection Smoke Detector 19. D.W.V.;"Test Fittings & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector-' In Garage; Above Floor-Ducts-Mech. Protection 20. Shower'Pan; Test, First Floor -Tub Access Bedroom Exiting 21. Test Tub & Shower, Second Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 22. Gas Pipe; Sixe & Anchors Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets & Recepticales at Kit. Counter 24, Elec. Receptacles Spacing -Lights & Switches at Doors Garage Fire Door; Swing -Landing -Closure 25. Size Boxes & No. of Conductors Stapled A.C. Duct in Garage -Damper 26. Romex Installed Close to Edge of Studs & C.J. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 27, Equip. Ground made up w/Mech Fastners-Bond Gas & Water Plb., Elec. & Mech. Equip. Listed for Location 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Elec. Receptacles in Garage (G.F.I.)-Romex Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Insulation -Foam -Looked in Attic 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Guard rails & Deck Construction -Post Caps 31. Service -Riser Conductors & Ground -Main Disconect Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Equip, Clearances Panels-Motors-Mech. Epuip. Following Instid./Drive 0 Yes 0 No/V✓alks 0 Yes 0 No/Planters 0 Yes 0 No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throught House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates Date Date Card B-1Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop. in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Pullin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings _ 62. I nfiltration-Wa I I s -Window s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings_•,, 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector-' In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. $ Ext. 72, Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instid./Drive 0 Yes 0 No/V✓alks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 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: SIDE TIE-DOWN TIE-DOWN END TIE-DOWN SPLIT BOLT & NUT #406 PIER I" BEAM CHASSIS BOLT-ON TOP -��SEE "I" BEAM CHASSIS GROUND LINE NOTE #5, SHT. 1 FOR TIEI.-*DOWN INFORMATION #606 STEEL STRAP #616 T.D.A. STABILIZER #614 ST45 PLATE IL. STRAP 6\I ' �a'o. +i qo NOTE: VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL 10 DETAIL A (TYPICAL) SEE DETAIL INSTALLATION (TYPICAL) INSTRUCTIONS DRILL 9/f6" HOLE AT MID HEIGHT OF BEAM, 1��'l'. INY�TALL ANCHORS INTO SOIL APPLYING CONSTANT INSTALL 1/2" A307 DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, BOLT ..................UNTILL HEAD IS FLUSH WITH STABILIZER PLATE_ ANCHORS SHOULD• BE INSTALLED BELOW FROST LINE. 2. ATTACH STRAPS TO CHASSIS BEAM IN,-MANNER SHOWN. 3. INSERT T STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS "C" BEAM CHASSIS "RFC" BEAM CHASSIS STRAP AND. THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. SEE A" BEAM CHASSIS SEE- "I" BEAM CHASSIS CONTRACTORS-WARNING: NOTE #5, SHT. 1 FOR NOTE #5, SHT. 1 FOR CHECK FIRST FOR UNDERGROUND UTILITIES. TIE-DOWN INFORYATIOW' TIE-DOWN INFORMATION tu INSTALL GROUND ANCHOR PLACEI' STABILIZER PLATE FINISH 'TURNING ANCHOR INTO GROUND, LEAVING. . . . . . . . . . . . . . NEXT jTO- SHAFT BETWEEN INTO THE GROUND UNTIL 8"-12" . . . . . . . . . . . . . . . . ..... . ANCHOR AND CHASSIS OF SHAFT EXPOSED. S ANCHOR HEAD IS FLUSH BEAMtF AND. -DRIVE INTO WITH STABILIZER PLATE. GROUND. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. .................................... ......................... .................. CONTRACTORS,,VERIFICATION — z 0 1 CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NQ_ke�FICATION�/O TH A ORING SYSTEM OR TO THE BUILDING'STRUCTURE. 0 COMPANY NAME: CONTRACTORS LIC.#-,-,- Ln m DATE: 9'7-- S15NA�,U� _e,_41A - - U - - - - - - - - CROSS DRIVE TIE -DOWN END TIE -DOWN ' CHASSIS #406 PIER BOLT -ON TOP I j SIDE TIE -DOWN #614 STL \o STRAP \ 600yo. STEEL JNo6� STRAP #608 SPLIT BOLT & NUT - #616 STABILIZER PLATE GROUND LINE #607 CROSS DRIVE ANCHOR INSTALLATION INSTRUCTIONS DETAIL "A 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN.GTITH STABILIZER PLATE) YPICAL CROSS DRIVE ) 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER -SHOWN. 3.'.INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND S� RFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, INSTALL #616 STABILIZER PLATE, (STABILIZER PLATES MAY BE PREWELDED TO #607 CROSS DRIVE ANCHOR) OR INSTALL 12"x12"x12" CONCRETE BLOCK. 11S IE: IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TY'E SOIL), .THEN TWO CROSS DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE -DOWN. BOTH CROSS DRIVES MUST BE STABILIZED AS SHOWN IN DETAIL "A". SEE PAGE #1, GENERAL NOTE #4. CONCRETE TIE -DOWN INSTALLATION SIDE TIE -DOWN END TIE -DOWN , - ' CHASSIS #406 PIER BOLT -ON TOP--_ INSTRUCTIONS #604 DRY 1. CONCRETE MUST BE A MINIMUM OF 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY EDGE. #615 WET 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY DRY. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. 17 MOBILEHOME INSTALLATION. ACCEPTANCE COUNTY -OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES' BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 53877541 W APN: /3 3 =-ria PERMIT NO.: " Owner's: Name. . 1 Owners Address: ' T y V /) i Mobilehome " f �,/ Year of r Manufacturer W Manufacture: " Serial number ' S,� (�,�o K Insignia or 3 5143 or V.I.N. *` (� ," L) HUD number: V J Official approving installation " " Date: :r T ;F,:f kvr � � :� ?�.. '; 3 )k- ' �4 i°�• - F L)� r 7 s t '.�:' r r ` ff the mobilehome is moved or, elocated the mobilehome Installation acceptance3shall become invalid This form shall it �' ?;s f P not be used when the mobilehome is installed on a foundation system e 1 � ;. kr K y ier� fi� _ 1 si 4. � J �, •° 5� � i fir:. x a�� t P `ti - i� e '�} �� t- � � S ��. ^ �• .�.., �, 9'.r N 1 1 ' .ro �: � a �r.. � :, r i .�,� f r sv� t lt�r� J S arid- �4 Y r r_•r r r :x} � a 4 0. i '� � >/'� �..a ,1 • k �? t � �, .4"rr� { � !Y �d)r� � �,�+. i>:r° t ::. �. 4'., ,t y t?+" �� • �' ,. xi'= „xthn,, J tg.7i, s ,"c�ri�. ;.'f?. .4:7.,`'..r�,,, fi )!%._ 7,,� j•'� � Fi.,.l I i-.. ori r, -'"�. r �..e c, ._�i.��ti.�°,j....,.�, :.i't:.`4,.a.�.:r... a�:.Y u,.;..�.:de.&-�,u.:3v3v � i — ..__. ,,iz ��'.r �3; aa.. d.s'�r; �.?r ,.�r. u$:rv.� ,�.trStS".krtyda2c� _ .,i+�L`_,.rxi,4.'S....ivv�la lx_>•�?.?,�� ,,..:;�2.rh '.v:�>^..:�r r. :.w.f n,,.�+,. �c.���w�i :a1;. YAr::k�t.:�ie..w COUNTY OF BUTTE. t - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES^ r P ' 4 1469 Humboldt Road, Chico,CA , (9116) 891 2751 - 7. County Center Drive, Oroville, CA = (916) 538 754;7+ 747 Elliott Road, Paradise; CA (91'6) 877 6307 r CORRECTION NOTICE O NER PERMITNO.:: s.>. A routine inspection indicates that the following violations of Butte_County.Ordmances axis# of _ the above a ress and should be corrected. Please notify.'this of fide`wh'en'oorrection` of work- r is comple d..lf you hays any questions pertaining to'this matter, orneed additional ezplanaUon; ase' ontact this office immediately:. �J i ('D. L) o= r a 717,s:. z a /. ' h -e M1 S r� w� ruw:�0 t y o c: A. -Date Inspector REV 10/92 i1 � t �� �� f .i' i r ��� � ` - � r ` \ ,\ COUNTY OF BUTTE BUILDING DIVISION' DEPARTMENT OF_DEVELOPMENT SERVICES''y� 1469 Humboldt Road, Chico, CA (918)'_801 27511 rr 7 County Center Drive, Oroville; CA (916) 538 w,7541 747 ,Elliott Road, Paradise, CA i911,6'8- 6307 '. r G 1� CORRECTION NOTICE A :E `' r:r 9% N R PERMIT N } A routine inspection indicates that the following violations of -Butte County Ordinances exist aty a the above'address.and should be corrected. Please notify this• office when aorrectUon of is completed. if you have any questions pertaining to this matter, or.need additional.ezplanation;. please contact this office immediately. s'- r 5 , v�7 . P Ll 4 - - - y: x �E3 Date Inspector REV'10/92 COUNTY OF BUTTE = DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 n E T No ' (I ev.12/96) APPLICATIONANb PERMIT t _ ASSESSOR PARCEL NUMBER —026-133-001 & 005• Zo"I� 1 BUILDING PERMIT ,`OWNER DON &BARBARA HECKATHORN .. TE""—E1306 SO. '.FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS PO BOX 5382 MARYSVILLE, .95901��- CONTRACTOR'S NAME OWNER TELEPHONE - CONTRACTORS MAILING ADDRESS` .. .r Co-ri4TaucnON LENDER NONE LENDER'S MAILING ADDRESS Fireplace - Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS -' - Plan Checking Fee s JBUIWDVO ADDRESS 2525 NORTH VILLA Energy Plan Checking Fee s, PALERMO 3 PERMIT FEE 43.00 LOTNO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome W Other y, SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping15.00 Each gas water heater or vent . 15.00 . TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation XI Other ❑ Describe Work: - Gas piping system 1 - 5 outlets 15•'00' Buildin ,sewer Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee'2000' Main Service z�oonoa�ss 23.00 LICENSED CONTRACTOR'S DECLARATION .1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencin with Section7000 of Divi3 of the Business and Professions Cod ( g ) Division ons e, and my license is in full force and effect. License Class LIC. NO. - OWNER -BUILDER DECLARATION J hereby affirm under penalty of perjury that I am exempt from the Contractors License l-aw for ,the following reason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1 I, as owner of the. property, am exclusively contracting with licensed contractors `to construct the project. ❑ lam exempt reason under Sec. Business and Professions Code for this Main Service 200A To 1000A 46.00 NEW CONST. DWEWNG 'CCU' OR ADDNS. a ACC. S. SO 3.5dFT: NEW CONST. MULTI -OUTLET NON -RESIST I�7.50 PSINOWER APPARATUS 8 GLE OUTLET CSI R. Ex, Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL o .50 Ex. Occu ouTELETs RESIDO .EA 5.00 Temporary Service Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S .. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: p. l have and: will -maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 ofthe the Labor Code, for the performance of the work for which this permit is issued.. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT "Filing Fee '''20:00" Heating Cooling r> Hood ` 6.50 Ventilation PERMIT FEE $ Policy Number (The above.sections need not be completed it the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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 slop 12 X., _ Date _ Si . " urs of A Iicant' = ❑Owner Contractor ❑ Agent" PP 9. `An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee s occ CONST. TYPE TOTAL FSE $ 143 00 "1- ` ""Z. - , IM -F ' V FLOOD-' Y/ "CSF'' 'pAfiOEL" 'pp ' `htD LSSU�s This permit is hereby issued under of the Butte County Code and/or indicated above for which fees ,have By PERMIT EXPIRES ON I the applicable provisions . Resolutions to do work been pgid }" j 91-7 Date` / I Date Receipt No. 210095 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i- . _ - - - - � - _ .. r _ �.. . �� ` � � :l I �. � � � • 1 f, -� � I ' a _ x � - 7 /1 .` � ._ _ _ .� - � �1 � � r, { f .. �. 7 1 �..1 .... _ _ .... .+.'1-,• j ' „� COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION , a�. h ,.i; 'v•. ASS •� 'r 7 COUNTYCENTER DRIVE - OROVIL•LE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMITAPPL ICATION ®ATASHEET l t ,—OWNER 4: ✓1 G �.. �,;Q ►,�(. Jr e G�G(f /1 bV t/1. .. o 5� Proposed Building Use Building Inspector Date At time of permit,application, I was advised the following .data must be submitted prior*to permit processing and/or issuance: DATE RECEIVED BY 1 All items have been submitted. .............. ... .... .......... . 2:.. Plot plans,:;3/4 sets, signed *by preparer of plans. ..:.... . r 3. Complete plans,. 3/4 sets, signed by.preparer of plans. ...................... 4. Engineered plans and calcs, 3/.4, sets, with wet signature on plans. .............. 5: , Hazardous Material Form. :................. yt 5. . . 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non-Heated and A/C Buildings. ..................... HE�_8'. Engineered truss details and.layout in duplicate (required prior to plan check). Mobilehome.data and, manufacturer's installation instructions; 2 sets. . .......... $ 10. Fees of 11. Impact fees as shown on_attached schedule. .............. 12:' Californta.Department of Forestry plan approval/fees. .. . T 13. Flood elevation letter (100 year flood) b''California Engineer. .. ...... . i w { 14. Sanitation and plot plan approval Health Department. ,y c .15. City of Chico plumbing permit........................: ::% 16 Plot plan and business license`approval from City of Biggs/Gndley: ",. 17.''Plannirig:approvaI for (A) Use: (B) Parking: . . 18. Contact Land:.Development about (A) Improvements (B) Drainage.' }""" 19: Driveway permit (construction approval required prior to occupancy). 20 Pre=inspection for Pre4nspection �° - regUlred. . to Building Inspector's d (Date) - `, 21,r^Contractor's license information. (No., Name Style, Classification). ... .. . . Certificate of Workmans Compensation Insurance. .. . ........... ... 23. ,Owner-Bwlder Verification (Given to owner , Mail to owner _). .. �t T 24: • Recorded'copy of Agricultural Acknowledgement Statement. ........ , .<_ 25. Letter,of signature authorization. ........ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road ( `r 27. 'Letter of intent on.building use: ....... . 28 Mobilehome utility clearance77 rid T' 29 Documentation of legal access. . ` ' = W Do cu mentation'of`50% subdivision developed or'(A) Road improvements completed I and (B) Parcel. meets zoning area and frontage requirements 31. Existing violations/expired.permi s'. .................. . heck list,. . :........ .. �' p ►� ;pe c S 34. t� When..you issue the If rocess as follows; M�'il to ow`� Mail to contractor. ` } r Telephone,:'' t0�. and'hold for pickup at U office. Dehver.with inspector. Other ;t ^ .Parcel Creation _ . Acreage ' Applicant `•Dafe F Copy. of:Haz-Mat form sent Health Dept; ' Fire' Dept Air Pollution Date / Copy of�plans sent Health Dept.' Fire Deft. Other Datek By {' The foNowing, data must be submitted prior to`permit issuance: (Circle`new item. not checked above) '^ b ,.1".l6dez permit for-above items No. s ;'_ :2:"Additiona 'fitems required: r 's I, t; Contractor; designer, owner,. was advised of above required data by phone mail Counter by;:. Date A" _ Contractor, designer,'owner, was advised. of above required data'by — phone mail Cou r by Date,. Plans checked by Date Plans approved by. Date. Sets of plans on hold in File cabinet,,.,,, AP. folder. Copy - Department of Public.Works COUNTY OFBUTTE :'DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7.: County Center Drive:'.= Oroville, California 95965 -, Telephone (916) 538-7541 PERMIT NO.. APPLICATION AND PERMIT knfZV.IG/�vJ /145ES8DRpARCEL NUMBER. p'X OWNER".TELEPHONE - Z° AN l BUILDING PERMIT. :. NG VALUATION SO FT OCC. BUILDING OWNER MAILING ADD S. ._'`�`' .�" - (��}/► '.•,_ ':O . ,. `� VK, -.i .TINE 9 - COMq/C)OR'S NAME .CONTRACTOR'S' WAILING ADDRESS ...CONSTRU Fire lace .LENDERS MNUNO ADDRESS p - - Total Valuation $ ARCHITECT O ENGINEER - LICENSE NO. _ Filin , Fee $ 20' O Permit Fee $ ARCHITECT OWENGWEERS MAIUNG ADDRESS: - ,. - . ^ - Plan CheckingFee $ SUL-DING ADDRESS + �. f Energy Plan Checking Fee S. :. e n PERMIT FEE $ j2; `16 LOT NO .' SUBDNISION'SNAME ' PARCEL MAP • 'PLUMBING., PERMIT Filing Fee 20.00 Each Trap, 7.00 USEOFSTRUCTURE `- Solar or heat um water heater 23:00 ` d SF ❑ °Duplex 0 ,: Mobilehome . Other r F SPECIFY Water; pipin 15.00 Each ' as water heater or vent 1 5.00 TYPE OF WORK New ❑' Addition ❑ Remodel ❑ - Utilities ❑ Installations' Other ❑ Gas i in stem 1 - 5 outlets- 45.00 " Building sewer 5:00Mobile Home S G W Tg:210.00 Describe 'Work. ... PERMIT FEE _ - ELECTRICAL'PERMIT Fling Fee 20,00 "v OR LEss • Main,Service saoA OR LEss, 23.00 >: • _ ; : LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed .under provisions of Chapter 9 (comme ncing'with Section 7000) of.Division 3 of the Business "and Professions Code, . ,. - and m ;license is.in full force, and effect. Y License Class LIc No. ' OWNER- BUILDER DECLARATIONFucEDAPrLNs. Ilhereby affirm under penalty of perjury that I am exempt from the ,Contractors license • : .Law for.the following• reason :. ❑ 'i,.as owner of the' property' or my employees with wages as their sole compensation; -kwill do the work, 'and -the'structure is. not intended; or offered for sale. ❑ I; as owner:of the.property, am' exclusively contracting with -licensed contractors to construct the project ❑ exempt under Sec Business and Professions Code for this Main IService sow TO LOOOA 46.00 NEW CONST. DWEUNO'=CUP. ( 3.5¢FT, NR"�°Ns . Mu ou�rLET NON-RESID. POWER ApPAMTus a sINGLE oLnLEr as Ex. OccupOUTLET OR FDITURES so ®I.00 SAL .,w oR Ex. Occup.' _ owners RESID. Ew 5.00 Temporary Service 23.00, Mobile Home Facilities .' • ' 20.00 Mlsc Winn'.. 23.00 PERMIT FEE. $ ,tam -.-: reason , WORKERS' COMPENSATION DECLARATION MECHANICAL -PERMIT Filing Fee_ 20.00- I hereby affirm.Under:penalty of'perjury one of the following declarations: ❑ ..I ,have -and' will 'maintain- a', certificate of consent to self -insure for workers' compensation; .as provided for by. section 3700 of the Labor Code, for the performance of the work:for which this permit is issued. , ❑' .I:have end will maintain'workers'compensation insurance, as required by Section -3700 of the Labor Code, for the performance of work for which this permit is issued., My- workers' compensation insurance carrier and policy number are:,PERMIT Heating Cooling Hood 6 50.; Ventilation FEE t._ Carrier Policy Number - : - (The above sections need, not be completed if the permit is for work of. a valuation of one hundred dollars ($100) or, less.) '' 0, I: certify that: in the performance of the work for which this permit is issued, I shall,' .not employ any -person- in: any. manner' so as. to':become subject to workers' compensation laws of California, dnd agree that •rfJ should become subject to the workers- compensation 'prov'isions.of section 3700 of the Labor. Code, I"shall forthwith comply with those.provisions 1. X __ Date (° ' _ Signature -of Applicant'- ❑ Owner O Contractor ti❑ Agent ,. _ . An OSHA permit is required for"excavations over 510" n deep and demolltloor construction of structures over 3 stories in height. $ 49 Mobile• Home. installation'Fee ���. Energy Inspection Fee $ occt coNsr. nPE 0"�� Q� TOTAL FEE .$ ' HAZ D. FEES IMP , FLOOD COF PARCEL Po ISSUE This permit is hereby issued under of the Butte County -Code and/or : indicated above for which fees have By P ERMIT EXPIRES,ON the, applicable provisions Resolutions to do work been pard.:: ' Date — Receipt No. eceeeene LINK -INSPECTOR GOLDENROD -APPLICANT 1. Owner's Name:a 2. Assessor's Parcel Number: O a 3. Installer's. Name: a u>JV f- 4. Is the site currently under permit? Yes [Kt No[ ] Permit No. 5. Is the .site an existing site? Yes[ ] NoVI (If yes, furnish -two plot plans). 6. What is the electrical rating of the mobilehome?_ jo 0 Amperes. 7. What is the mobilehome site circuit breaker rating?` D o Amperes. 8.. What is the electrical rating of the mobilehome site? Amperes. r 9: Js the main serviceremote from the mobilehome site? Yes" No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobilehome site: Load- Amperes - b) The main service: Load- Amperes - 11: Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ ] 12. Size of gas pipe at . the mobilehome site from the meter dor tank: —inches.. 13. What is the gas pipe length,from.the meter or tank to the mobilehome? d_(ft.). 14. What is the mobilehome gas demand? B.T.U..* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATIM a E COUNT BUILDING D POTM&I May 1995 8.5 Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish Setu Model Number: Width: 114 _(ft.) Length:�0 ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[r]' Other: Provide Tie Down Specifications for all Mobilehomes: TS lDZ Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Lane 1 0 1 Tana 2 fLine e 2 Main Beams Line 1 e 3 e 2 ........................................................................:................. Main Beams e 2 1 ................................................. Eine ine S Tag or Triple ine 4 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: I C` From ends-maximum:l 4` Line 2 Piers: Size minimum: x L70 . Spacing maximum: From ends -maximum.// ` Line 3 Roof Loads:C�-tf X 30 a l � Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: Each side of openings with width over: I I` Line 4 Piers: Size minimum: [ ] x ]. Spacing maximum: ` From ends -maximum _ ` %nf �',�,©✓' bear, N� �OD� of $� 1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -' Telephone (916) 538-7541 PERMIT NO (Rev. 1096) APPLICATION AND PERMIT ?- ASSESSOR PARCEL NUMBER .026-133-001 & 005 ZONING ARMH l BUILDING'PERMIT OWNER DON:&'BARBARA HECIPORN TELEPHONE 288-1306 SQ. FT. OCC. BUILDING; VALUATION '"OWNER'9.MAIUNG ADDRESS' PQ BOX 5382 MARYSVILLE, 95901 CONTRACTOR'S NAME OTWNER TELEPHONE - - _ CONTRACTORS -MAILING ADDRESS CONSTRUCTION LENDER - - LENDER'S MAILING ADDRESS ' Fireplace - Total Valuation $ ARCHITECT OR ENGINEERLICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 2525 NORTH VILLA - Energy Plan Checking Fee - $ PERMIT FEE - 3 " ' 43.00' '. ..LOT NO. SUBDNIS IONS NAME. .- ,:. -' PARCEL MAP PLUMBING PERMIT Filing Fee 20`x00 USEOFSTRUCTURE SF ❑ . Duplex ❑ .Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 " Water piping 15..00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities X] Installation ❑ Other ❑ Describe Work: MHit Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 ryn or PERMIT FEE $ 80. 00 ELECTRICAL PERMIT Filing Fee "20.6.0 -- - Main Service a00V OR LESS 200' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under. Sec. Business and Professions Code for this reason Main Service 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a A.C. BLD.. - so 3.5QFT:NEW . MULT -ET NON -RES OT I OUTL @7;.56 PowEA'PP'RATUS a SINGLE OUTLET CIR. Ex. Occu ourtETORfocruREs BAS@':w Ex. Occup. D,ir`E<t°TSA A ,Es o.°ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20-0 Misc: Wiring 23.00 PERMIT FEE t, .63. 00 - WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty .of perjury one of the following declarations: 4 0 1 have, and ,will maintain .a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which. this permit is issued. ❑ l have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee' " 20:00 Heating Cooling77 Hood 8 50 Ventilation PERMIT FEE .t Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars.($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any Person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply w' th sio a! X Date G7x1ei� -- gn uure of A icent - ❑ Owne ❑ Conttactor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ 166.00 H'z. D. FEES IMP I fL0 CDF P -XJ pp 1 HD This permit is hereby issued under of the tte County ode, and/or indi ed fo_r hlch flees have PERMIT EXPIRES ON the applicable prove;Ions; Resolutions to do work been paid F T Date -X C> I •. Date ,11' Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • �I.I • •r.•� ,1. Lai �fllt It:. I' '. . - .I - n ,' f" � '.I' 4y ..t�l.dts T4'...w,<1UIM],�A/.'1..�•%...-A�-A�'.i'.:.111:r1V1.1,:Fln}YM_�"MlL.hY�=.'.,t1.'�dl��}�/1-L�a✓'.,16.v:.tN'r.Y'Ya N(!•�n •ISTr-+. �.wf: ..LY. �. Ta t,� COUNTY OF BUTTE-DEPARTMENTOAF DEVELOQMEI T3ERVICES - BUILDINGDIVISION 'P. 7COUNTYCENTERDRIVE OROVILLE,CALIFORNIA95965-TELEPHONE (916)538-7541 �� - •�" ;� ',,.;mow. .. . PERMIT PPLICATIO ATASHEET Ort cr !''U.G,V J" '�c�G f of O/ ✓t A."P OWNER Proposed Building Use" �. Building Inspector Date. At time of permit application, I was advised the following data must be submitted prior to permit. processing and/or issuance: ` " , • DATE RECENED BY 1, All items h e been submitted........ . ,... *- 2 Plot 'Ian sets, signed b preparer ofplans.''z ' .,.:'.:................... . .:. � 9 YP P .. -` - 3. Com lete,plans, 3/4 sets,'signed by,preparer of plans. ..... . 4 Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Y ' 5" Hazardous_Material Form. . ,6"Energy. Design Compliance and supporting documentation: . ........ .7 Statement of Intent for Non -Heated and A/C Buildings. . Engineered.truss details and layout in duplicate (required prior to plan check). . . ` Mobilehom t nd manufacturer's installation instructions, 2 -sets: ........... . 10. -Fees of.$ 6 ... .._. ... .... . 11 •impact fees as, shown on attached schedule. .. . . 12'' California Department of Forestry plan approval/fees. ................... 5 P 13 Flood elevation letter, (100 year fl by C Ij'fornia:Engineer. ` 14. Sanitat)on and plot plan approval�Ov, �l e -Health Department. ............ • r :15. City,of Chico"plumbing permit. ....... .... ..... . a 16.. Plot plan;ani d,bUsiness license approval from City of Biggs/Gridley."' �¢ f =' ."17,. ---,Planning, approval for:(A) Use: (B) Parking: "Contact Land Development -about (A) Improvements (B) Drainage t f t t 19 Driveway permit (construction approval required prior to occupancy). Proanapection'requ 4 20 Pre -inspection for required . to Bu��d ng Inspector ' (Date) 21' Contractor's license information. (No., Name Style; Classification). ... r •22 Ceftifcate of Workmans Compensation. Insurance. ........ ..:.................. 23 OwnerBuilder;Verification,(Given to owner. Mail to owner ): .... ;r ' copy of Agricultural Acknowledgement Statement. ..... - .. cl' '.24. "Recorded ._ - • , ... . , , x 25 , Letter of signature authorization. ..'........:..: t. ` t # 26 ..: Copy of recorded deed of parcel creation and 60 right of way to a public road r 7ii'l pi,' 27. Letter"of intent on building use..... Mobilehome utility clearance. r, "Documentation of legal access: 30 Documentation•of 50% subdivision developed or (A) Road improvements completed, r and (B) Parcel meets` zoning area and frontage requirements. 31 Existing, violations/expired permits........ . T' 32 Plan.check list: �. .... ' .....:.........:... 34- N 'When you is the er t, p ocess as follows'- Mail to owner. Mail to contractor. '0 " Telephone" and hold for pickup at O Itis i office: Deliver with inspector; r 'Other Parcel Creation q fir_AcreageApplicant ate/6�j Copy of Haz Mf at form sent Health" Dept. Fire Dept. Air Pollution Date } Copy of plans sent Health Dept. Fire Dept. Other Date By . The following data must be submitted p io to permit issuance: (Circle. new item not.checked above) -Index'permit for above'items No. 2. -Additional items required: Contractor, designer, owner; "was advised of above,requireddataby 'Date_= Contractor, designer ,•owner ad ' d of above required data'.by _ phone mail C ate"ir y --'Date r. Plans checked by Date Plans �� ;Plans approved by, `/J%! Date Sets of plans on hold in File. -cabinet AP -folder }• ,, Copy -" Department of Public Worms . �, � tr: r� � - � � �'' - - Y. � � � � Y � � �, , �� ; { - �,. - . �,. `: J_ � _ 1 - ' � �' � � -. � � � rt � � � .. � .- - ,�,; ,•, - - r , ,, -s: _ -- _ -r-d - - - t,`. "ti � � I ^. L�, � i � TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY PIF t Plan Attached Floor Plan Attached Sant to B.D. U / Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well AL Clearance for Other Other '�P_� C�Cy-3Y-Y-\ Hold final for: Final clearance O.K. for: NOTE: onmental Health Specialist 8/96 ./i .Date -COUNTY OF.BUT•TE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT '"-- - ,. - — OG 1 p�S - . g�. ZONING E'�PMONE - • BUILDING PERMIT - SO. FT. - OCC: •BUILDING..VALLIATION - • PEIAR,1,NUMBER NO�DDRESS3 -NAME.ONE MASJNO ADDRESS LENDER `'. _: ;_ • • " • �- _,.;• _ Fireplace LENDER•S'MNUNO ADDRESS-';.... . Total valuation $ - ARCHRECT OR ENGINEER - LICENSE NO. Filen Fee $1J 1) Permit . Fee $ ARCHITECT OR.ENOWEERS MAJ ING ADDRESS Plan Checking Fee $ BUILDING ADDRESS � U' h_ Energy Plan Checking Fee $ S. PERMIT FEE " LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT.- Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF O Duplex ❑ .' M,6bilehome I�Other SPECIFY Solar or heat um water heater 23.00 Water piping15.00 Each as water .heater or vent 15:00 TYPE OF WORK New El'- Addition. ❑ Remodel ❑' Utilities,�lnstallation E3- Other ❑ Describe Work —T -f Gas piping system 1 - 5 outlets . 15.00 Building sewer 15.00 Mobile Home Q20.00 (� PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 eOOV OR LESS 23.00 . �D Main Service zow oR LESS Main Service 200A TO 1000A 46.00 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 the Business and Professions Code, and my license is in full•force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under- penalty of perjury that f am exempt from the Contractors, License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property; am exclusively, contracting with licensed contractors to construct the project: O I'am.exempt under, Sec.'Business and Professions Code for this reasonMECHANICAL WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty -of, perjury one of the following declarations: ❑ f have and will maintain a certificate of consent *to self -insure for workers'. compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have "and will maintain workers' compensation' Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of ,one hundred dollars ($100) or less.) ❑, I certify that in the performance of the work for which this permit is issued, I shall not employ_ any person in any manner so as to become subject to workers' compensation laws of California, and agree that H 1 should become subject to the workers' compensation provisions of section .3700 of the Labor Code, I shall forthwith comply with those provisions. " X ntrac0 Date ` Signature of Applicant, - ❑Owner ❑Cotor Agent ; An -OSHA permit is required for excavations over 5'.0" deep and demolition or construction of structures over 3 stories in. height. NEW CONST. ( DwELLINO occuP. 3.5¢So. OR ADDNS . d ACC. BIDS. NEIN oNs . MULn-oiJrLET @7,50 NON-RESIO. ,-0MTus POWER a SINGLE DvnEr Gla Ex. Occup. so 6;.LL-OR F-frS 2- p.I.50 - FIXED APPUVS. OR 5•00 Ex.. Occup.. ouTL ETIs ESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 c 60 23.60 Misc. Wiring T pERIT.FEE $M PERMIT Filing Fee 20.00" Heating Cooling Hood 6.50 Ventilation PERMIT FEt S. Mobile Home Installation Fee " -Energy Inspection Fee $ occ CONST. TYPE p U TOTAL FEE $ A HAZ D FEES IMP FLOOD CDF . PARC0. PD HQ, ISSUE This'permit is hereby issued under the applicable provisions P y of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Data) ReceiptNo. ©� _- ...,.�.,....., e,., ,..CrMA GOLnFNROD APPLICANT t r .�0 .12 9 0 S 1', Rec Fee 6. 00 _ I COP;1::00 And when recorded mRecorded ail to: :1 I : Check 7 00, Building. Division Official .Records 1 #7 County Center Drive u ' { County of Oroville,:Ca.95965 Butte 1 Candace J. . Grubbs I' Mt -. Recorder 2 : 57pm. 9 -Apr -97 ' I :,PUBL AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of'the Butte? County Code requires this .acknowledgment to be recorded -prior to issuance, of a building permit. The' propertv,'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 ctiltivation. ' plowing spraving, pruning, and harvesting which occasionally generate dust, smoke noise. and odor..Butte Countv liar established agricultural purposes and residents within said zones and on adjacent, property should be prepared to,accepVsuch inconvenience or discomfort from normal necessary farm operations: ;r i ;.��' "` ,}''� 4'•; All that real -,property situate in the County of Butte, State of California, ,described as follows-- n.I`OlitlC.�u'S1-V .,i -, 1U�!✓ �,l' .c,.7 TL JJ Mter o, OF T na %orii.v o� a,;�set✓n+o✓ri �v Ll 1Y %i✓ f o., c - JI /; U-) !, - cJ'' i�'� °4- �o . r e C o r d CvtJ l C } -'(7 7A.4. �- y ,G C Q Y !' I' •Q / 1, iJ4t //! }5 Fl IT a PROPERTY OWNERS:' 3'Date J r State of. California County of `•. •`.. atis_ fya 1 r itl�i,Y On r,� �/, before me, -1i7P q Pr. 4i y •<. personally, appeared 2' f7 012 a c C f 4: a r' a nally' A known to me'(or. proved to me on the basis of satisfactory evidence) to be the persons) whose names) is/arc subscribed to the Er.• within instrument and acknowledged to me that he/she/they executed the same.iwhis/her/their authorized capacity(i6s);'and' ,that by his/her/their signature(s) on the instrument, the, person(s) or the entity upon `behalf of which he, person(s)'acted, executed the instrument.. WITNESS mj hand'and official seal. L 1 "- DIANE MATTHEWS • COMM..# 1001022 U NOTARY PUBW - CAI FOR"A Signaturei.L/� Seal: SONOMACOUMYt; r My Comm. Explies Sept. 14, wol s BUTTE COUNTY I DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT DIVISION TO: Craig Sanders, ,Planning Division FROM: Stuart Edell, Land Development Division Manager RE: Donald U Barbara H_ ECKATHORN,. App. for Certif. of Merger, AP 026-133;.00 1 U 005 DATE: March 3, 1997. We have received an application for development of the below described property. We are reviewing the application for completeness and if complete, for conditions of approval. If the applicationis determined to be complete within 30 days of its submittal it should be heard at the estimated hearing date indicated below. ;Comments from your department/division/agency regarding completeness of the application and/or'possible conditions,of_approval are requested. Should you not be able to', respond in the .tim6 frame given, or if you .have any.questions, please do not hesitate to:give us a call at 538-7266. Thank you in advance -for your time and efforts: This is an application for a Certificate of. Meager on 'property zoned 11-(_l1ncl'assified )`, located on_. the southeast corner of North Villa Avenue and Fulton Avenue. Palermo area :Videntified as APN 026-133-001 8i 005 . It is within Supervisorial District'No. 1 YOUR COMMENTS, IF ANY,'ARE REQUESTED NO LATER THAN MARCH 24 1997. IF NO COMMENTS OR COMMUNICATION ARE RECEIVED BY THAT DATE, THE ASSUMPTION WILL BE MADE THAT YOUR AGENCY HAS NO COMMENT. COMMENTS: (Attach additional pages if necessary): 7 },, y r..� ,_,,� iii s 1�4'T. �c�1�►�oarrs -rt+� ��o� Ci` r, LAND DEVELOPMENT BUILDING /ENVIRONMENTAL .HEALTH PERMIT CLEARANCE, Buiiding'Pemit No. „�.. ._ . .: ,.. OWNE r A.P. ..NAM Q; L� G- L M NUMBER: i� ' 1 riC^1 I PRINT LAST NAM! FIRST - ' COUNTY ZONING ,,.1 ; DESIGNATION: 12 /Vl; t ► FLOOD ZONE: FLOOD MAP: 0 APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE, OF. CREATION: h DEED REFERENCE: ' LEGAL,ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: 1, T I et C TIE: CO 5• 12 C V -1 fzG10 'MAP INFORMATION: 13L0cK 43 W Prt L A4Ar ,'DATE OF RECORDING LOTS I Trh2u ^BOOK PAGE COMPLIANCE W' ITWDLD SUBDIVISION LOT ORDINANCE REQUIRED? .(MAP RECORDED PRIOR TO BOOK 17 OF MAPS_AT „PAGE -23):; YES < NO IF.YE'S,MMARK APPROPRIATE ITEM(S) BELOW: A. Construct road to. V B. Meat parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DNISION UNLESS OTHERWISE NOTED. 1. ,Maintaln.a•50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3.' 'Comply with Zoning code for building. Setbackfrom road. w 4.; Maintain a 100 ft. leachfield. setback from all existing wells. 5. Maintain a ft. leachfield setback from 6. .Pay water tender fees,in the amount of $ to Battalion Number 'Of;the Butte County Fire Department. _ 7. Meet the Fire Safe Regulations of Butte County- and P.R.C. 4290. 8. Connect to a public water, supply. 9. Connect, to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection -Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12,:'Mee'the requirements.of'the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall to be to �mou �. as statea ffmde Phwmklg in the Oroville Area Traffic Mitigation Fee Agreement. paYVMW Uniforni ng Code for _ 15. All new residential buildings shall be constructed on atoermanent foundation comply with the u'system which rements of the ompli s Bwith 'the Seismic Zo a I3 safety. Mobile homes shall be construct p requirements .of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X .18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. 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. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 23. 24. 25 26 0 pN� N 9��� 00�np0 L66k O-0130-411 LD 7/96 C.\WP51 \FORMS.K\BLDGPERM.CLR BUTTE -COUNTY ' DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT DIVISION TO: Mike Vieira, Building. Manager FROM: Stuart Edell,. Land � Development Division Manager. RE: Donald U. Barbara HECKATHORN, App. for Certlf: of Merger, AP: 026-133-001 8z 005 DATE: March, 3;; 1997 We have received an application for 'development of the below described property. We are reviewing the application -for completeness and , if complete, for conditions of approval., If the application• is determined to'be complete within 30 days of its submittal it should be heard at the estimated hearing date. indicated below. Comments from your department/division/agency regarding completeness of the application,.and/or possible conditions of approval are requested. Should you not be able to., respond in the time frame given,' or if you have any questions, please do not hesitate to give us a call at 538-7266. Thank you in advance for your time and efforts. This is an application for a Certificate of Merger on property zoned U ( Unclassified.), located on the southeast corner of North Villa Avenue and Fulton Avenue. Palermo area ., identified as APN 026-133-001 81: 005. It is within Supervisorial District No. 1 . YOUR COMMENTS, IF ANY, ARE REQUESTED NOL ATER,THAN MARCH 24 , 1997.• IF NO COMMENTS OP, COMMUNICATION ARE RECEIVED BY THAT DATE, THE ASSUMPTION WILL BE MADE THAT YOUR AGENCY HAS NO COMMENT. COMMENTS. (Attach additional pages if necessary): t By: Date: c:\wp60doa\forms\commentSA1a ' rye _ 7 County Center' -Drive - Oroville, CA 95965 916-538-7266 - FAX 916-538-2140 APPLICANT: Agent information to be provided is on other side: -f r � — APPLICANT' ' NAME (If applicant is 'different from owner an affidavit is required) • SSORIYPARCEL NUMBER - :�tea- ADDRESS: CITY, STATE & ZIP CODE:> rLt-NUMBEfL- (FUR OFFICE USE) , Ll NAME; OFTROPOSED•PROJECT (If any l TELEPHONE L' OC TION OFTOJECT ( Ma�cross streets and Address, if any GENERAL INFORMATION REQUIRED OWNER'S NAME GENERALTLAN AMENDMENT TELEPHONE -ADDRESS: CITY, STATE & ZIP CODE:. - REZONE Q ZONE GENERAL PLAN ENISTING LAND USE SITE SIZE ( in Square Feet or Acres ) WAIVER OF PARCEL MAP - p;: MINOR USE PERMIT p LOT LINE ADJUSTMENT p .VARIANCE p EXISTING STRUCTURES (in Square Feet) _.O PROPOSED STRUCTURES (in Square Feet) , r Lam_ CERTIFICATE OF MERGER. "[ VA (Check One) p (Check One) O. PROPERTY IS OR PROPOSED TO BE SEWERED DEVELOPMENT AGREEMENT- p PROPERTY IS OR PROPOSED TO BE ON PUBLIC WATER ' PROPERTY IS OR PROPOSED TO BE ON SEPTIC [Q� PROPERTY IS, OR PROPOSED TO BE ON WELL WATER APPLICATION REOUESTED O GENERALTLAN AMENDMENT p TENTATIVE SUBDIVISION MAP p REZONE Q TENTATIVE PARCEL MAP -p USE PERMIT O WAIVER OF PARCEL MAP - p;: MINOR USE PERMIT p LOT LINE ADJUSTMENT p .VARIANCE p LEGAL LOT DETERMINATION ?: _.O MINOR VARIANCE ■ CERTIFICATE OF MERGER. .O. ADMINISTRATIVE PERMIT p MINING AND RECLAMATION PLAN O DEVELOPMENT AGREEMENT- a . OTHER PROJECT DESCRIPTION FULL DESCRIPTION OF PROPOSED PROJECT.(Attach necessary sheets. If this application is for fland division, describe the number and size of parcels.) UWNER CERTIFICATION CERTIFY,'THAT IAM PRESENTLY THE LEGAL OWNER OR THE AUTHORIZED AGENT OF THE OWNER OF THE ABOVE DESCRIBED PROPERTY. 'URTHER,`I ACKNOWLEDGE THE FILING OF THIS APPLICATION AND CERTIFY THAT ALL OF THE ABOVE INFORMATION IS TRUE All.D kCCURATE, (If an agent is to be authorized,"execute an affidavit of authorization and include the affidavit with this application.)" DATE:' SIGNATURE:' ' AGENT AUTHORIZATION To Butte County, Department of Public Works: Print Name of Agent and Phone Number Mailing Address is hereby authorized to process this application for CERTIFICATE OF MERGER on my property, identified as Butte County Assessors Parcel Number This authorization allows representation for all applications, hearings, appeals, etc. and to sign all documents necessary for said processing, but not including document (s) relating to record title interest. Owner(s) of Record: (sign and print name) Print Name Signature Architect and/or Engineer: Print Name of ArchitecvEngineer and Phone Number Print Name Signature Mailing Address FOR OFFICE USE ONLY Verify: Date received: I Total amount received: AP Numbers) Legal Description Owners Authorization Zoning requirements Project Description Copies of plot plan J� � I E.H. ��' L.D. -� � � '`Plan����� F.D. Taken by Receipt No. Payment of the currently required Application Fee and/or Deposit (Any unused portion of a deposit) will be returned upon final action. Current fee for this application is $ as of Make check payable to "Butte County Treasurer". 'Ala 1N3Wd01303 00 311(18 30 A1Nf100 c.\wp6odocsUorm,\merg-app•pg2 Z6610Z03 ®3AI333H COUNTY OF BUTTE ' DEPARTMENT OF. PUBLIC WORKS,: LAND DEVELOPMENT DIVISION' 7 County Center Dr:, Oroville,. CA 95965, (916) 538-7266 APPLICATION FOR CERTIFICATE OF MERGER'; APPLICANT "MAILING ADDRESS: PHONE NOT/CE r b roved pursuant to this, /Vo merger 6flots or parcels already improved with one or more /iwng units shall be app , section unless the iesu/t/ng single merged lot of parcel complies with the density requirements of the applicable _ zoning ordinance. , LOTS OR R PARCELS TO BE MERGED:._ ` AP NUM E¢ .RISI . 019/ 6' �-.T a17`� SUBDIVISION/PCEL MAP /�R c PAGE ELv�.in 1_OT(S) I r�1 r, ✓ y %.'- BOOK �/ .. j In .addition to the application fees the. 'following documents, as indicated, must be submitted _ with this application 1.'. Preliminary Title.Report(s) dated within 6 months of application submittal, showing all affected owners: " 2.. Site Plan indicating existing improvements, if any, and their location.'on the, "property. Showdistances from property lines (4'copies), 3. Copy -;of legal description describing the merged.- parcels' (This'must:be prepared by a licensed Land Surveyor or Civil Engineer). 4.. Owners', consent to merger, signed by, all owners of record and notarized: 5. Recording' fees to. Certificate of Merger (Separate check made"payable to Butte County Recorder). Current fee - $6.00 for first sheet, $3.00 for each additional sheet.,. Ask Land Development Division to confirm total amount: " Lr DATE APPLICAW'S, SIGNATURE ' RECEIPT. NUMBER: L. D. PLAN EHD.. PUBLISH: BY: FINAL -COMMENTS; C:\WP6000CS\F0RMS\MERGER.APP 17/98) - ' RESIDENTIALTLAN. CHECKING: GUIDE� j : SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER �LUI G�- BUH DINGPERNirrNUMBER . PLAN :CHECKER A P:'NUMBER �J`jD =OI K " - Zoning requirements. (side,yards and number of permitted living units). 2. valuation. . 3:.' Plans -signed by designer., 4. _Proper description of work on application ;y . 5. violations on property: ,- 6. Items on data sheet, "(Impact Fees, Environmental Health, Developer Fees, etc.) 7: Recorded notice of violation Complete parcel'size and dimensions, ' Setbacks, side yards;.easements, etc �! Otlier:buildmgs or; structures , •. � . 4. Grading, fills and/or drainage: f 5. Flood hazard:" 6. 'Special conditions on creation map (Noise,. SRA., Fire Sprinklers, Water Tender,Trees,: etc.): FAU..,'& F XS.' road setback. ' Building or utilities across lot -lines (Record form): : : `Complete to scale plan with dimensions. ,2 Required windows for light and ventilation (Section 1203).- Required windows for second exit (Section 310.4): Skylights (Section 2409 & 2603.7.). Glazing in:Hazardous Locations (Section'2406). Required room sizes, ceiling heights (Section 310.6). G I. F C in baths, garage; kitchen, wet bar and exterior outlets. (N'.E.C:.210). Lights, `switches; receptacles, and exterior receptacles for maintenance of mechanical equipment ' .. :.Location of water heaters, heating and cooling equipment,: other. electrical or gas equipment. 10: Garage firewall, door size and closer (Section 302.4). ,. ,N "Minim of one 3't)" exterior door (Section 1004.6). <Y2� • Fireplace and wood stove location,:alcoves and clearance. . Smo ke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. . Conventional Constriction Unusually Shaped'Buil_dinp (Section 2326.5.4). ::Standard bracing or engineered (Sectio 22326.1,1.3). -design -de,restoryrequiring balloodframing and/or engineering. Three story building requiring engineered calculations and plans 5.'. Foumdation.plan complete enough to construct building: '6: - . '.:.Floor construction details: complete enough to construct building. 7. " Elevations and wall construction details complete enough to construct building. 8:. Roof construction details complete enough to construct. building. 9.... Rafter ties or bearing ridge beam . , = '. .10. ,. Fireplace construction details and Bala if necessary. ; 11. Garage door and/or porch header sizes:' 12. ` Stud'heights. 13. Adobe soils - speciaffoundation ;design. 14. Retaining walls requiring design. . 15. 'Special`Inspection requirements: ' 16. : Header size.- ize:17. 17.Sheetrock nailing -inspection required? July ``1996 3.2 MISCELANFOUS ITEMS TO LOOK O .lT I OR• �! Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). Roaeiior plaster - weep screeds (Section 2506). 0$1 Proper roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). . low Foim insulation - protection.' 36' halls and stairways., ,.91' Living area over garage.- complete 1 -hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). J! Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. 2?g 3 V Flashing at all exterior openings. C.D.F. responsible area requirements. You 1 Cie W u' S i zc_S rex--�' -b 4Z,+, oer. July 1996 3.3 i July 1996 3.3