Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
027-060-064
.r Vi, `r}," €�:. ,� t �i3i,: tt'a i t., F� �' st R. "'{ k „ � � !t f�,.•t ��...e 4tr:�,:.: � r� e} ,s1�>� #t ��t'�,.°%ik:�. €F .H t k�,'t J�'�'j;M +� - r .�•si��'�et�t��ri� - :: �f5M, i11.7-1 [rte {i / 3 r 127-060-064 11 la. E FY' • ..:i:�•J�y���ra.:.,�esT- € { 1 r { a GARrB' ___ �• • � i r i _ • � . � n* �'`` 1 '•� /�i1 t��i � 'S i }C c r % r .HANN s€ aait'r.� !�}i i ,€}{j t�S`�. jt , • F _ • OWNER HU K: `'•�r y } f S: f t S COMPACT]ELECTRIC e GAS LINE • • . j r� �y r..{ f, S .•t `'''ry�i"ri rt'. t a v,{ t S t ( !` f f i "t�� 4 t s CA - PALERMO Cont: OWNER r -MHJ , ,p Vi tr > r�r'4a �., # tj, NATES RESIDENTIAL. 027-060-064 -3542 PERMIT NO. .GARIBALDI, LEONARDO V CYNTHIANN&BOHEMIA, P�O Cont: OWNER MHI Y a r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i. a r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER = OK 0 = Npt OK Not Applicable = Not Ready MOBILE.H®MES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements 1. 2. Soils; Special MH Support Sketch 2. 3. Sewer; Location -Test -Fall -C/O -Concrete 3. 4. Water; Location -Test -Easement Needed (Sketch) 4. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 5. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG 6: 7. Well Clearance 8 Discohnect 7. 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6: Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date : Card B=1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3: Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,/ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Hir.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 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 Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral O Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Insild./Drive p Yes ❑ NoMalks' Yes 0 No/Planters ❑ Yes ] 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 Throughout 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. Furnace -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 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Comments at Final: 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.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -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 60. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive p Yes ❑ NoMalks' Yes 0 No/Planters ❑ Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: NOTES. RESIDENTIAL a PERMIT NO. rcl 14 4 7- 660-46q. t _ J. c r i SPECIAL CONDI Y IONS -a CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER, I� OFFICE COPY , Address GAS Dat2' Meter By ELECTRIC ' Meter By Date JOB FINALED Date `Signature J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete " 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / r L "ft./ P LPG 7. Well Clearance & Disconnect - 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances " 5. Drain; MH Test -Fall -Flex Connector.. 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD "Approval " 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 " Date Card 13-1 Date CardB-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits. 10. License Decals 11. ' Verifv #'s with Office Date Card B-1 Date ' Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh '10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel-Connections-Thickhess Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI ' 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit _ 9. Health Department Approval 10. Plumb.; Cir. Test. -Water Supply Test _ 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Date 5. Stemwalls, Main; Steel-Blockouts-Wrapped Date 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Date 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 74. Elec. Outlets & Receptacles at Kit. Counter Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors _ 23. Fire Sprinkler; Test 84. Stucco Brown -Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect Date 33. Equip. Clearances Panels-Motors-Mech. Equip. Date 34. Clothes Closet Light -Shower Light -Spa Light Date 35. Smoke Detector Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541�� 7 `No• - - . O%' i (Rev. 12/96) APPLA ICATION NO PERMIT ASSESSOR PARCEL NUMBER 027-060-064 ZONING AR -5 BUILDING PERMIT OWNER LEONARDO GARIBALDI TELEPHONE 533-2251 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 7555 PUTNAM AVE OROVILLE 95966 NAME CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING#CPJVESq .41 CYNTH Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 10 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 ❑ Installation ❑ Other ❑ Describe Work: MHI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I -GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V 0 R LESS Main Service OA OR 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of 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: -E-1, 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. SO 3.5QFT; ,.ON-NNEW ONMU LTI.OurLUr 97.50 ATUS POWGLEER APUTLPARET CR. 8 SIN O oLmFroRFocruREs Ex. Occup.BAL 20 @'.O0 @ .50 FIXED AP p.L.16 oEA. Ex. Occup. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ ````� � WORKERS' COMPENSATION DECLARATION eby 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 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 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo11 P hwith omply wt those ovisio s. X Date Vo !> Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavation ver 5'0" deep a d olition or construction of structures r gh Receipt No. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 143.00 TOTAL FEE $ HAZ. D. IMP FLO C. F V PARCEL PD HD UE This permit is h y issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. v By hl- B'23 ' 04 PE EXPIRES ON 8'23'x.5 Date WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O�:�SyZ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-21,40 PERMIT APPLICATION DATA SHEET OWNER:.: ��� ASSESSOR PARCEL NUMBER Proposed Building Use: 2/ .L Counter Technician: JK Date: Item's required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ' '. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans,.3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. O 6. Manufactured homes: ata sheets and installation inst, arriage line info,14/Floor Plan, 114e down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in -duplicate. ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner. ❑ 12. Hazardous Material Form. ❑ 13. Fire Sprinklers ❑ 14. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 15. Other Regaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) V 16. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 1 Statement of Intent for Non -heated and A/C Buildings. 8. Sanitation and site plan approval from the Environmental Health Department in Z�'. ❑ 19. City of Chico Plumbing permit. ❑ 20. California Department of Forestry plan approval ❑ paid. ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage. ❑ 23. NPDES Form ❑ 24. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 25. Pre -Inspection for required. ❑ 26. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrie�And Policy Number. 8. Owner -Builder Verification ( E Given to owner, ❑ Mailed to owner). ❑ 29: Letter of Signature authorization. 0. Recorded copy of Agricultural Acknowledgment Statement. 31. Manufactured home utility clearance. 0 32. Existing violations and/or expired permits. ❑ 33. ❑ Grant DeedU.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 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. Original -Applicant .. ... ei: +►r P .U4 t n kx.',V'fw�p,"+' '' • - . - - • �f ..-.^7..•tiT^�^'�r^• .s(,ly+.^",. 1; ... ... ' s-:a+� "COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION l , r f " 7 County Center Drive, Oroville, (;�,A!95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER; {dellsdo ASSESSOR PARCEL NUMBER -()GD -6e Proposed Building Use: tri L/ 1.- ° Counter Technician:_ Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 176 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes:�AjData sheets and installation inst larriage line infoWo Floor Plan jbyfie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Find 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. Items requi� d for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ' Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10.)Letter of intent for non-residential buildings......................................................... . ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ' ❑ 12. Hazardous Material Form .............................................. ..!:!..�.' `................ ❑ 13. Fire Sprinklers ... ti.........;_............................................................................ ❑ 14. Agricultural Buffer clr and site,plaann apr from the Ag Commissioner Sent by El 15. Other' VRepaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 6. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ., V-1 O rStatement of lrite'nf`for.Nomheated and A/C Buildings ............................................. 8'.. Sanitation and site plan approval from the Environmental Health Department in - Z 1-� 3 A,-�C � ❑ 19. City of Chico Plumbing permit .................................................... ..................... =' ❑ 20. California Department of Forestry plan approval ❑ paid. Sen .................. -�-- ❑ 21. Planning approval for (A) Use: �K (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvemerits; ❑ Drainage ............................... ❑ 23.. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... '❑ 27. Worker's Compensation Carrie�pnd Policy Number ............................................. '1N/28. Owner -Builder Verification (EB'Given to owner, ElMailed to owner) ..................... ❑ 9. Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits. ...................................................... I� ❑ 33. ❑ Grant Deed M.H. Title/Statement-of-Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. "Applicant: Ae: t..aI 1. Index permit application for the above items numbered: M J Plan Check Letter 2. Additional items required r' Contractor, designer, owner, was advised.of the above data mail, ❑ counter, by Date: k Contractor, designer, owner, was advised of the above data by ❑ ph ne, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: -4•Structural approved by: 'Date: >! Note transfer by: fDate: , 7,, r �' Yellow: Building Division '- COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES'. BUILDINGDIVISION 7 COUNTY CENTER DRIVE - OROVELLE, CALIFORNIA 95965 -TELEPHONE (530) 538-7541 ,^ SCHEDULE OF FEES DUE OWNER �1 r/�!1���1 A.P.#G�%.O�G.OIP W D BUILDING USE 1 v.► DATE h ' l ' G:3RECEIPT # BUILDING PERMIT FEESBalance Due ....................... $ 4:3 Additional Fees Due ...:......... $ Additional Fees Due .................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEE (paid at District Office) (Available after Plan Check) -Q/r �` g 04— o�r.r; 3. SHERIFF FEES (paid at Building Division) Residential ...................... x_ $360.00 = $ Un Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. - 4. URBAN AREA FEES (paid at Building Division) Residential ................... _x__:$ # Units Amt. Commercial (sq. ft.) ............ _x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 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.ch cking process. °. APPLICANT...IL _ DATE 7- O Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 fora protest are specified in'Governrnent Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) �. Z1 F ,, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERMIT NO. 7 County Center Drive s Oroville, California 95965 • Telephone (530) 538-7 y ) ev.,2/96) APPUCATION AND PERMIT zow BUILDING PERMIT SESSORPARCELNUMBE3: ^� r 12,/1- c) -e-0 /1 Vb U l.ONTRAOTORS NAMEG1 _ / l^ n CONTRACTORS MALING ADDRESS CONmTRUCnON LENDER LENDERS MW -WG ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGNEERS WALING ADDRESS PARCEL MAP LOT NO. SUBDf��7DN'S NAME U_� —vi FVY` USEO_FJSTRUCTURE Is, C- SF ❑ Duplex ❑ Mobilehome A Other sPECFY TYPE OF WORK New E3. Addition ❑ Remodel 9rwl� es ❑ Installation ❑ Other ❑ Describe Work: 5 Lenz " X. 139' 2� PERMIT, FEE PAID SRA SHERIFF OTHER 3�� AMOUNT RECEIVED DATE RECEIVED SO. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation $ "InFee $ 20.00 Permit Fee $ Plan Checkin Fee $ Energy Pian Checking Fee $ $ PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home JSj G1 W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Rrhg Fee 20.00 Main Service 200'0 A OA r, 23.00 Main Service ( 2om TD t000A 46.00 .50 Ex. Occu p. OUTLET OR FXTURES aqL Ea ,so FDED APPUa. OR 5.00 Ex. Occup. oUnzm PggsiDj EA. Temporary Service 23.00 Mobile Home Facilities 20.00 L PERMIT FEE I $ ___f I MECHANICAL PERMIT I Filing Fee 720.00 Coolina , 6.50 PERMIT FEt S Mobile Home installation Fee $ Energy Inspection Fee $ =C CONST. TYPE TO L FEE$ HAZ FLAQD CDF CEL,to VE This permit is here issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date ,TK fN' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) `Building Department No. School District ( ♦' A.P. Number, ���� Q�O"(_J'y� Jurisdiction:1 = Cityn A • ICOunty Property Owner Property Location/Address Subdivision n Lot No. Residential Development L� LVJ L_J LJ No of Living Mobile Home Addition/ 'Supplemental to Units Installation Conversion Permit # *(No foundation inspection) ................................................................................................_..., Sq. Footage (Group R) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) �- Building Department Representative Date District Identification No. 05 0 t �rUl� Q_ A 1 0'r��� `School District certifies that U n A r U beA \ (Applicant) ,"36,3 Q1- CSO � (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. ' w i representing L9 square feet. School District Representative Paid by Check # Remarks: �� �� by payment of $ JAB 2926 $ FULL MITIGATION $ -au-off Date No Be You may protest the Imposition of the fees identified above by submitting a written protest to the District. In compliance with Goven-ment Cods Section 66020(a), within 90 days from the date fess am paid. Failure to submit a timelywritten protest will'prohibit you from challenging the Imposition of the fees In arty court actIoL f, subsequent to the School District Representative signing this Butts county schools Impact Fos Certification Form, the School District Is na Med by the applicable Local Planning Agency that thio poled to 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 districre schools. White (applicant), Yellow (building department), Pink (school district) fesfwm.xts 00/03)dmm _ N0OBUU EHONNE INSTALLATION ATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION -CDUNTY CENTER DRIVE OROVILLE, CA 95965 - PHONE (530) 538-7541 APN: PERMIT NO.: Owners Name: Owners Address: Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: Insignia or HUD Number: Official ap ng installation..- 701V i Date: If thw�ko ~ th�mohUwhmmminm�|�Uono��wptonmwshoUhw�umwinxe|id This --. --'---_-_-_-, . form shall not hwused when the mpblehnmeiminstalled wnofoundation system. 513B White -Owner, Yellow -installer, pmk-amo. Gold -Assessor - w- � �- -. �r'.ti "r--�..: ✓�..,.s--.-`-..-rte X.--w".r...✓.ti-. J MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES '""�� ""--=•��=�*=BUILDING-DIVISION -COUNTY CENTER DRIVE N OROVILLE, CA 95965 'PHONE (530) 538-7541 APN: PERMIT NO.: Owner's Name: c —'4 1� Owner's Address: 0 14 - �--- Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: Insignia or HUD Number: E.' i` F ( 1,,z f q 2 7 (' '4 ( i � � f Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This y form shall not be used when the mobilehome is installed on a foundation system. c 5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor A.P. # — d Co a OWNER`tA-JLt PERMIT # MH UTIL. CLN DATE OC- 3- INSPECTOR ELECTRIC GAS- SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE SIZE LOAD TYPE SIZE LENGTH YES NO YES NO A.P. OWNER / y PERMIT .MH UTIL.'CLEARAeNC�E DATE_#ZZ6 c INSPECTOR ELECTRIC e , GAS SUPPORT STRUCTURE COMPACTION TEST'REQ. SERVICE OTHER ; PIPE SIZE LOAD TYPE I SIZE LENGTH YES NO YES NO 2-0 I . f e , f it i s , rid � - �„�,: .....Y. C, :. �' � r T " .., r r .�� � *i ,. r '' • e . � r • �. o. - .i ?. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P MI (Rev. 12/96) APPLICATION AND PERMIT} ASSESSOR PARCEL NUMBER 027-060-064 ZONING AR -5 BUILDING PERMIT OWNER GARI&AMIgi LDONARDO & MICHELLE TELEPHONE 533-2251 SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 95966 +SSppNAME CONTRACTORS (JYYLYGI\ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 1 Plan Checking Fee $ • 00 BUILDING ESS Energy Plan Checking Fee $ ...r - ._ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Q 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 b Installation ❑ Other ❑ Describe Work: MW Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I ?; 19 1XW @20.00 60.00 PERMIT FEE $ $0.00 ELECTRICAL PERMIT Fling Fee 20.00 OR LESS Main Service .0. OOOV R LESS 23.00 + LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No.20 OWNER -BUILDER DECLARATION I I 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 1000A 46.00 NEW CONST. DWELLING CUP. OR ADDNS. ( a ACC. BLD S. SO 3.5QFT: NpN RSI. MULTI.OUTLET @7,50 c,R. OWERLE APPARATUS a Otm-Er EX. OCCU OUTLET OR FIXTURES @''00 BAL @ .50 FIXED APIP OR Ex. Occup. otrrLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20. 00 Misc. Wiring 23.00 PERMIT FEE $ 63.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 11L 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 provisions. Jl 1 X J_A p - / A� Date // ' d �"C Signature of Applicant `- ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. •MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. D. FEES IMP 7D l�/` CDF PARCEL PO HD ISsu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B �I� 4' Date Y PERMIT EXPIRES ON %.D.S.-B.D. bete I No,� ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E COUNTY OF BUTTE BUILDING DIVISION ' Y DEPARTMENT OF DEVELOPMENT SERVICES T 411 Main Street. • Chico, CA • (530) 891-2751 F 7 County Center Drive • Oroville, CA • (530) 538-7541 �i CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, u please conta s office immediately. /- c,. ed S? : •.i r r � 1,4 n� , �. "' -) ,i i Date Inspecto REV 10/92 M n COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P l (Rev. 12/96) APPLICATION AND PERMIT ` ASSESSOR PARCEL NUMBER 027-060-064 ZONING AR -5 BUILDING PERMIT OWNER GARIBALDI, LEONARDO & MICHELLE TELEPHONE 533-2251 SO, FT, OCC. BUILDING VALUATION . OWNER's MAILING ADDRESS 7555 PIZINAM AVE, DROVILLE 95966 CONTRACTOR'S NAME OWNM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.0 BUILDING ESS TANN Energy Plan Checking Fee $ PERMIT FEE $ 23.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CK 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 M Installation ❑ Other ❑ Describe Work: MW Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IRI Rlri@20.00 60.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business Professions Code, ) ness anons and my license is in full force and effect.POWER 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: 1, 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 1000A 46.00 NEW CONST. DWELLING M OR ADONS. ( a ACC. BLAs.UP. so 3.5,s NEW CONST. MULTI.Otm Er NON•RESID. @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDMRES BAS p �. 0 Ex. Occup. ounE s RESID.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wirina 23.00 PERMIT FEE $ 63.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 Ke p ovisions. P X Da te�t� �� _ Signature of Applicant - e actor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in h fight. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE HAZ D FEES IMP I FLO90CDF PARCEL PD HD 5SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. R AA By 1 Dat G� �0 6 PERMIT EXPIRES ON ate Receipt No 10 77452 452 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FA COUNTY OF BUTTE-DEPARTMEM'T OFaLiOPMENT SERVICES -BUILDING DIVISION 7 County Center �rlve, Oroville,I.CA' 95965 Phone (530)538-7541 Fax (530)538-2140 l 'ERMIT••APLICATION DATA SHEET OWNER: C%l / j�C% u C ASSESSOR PARCEL NUMBER 4A 7- OV (J �� 4Propo ed Building?Use: Counter Technician: (/ . Date: • sequired • "oder to apply for a permit. All boxes MUST be checked OR marked NA in q der to apply. Site pla4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form...........:................................................................... 1 Fire Sprinklers .................... � ........................................................................ 4. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other r Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... "❑ 17. Statement of Intent for Non -heated and A/C Buildings ....................................... .. Sanitation and site plan approval from the Environmental Health Department in ❑ 1.9. City of Chico Plumbing permit ..................................................................... // e1-0 3California Department of Forestry plan approval paid. Sent by: /j'/J'S.......... .�....-. 3 ❑ ,21:'Planning approval for (A) Use: UK (B)Parking: (C) Parcel Check: 0 2 Contact Land Development about ❑ Improvements, ❑ Drainage ............................... PForm............................................................................................. n achment Permit for driveway from the Public Works Dept ................................. . Pre -Inspection for • required ................ • �f/ � �3 � �r ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... 27. Worker's Compensation Carrier and Policy Number ............................................. Owner -Builder Verification (❑ Given to owner, ElMailed to owner) ..................... 9. Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑ E g violations and/or expired permits........................................................ 3 D ed, 0 6H..Tjtle/S�tem nt o Fact ❑ L e fro Legal Owner, ❑ Check to H.C.D. $ Other: �" v r.,. When issued Telephone pp �j� and hold for pickup. I have been !nf rmed of fh� above ms and r q� emerifs P of aining a building permit. r Applicant: � Date: 1. Index permit application for the above items numbere : Plan Check Letter 2. Additional items required Contractor, design , owner as advised of the above data by ne, cw ateL by Date: Contractor, desi wner as advised of the above data by, [7 al , conn r b , Date: Plans reviewed by. Date: 0 • Plans approved by: Date: f Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division „A E.H. U� ONLY Plat Plan Attached FIGUA, Plan Apqcftad\ Sam to 8.0t TO: Building Department FROM:, Environmental Health SUBJECT: Sanitation Clearance 2.") Owner Location AP# Plan Approved for: Sewage DisposM--=,'—Public Private Well dwelling. Other AY4)y2— Water Supply: Clearance for —>'t) Hold final for: Final clearance O.K. for: NOTE: Z"� Environmental Health Specialist Date NRL. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 OaT 12/96) APPLICATION AND PERMIT zo BUILDING PERMIT ASSESSORPARCEL NUMB TE7Z5� SQ. FT. OCC. BUILDING VALUATION 9 TRUCnON LENDER Fireplace LFNDER'S MAILING ADDRESS Total Valuation $ LICENSE NO. Firiri Fee $ O ARCNRECT OR ENGINEER Permit Fee $ ARcWMCT OR ENGMEERs °"ARM ADDRESS - . Plan CheckingFee $ BuaowGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ suaoN6IONS NAME p PARCEL MAP - PLUMBING PERMIT Firing Fee 20.00 IDT NO. ` g 3 D -j, Each Trap Soler or heat um water heater 7.00 USEOFSTRUCTURE 5'��- 23.00 �_/' Water piping 15.00 SF C3Duplex ❑ Mobilehome.� -Other sPWM Each gas water heater or vent 15.00 l TYPE OF WORK Gas piping m te1 - 5 outlets 15.00 15.00 New ❑. Addition ❑ Remod 1 ❑ U0 Installation ❑ Other ❑ Building sewer @20.00 Moble Home Describe Work: PL 7 X 0 C S� PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 �y11., OOOV OR LESS �- Main ServicezooA OR LESS 23.00 Main'Senrice 200A TO t—A 46.00 NEW CONST. DWSIM OCCUP. 3.54FT . OR ADONS. a ACC. BIDS. ►aN-RTD. AAUL7ti ci�T @7.50 POWER APPARATUS PERMITFEE PAID a SINGLE omrEuT C it m (? 1.00 Ex. Occup. OunFr OR FDnURES SAL @ .50 FD® APPLNS. OA Ex. OCCU 5.00 OUTLETS ESID. EA @� $ Temporary Service 23.00 J Moble Home Facilities 20.00 SHERIFF Wiring23.00 SHERIFF $ PERMIT FEE 3 MECHANICAL PERMIT Firing Fee 20.00 Heating OTHER $ Cooing Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ $ Energy Inspection Fee $ CCc CONST. TYPE TOT LFE$ "/� COF CEL'VO ISSUE ✓ AMOUNT RECEIVED $ JJ This permit is hereby issued rider the applicable provisions of the Butte County Code and/or Resolutions to do work . O� indicated above for which fees have been paid. DATE RECEIVED By Date mrourinY 44 (/� /j(�� _ PERMIT EXPIRES ON STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Trade Name SANDPOINTE REGISTRATION CARD DOM 00/00%1979 DFS 01/24/1979 —� Manufactured Home Serial Number Decal No: LAG3058 Weight Length width SPC SCC Exempt Use Type CAFL1X845672751 128901 60' 12' 04 SFD LPT Manufacturer IDMame SANDPOINTE ' Trade Name SANDPOINTE Model. DOM 00/00%1979 DFS 01/24/1979 RY Exp. Date Serial Number LabeUlnsignia Number Weight Length width SPC SCC Exempt Use Type CAFL1X845672751 128901 60' 12' 04 SFD LPT issued Total Fees Paid Nov 06, 2003 $126.00 Addressee NOELLE R HART 2704 PINECREST RD OROVILLE, CA 95966 Registered Owners) LEE GARIBALDI MICHELLE GARIBALDI Joint Tenants with Right of Survivorship 2465 PALERMO RD SP 20 .PALERMO, CA 95968 Situs Address. .2465 PALERMO ROAD #20 PALERMO, CA 95968 Legal Owner(s) NOELLE R HART 2704 PINECREST RD OROVILLE, CA 95966 Lien Perfected On`. 10/24/03 09:46:25 X35ING 0alli LU .0a� Y DEVti IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE'UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LAG3058 Manufacturer ID/Name Trade Nae Model i DOM DFS RY Exp. Date Name SANDPOINTE SANDPOINTE00100/1979 j 01!2411979 Serial Number Label1insignia Number ' Weight I y Length ' Width i SPC SCC Exempt- Use Type CAFLIX845672751 128901 i" 60 12' �. 07 SFD LPT j I i Issued Total Fees Paid i I Jan 08, 2003 $152.00 Addressee G NOELLE R HART �� n '9•lO• p®.0 .o Z W. b K 3GG�a Registered 6 i er(s) NQELLE R H.._ ARTS E_— \,S' Situs Address I� - IMPORTANT THE OWNER INFORMATION SHOWNABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF DOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. Illlllilllllllillllllllllilillllll - .. .. 2003-0043938 RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. Recorded I REC FEE 10.00 AND WHEN RECORDED MAIL TO: Official Records I TAX 17.05 LEONARDO.AND MICHELLE GARIBALDI Of f 7555 PUTNAM AVENUE CANDACEJJ.. GRUBBS I. OROVILLE, CA 95966Recorder ROSEMARY DICKSON If Assistant I Barbara ORO -C 09:00AM 07 -Jul -2003 I Page 1 of 2 Space Above This Line for Recorder's Use Only , A.P.N.: 027-060-064 Order No.: 212167MAM Escrow No.: 212167MAM GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $17.05 1 computed on full value of property conveyed, or X computed on full value less value of liens or encumbrances remaining at time of sale, X unincorporated area; [ ] City of and , FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, ; PAUL M. SANTONI and DOLORES L. SANTONI, Husband and Wife hereby GRANT(S) to LEONARDO D. GARIBALDI and MICHELLE A. GARIBALDI, Husband and Wife as Joint Tenants the following described property in the unincorporated area of the, County of.Butte State of California; SE ACHED LEGAL DESCRIPTION , PAUL M. $ANT NI DCLORES L. SANTONI Document Date: 1june 27 2003 STATE OF CALIFORNIA )SS 'COUNTY OF BUTTE ) On JULY 2, 2003 before me, MARY A " THOMPSON NOTARY personally appeared ,PAUL M SANTONI AND DOLORES L . ' SANTONI personally known to (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. ' WITNESS my hand and offici seal. Signature UL 9(mal,(*) MARY A. THOMPSON Commission #1351470 CL Notary Public - California " V Butte County 1tAy Comm. Exp. R. 15, 2006 Mail Tax Statements to: SAME AS ABOVE .or Address,Noted Below Order No. BU -212167-3 MAM Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: PARCEL 1, AS -SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 1, 1981, IN BOOK 83 OF MAPS, AT PAGE(S) 98. APN 027-060-064-000 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60.0 FEET IN WIDTH, LYING 30.0 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE SOUTHWEST CORNER OF LOT 3, OFSUBDIVISION NO. 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THE SUBDMSION NOS. 1 AND 2 OF THE P. C. DRESCHER TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 1 OF MAPS, AT PAGE(S) 25; THENCE FOLLOWING ALONG THE WESTERLY BOUNDARY LINE OF SAID LOT 3, NORTH 0- 17' 00" EAST 89.58 FEET TO A POINT LOCATED IN THE CENTERLINE OF AN EXISTING ROADWAY AND BEING ALSO THE TRUE POINT OF BEGINNING FOR THE CENTERLINE, HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, AND FOLLOWING ALONG THE CENTERLINE OF. SAID ROADWAY, SOUTH 30° 44' 40" WEST 432.63 FEET; THENCE SOUTH 350 16' 10" WEST, 496.53 FEET; THENCE' SOUTH 65° 27' 00" WEST, 713.80 FEET; THENCE SOUTH 410 02' 00" WEST, 228.54 FEET; THENCE NORTH 75° 30' 35" WEST, 106.02 FEET; THENCE NORTH 3° 04' 55" EAST, 225.42 FEET; THENCE NORTH 13° 29' 35" WEST, 267.16 FEET; THENCE NORTH 66° 11'05" WEST, 558.40 FEET; THENCE NORTH 530 07' 05' WEST, 186.77 FEET; THENCE SOUTH 180 04' 25" WEST, 285.73 FEET; THENCE NORTH 750 36' 15" WEST, 245.53 FEET; THENCE NORTH 540 19' 45" WEST, 283.57 FEET; THENCE NORTH 610 31' 05" WEST, 255.29 FEET; THENCE NORTH 730 35' 45" WEST TO A POINT THAT BEARS SOUTH 60.0 FEET FROM, THE CENTERLINE OF THE EASTERLY EXTENSION OF BOHEMIA AVENUE; THENCE WEST AND PARALLEL WITH THE CENTERLINE OF THE EASTERLY EXTENSION OF BOHEMIA AVENUE TO A POINT ON THE EASTERLY BOUNDARY OF CITRUS AVENUE AND THE END OF THE HEREIN DESCRIBED LINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I; DESCRIBED HEREIN. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION' 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 i COPY of Document Recorded 17 -Nov -2003 2093-0081095 Has not been compared frith original BUTTE COUNTY RECORDER. 'AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date' % - /7- O 3 PROPERTY OWNERS: L, 'r �4 !r'4 1 c 17 o:reC o CGc-l:���F/ �:�, .J State of California. ) County of .e 74'l ) On d/- /17- 03 before me, eel eA J�euN2 sir/. ivo75,2�i %tic f personally appeared 4,9,9 ersonally' , known to me (or proved to me on the basis of satisfactoryevidence) to be the personXwhose name( Rare subscribed i to the within instrument and acknowledged to me that&she/they executed the same in �i er/their authorized capacity(jpsj, and that by ti her/their signaturefsfon the instrument, the personfi<or the entity upon behalf of which the personWacted, executed the instrument. WITNESS my hand and official seal. Signature Seal: RICHARD FEUERSTEIN Commission/11299529 IL Notary Public. - Califomia A.P. # O,� 7� D�D-d�y v Butte County My Comm. Exp. APR. 13, 2005 Order No. BU -212167-3 MAM Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: PARCEL 1, AS -SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 1, 1981, IN BOOK 83 OF MAPS, AT PAGE(S) 98. APN 027-060-064-000 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60.0 FEET IN WIDTH, LYING 30.0 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE SOUTHWEST CORNER OF LOT 3, OF SUBDIVISION NO. 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THE SUBDMSION NOS. 1 AND 2 OF THE P. C. DRESCHER TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 1 OF MAPS, AT PAGE(S) 25; THENCE FOLLOWING ALONG THE WESTERLY BOUNDARY LINE OF SAID LOT 3, NORTH 00 17' 00" EAST 89.58 FEET TO A POINT LOCATED IN THE CENTERLINE OF AN EXISTING ROADWAY AND BEING ALSO THE TRUE POINT OF BEGINNING FOR THE CENTERLINE HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, AND FOLLOWING ALONG THE CENTERLINE OF SAID ROADWAY, SOUTH 30° 44' 40" WEST 432.63 FEET; THENCE SOUTH 350 16' 10" WEST, 496.53 FEET; THENCE SOUTH 65° 27' 00" WEST, 713.80 FEET; THENCE SOUTH 410 02' 00" WEST, 228.54 FEET; THENCE NORTH 75° 30' 35" WEST, 106.02 FEET; THENCE NORTH 3° 04' 55" EAST, 225.42 FEET; THENCE NORTH 130 29' 35" WEST, 267.16 FEET; THENCE NORTH 66° 11' 05" WEST, 558.40 FEET; THENCE NORTH 53° 07' 05' WEST, 186.77 FEET; THENCE SOUTH 78° 04' 25" WEST, 285.73 FEET; THENCE NORTH 750 36' 15" WEST, 245.53 FEET; THENCE NORTH 540 19' 45" WEST, 283.57 FEET; THENCE NORTH 610 31' 05" WEST, 255.29 FEET; THENCE NORTH 73° 35' 45" WEST TO A POINT THAT BEARS SOUTH 60.0 FEET FROM. THE CENTERLINE OF THE EASTERLY EXTENSION OF BOHEMIA AVENUE; THENCE WEST AND PARALLEL WITH THE CENTERLINE OF THE EASTERLY EXTENSION OF BOHEMIA AVENUE TO A POINT ON THE EASTERLY BOUNDARY OF CITRUS AVENUE AND THE END OF THE HEREIN DESCRIBED LINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. O' VM_R=BUILDEA YERIEICATION Attention Property Owner: r An "owner -builder" building permit has been applied for in .your name and bearing your signature. Please complete'and return this information at your earliest 7opportunity to avoid unnecessary delay in processing and issuing your building permit. -No building:permit.will be `issued until this verificatioifis received: r (D 1. personally plan to provide the, major labor and" materials` for construction of the proposed property improvement: YES �0 ' NO ❑ I HAVE Er HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with"the following person (firm) to provide the proposed'construction: r • NAME: ADDRESS: CITY. _ PHONE: CON'TRACTOR'S LICENSE NO. 4. I plan to'provide portions of this work,' -but I have hired the following.per'so'n to coordinate, r supervise,' and provide the major work: NAME: ADDRESS: CTTy: PHONE: w ' CONTRAC'TOR'S LICENSE NO. 5. L will provide some of the work but I have contracted {hired) the following persons to provide the .work indicated:., - NAME r - ADDRESS c PHONE TYPE. OF WORK PROPERTyOWNE f ' +CNUMEB_ DATE:: - G 3 NOTE- This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code, This verification must be ' completed and' returned to our office before we are permitted to issue the permit OVER ` O.B.- I I OWNER BUILDER OTORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenud Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I ly,1 C. Vi ira, CB.O. er, Building Inspection NOTE: This Owner-Builderinformadon is required by Section 19830 of the California Health and Safety Code OVER fro p3- 3Si/7 'N-1Hs Building Permit Number: Q 3 S Owner Name: a Residential Construction Reguirements IMPORTANT This set -of plans and specifications MUST be kept on the job site at all times and itis unlawful omake any changes or alterations on same without written per fission from the " Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality, prescribed for the specific use in the,2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999• California Electrical Code (1999 ME.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Plood Elevation Certificate will also be required ' Note: We will normally: accept the following as compliance with the flood elevation requirements 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood j elevation..(Plate`height less than 24" above grade;,or engineered design required)., 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings inexterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. 0 r C� - M.H.L-2 1. Owner's Name: L, 2. 'Assessor's Parcel Number: Gam 3. Installer's Name: 4. Is the site currently under permit? Yes`[ ] NoM Permit No. 5. Is the site an existing site? Yes[ ] No [,4 (If yes, furnish two plot plans). 6. What is the electrical rating of the inobilehome? S U" Amperes. 7. What is the mobilehome site circuit breaker rating? 2-0 o Amperes. 8. What is the electrical rating of the mobilehome site? 2 o o Amperes. 9. Is the main service remote from the mobilehome site? Yes [A No[ ] If it is, what is the rating? 7 eq Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ -A If yes, please identify the'load and size: a) The mobile home site: , ` Load- . Amperes - b) The main service: Load- t Amperes- , 11. Type of gas service of mobilehome site: Natural[ ] Propane" None["] 12. Size of gas pipe . at , the mobilehome 'site from the meter on tank: -3 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?,T(ft.). 14. What is the mobileho'me 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). TRE.OTRER SIDE OF. THIS FORM MIDST BE COMPLETED IN ORDER TO 1 PROCESS THIS PERMIT APPLICATION . ({yam/ Y= CUNI i3ul L_ DEPART 41W 4 0 13 , May 1995 8.5 M.H.L- 2 Mobilehome Manufacturer: v,-/ Pte,,.I. Manufacture Year: cl 7 1 If other than single wide, furnish Setup Model Number: Width: 17- (ft.) Length: & 6(ft.) Tagalong or Expando, ize 7— (1) On all mobilehomes manufactured after October 7. 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[A`Other: SUPPORTS: Concrete block[�y] Other . e P. - Provide Tie Down Specifications for aH Mobilehornes: Pier Footings Sizes and Location MNGLE WIDE MULTI -WIDE Line I e I Line 2 Line 2 Main Beams ................................................................................................ Line 2 e 2 Line I Line 3 Line 2 .. ................................................................................................ Main Beams I' L Lint 2 Lint 1 ................................................. 5 Tag or Triple e 4 ................................................. Line 1 Piers: Line. I Openings Size minimum: r 1 x r 1. Size minimum: x Spacing maximum: Each side of openings -'From ends -maximum: 1 with width over: Line 2 Piers: Size minimum: x 130 1 ,"Spacing maximum: FS c From ends-maximumi Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 Line 4 Piers: Size minimum: x Spacing maximum: -From ends -maximum: 6\VV tk 9.4 n F o 6\VV tk 9.4 CDF FIRE SAFE REQUIREMENTS AP# PERNHT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance -of properties in conformance with these standards and measures and to'assure continued -availability, access and utilization of the defensible space provide for in these standards;_ annual maintenance must be provided for by the land. owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive . vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be. added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. [X] 2. The length of vertical curves in roadways exclusive of gutters,. ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have.a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane x and unobstructed vertical clearance of 15 feet along its entire length. AP# 6_3 '343 PERMIT# 6.12�- fid- L D r NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on. driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X]. 1. Gate entrances shall be at least two feet wider than the roadway it serves. IN 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center,of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 I i AN PERMIT # N Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof and Enclosed Eaves If_B_uildina Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: ; Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D - Glass area not to exceed 10 % of wall area toward property line with insufficient setback = Siding from the following list: Stucco — 3 coat Hardi- Board or Plank r ; Masonry Masonry veneer Metal Other Butte County Fire 'Department approved materials �o r I Fy��o,L 04 ti= a SITE PLAN REVIEW APPLICATION Date: — —3 AN Permit Number (if applicable) y APPLICANT INFORMATION Parcel Size: • Owners Name: 0,at1t_A1U06�_ Owners Address: Telephone. No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory - ❑ Permanent Second Dwelling ❑ TemporaryMobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family i ❑. Single Family Remodel Non-residential ❑ New Commercial - - ❑ Commercial Addition ❑ Commercial Remodel New Industrial ❑ Industrial Addition El Industrial Remodel . Other ® Septic ❑ Well ❑ ,A ❑ rim t Building g Agricutu Ocltural Exeural Buffer Form ther: Brief Explanation (if necessary): I�S�I� - t_L►� �>» �,.� �,,;, DO NOT WRITE BELOW THIS LINE r DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ®Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date Page 1 of 5 I t Non-residential ❑ New Commercial - - ❑ Commercial Addition ❑ Commercial Remodel New Industrial ❑ Industrial Addition El Industrial Remodel . Other ® Septic ❑ Well ❑ ,A ❑ rim t Building g Agricutu Ocltural Exeural Buffer Form ther: Brief Explanation (if necessary): I�S�I� - t_L►� �>» �,.� �,,;, DO NOT WRITE BELOW THIS LINE r DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ®Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date Page 1 of 5 I ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See a ched) • Flood Zone: 20 --e�-- • Flood Panel No.: Coq 8� Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement is Zoning: A d"� ~ F2— Applicable Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Done I of G Zoning Code Streets & Highways Fire Prevention Subdivision Map Front �� ©� L Side 2:::>p Side Street Rear 2� p Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Done I of G r • n U n U Applicable. Development Fees: Standard Fees Amount Formula s ❑ Fire ❑ School* ❑ Parks/Recreation Roads ❑ Sheriff , ❑ Drainage „ ❑ NCSP/CSA 87 , ❑ Chico Urban Area _ Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ., ❑ Water Tender , ❑ Road Improvement ❑ North Oroville Area ❑ . Other (per map) * Check with school district to verify actual fee if pre -application review. "A final deter ination will be made at the time of the building permit ; . Parcel Created By, ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: ' Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑'No ❑ Yes, Road Name: Complies with County Standards for Decd Creation:[] No ❑ Yes -Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal. Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger' ❑ Obtain a Lot Line Adjustment El Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23): ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 IM Subdivision Map/Parcel Map: Map Date of Recording: Lot: P-)- 81 ❑ Use Permit/Minor Use Permit Permit Number: Book: 8`3 Page: • Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval• ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plas must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ in lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. EJ Page 4 of 5 9634 �R)z—60')71W-4/?0-E.. r 60 ?1W i, �� ¢ I TO/3E/ZESEQVf // / rosEaEs.%NoEEos /N />EE/a5 o 3/ o ti I I h 5.4�/ d C?ES I 5. C 9 DC?E5 I Al0? O/'S/"W — -- .LOQ'S•G'O �j///,1 I 2%� � yg Q`60. 97' X95.1 48' o ---C YNTH/ANN_D ANE WEIR? LTn/EG , ti 50 so ` .L�00`SG'SS"W %129.27' • /429.49' W' 'gin lQO EASEMENT a U.E. TG�l9E i 4/4 'OR 38 - _ /IESErI(/E/> IN /JEEPS /843 ,O.R 11-97;190/ OR,' /49 TO C/72Urs d 11EN1-4E It + 'f -. � .. fir• _t � •- ', '. ♦. 4 • O.B.-1 OWNER-BUMD]ER VERIFICATION Attention Property Owner:. An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will, be issued until this verification is.received. 1. personally plan to provide th major,_labor and'materials for,construction of the proposed property im ovement YES ' NO ❑ 2. I HAVE 91 HAVE NOT ❑ signed an application for a building permit for theproposed work. 3. I have contracted with the following person (firm) -to provide the proposed construction: NAME ADDRESS: CITY: PHONE: - CON'TRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I 1iive hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: • CITY: PHONE: CONT'RACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: , NAME ADDRESS --PHONE TYPE OF WORK NOTE: This Owner -Builder Verification is required by Section 19831 avid '19832 of the California Health and Safety Code- This -verification must be'- completed and returned to our office before we are permitted to issue the permit. OVER 3 OWNER BUILDER INFORMATION Dear Property Owner: O.B.-I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourseJ4 you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry. out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions: A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builderinformadon is required by Section 19830 of the California Health and Safety Code OVER National Pollutant Discharge Elimination System (NPDES) Phase 11 & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance ` By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than I acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N. 01), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the BestManagement Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If; at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the. BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. _Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1, acre, of land requires a Construction Storm Water Permit from the State .Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N. 0.1.), a Storm Water. Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and ' belief, that the information submitted is true, accurate, and complete. Signed: Title: Da NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan I ROU OF INTERIOR RIDGE SUPPORTS SPACING PER MOBILE COACH MANUFACTURER OLSTAILTION MANUAL PLAN SINGLE HIDE MOBILE COACHES NOT TO SCALE a 4 4 4 C. P. STANDARD 6000 lb Li 1 E- H PALTTf P�U18 STTH CAPACITY GENERAL NOTES: REVISIONS A1�TN)N WALM4 I 4 2 am OF ONTEOR SPACING PER \ INSTAUATION � LTJ LV 1�••}JI ! t r� t I 1 T' 4 C°� �Lllj ' 4 4 4 BOM SUPPORTS *OSHE COACH MANUFACTURER MANUAL U REFERENCE, CALIFORNIA CODE OF REGULATIONS, TITLE 25. i. THE DESIGN LOADS ARE 40 PSF FLOOR AND 40 PSF ROOF. THE DESIGN WIND LOADS ARE ARE AS LISTED IN THE TABLE. MINIMaI WIND LOAD IS 15 PSF. 2. THE DESIGN LOADS SHALL BE CONSISTENT WITH ROOF LIVE LOAD AND WIND ZONE AS ESTABLISHED FOR PERMANENT BUILDING BY THE GOVERNING .JURISDICTION. 3. FOOTINGS ARE 70 BE SUPPORTED BY EITHER FIRM; UNSATURATED SOIL, COMPACTED FILL, ASPHALT OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING A CAPACITY & SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. ALL FOOTINGS SHALL BE FOUNDED IN ACCORDANCE WITH H.C.D GUIDELINES AND TITLE 25. 4. STRUCTURAL STEEL- ° SHALL CONFORM TO ASTM A36 Fy = 36 KSI MINIMUM.SPECIFICATIONS. b. SHALL HE FABRICATED ACCORDING TO RISC SPECIFICATIONS. c. SHALL BE WELDED ACCORDING TO AVS SPECIFICATIONS- I. ELECTRODES, E70 PLATES ASTM A36 W. BOLTS SAE GRS-ASTM A449=ASTM A325 W Iv.THREADED ROD- COLD DRAWN LOW CARBON WELDABLE d. ALL METAL COMPONENTS INCLUDING MAILS 6 SCREWS ETC. ARE TO HE PROTECTIVE COATED. 5. THE ANCHOR ASSEMBLIES SHALL BE LISTED AND LABELED BY CERTIFIED TESTING AND CONSULTING SERVICES (CTC) FOR THE FOLLOWING LOADS, 4 4 4 4CKISTING TRIPLE WIDE MOBILE COACHES U LJ U CDAC H BEANS �� O N Q 4 4 4 C.P. ANCHOR PIER � � E"'i � T L J �Ln (%1 T trTM PAD, NO. PBM TABLE R END R01S IiETTIM IST ANCHOR PIER t MN PAD. MO. PER TAM PLACE IDD RM BETWEIIIN IST TTf04 SPACE EVENLYr ALONG LENGTH Of ROPE 4 T" SIO. SUPPORTS I T I "F LJ THEM SPACE EVENLY PIERS 6. 7. 6. IANC 1ENGT8 OP HMD: ,_, o c g u cs e a PLAN SINGLE HIDE MOBILE COACHES NOT TO SCALE a L-20', 24'. 26'. 28' OR 32'— 3 PLAN DOUBLE HIDE MOBILE COACHES NOT TO SCALE --30', 36'. OR 48' 9. THE ANCHOR PIER SHALL NDT BE INSTALLED M 1�N-C�iESIVE S L. (CLASS 4 SP, SW, GP, GW) O w�i� w x wz A E- H T42' PLAN GENERAL NOTES: REVISIONS U BY C. P. STANDARD SM 1D CAPACITY PHIRS WTH �pC� T� fl@ APPM9® 6DOALA��N OONbSTT COACH � 4 2 am OF ONTEOR SPACING PER \ INSTAUATION � LTJ LV 1�••}JI ! t r� t I 1 T' 4 C°� �Lllj ' 4 4 4 BOM SUPPORTS *OSHE COACH MANUFACTURER MANUAL F REFERENCE, CALIFORNIA CODE OF REGULATIONS, TITLE 25. i. THE DESIGN LOADS ARE 40 PSF FLOOR AND 40 PSF ROOF. THE DESIGN WIND LOADS ARE ARE AS LISTED IN THE TABLE. MINIMaI WIND LOAD IS 15 PSF. 2. THE DESIGN LOADS SHALL BE CONSISTENT WITH ROOF LIVE LOAD AND WIND ZONE AS ESTABLISHED FOR PERMANENT BUILDING BY THE GOVERNING .JURISDICTION. 3. FOOTINGS ARE 70 BE SUPPORTED BY EITHER FIRM; UNSATURATED SOIL, COMPACTED FILL, ASPHALT OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING A CAPACITY & SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. ALL FOOTINGS SHALL BE FOUNDED IN ACCORDANCE WITH H.C.D GUIDELINES AND TITLE 25. 4. STRUCTURAL STEEL- ° SHALL CONFORM TO ASTM A36 Fy = 36 KSI MINIMUM.SPECIFICATIONS. b. SHALL HE FABRICATED ACCORDING TO RISC SPECIFICATIONS. c. SHALL BE WELDED ACCORDING TO AVS SPECIFICATIONS- I. ELECTRODES, E70 PLATES ASTM A36 W. BOLTS SAE GRS-ASTM A449=ASTM A325 W Iv.THREADED ROD- COLD DRAWN LOW CARBON WELDABLE d. ALL METAL COMPONENTS INCLUDING MAILS 6 SCREWS ETC. ARE TO HE PROTECTIVE COATED. 5. THE ANCHOR ASSEMBLIES SHALL BE LISTED AND LABELED BY CERTIFIED TESTING AND CONSULTING SERVICES (CTC) FOR THE FOLLOWING LOADS, 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS a TRIPLE WIDE MOBILE COACHES NOT TO SCALE 1. 'SPACING IIF ANCHOR PIERS TO BE DETERMINED BY TABLE BY COACH SIZE. ® t �� 4 4 4 4 �� O N Q ANCHOR ANCHOR ARCHOR � � E"'i � T L J �Ln (%1 � _ d X c 0 � L0 d (V M OD ANCHOR PIER t MN PAD. MO. PER TAM PLACE IDD RM BETWEIIIN IST TTf04 SPACE EVENLYr ALONG LENGTH Of ROPE 4 I 4 4 lJ C7 1 I T I "F LJ I `7' ® PIERS 6. 7. 6. Q. ANCHOR PIER LATERAD 1893 LBS (Worng kiLoad) b. ANCHORPIER UPLIFT- 2133 LBS (Working Load) ALL MANUFACTURER REQUIRED PIERS MUST BE POSITIVELY ATTACHED TO THE CHASSIS BEAM AND FOUNDATION PAD PER TITLE 25, SECTION 1336.4. STANDARD PIER SPACING PER MANUFACTURER'S INSTALLATION MANUAL. WITHOUT MANUFACTURER'S INSTALLATION MANUAL, STANDARD PIERS TO BE DETERMINED BY STATE MOBILE HOME PARK ACT. THIS SYSTEM MAY BE USED WITH MASONfiY BLOCK STANDARD SUPPORTS. THE BLOCKS SHOULD 1E INSTALLED PER SECTION 1336.4 OF TITLE 25. THIS SUPPORT SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A LEVEL SITE WITH NO EXISTING SOIL PROBLEMS (SECTION 1334, TITLE 25) DI �y Z F�-� w U w C i --i Z o c g u cs e a %D l ITSC.P. U J J L-20', 24'. 26'. 28' OR 32'— 3 PLAN DOUBLE HIDE MOBILE COACHES NOT TO SCALE --30', 36'. OR 48' 9. THE ANCHOR PIER SHALL NDT BE INSTALLED M 1�N-C�iESIVE S L. (CLASS 4 SP, SW, GP, GW) O w�i� w x wz A E- H T42' PLAN J 9 cn > U a o 75C COACH SIZE NOTES: OF NCNOR Q W 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS a TRIPLE WIDE MOBILE COACHES NOT TO SCALE 1. 'SPACING IIF ANCHOR PIERS TO BE DETERMINED BY TABLE BY COACH SIZE. WIDTH �� O N Q 3'X6'XI/4' PLATE COACH I BEAM 4 - 1/2' BOLTS & NUTS STANDARD STEEL PIPE (SCHEDULE 40) 10', 12', 18', OR 24' LENGTH 2 - 3/8' x 1' BOLTS FIELD DRILL HOLES OPTION OF 4 - B14 SELF TAP SCREWS WHEN CONDITIONS REQUIRE, PRE -DRILL 8-10 IN. WITH A 1/2' DIAM, BIT FOR ANCHOR RODS. C.P.. ANCHOR PIER SCALE: 1" = 10" PATENT #5873679 1/4'x2'x4' ANGLE 3' VIDE 4 - 1/2' BOLTS & NUTS COACH C OR J BEAM 3' x 6' 1 PLATE SPACER FIR J -BEAM AS NEEDED ANCHOR PIER COACH I BEAM 3' X 6' PLATE 4 - 1/2' BOLTS & NJTS ANCHOR PIER TYPICAL BEAM CONNECTIONS Not to Sale 2. UNLESS APPROVED BY ROCK SOLID ENGINEERING. INC., THE ROOF PITCH SHOULD NOT EXCEED THAT LISTED IN THE TABLE. O w�i� ¢ 3 LLJ WIND LOAD(UPH.EXP) E- H 3. FOR ANY COACH SIZE OTHER THAN LISTED IN THE TABLE, THE ANCHOR AND PAD LAYOUTl SHALL BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING, INC. J 9 cn > 80C WD:TD LOAD MPH 70Ar80B 70C 75C 80C OF NCNOR PDQ 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS a ,� 709,BOB,70C 75C 6 WIDTH LENGTH ROOF PITCH ANCHOR ANCHOR ANCHOR ARCHOR u n COACH SIZE ►+ LQ E- 0 v _ E::uiNEER'S A. TZ.. iOR. PIERS PDOiS P»3Rs ISS i� WIDTH LENGTH ROOF PITCH PIERSR PEM MANUFACTURER. O UP TO 44 FT 3:12 4 B 8 10 � 2 20' WME UP TO 80 FT 4:12 4 4 UP TO 60 FT 6 8 12 14 UP TO 78 FT 4:12 4 6 UP TO 78 F1' 8 10 14 18 N�' 28, 24'$ 32 UP TO 60 FT 5:12 4j- 6 01 10' & 12' UP TO 44 FT 4a2 6 8 10 12 UP TO 78 FT 5:12 8 ( 6 — UP TO SOFT a ' 30' k 38' UP TO 80 FT 4:12 4 4: UP TO 78 FT 8 12 16 20 UP TO 78 FT 4:12 41. " 6 n' k 14' 18' UP TO 44 FT 9:12 4 6 10 12 UP TO 60 FT 6 10 12 16 42' k 48' UP TO 60 FT 4:12 - 4 4 UP TO 78 FT 6 12 16 20 UP TO 78 FT 4:12 6. 8 UP TO 44 FT 6 8 10 14 , UP TO 60 FT 1 6 10 14 18 4;12 I11P TO 78 FT 1 1 8 14 18 22 3'X6'XI/4' PLATE COACH I BEAM 4 - 1/2' BOLTS & NUTS STANDARD STEEL PIPE (SCHEDULE 40) 10', 12', 18', OR 24' LENGTH 2 - 3/8' x 1' BOLTS FIELD DRILL HOLES OPTION OF 4 - B14 SELF TAP SCREWS WHEN CONDITIONS REQUIRE, PRE -DRILL 8-10 IN. WITH A 1/2' DIAM, BIT FOR ANCHOR RODS. C.P.. ANCHOR PIER SCALE: 1" = 10" PATENT #5873679 1/4'x2'x4' ANGLE 3' VIDE 4 - 1/2' BOLTS & NUTS COACH C OR J BEAM 3' x 6' 1 PLATE SPACER FIR J -BEAM AS NEEDED ANCHOR PIER COACH I BEAM 3' X 6' PLATE 4 - 1/2' BOLTS & NJTS ANCHOR PIER TYPICAL BEAM CONNECTIONS Not to Sale 8 8 ENGINEER: G ^"`:' P+ SYSTEM eU9)ECi tp �RR2�]lx),YS NOT`? Approval does not rrhorite or approve qe) omission or deviation Qom requirements of applicaW State laws and .regulations. State of Calitp;•"•w De ar"etit s' �; ni;J Development p O% STkIDARGS j G U , " Zf C1> 6?F. Nv 8 a G' This Plan Approval Expires �Gavygyy BUTTE": COILDING Lu* T}NyTi `( : P R 0 V OQ0.CFESS�O�; l ro o. oQ24s tc.- 00- .? slq <OF CN?E'S . TRANSVERSE SECTION NOT TO SCALE f� W 2. UNLESS APPROVED BY ROCK SOLID ENGINEERING. INC., THE ROOF PITCH SHOULD NOT EXCEED THAT LISTED IN THE TABLE. O w�i� ¢ 3 LLJ E- H 3. FOR ANY COACH SIZE OTHER THAN LISTED IN THE TABLE, THE ANCHOR AND PAD LAYOUTl SHALL BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING, INC. J 9 cn > 80C INSPECTION REQUIREMENTS: � Z d I• c' c OF NCNOR PDQ 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS a ,� W Co QC 6 BUILT BY THE MANUFACTURER. SITE BUILT ADDITIONS SUCH AS GARAGES AND SECONDARY ROOFS HAVE NOT BEEN INCLUDED IN THIS DESIGN. 2. ALL DIMENSIONS INCLUDED ON THIS PLAN, INCLUDING COACH SIZE, ROOF 0 > I d J o 8 8 W HEIGHT AND PIER HEIGHT, SHOULD BE FIELD VERIFIED BY THE LOCAL BUILDING OFFICIAL. ANY DISCREPENCIES SHOULD BE IMMEDIATELY BROUGHT TO u n 8 ►+ LQ E- 0 v _ E::uiNEER'S A. TZ.. iOR. z z-: O W 8 3. THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT PROPER DRAINAGE PATTERNS HAVE BEEN ESTABLISHED IN ACCORDANCE WITH TITLE 25 & i� Z O 8 W MANUFACTURER. O cn 8 8 ENGINEER: G ^"`:' P+ SYSTEM eU9)ECi tp �RR2�]lx),YS NOT`? Approval does not rrhorite or approve qe) omission or deviation Qom requirements of applicaW State laws and .regulations. State of Calitp;•"•w De ar"etit s' �; ni;J Development p O% STkIDARGS j G U , " Zf C1> 6?F. Nv 8 a G' This Plan Approval Expires �Gavygyy BUTTE": COILDING Lu* T}NyTi `( : P R 0 V OQ0.CFESS�O�; l ro o. oQ24s tc.- 00- .? slq <OF CN?E'S . TRANSVERSE SECTION NOT TO SCALE f� W SHEET: 1 E- H C/] � Z � Z 3 O 1--1 0 W V W Co QC n�y4 FA -i Z /-+ cr) A W w b W u n ►+ LQ E- 0 1 z z-: O W i� Z t W M W W Co'Qr'i O O a w DATE: 09-09-03 SCALE: AS SHOWN DRAWN: YMW JOB W W03002 SHEET: 1 1 ,,. C,i -TW G 11 p-�t��oLt �21C I goo L4� (4 ; � ni�te � 1 114) Y S i c.--�---- -- S PTIL Llf3 S j o 6N/ ©� aW (v� o�=tv I i� J40ILDING DEPAR K, ✓ a J C . tCAL, BtRECFIANICAL, AND PLUMBING 1 J CON�1' UCTION g NOT PLAN CHECKED � SHAD' COMPLY WITH CURRENT EDITKM I O� EC, UMC AND UPC. ©3- L16Sm� �• p NOTE: ---- _ _ See, the -attached aRewire--....___ / i .taa6 Qonstruct m ments t Pages [LANG DIVISION - BUILDING PLAN APPROVAL 2--- Date: 1) 3 � landscaping: � . A�g• " (.(� V "OCl/ / 1 re: '� OS tFRonn (Sq( -V, F-NGt- -r o P vN4D I ao 15, IS wvbf- tv n gD ' Lomas co ALL F4,oVol,i J O 0 suT��L 1 1 � . tL,\- 0 1 Lis 01 BUTTE --jARUILDING DEPART 42 ---_ o v _ Y-� Ain: d a�-opo-o�� .S C. L 100 REVIEWED BY BUTTE CO. FIRE DEPT. j I; CALIF. DEPT. of FORESTRY approved as submitted I -a rov I.� PP ed with condi.'ens 1 r attach -d , heet. i r� .. Signature -(11103 ,%LL ISTRU 8 ANb tQU1PMENT IN'CLUD19b OVER ANDS SN LL BE CLEAR OF ALL EASEMENTS, � A SET BACK d = �3 0. FT-- FROM THE SIDE AILb � 3a ' F7. FR IIA THE REAR PROPERTY LINES ANb Z • FR M THE ROAD CENTERLINE SHALL BE CLEA OF Sr`�UCTURES AND EQUIPMENT EXCpp� J' COR 2 FT. VE OVERHANG. -D Ild Ali -I , 06 d ��:� ft J �NGE't"0V\t�, } CO 4, aL�'' Q TWo �C) C)T(zf )n 90 Lovuco ni�tC NIUE ,'T zl- C)o, �o. . .................. tk PLANNING DIVISION - BUILDING PLAN APPROVAL - d i< ))—I 3 c Use: Date: Parking: Landscaping: Other: Signature: -In,,, I ,� �f� D 7-0�po e l&