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HomeMy WebLinkAbout027-084-011\/ w u' HUBBELL, A. 027-084-011 02 -318 I HALE D SORIA, MIGUEL -lq-b3 2963 SOUTH VILLA, PALERM N1HU ELECTRIC �C�ynv GAS LINE No COMPACTION TEST REQ__N D SUPPORT STRUC" REQ IVO 027-084-011 2963 So. Villa, Palermo � p _1 o _ (reinstall elec. service ° pole new service) << CDF FIRE SAFE REQUIREMENTS AP# 027-084-011 PERMIT # 05-2355 NAME: Soria Under authority of Public Resources Code Sec. 4290,,the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Drivewav Standards N Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved. Driveway Radius [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 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 radius. [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the . center of the road. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 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. Gates [X] 1. Gate entrances shall .be at least two feet wider than the roadway they serve. 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 the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. C FC F17 F I R E Is HO Q U I R E M E N T S Setback for Structure Defensible Space C [)C] Maintenance of Defensible Space. To ensure continued maintenance of D properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for r in these standards, annual maintenance must be provided for by the landowner. �+ [ ] 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. [XI 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. T 1 [X] 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. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof R ✓ Enclosed eaves If Building Setback is Less Than 15 Feet E [X] — ✓ Class A roof with enclosed eaves and choose any 2 of the following: l`Cl ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D T T ❑ Glass area not to exceed 10% of wall area toward property line with insufficient U setback ❑ Siding from the following list: T o Stucco — 3 coat 1 o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials [l M E N 09/14/2005 Darren Read Date Signature C'� Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 91212003 SECTION INDEX PAGE NUMBER RELEASE DATE INTRODUCTION 2 9/2/03 GENERAL INSTALLATION 3 9/2/03 PARTS LIST 4 & 5 9/2/03 LONGITUDINAL DEVICES 6 9/2/03 PIER HEIGHTS 7 9/2/03 SET-UP INSTRUCTIONS 8 9/2/03 sPj FOOTER SIZES Tw WIND ZONE I - SINGLE 9 9/2/03 - DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST Approval MANUFAMIRED HOMEIMOMM ROME FOUNDATION SYSTEM SEnTH AND SAFETY CODE, SECTION In" APPROVED SUWBCT TO CORRECTIONS NOTED APPAOMAL DOES NOT AUTHORIZE Olt A"ROWS OMISSIONS OR DEVIATION FROM REQUIREMENTS 01 APPLICABLE STATE LAWS AND RBOUI ATWNS $1200 of California i; .oa Car *q► De..ewmd CODES AND STANDAIM d / PlanAppro.d E*r" /of -AC—iE5 Tara -t, ?RCFESS/O-� �-�SE M. �Y���41 0 No. 60912, * crvi� OF CAbV()R \P/ 6h- 23r5- BUTTE COUNTY BUILDING DIVI ".110N APPROVE l/ll 61— /0 3 co L M O N O O O V WT VTIUTf _ o pQ I VrW1iY rAx BATH40 WT Oft 90K lAY 33'-2"- rT 3710) OPT 1ISi CLOSET L iewCd AndIssuedOPTSO giOWER QPT RfC ENTkY f18nd 004 '�3 o. w� 3Q CENTERLINE SUPPORT REQUIREMENTS � -- � �7 —g S THIS SHEET- IS TO BE INSERTED WITH SUPPLEMENT TO FIELD INSTALLATION MANUAL FOP, c z 30y ROOF LONE SNOW LOAD. SEE ABOVE PRINT FOR LOAD REOWREMENTS AND LOCATIONS. 30# RoD1 L— _ ,. LIVE Lou lot 5228 -?CX -28 -CATH VOL. SEC= -- U_ 51 P .5- Rki DRAWN BY : VAN DAN: 10/15;`20 ?402-c OPTION MASTER BEDROOM/ LIVING ROOM 52'-0" -7402CT/5228 (1,404 SQ. FT.) 3BEDROOM - 2BATHS - CATHEDRAL THRU-0UT VO! IOJ4VV;1 IV. iti i illi Jiiu 6.0d b3J1 r1UtL.,iI NhIIUhhL. IIIL[ � I_Uu... ii_uhli7'J VjVV3iVVb i AME IZ� C� �� rte --ter STATE•OF CALIFORNIA ss. COUNTY OF BUTTE On ,AY 24- 2e02 , before me, CHARITY D. BERRY A NOTARY PUBLIC personally appoared VICTORIA t.; i MUTIV personally known to me (or proved to me on the basis of satisfaclory evidence) to be the person(s). whose »ame(s) is/are subscribI6d to the within instrumant and acknowledged to me that he!she they executed the same in hisiller, their authorized capacily(ies). and that.by his/her/their signalure(s) on the instrument the porson(s) or the entity upon behalf of whirl) the persoit(s) octcd. exocutod tiie instrument. WITNESS my hand and official seal Signature CHARhY D. �Y co+nrnts$M *1! 86s 14emy PUMIG - cce fame o APR, 14. WIN .11..s a'Ca fo o9.ov r,p.a..n: 39X• Title of Document bate .of 'Document No. of Pages Other signatures not acknowledged_ - Description: Butto,CA Doaaeit- Year. DoclD 2002.29664 Page: 2 of 3 Order: n=n Comitant: NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Z Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section.18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MIGUEL R. SORIA REAL PROPERTY OWNER/LESSOR 2005-0067422 RECORDING REQUEST):., Recorded ' - , I REC FEE 10.00 MAILING ADDRESS Official Records I County of I CONFORMED COPY 1.00 CA Butte I CITY COUNTY CRNDACE J. GRUBBS I ZIP County Clerk-Recorderl AND WHEN RECORDED MAIL TO: I LY 02:04PM 84 -Noy -2N5 I Page 1 of 2 BUTTE COUNTY BUILDING DIVISION (III III I IN I III "IIII"I' II"I 7 COUNTY CENTER DRIVE PALERMO . BUTTE OROVILLE CA 95965 95968 CITY COUNTY SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Z Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section.18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MIGUEL R. SORIA REAL PROPERTY OWNER/LESSOR 6571 LINCOLN BLVD. ' MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP 2963 SOUTH VILLA AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO . BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE - ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2355 530 538-7541 BUILD N PERMIT NO. TELEPHONE NUMBER //— L-/ --a IGN FJ.. CAL AGENCY OFFICIAL DATE SKYCREST ENTERPISES DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE HOMES, INC. 2005 7402 -CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER D2-70-0269-U-A/B 52 X 28 PFS926642/3 SERIAL NUMBER(S) LENGTH X WIDTH INS IGNIA/LABELNUM BER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 027-084-011 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. 'Amok, The land referred to herein is situated in the State of California, Comty of Butte, and is described as. follows: COMMENCING AT THE SOtTMWESTCORNER OF LOT INBLOCK 74, AS SHOWN-014THAT ' CERTAINCERTN MAP ENTITLED, aSUBDIMjjDN No.. I OF Tgg PALERMO CTMUS TRACT-, WHICH X" - WAS RECORDED IN 11W OFFICE OF- THE RECORDER OF THE COIKry OF BUT STATE OF cAmimik ON sm-maER ii, m; THENCE ALONG THE SOUTH -LINE, OF SAID LOT 5, BM NG ALSO THE NORTH LINE OF SOUTH VE(_LA AVENLrE, A DISTANCE OF 100.0 FEET 70 A POINT, SAID POINT BEING THE TRUE. POINT OF BEGI14NING FOR THE FOLLOWING DESCRIPTION; THENCE FROM SAID TRUE POINT OF BEGINNING NORTH AND PARALL13L WrM THE WEST UNE OF SAID LOT 5,.208.0 FEET TO A POINT IN THE NORTH LINE? OF THAT CERTAIN PARM OF LAM DESCRIBED IN THE DEED FROM C''M' CHENOWETH AND ROSE B. CHENOWEqH, EM WIFI. TO EDWIN P. CHENOWETH AND JEANE R. CHENOWETH, HIS wjM As iour mmAms, wEiICK DEW WAS DATED FEBRUARY 14, 1950, IN BOOK 539, PAGE 181, OFFICIAL RECORDS; THENCE BAST ALONG THE NORTH LINE OF SAID CHENOWETH PARCEL, 65.0 FEET TO TIM NORTEWT CORNER THERWF1 THENCE SOUTH ALONG Mm BAST LINE OF SAID 0M4(>WRM PARCEL, BRING ALSO PARALLEL WITH THE WEST LIKE OF SAID LOT 5, 209.0 FEET TO A POINT ON THE NORTH LE -4k OF SAID SOUTH VILLA AVENUE; THENCE WEST ALONG THE NORTH LINE OF SAID SOUTH VILLA AVENUE, 65.0 FEET TO THE TKUE�POINT OF BEGINNING. APN:,.027-084-011-000 Dasoription: Butta;CA Docrummt-Yoax.Dcc1D 2002.29664 Page, 3 of S Order. mann Comment:. . 3 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 4 -Nov -2005 2005-0067422 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit. described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MIGUEL R. SORIA REAL PROPERTY OWNEPULESSOR 6571 LINCOLN BLVD. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP 2963 SOUTH VILLA AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS - OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-235.--....."" 530 538-7541 BUILD PERMIT NO TELEPHONE NUMBER IGN FL CAL AGENCY OFFICIAL DATE SKYCREST ENTERPISES DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO SKYLINE HOMES, INC. 20057402 -CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMUMBER D2 70 0269 U A/B 52 x 28 PFS926642/3 SERIAL NUMBER(S) LENGTH X WIDTH rNSIGNLVIABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 027-084-011 SEE ATTACHED 1-1 `n CnDAA A11121 AN DCl/ 0101 . Descrippon The land referred to herein is situated in the Staie of Califamis, County of Bume, and is described as. follows: COMMENCING AT THE SOUTHWEST CORNER OF LOT 5 IN'BLOCK 74, AS SHOWN.ON THAT CERTAIN MAP BNI7=, "SUBDIVISION NO.' 1 OF TBE PALERMO GTTRUS TRACT", WHICH M" WAS • RECORDED IN THE OFKCB OF -THE RECORDER OF THE COUNTY OF BUT -M STATE OF CALIFORNIA, ON SEPTEMBER 11,. 1988; THENCE ALONG THE SOUTH ' L1NE. OF SAID LOT 5, $IING ALSO THE NORTH LINE OF SOUTH VILLA AVENUE, A DISTANCE OF 100.0 FEET TO A POINT, SAID PONT BEING THE TRUE. POINT OF BEGINNING FOR THE POLLO ING DESCRIPTION; THENCE FROM SAID TRUE POINT OF BEGINNING NORTH AND PARALLEL WITH THE WEST I TINE OF SAID LOT 5,.208.0 FEET TO A POW IN THE NORTH LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN THE DEED FROM C. ' M. CHENOWETH AND ROSE B. CHSNOWEI'H, HIS WIFE, TO EDWIN P. CHENOWET14 AMID MANE R. CHENOWETH, HIS WE, AS JOINT TENANTS, WHICH DEED WAS DATED )FEBRUARY 14, 1950, IN BOOK 539, PAGE 181, OFFICIAL RECORDS; THENCE BAST ALONG THE NORTH LINE OF SAID CtUa fOWEIH PARCEL, 65.0 FEET TO THE NORTHEAST CORNER THEREOF; THENCE SOUTH ALONG ME BAST LINE OF SAID CAENOWETH PARCEL, BEING ALSO PARALLEL WTTR THE WEST LINE OF SAID- LOT 5, 208.0 FEET TO A POINT ON TSB NORTH LINE OF SAID SOUTH VILLA AVENUE; THENCE WEST ALONG THE NORTH LINE OF SAID SOUTH VILLA AVENUE, 65.0 FEET TO THE TRUE POINT OF BEGINNING. AM 027-084-011-000 Desaription: Butta,CA Document-Yoar.DoclD 2002.2966d Page: 9 of 9 Ord®r: mann Caament: .... � - }...• � `. � .t xr �,, ' kr iii \x 3 r'i 4�' ?J � 'il Rw 'w + A•t t1 � k'' t F rriiii?ii } � �I �' a . • t N,. .. rJ ,. a 1,1 f 5k ...�7r�s �y '14 �fa S.i�� a � �'9t at Y��4t '. N u+ t,'f '�> 2 1 J } tN�D�5ATIOy�N SYSTEM r s <k ri l 1 7 yl4 YY ?' . Y4r rf Owl S-�Stikzl'ik�lro i ! 4Y.4 "M u1. t ? :'t .tk i 12TTF�` BUILDING PERMITS NUMBER: 05-2355 Address or location of unit: 2963 SOUTH VILLA AVENUE, PALERMO CA 95968 Legal Description of Real Property: 027-084-011 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MIGULE R SORIA Owner's address: 6571 LINCOLN BLVD, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: PFS926642/3 SERIAL NUMBER OR V.I.N.: D2-70-0269-U-A/B MANUFACTURER'S NAME: SKYLINE HOMES, IN EAR: 2005 OFFICIAL APPROVING INSTALLATION: DATE: //— PHONE: (530) 538-7541 H.C.D. 513C ,- FOUNDATION SYSTEM -x - CERTIFICATE OF OCCUPANCY E + �r .y. n * ;r.. - r, . ��' .. ' � ,- '• � _ as BUILDING PERMITS NUMBER: 05-2355 Address or location'of unit: 2963 SOUTH VILLA AVENUE, PALERMO CA 95968 Legal Description of Real Property: 027-084-011 SEE ATTACHED (x) Mob ilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MIGULE R SORIA Owner's address: 6571 LINCOLN BLVD, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: PFS926642/3 SERIAL NUMBER OR V.I.N.: D2-70-0269-U-A/B MANUFACTURER'S NAME: SKYLINE HOMES, IN EAR: 2005 f OFFICIAL APPROVING INSTALLATION: DATE:// � PHONE: (530) 538-7541 H.C.D. 513C 10/25/2005 06:50 5303429174 CHICO BLDG SYSTEMS —TAPAGE 02 -- d2� rl ✓O� i �ItrD. STATE CA[IFORMII NUMBER BUSINE66,?�►ANSPOR!?A!1N0 MOUSING AGENCY DEDARTMENT bf'NOUBINO AND cd mum DEVELOPMENT OMBION OF. co0oiAND $TANDARDB' 8' 7 3 8 19 3 • MANUFACTURED MOUSING GROGRAM r4 MANUFACTUREWCERTIFICATE OF ORIGIN `^ ® CHECK IF THIS 13 A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING NUMBER OF �y 134FO (SINGLE FAMILY OvVELLINO) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 2 COMMERCIAL COACH' OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LI ENSE NUMBER: SKYLINE HOMES INC 90002 , MANUFACTURER ADDRESS: SUGGES RETAIL PRICE: 1720 EAST .BEAKER STREET WOODkA CA 95776 74,116.50 SU smee MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER DATE OF MANUFACTURE: WOODFIELD LIMITED 7402 -CT 10/11/2005 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEAIER NUMBER OR DATE F TRANSFER: TRANSFEREE DESIGNATION: SKYCRF,ST ENTERPRISES/COUSIN GARY'S h0:°.ES 10/11/2005 91265 DEALER OR TRANSFEREE ADDRESS: 3468 IRM 99 E CHICCACA 73 Saee saL INVENTORY CREDITOR NAME: GE CDF INVENTORY CREDITOR ADDRESS: P.O. BOX 94900 PALATI It 60094 (St leeN sa+» (ZIP) SECTION MANUFACTURER 6ERIAL NUMBER NCO INSIGNIA OR HUD LABEL NUMBER LENGTH %LOTH WEIGHT 16 INCHES INCHES POUNDS 1 D2 -70 -0269 -U -B PFS 926642 624 168 21.834 2 D2--70--0269-U-A PPS 926643 624 168 23.114 TRANSPORTER NAME: BENNETT TRUCK TRANSPORT TRANSPORTER ADDRESS: P.O. BOX 179 DURRAM CA 95938 SVM C Slue DESTINATION FOR UNIT DE6CRI8ED ABOVE: COUSIN Gay's liom Iir.7 13468 Y 99 E cliICC 95973 o... Icily) z 1 coney ~ ow%Rv a Penury unov"two at LM awoo & comwrY me ti wwIN fame we fto ww owma E,,e"eda„ 10/1.1/'LOOS ., WOODLAND Y01,0 CA CI SIGNATURE OF AUTHORIZED AGENT! \, DISTRIBUTIlft ORIGINAL (PIN)0 FORWARD TO THE MVENTORY CREDITOR. UNLfiSB THERE 16 NONE. THEN FORWARD TO TME PURCHASER (DEALER OR TRANSFEREE). COPY 1 (MITE) FORWARD TO THE DEPARTMENT AT P.D. BOX I829, SACRAMENTO. CA 1S012-1826, 1MT111N FIVE (S) DAYS OF RELEASE, COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY S (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. NCD A83.0 - Side 1 - 17417) VL'i IOi CVVL' I'J.Iti fri.. '•i�� GJb JJJ I RBCOMING R)&QVEnW HY Mn) VALLEY TITIX & ESCROW CO. AND WIMN RWORDIM MAM TO. Miguel Soria =2 y Cos?'81vd • D?ov cfl�, cam• 90gG G rLUCL.II T NhIlUN L IIILt y LUUS1H_d,9ti'YS tgjUV4/0Vt; �IlIIlI�IIIIIil�lpl�llllllull ��gJ��tg�I�t29664 Recorded I REC FEE 13:80 Official ffi ual Rec rdc i TAX 3.50 y Of CANDACE J. erKM ftcorAHI' DICi(SCK I Assistant I Fay 89:®®W4 le -Jun -2@02 I Page t of 3 Above We L. n for Recorder's Ube Crab' A.P.N.: 027-08"11-000 Order No.: F=(YW No.: 196MCWORO-C GRANT DF" '11$ UNDffitWNBD GRANTOR(3) DECLAR60) THAT DOCUMEMARY TRANSFER TAX 13: COUNTY $5.50 X ] cornpttted on fall value of t *vayad, or 77 computed on full valve less- of liens or ercmbrmm remaking at time of sale, X ] uniacorporatnd area: [ ] City of _, and FOR A VALUABLE CONSIDERATION, Roo* of which is hereby WIMO IMSM, JOHN Y). MARTIN AND VICTORIA LYNN MARTIN 'ARA VICTORIA L. MARTIN, HUSBAND AND 'JIFF. hereby CRANMS) to NaGUEL R. SORIA, AN UNMARRIED MAH flae following described property in the City of Orovat, County of BnWe Stme of California; SEE iA17ACKED LEGAL DESCRIPTION I Document Date; • May STATE OF CALIFORNCA )w COUNTY OF' BUTT . ) On MAY 2l, 2002 ba&M ma. CHARITY D BBRHY A NQTARY PtrAT.Tr. _ peraonellyappeared JOHN D. MART7.M perwngly ttnowa to me (or prwod to me oa the buca of S0ia11wwry evldemoe)10 bo me pati om(r) whore araae(0 k/er» sobscrlbed m @u avidrin inghmment and arYnmatedged b me out hehhe/thaY nectaed the am JA hld-we ua r saffiorbed cgmW00) bled mat by bw1wt 0A`ir ri usw'o(s) an ow hrstraxnr the pemon(a) or the entity upon behalf of whkb to permr6) acted, swumd to ia*nment. wrmm trty hand and offthl Beal. Stgrlsmre , 17dr azea for offic1a1 noerrial seal. Cwmwa BERRY Ctltttnllttci0tt #1351368 r No" Public -CaRfoR'1a a" county My CiOlTtttl. EMx APR 14, WN66 Mail Tax Statements to: SAME AS ABOVE or Addrem Noted Bdow Deacription: Dutta,CA Document-Year.DOCID 2002.29664 Page: I of 3 Order: nmm Comment: I �j RESIDENTIAL 4 PERMIT NO. 027-084-011 05-2355 SORIA, MIGUEL 2963 S. VILLA, OROVILLE z Cont: SKYCREST ENTERPRISES M/H PERM FND (EX) r OFFICE COPY 1 Address V AL9 AM0 GAS Meter By Date 3 bs i ELECTRIC Meter BY FvjSj j/,J4 Date SPECIAL CONDITIONS CHECKED BY SRA o FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY i USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ,SA<y e RQSr DD/n -lobi/ay .. pFS X166 X13 S ca a o Li l ualg JOB FINALED (Date) - 3-o tr Signature J=OK a = Not OK . - ��� �e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except I#'s 1. Zoning Requirements -Setbacks -Easements 2- Sols; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4- Water, Location -Test -Easement Needed (Sketch) S. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6- Gas; Location -Test -Wrap; -4 P L'ft' / P Nat or/ / L `ftJ • f LPG 7. Well Clearance & Disconnect 8. Utility Clearance' 10. Roof; Shthg-Roofing - -1 Date . Card B-1 Date i -Card B-1 Date Card B-1 Date Cana B-1 Date MOBILE HOME INSTALLATION (Plans) OK except is 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 -Flet Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert., . 10. Exits; Insp.-Sketch 11. Cert of Occupancy ' Date Cana B-1 Date Card B-1 Date Card B-1 Date' Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blockbig . 4. Gas; MH Test_Demand-Valve 5. -Electricity, MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #s with Office . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except t#'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 S. 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 - -1 11. Ext; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 DateCard B-1 Date POOLS (Plans) OK except Fs 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Sec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pod Lighting; l5 Volts -GF] 6. Sec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elm; Bonding; Metal w/5'-arculating'Equip.-Heater 8. Elea; Grounding; Equip. w/5' Circulating Equip.' -Pool Lghtg. Boxes=Enclosures-Panetboards-Ins. to Main Conduit 9. Heats 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 Cana B-1 I=OK = Not 4 RESIDENTIAL (Ssnglib & ®u�1e�j = mot 4p , . = fmt Ready date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Sols-Elec. Gmd.-/ . /" Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd. / P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Fig. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation - Date Card B-1 Date r Card B-1 Date Card B-1 Date - Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 - Date Card 8=1 Date ELECTRICAL (Permit) .OK except #'s 24.' Fixture & Transfor'mer ClearanceAns: Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Siie 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 Krtchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes.Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45" Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng 49. Fireplace Tres or Type A Flue-Faeplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & 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-Undertir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Batts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Card B-1 • Date . Card R-1 Date Card 871.1 . Date Card B-1 Date FINAL (Plans) OK except #'s - 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes•& Labels 70. Stairs & Rails 71: Fireplace or Stove; Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext. . 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. --in Garage; Above Floor-M6EK Protection' 78-P1b.; Elec. & Medi. Equip: Listed for Location 79' Elec: Receptacles in Garage (F F.I.)-Romex Protection 80: Insulation -Foam -Looked in Attic 81. 'Guard Rails & Deck Construction -Post Caps 82: Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth -Clearance Looked under Floor 0 Yes 83. Following tnstld /Drive O Yes D No/VValks O Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85" P.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52355 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/26/2005 APN: 027-084-011-000 the Business and Professions Code, and my license is in full force and effect.2963 Site Address: SOUTH VILLA AVE PAL License Class : License umber: Date:Contractor: ✓'P Map Index: Description: NEW MH PERM FNDN EX SITE (1404) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SORIA MIGUEL R permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 6571 LINCOLN BLVD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966-7713 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SKYCREST ENTERPRISES Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does COUSIN GARY'S HOMES such work himself or herself or through his or her own employees, 13468 HWY 99 provided that such improvements are not intended or offered for CHICO, CA 95973 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-342-2694 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SKYCREST ENTERPRISES not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed COUSIN GARY'S HOMES pursuant to the Contractors' State License Law.). 13468 H WY 99 ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 530-342-2694 Date: Owner: License #: 812930 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and poi' y number are: an Carrier: / !!F�. I Total Square Ft: 1404 S.F. Policy #:,7 1:5) ���a ���� Valuation: $91,260.00 Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with th prowsi S. �se v Dat Applicant: W NI Failure to secure workers'ompensation coverage is un ul, and shall subject an employer to criminal penalties and one in the addition 0 cost of hundred thousand dollars provided for compensation, damages as provided for in Section 3706 of the Labor � �� , code, interest, and attorney's fees. �} Am-wal(V CONSTRUCTION LENDING AGENCY This permit is hereby issued under t licable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resol tions to o work indicated a ve f r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) [S Name: By: Date: Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the own or the duly authorized age t of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge itis unlawful to alter the su ance of a y official form or do ment of Butte County. thereby authorize representa' f Butte County to er upon the above mentioned property for inspectio purposes. Print Nam ' Signatur ��j Date://X Cl Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 N BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONC OROVILLE`. (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO_UIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** Net OWNER me &e LaF' Name , ame Address 6. City dt State City/ Phone P Q ax E-mail FaxE-ml Net CONTRACT R Name Name Address � Addre� / 7 State City/ Phone Sta Fax P _ p FaxE-ml 601 i� rcy .st 3 LIjoV,30 1L" Net APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Name Fax E-mail Lot # State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail C I F office use only: AP# ©OG� V �• ©C/ Zoning Flood Zone \ SRA WORKER'S COMPENSATION No Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. Subdivision Name Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFr)RM.q\RI III niNr,, Fr1RMC\R1rinAnn1SiihRnmte rinr. PERMIT J� BIN # LOCATION AP# ©OG� V �• ©C/ PrQDerly Add ss Q' cJ . !C C' ' / / f �! Cross Street ',4 a©� v WORKER'S COMPENSATION Policy Number Carrier efi If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Pana 1 of 2 Description ope of Words,.' Sq. Footage � t ❑ Structure Built without Pe its ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year .after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. . REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b : Amount: l ! � Bldg SRA t2ercrsr �� [ Receipt #: Sheriff I ` _5 ` SMIP Date ( 0 Other Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6.. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9: Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION . Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:\FORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISfON 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Sclw-)O", ASSESSOR PARCEL NUMBER on -1 ' 1 C) l 1 Proposed Building Use: , Jed MA 14<i l ►I�� 1'Yi ��Perr�it Technician: Date: v Items required in order to apply for a permit. All boxes\MUST be checked OR marked NA in order to apply. �D 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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured home) Installation manual, including marriage line inf�) Floor Plan Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form 13. Acknowledg'Cl�e'' Mment of building permit application without required clearances. 14. Other �"r C, D.,,,� Retaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) V' 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable R/I f oS ❑ 16. Fire Sprinklers............................................................................................ O 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... p/ Erosion Control Plan Required........................................................................ i 20: ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 1. City of Chico Plumbing permit........................................................................ ❑ / 22. Site plan and business license approval from the City of Biggs... ........... 23. California Department of Forest plan approval 6 paid. Sent b . 0�1. tJ 24. Planning approval for (A) Use:(B)Parking: (C) Parcel heck:. ..... 05" ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given jo owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization ......... .................... :................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement..... :........................... ❑ 33. Existing violations and/or expired permits.............................:i:....................... 34. Deed Restriction ............................................ :............... .' 35.�j Legal description, ❑ M.H. Title, title search, registration MCO ....................... ❑ 36. Other: ❑ 37. Other: When issued Telephone "�j',4Q ` xo 17` and hold for pickup. I hatfe been informed of the above items and requirements for obtaining a building permit. Applican : X Date: 1. Index permit,application for the pv'q@ ,itft nutnwed:, Plan Check Letter z ai-iterns requirea ntraet' ,designer, owner, was dvise o he above dat y J phone, ❑mail, ❑counter, by Date: Con Factor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ countej, by Date: Plans reviewed by: _ i i?• Date: o Plans approved by: 7e Date: 6 - Structural Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellouv`:: Building Division E.H. USE ONLY Rat Pian Attached (dear Plan Attached Sam to ®.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage ®ispos Water S ly: P biic Private Well Clearance for dwelling. Other ' ' " Hold final for: Final clearance O.K. for: NOTE: Environmental He 8/96 Specialist Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION I COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER SAN 1 0'_. PROPROSED BUILDING USE 1V�JY� 1. BUILDING PERMIT FEES --- Balance Due ..................... --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FE Del (paid at School District' Office) (fo ava'lable fter Check) ��le.._.Tv C�-��.c.-�� 3. SHERIFF F S (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. p 4. RECREATION DISTRICT FEES 1UA__ (paid at Recreation District Office) (form available after Pl Check) R(V,ej ;t 5. RESIDENTIAL DEVF4)bPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ U AN A rdw t $ l;DIRE DISTRICT O(per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid atBuildingDivision) 8. SMIP 01 . 1 2) 9. DRAINAGE FEE 10. OTHER 11. OTHER A.P. # 09,1 . O L l .DATE I RECEIPT # DATE REC. ,� v c At t' a of permit plication, I was dvised the above fees are required to be paid prior to issuance of the permit. These fees m be changed d g the plan ch cking process. APPL DATE S Pursuant to Go ment Code Section 660 , you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on "our project. You ave 90 da om the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a Tot a specif ed in Government Code Section 66020(a). ginal-Building Division Yellow -Applicant Pink -Owner (rev. 7/05) gUTrF Butte County Deparlmelzt of'Developinel�t Services ° ,.�, ° ° ° 7 County Center Drive ° Oroville, CA 95965 (530) 538-7601 Telephone c0U%A (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building,`Division to- process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities," including but not limited to, Planning, Environmental Health, Land Development. County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septi.& and/or well, -to Butte' County Environmental Health immediately. • I am required to bring the approved Environmental Health. site. plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. • I am responsible for notifying Development Services, in writing; to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through. the plans examination process, as submitted, without input from other regulatory entities that -could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refiind of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for. a building permit, all other required permits and clearances from other entities must be- obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoping requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: l Applicant Name: T f building site address:_��. S, I/4 4r( r APN: leo?? - D � ' to / Permit No.: I have read, understood- and accept 'the terms ` and * conditions as expressed herein as indicated by my sublOssion of the above -referenced building permit application and my signature below: NATURE OF DA Department i- n ,t n t ' Michael Crump, Director of Public o f B u t Works W1D DEVELOPMEN-r DivisioN Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS THAN ACRE Project Description: Project Loc ation and/or Parcel Number: By signing below,,.I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit .from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Stone Water Permit from the State of California Regional Water Quality Control Board I am aware that submitting false andlor inaccurate information or failure to apply for a Construction Board for a project. Storm Water Permit from the State of California Regional Water Quality Controlother permits or other that disturbs one acre or more of land may result in revocation of grading and/or p sanctions proy dtd by law. Signe( Title: Date: BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �Building Department No. A.P. Number <6 ' G ` Jurisdiction: City County Property Owner Property Location/Address Subdivision ' Lot No. ....................................................................................... r Residential Development 0 Q Q Sq. Footage U No of Living Mobile Home Addition/ "Supplemental to (Group. R) Units Installation Conversion Permit # '• •(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Q New Addition Building Department Representative District Identification No. 060069 )1 I DV" 44 School District certifies that SD y- I 'r, , Sq. Footage (Including Exterior Roofed Areas) �-1-b6 Date (Applicant) CR ��Q3 S U;l\ A. 3-7o -3 19 (.4. (Street Address) f (Phone Number) Mitvl lStntal (Zip Code) has complied with the requirements of Resolution No. representing V T square feet. District Paid by Check # Remarks: 14-)5-40 r by payment of $ 1�13 2926 s ULL MITIGATION $ ' Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District. In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohiblt you from challenging the Imposition of the fees in any court action. if, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on On school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (3/05)dMm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s -�. ` 6 ' \ Building Pen -nit Number' a3� Property s p rty Owner () Project Location /Address ,1 Subdivision Name Assessable Sq. Ftge ( 64 Type of Residential Development (check one) New Development Single Family -Detached . Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Jv` -Mobile home 7' Mobile home replacement verified by Assessor Department Demo Permit (date issued ) 1verified by Building Department �� Comments: N/ l�P� \�Q� aK 1 y\g, 1� 1 Building Department Rppr�sentative Date 65 ❑ FRRPD ❑ CARD ❑ PRPD 0 DRPD certifies that: �, e �' � r, Iars. Ap licant Name Pon umber � � 25 7,, Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of - Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: Recreation and Park District Representative Paid by Cash: v.�r.�nnRc�nrirr renin nno�ec�--r, _..., _..,.,a -,A f,— —, 1 Anr. per unit for a total of $ per sq foot for a total of $ Receipt No: ' NOTES RESIDENTIAL PERMIT NO: 027-084-011 �` 023185 SORIX MIGUEL 2963 SOUTH VILLA, PALERMO, .• MHU 1 SPECIAL CONDITIONS ,I CHECKED BY / y SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. A. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ��1f OFFICE COPY Address GAS Meter By Date LECTR Eeter Meter By By Da JOB FINALED (Date ' i q Signature r J=OR 0 = Not OK + = Not Readyable MOBILE HOMES Date MOBI ME UTILITIES (Plans) OK except #'s oils ial MH Support Sketch ewe_ r; Locoon-Test-Fall-C/O-Concrete a ocation-Test-Easement Needed (Sketch) 41.a�1, (l on -Test -Wrap;-/ P' L'ft- / � • Nat. or --. P' L °ft./ ' . P LPG • 8. Well Clearance & Disconnect Utility Clearance s 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Date 7. Card B-1 Date • Card B-1 Date Gas and Electricity Tagged Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 11. 1. Zoning Requirements -Setbacks -Easements Braced Wall Panels 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. 8. Gas and Electricity Tagged Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 9. Tie Downs -Type -Installation Cert. 9. 10. Exits; Insp.-Sketch Plumb.; Cir. Test -Water Supply Test 11. Cert. of Occupancy Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Zt `� - S.70";+ � 6 6 L 411.7 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s CP 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 l Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. t I 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 o = Not = NotAApplicable p . = Not Ready - RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Garage Fire Protection Framing -RC Channel 5. Stemwalls, Main; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 6a. Hold Downs and Special Anchors Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 7. Slab, Steel -Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 8. Piers -Fireplace Ftg.-Steel Siding -Nailing Veneer 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation (Single & Duplex) 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) 16. Insulation Hangers -Post Caps -Anchors -Connectors 48. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 17. Water Htr.; Vent -Access -Combustion Air Baffle Garage Fire Protection Framing -RC Channel 18. Water Pipe; Test & Anchor -Nail Protection Property Line Firewall & Openings 19. D.W.V.; Test Fittings & Anchor -Nail Protection Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 20. Shower Pan; Test, First Floor -Tub Access Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 21. Test Tub & Shower, Second Floor -Tub Access Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 22. Gas Pipe; Sixe & Anchors Siding -Nailing Veneer 23. Fire Sprinkler; Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. 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 O No 32. Service -Riser Conductors & Ground Main Disconnect _ 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 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 Date 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 3o (Z-- t 0 Z -.31P -r 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, please contact this office immediately. // fro //C sou/ I c (S<� 4D c; G-< 14-1- /SiS 7To ,-,-, r A -C [(f O )N -c ` Air i3 d Ted �-- Date 42` REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE �—Ofz_- i \A* - O Z - -? ('Fs' 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, please contact this office immediately. <:��Iz- C? (Z 1 C rzv� '�/ l l/ /' b v= G—i4-7-6— ?0 F7— ra COUNTY OF BUTTE "a BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 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, please co;7/72- this office immediately. rt> O(1 ( 0 C - J- 07 -:p ©7 -:p u rr -tz) ea 0 e Date / 2-) `d Inspector REV 10/92 A.P. # 0;? *7 OWNEP,SZ)R—t J4%- PERMIT # Q_2 — �/_ MH UTIL. CLEARANCEMTE INSPECTO ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE SIZE LOAD TYPE SIZE LENGTH YES NO YES NO a CHASSIS CONNECTION .................... 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL. STRAP IS SNUG. CONTRACTORS VERIFICATION z 31: 0 I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. Li I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. 0 0 -ems Y --N- CONTRACTORS LIC.# --------------------- co /y oololbiowl,�z < — DATE,:Z. lq SIGNA TURE: .� ..� - .%-�•:'..., ..- --a., ,:� .'""T•w. � "r,,,-ti✓-1..ti.. ti.•.�-..•., r .. -.r. "r,r.-1�'"r`'".tix,�rr.+._-..tir+-a.xr't,� :.. k'+ti a:^• .-:e.,.rr„�—"s.r-w .f" ._cM".Lf"^' "..,'1� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: D -L-A - q -Z)I( PERMIT NO.: f�� - ?37� Owners Name: /j� < F v t 1 6- It L L Owners Address: Mobilehome Manufacturer: Year of Manufacture: /1, A,e, L4 N /4's Serial Number or V.I.N.: �Number: Insignia o-r'7HUD ,Official approving installation: i Date: 1 If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. t 5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor f MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT -NO.: L) ?371� Owner's +/Name: Owner's Address: r 1 Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: Insignia or HUD Number: Official approving installation: Date: If the mobilehome is,inoved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541�� J 0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-024-011 ZONING BUILDING PERMIT OWNER T 79LEP40NE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNGADDRESS 7 T CONTRACTOR'S NAME ­[TELEPHON CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ Z7 BUILDING ADDRESS � � Energy Plan Checking Fee $ PERMIT FE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT ee 1 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: iIHU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home JR I G I 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VMain Service 20 0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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. - 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 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.) 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. ii X / A eO Date 11'4'0 z SignatLge of Applicant - ❑ wne Contractor W Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zooA To I000A 46.00 NEW CONST. DWEWNO OCCUP. SO OR ADONS. ( 8 ACC. BLDS. 3.5¢FT. FIOµHE°SIUT MULTI -OUTLET 97,50 PowEL APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAIL @'.50 Ex. Occup. O.s RESp,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee 1 $ �— A Energy Inspection Fee $ /6 . O occ CONST. TYPE TOTAL FEE $ 146.00 HAZ. D. FEES IMP FLOOD COF pgRCEL pp ISSUE This permit is hereby issued under the of the tte County C e and/or indi ated o r wh' fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. ///&Vn y Date /, J �f'4 V (Dafe Receipt No. ?31,39;- :i146 •00�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION, 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: _D/� �C� ASSESSOR PARCEL NUMBER 62,7- 0 1' 1 —Qt Proposed Building Use: `/� Counter Technician: a - 6 Date: _ /I - � . (� Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ba' I . Plot plans, 3 or 4 sets, signedty 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. ❑ Engineered truss details and layouts in duplicate. No faxes! (5. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner.......................I ............. ❑ 12. Hazardous Material Form............................................................................... _ 4 ❑ 13. Other ° r` Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 1 Statement of Intent for Non -heated and A/C Buildings ............................................. ` Sanitation and plot plan approval from the Environmental Health Department in ' ❑ 17. City of Chico Plumbing permit.....................................................................: �. California Department of Forestry plan approval G'paid. Sent by: ...................... 10W 9. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ``''0,2. Contact Land Development about El Improvements, ❑Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 2 Worker's Compensation Carrier and Policy Number ..............:.............................. .`Iy� wner-Builder Verification (E] �n to off❑ Mailed to owner) ..................... d- �� etter of Signature authorization............AP."............................................ 7 Recorded copy of Agricultural Acknowledgment Statement .................................... 8. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: �4'l�s�i'� ��-�� Date: /Z-/,-0Z- 1. Z-/-OZ 1. Index permit application for the above items�numbe 2. Additional items r uired ?: esigner� wnwas advised cf the above C4nontractor, desi ner,�er was advised of the ab ve g Plans reviewed by: 2b, Date: /Z/ /5 Structural reviewed by: Date: Note transfer by: Date: 0 -IL - Yellow: L_ phone, ❑ mail, ❑ counter, by Date _ Plans approved by: 9-3 Date: _Structural approved by: Date: Yellow: Buildine Division E.H tlBE ONLY ,A1 Plot Plan dttachod �r — ^�• Floor Plan Am had Sant to B.O.` — Il TO: Building Department 7ZP FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# (� Plan Approved for: Sewage DisposalWater Suppt : Public Private Well. Clearance for dwelling. Other N L —z - 9 z_ .. . !J1i.7WE W�AT.V. V =�.,_.5�7KA,2E0 i Final clearance 0.K. for: t --�'Y-Y1+�L-v— NOTE: Envirdm- ental Health Specialist 8/96 Date 1 J_ CDF FIRE SAFE REQUIREMENTS C;?- 7-44 -( 6,2— -3r SIS • AP# PERMIT # 14AME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart 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. W11 1272.00 Maintenance of Defensible Space. To ensure continued, 1 maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, accesstand utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards ti [ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of \ curvature of less than 50 feet and additional sur - .face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical••curves in roadways exclusive I of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. ['] 1273.05 Turnouts. Shall be a'minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�] 1270.10 Width. All driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of .15 feet along its entire length. Page 1 of -3--, R 7 OS -4-( I � �� lh (4 c -CL_ AP # PERMIT # NAME [ 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. [ ]4 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 1. Gate entrances shall be at least two feet wider than I the roadway it serves. [ 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. ] 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 mini- mum 30 foot setback for buildings and accessory buildings from ull 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 below. -] 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 )r fi_ial inspection of a building permit. Page 2 of 3 21 AP # PERMIT # NAME Other Requirements [ If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ) If Building Setback is Less Than 15 Feet Choose any 3 of the following: Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic spri.ikler system per NFPA 13D - Glass area not to exceed 0% of wall area toward property, line with insufficient setback - Siding-from.the following list: Stucco - 3 coat Hardi,-Board or Plank, Masonry Masonry -veneer Metal Other Butte County Fire Department approved materials Page 3 of 3 mt-0,40 mo- 5Jx-, ■1 5f -r ro p M Aoc.r FT ,.\ jok FT NOTE. r Sae the attached. -Paga t� PLANNING DIVISION- BUILDING PLAN APPRO L use: G KDate. . I 1-1 �-- 0 Parking:----__. Landscaping: Other _ AAdv G2- 318 5 BUTTECOMITY IKDI.4,.G DEPARTMLETN" APPROVED M�� 02'33-79� ' r 4 , /3 FT 4voRY- 1?ooln Q - Fi APPROVED Butte County _ Environmental Has" ?naA, } DI/I to SUM' C"TY BUN.MDEPARVIDIP APPROVED Al H'.L - 2 vlobilehome Manufacturer: 41,45 (/A... , tilanufacture Year: /99 3 If other than single wide, furnish Setup Model Number:_ Width:/�/ (ft.) Length: Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets.. FOOTINGS: Wood pressure treated or foundation gradeLX] Other: SUPPORTS: Concrete block[A] Other: Provide Tie Down Specifications for all Mobilehornes: /T65, 5r_0 Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line l Line 1 Line 2 Line 2 .............................................................................................. Main Beams Line2 ............................................................................................... ine 2 Line I Line 3 Line 2 4tain Beams ................................................................................................ Line 2 Line 1 .................................................ine 5 Tag or Triple ine 4 !ine 1 Line 1 Piers: Size minimum: x Spacing maximum: From ends -maximum: Line 2 Piers: Size minimum: [Aq] x [ Spacing maximum: From ends -maximum: Line 3 Roof Loads: Size minimum Location (from front): i Line 5 Roof Loads: Size -.minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings _ with width over: Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: BUTTE COUNTY May 199) BUR HPAR I MIEHJ 8.4 .,;,,A 1! P A 4Y E D M.H.L-2 I Owner's Name:3gyS�//4 2. Assessor's Parcel Number: O D�%' 3. Installer's Name: Fla 4. Is the site currently under permit? Yes[ ) No[ ) Permit No. 5. Is the site an existing site? Yes[ ) No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? _� Amperes. 8. What is the electrical rating of the mobilehome site? 02� Amperes. 9. Is the main service remote from the mobilehome site? YesNo[ ) If it is, what is the rating? d Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. 1, garage etc.)? Yes[y-] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- - `a'd Amperes - b) The main service: Load- c,,2�0 Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?�(ft.). , 14. What is the mobilehome gas demand? XV61 B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED LN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995" " BUM COUNTY DU APPROVED, ABESCO ENGINEERED COMBINATION TIE -DOWNS MANUFACTURED HOME TIE -DOWN CALCULATIONS Ar SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES DESIGN LOADS: DESIGN & GENERAL NOTES WIND --------- 15 PSF iE SOIL BEARING---- 1000 PSF �E TIE DOWN STRAPS — 3150# WORKING LOAD TIE—DOWN STRAPS MEETS FEDERAL SPECIFICATION QQ—S-781H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED. * EARTH AUGERS -------- 2962# TESTED TO 4750# MIN. * CROSS DRIVES -------- 2962# TESTED TO 4750# MIN. * CONCRETE SLAB ANCHORS — 1390# CALCULATED) GENERAL NOTES. 1. THE CHARTS SHOWN HEREON ARE THE REQUIRED NUMBER OF TIE—DOWNS ON THE SIDES OF THE MANUFACTURED HOME. 2. TIE—DOWNS ARE REQUIRED AT EACH CHASSIS BEAM, EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME AND CAN BE ANY OF THE TYPES SHOWN HEREON. 3. COMBINATIONS OF THE DIFFERENT TYPES OF TIE—DOWNS CAN BE USED. 4. IN THE EVENT AN EARTH AUGER CANNOT BE INSTALLED DUE TO AN OBSTRUCTION, USE OF CROSS DRIVE ANCHORS IS PERMITTED, PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH EARTH AUGER THAT CANNOT BE INSTALLED. SEE PAGE #3. 5. FOR ALL TIE—DOWN INSTALLATIONS, THE MFG'D. HOME CHASSIS MEMBERS ARE SHOWN AS "I" BEAMS. (FOR ILLUSTRATION PURPOSES ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OF RFC SHAPED. 6. END TIE—DOWNS CAN BE LOCATED WITHIN 24" OF EITHER SIDE OF CHASSIS BEAM AXIS AS SHOWN. � v CHASSIS BEAM i `N (ONE END TIE—DOWN MANDATORY AT EACH END OF "I" BEAM) 04 18"MIN—'j 7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY ABESCO MAY BE USED AT THE SAME SPACING & LOCATIONS SHOWN. ENGINEER APPROVAL W THIS TIEDOWN SYSTEM MEETS THE REQUIREMENTS a OF SECTION 1336.3, SUBSECTION (o) PACIFIC CONSULTING ENGINEERS 2150 BELL AVE. SUITE 145 SAC. CA. 95838 PH: 916-564-6028 STATE APPROVAL ENGINEERED TIEDOWN SYSTEM APPROVED SUBJECT TO CORRECTIONS NOTED Approval does not a,:t; uri7e or deviation f Qrr3 requi+elRa:l`° of regu'a&s. :tato of CaMorn:3 Department of No:_inr :_..? il'I�IO`' C vvi.­­t-1`.fG..�'`i..� BY SPA Nr. J E• T. S LQ , This Plan Approv oum*04w- ImmiDEPA's Ab Ni ABESCO - — a ft" 5851 FLORIN-PERKINS ROAD SAC. CA. 95828 PH: 916-383-8831 ABESCO.. TIE -DOWNS CABESCO NAME STAMPED I1-41 HEADS OF TIE -DOWNS J Ln;.vr, truv%,nvn #406 PIER BOLT -ON TOP 1 #601 30" I X LOCKOTOP T.D.A. #606 STEEL BY C & R PEER STRAP W/BUC #602 48" T.D.A. I #604 CONCRETE SLAB ANCHOR W/ #608 SPLIT #SH 5822 SLEEVE #614 STEEL #615 CONCRETE #616 STABILIZER ' BOLT & NUT ANCHORS (DRY) STRAP W/HOLE SLAB ANCHOR (WET) PLATE SIDE TIE -DOWNS (SEE NOTE BELOW) lz O m SINGLE WIDE ow ►po _ Z O w Zw W h 2'1 EVENLY I SPACED 12' LENGTH' VARIES SIDE TIE -DOWNS (SEE NOTE BELOW) Cl 'Z J 70- O m � O I W w -~z <' DOUBLE WIDE WN �1 T 1 T 2'1 EVENLY SPACED EVENLY SPACED EVENLY SPACED 2' LENGTH VARIES NOTE: SIDE TIE -DOWNS: MUST BE WITHIN 24" OF THE END OF CHASSIS BEAM. END TIE -DOWNS: CAN BE LOCATED WITHIN 24" OF EITHER SIDE' OF CHASSIS BEAM. ONE TIE -DOWN IS MANDATORY AT EACH END OF.,:"I" BEAM. (SEE PAGE #1.. GENERAL NOTE #6)' IF SIDE WALL -TIE-DOWN GROUND ANCHOR ' LOCATION IS SUCH THAT THE ANGLE BETWEEN THE GROUND AND STRAP EXCEEDS 60', CONNECT ,THE ,TIE STRAP TO THE INSIDE CHASSIS BEAM ON DOUBLE AND TRIPLE WIDES AND THE OPPOSITE CHASSIS BEAM •ON SINGLE WIDES. SIDE TIE -DOWNS (SEE NOTE BELOW) IEVENLY SPL LENGTH' VARIES EVENLY[SPACED [2'� EARTH AUGERS MAX. LENGTH OF 36' 54' 72' 59' 68' MFG'D. HOME - MINIMUM NO. OF 2 3 4 1 7 1 8 SIDE TIE -DOWNS CROSS DRIVE ANCHORS MAX. LENGTH OF 36' 54' 72' 59' 68' MFG'D. HOME MINIMUM NO. OF 2 3 1 4 1 7 1 8 SIDE TIE -DOWNS CONCRETE SLAB ANCHORS MAX. LENGTH OF 34 42' 50' 59' 68' MFG'D. HOME MINIMUM NO. OF 4 5 1 6 1 7 1 8 SIDE TIE -DOWNS 0 n CROSS DRIVE TIE -DOWN ' - CHASSIS SIDE TIE—DOWN #606 STEEL STRAP #608 SPLIT BOLT & NUT #616 STABLIZER PLATE GROUND LINE #607 CROSS DRIVE. ANCHOR w- r INSTALLATION INSTRUCTIONS DETAIL "A" 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN. STABILIZER PLATE) CROSS DRIVE 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. (WITH 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS %YARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, INSTALL #616 STABILIZER PLATE. (STABILIZER PLATES MAY BE PREWELDED TO #607 CROSS DRIVE ANCHOR) OR INSTALL 12"x12"x12" CONCRETE BLOCK. NOTE: IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN TWO CROSS DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE—DOWN. BOTH CROSS DRIVES MUST BE STABILIZED AS SHOWN IN DETAIL"A". SEE PAGE #1, GENERAL NOTE #4. CONCRETE TIE -DOWN SIDE TIE—DOWN END TIE—DOWN ';� CHASSIS #406 PIER BOLT -ON TOP ?:STRAP, ..... — #606 STEEL STRAP INSTALLATION INSTRUCTIONS #604 DRY 1. CONCRETE MUST BE A MINIMUM OF 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY EDGE. #615 WET 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY DRY. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. SIDE TIE—DOWN END TIE—DOWN_ #3002 LOCK TOP OR — #406 PIER BOLT—ON TOPS #614 STRAP TIE -DOWN " I" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION -I #606 STEEL STRAP � I o X60 Ndl�`p&" SEE DETAILA` (TYPICAL) DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, e/-/-7.1NSTALL 1/2" A307 ?� s BOLT r✓' "C" BEAM CHASSIS "RFC" BEAM CHASSIS SEE "I" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION TIE -DOWN INFORMATION NOTF- SPLIT BOLT & NUT —� GROUND LINE �\ #616 T.D.A. STABILIZER PLATE`^ VERTICAL OR ANGUI INSTALLATION IS OPTIO INSTALLATION DETAIL "A" (TYPICAL) INSTRUCTIONS 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTILL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. f / O0 00 PLACE STABILIZER PLATE ;NEXT TO SHAFT BETWEEN ;ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. 13 - CONTRACTORS VERIFICATION - 0 O FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE ,- PROTECTION AGAINST LATERAL MOVEMENT. Z 3 I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. W I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. r COMPANY N 4ME:___________________________ m CONTRACTORS LIC.#_____________________ ` DATE:------------ SIGNATURE: --------------------------------- -Q L6££-99696 V3 '311IA090 3AIb0 a31N33 A1NnOO L NOISIAIO 9NIOlIns S331AMS 1N3Wd013A30101N3W19bd30 311f1S 30 A1Nnoo .9�b� b • >>ba ��a� 1``:z� 761 ),),)J 0 ., 'P iN6 oM COUNTY OF BUTTE @xOroville, California GENERAL CLAIM CLAIMANT: MIGUEL R. SORIA ADDRESS: 6986 LINCOLN BLVD SPACE !R R CITY & STATE: OROVILLE, CA 95966 DATE OF CLAIM: 1-8-03 IMPORTANT.• SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON REVERSE SIDE ,ATE DESCRIPTION OF CLAIM (OESCRIBE FULLY TO AVOID DELAY) AMOUNT OW ER DECIDED NOT - - 002-3185., RECE PT# 36439 OWNER: MIGUEL R. SORIA TOTAL AMOUNT PAID: 42250 RETAIN REFUND PROCESSING FEF6 .91 RETAIN MOBILE HOME UTILITIES PERMIT FEES: 6 0 RETAIN MOBILE HOME -INSTALLATION PERMTT-FFF,�- 14 nn RETAIN SRA FEE-,'-_'_-__._- _89, TOTAL AMOUNT TO BE RETAINED: 401 00 TOTAL AMOUNT TO BE REFUNDED: TOTAL 19 50 he undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true J correct as stated. ,ted this 16 day of J�� "(? L at , Calif. te •� — Signature of Claimant the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and at there is a Budget Appropriation I ) or Specific Board Approval I I (Check one) for the same. ,ted this 14TH day of JAN • M QU at OROVTT.T.F , Calif. Department Head or Authorized Deputy !pt. Code 440-001 Exp. Coda 4210500 ($12,50) PAYABLE FROM RTTTT T)TNCPFRMTTS =FUND apt. Code Exp. Code PAYABLE FROM apt Code Exp. Coda PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMS. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive` • Oroville, California 95965 • Telephone (530) 538-7541�� 2 PT :Rev. 12/96) APPLICATION AND PERMIT 2 / M. ASSESSOR PARCEL NUMBER 027-084-011 IA—r, ZONING BUILDING PERMIT OWNER TELEPHONE 522-4513 SO. FT. OCC. BUILDING VALUATION .OWNER'SqMA'1'UNiG�ADbRFC 6571 1 TNMLN BLVD OR(AqLLE CA 95965 CONTRACTOR'S NAME 9 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER j Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2963 SQUM$ Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: NEW MEI PERM END NEW SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 aOOV OR Main Service 2o.., OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 zoOA TO IOooA 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BL DS. SO 3.50FT_ NOµROSID. MU LTI.OUTLET @7,50 OWER APPAUS 8 PO'OUTLETRATCIR. Ex, Occu OUTLET OR FDS RES an0 p Lao Ex. Occup. OFIxEDrs R p,OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL 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. X Date 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No.� 39 2� Sn WHITE-D.D.S.-B. D. . CAN tEOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 1 FOR BUILDING DIVISION USE: Receipt Information: Number. Date: Issued To: Amount: 2, 3/85 Fees Retained: Processing Fee: �/ B1dg Filing=Fee: - $ — Fifing Fee: > i,48 $ , Fps Elec Filing Fee: 0 E;e-r-7 Mech Filing Fee: $ Energy P/C Fee: r �- -__- z Plan Check Fee:- Inspection Feb---—--- $ - -1 SRA Fee: Total Amount Retained TOTAL REFUND DUE o 89•od,- v r REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS- ASSESSOR DDRESSASSESSOR PARCEL#: (9,fg — oll RECEIPT NUMBER(S) 3& q 3 9 I Rre �uest a refund of fees paid on the above receipt umbers) for the following reasons: W0.v\ h F TN 1nS O Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) s19 ( Building Permit Fees > 14r ( ) Sheriff Fees SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE DATE %Z G' - ©I' PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. W f COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ` ,% % / J �, i' 1 �_Y£ ASSESSOR PARCEL NUMBER _ _ Proposed Building Use: r"Y) 1+ ; 1 %� �r� �� x:a� - ` I �- Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. IT1.. Plot plans, 3 or 4 sets, signedty 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. Ma factured homes:e( 'Data sheets and insta lation instructions, )Marriage line informatiorf ((�) Floor Plan,V(--ie down or oundation plan all in'�dalicate. p t,�. -tie, � � v 5 ❑ 7. .t ut mgs: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannik proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... O 5. Statement of Intent for Non -heated and A/C Buildings ........................................... 16. anitation and plot plan approval from the Environme tal Health Departm nt in 7. City of Chico Plumbing permit .......................................... ii California Department of Forestry plan approval paid. Sent. by:1 . ................... ❑ 19. Planning approval for (A) Use: K (B)Parking: (C) arc 1 Check: ) fr _j 41- E) Q_ ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... 4. Worker's Compensation Carrier and Policy Number.. caner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26. Letter of Signature authorization.................................................................... V1` 7. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 9. Existing violati ns and/or expired permits........ ... ........................ .. El30�rant it Statement of Facif, ❑ tter from Legal Owner, . heck to H.C.D. $ 31. ter: When issued Televhod�e � `= and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: r�lL��i�� C � IQ�,� Date: _P-1-5 -0C9- 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designe, owne as advised cf thl above data by pho e, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above 4ata by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: O"L Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter Date: 11.15 /0-L— Date: I I Date:_ Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER / r% A.P. # t1� 6 d �`Y —Q�� PROPOSED BiJILDING USE _ , r ` %� C)e(✓X 1-/1(,�%1eL O ) . cyl Ir—) DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (2 fait IL (k &Q11 ka' (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... 360.0 $ Units 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 Qkgf lit r Pat V-� t p6c. (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK C $89. (paid at Building Division) S'6z 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT �L �G�,�� DATE 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 for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • 'Oroville, California 95965 • Telephone (530) 538-7541 tRev.l2roe) APPLICATION AND PERMIT �1`�• PERMIT "` u SESSOR PAACEL NUMBER BUILDING PERMIT E " SO. FT. OCC. 4 _14S BUILDING VALUATION OwNE711 MAJU ,AO CONERAVORI Kum • CONTAACTORS k"UNO ADDRESS rI CO"ST"U"O" LENOEA ® LENOERS WALING ADORESS ' AACNr.ECT OR E1,103NEER ARCNrECT OR ENOrdM S MA(INO ADDRESS BULDr+G ADDRESS /1 — , E ILOT NO I SU601V6xNAS HAME PARCEL MAP USEOFSTRUCTURE / SF p' Duplex ❑ Mobile Other 0 PE OF WORK New ❑q�ddition ❑ Re odel ❑ 'Goes ❑ Instaflation ❑ Other O Describe ork: m IJ _ S �z0i I� �tUr P o 44 -mw- �'�cti�a1 � ��•� , r5o _ • � y(3 I�ikY1r1 �� 4b bc.,?94+ /h�d Fireplace - Total Valuation BAL 6, 1.w I lin Fee 004 E ( Filing Fee 20.oc Pe it Fee z $;L Pla Checkin Fee $ o E rgy Plan Checking Fee t 46.00 $ a 71 av PERMIT FEE f :y'd PLUMBING PERMIT Fling Fee 20.00 Eech Trap 7.00 Solar or heat eump water heater 23.00 Water piping 15.00 Lyo Each gas water heater or vent 15.001 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 U. OCCU PERMIT FEE I f BAL 6, 1.w I Ex. Occup. ELECTRICAL PERMIT ( Filing Fee 20.00 Main Service zo�0A oilttEEss 23.00 00 Main Service aou TO LOOOA 46.00 NEW C016T: oR ADONs. DWE_L OCCUP. A ACC. aDs. SO I 3.5crT NOWRFSID. MULTIOLMZr p�- ) I I 97.501 U. OCCU oLInET OR fDRUREs BAL 6, 1.w I Ex. Occup. „WETS (RESQ D)EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 1 23.00 PERMIT FEE I t,5 -06P MECHANICAL PERMIT Filing Fee 1 20.00 •1 6.50 Ventila PERMIT FEE f Moble Home Installation Fee i Energy Inspection Fee $ Dcc CONST. T'"t TO AL FEE $ LSa _z o. n000 cov ssvE This permit Is hereby issued under the applicable provisions of the Butts County Cods and/or Resolutions to do work Indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON .— ` TRANSFER OF OWNERSHIP ENDORSEMENTS All signatures must be made with Pen and Ink. Signatures for organizations must include the organization Name and the Name and Title of the person authorized to sign for that organization. The undersigned owners of the structure described on the face of this Certificate have transferred to the undersigned purchaser, with consent of the Lienholder as evidenced by signature on Line 2, interest therein and Purchaser has accepted transfer and hereby makes application to the Nevada State Manufactured Housing Division for transfer of ownership of said stru lure. O ERS SIGNATURE IDATE! SIGNATURE DATE Above signatures of the owners as designated on the face of this Certificate releases eadRowner's interest in the described structure. LIENHOLDER F r o u r Fig ce C®., � c. 2. 0 SIGNArURt DME Above signature of the Lienholder as designated on the face of this Certificate releases the Lienholder's interest in the described structure. 9. DEALER SIGNATURE DATE NAME (PLEASE PRINT OR TYPE) NUMBER ADDRESS CITY ZIP CODE PURCHASER (TRANSFEREE) 4 / SIGNATURE DATE SIGNATURE DATE NAME (PLEASE PRINT OR TYPE) U AND E) OR PHYSICAL NAME (PLEASE PRINT OR JYPE) LOCATION: City COUNTY STATE ZIP MAIL ADDRESS CITY STATE ZIP CODE NOTE When (ardor) is not inc icoted the Cerfifimte wig be mode to show (or). NEW LIENHOLDER 5 Ac N IPLEASE PRINT OR TYPE) 43GO Pau PW J40 ADDRESS CITY STAT i. ZIPCODE cf Immediately after all required signatures are made to r2iease interest and change ownership (except Sale to Dealer) this Certificate must be presented to the Nevada :.1vate Manufactured Housing Division for transfer. The intended transfer is incomplete until new Certificate has been issued. /s Gam. �� 2913 ZZA ;t a • � 'ti ' Yr'r?�.�� ��_� �'1. `'ti�����' \, ��.�� may; ,, �.'f�.. .��.. ,\ 1 •� I 1 � ',=��' :_�'�-.°_t•., _� �t a �r �. � . ,+.. '`,; , ,..,-, C `� j> � . ', 4 .� .ice � � _ - l •— , � c O`VNER-BUILDER VERIFICATION A:tencion Property Owner: , An -owner -builder" building permit has been applied. for in your name and besting yovt si�oae. Please complete and return this information at your earliest opportunity to avoid 0008'."%NNW in processing and issuing your building permit. No building permit will be issued i'o'i his verification is received. a I . I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 9 NO 0 2. I HAVE J0 HAVE NOT O signed an application for a building permit for the proposed VW=L ;. I have contracted with the following person (firm) to provide the proposed eonstirnctia®: NAME: ADDRESS: CITY: PHONE: COL--MkCTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NA<tiTE: ' ADDRESS: CM: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAIN IE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER• �� L� •. SOCIAL. SECURITY/NUMBER: DATE: 4 Z Lo Z - i'VOTF: This Owner -Builder Verification is required by Section 198.31 and 198J1 oVAt California Health and Safety Code This verification mast be eompl&W std returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFORINIATION� CC-- P-occ-ri Cw-_ A.i application for a building permit has been submitted in your name listing yourself as the builder ofpropetty improvements specified For your protection. you should be aware that as "owner -builder" you are the responsible petty of re 1, a ro an sneh a permit. Building permits are not required to be signed by property owners unless they ate persooslly pafocmia�'15eir own work. If your work is being performed by someone other than yourself, you may protect yourself from 0*%le 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 busiaess 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 ihould 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 worst ('including matetiaLs and other toss) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcortractors. 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 w;th resoect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ii You wish, the U.S. Small Business Administration). For more specific information about your obligations under S a:e Law, certact h e Department of Benefit Payments and the Division of Industrial Accidents. 1::he srucn:re is intended for sale, property owners who are not licensed contractors are allowed to perform their works personally or hrou&h their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons profess in- to be contractors is to secure an "owner builder" building permit, erroneous!y 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 communici cr at 10=0 N Street, Sacramento, CA. 958 14. 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. Ijt�v( rely. �LG�� el C. Vi ira, CB.O. ger, Building Inspection NOTE: Th Zr Owner -Builder lirjormation is required by Section 19810 of rhe Calijoirrla Health and Saf4y C44& OVER y COPY of `Document Recorded w AND WHEN RECORDED MAIL TO: 30-DeG-20022002-0071726 f BUTTE COUNTY BUILDING DIVISION Has not been compared with 7 COUNTY CENTER DRIVE Original OROVILLE, CA 95965 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 DEC. 30,-2002 State of California County of BUTTE PROPERTY OWNERS: o .. k1IGUEL SORIA On DEC- 30 2002 . before me, personally appeared MIGUEL SORIA personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that byXs—/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, e ec" ted the instrument. WITNESS mylhandr�anc� official seal wgnarure Seal: GOLDI E HONEA Commission #13513870 A.P. 0.0A 1 Notary Public -California Butte County My Comm. Exp. APR. 14, 2006 ' Description The land referred to herein is situated in the State of California, County of Butte, and is described as. follows: COMMENCING AT THE SOUTHWEST CORNER OF LOT 5 IN'BLOCK 74, AS SHOWN. ON THAT - CERTAIN MAP ENTITLED, "SUBDIVISION NO..1 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS "RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 17, 1888; THENCE ALONG THE SOUTH LINE OF SAID LOT 5, BEING ALSO THE NORTH LINE OF SOUTH VILLA AVENUE, A DISTANCE OF 100.0 FEET TO A POINT, SAID POINT BEING THE TRUE. POINT OF BEGINNING FOR THE FOLLOWING DESCRIPTION; THENCE FROM SAID TRUE POINT OF BEGINNING NORTH AND PARALLEL WITH THE WEST LINE OF SAID LOT 5, 208.0 FEET TO A POINT IN THE NORTH LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN THE DEED FROM C. M. CHENOWETH AND ROSE B. CHENOWETH, HIS WIFE, TO EDWIN P. CHENOWETH AND JEANE R. CHENOWETH, HIS WIFE, AS JOINT TENANTS, WHICH DEED WAS DATED FEBRUARY 14, 1950, IN BOOK 539, PAGE 181, OFFICIAL RECORDS; THENCE EAST ALONG THE NORTH LINE OF SAID CHENOWETH PARCEL, 65.0 FEET TO THE NORTHEAST CORNER THEREOF; THENCE ID SOUTH ALONG THE EAST LINE OF SAID CHENOWETH PARCEL, BEING ALSO PARALLEL WITH THE WEST LINE OF SAID LOT 5, 208.0 TEET TO A POINT ON THE NORTH LINE OF SAID SOUTH VILLA. AVENUE; THENCE WEST ALONG THE NORTH LINE OF SAID SOUTH VILLA AVENUE, 65.0 FEET TO THE TRUE POINT OF BEGINNING. APN: 027-084-011-000 zry - SITE PLAN REVIEW APPLICATION Date: j l -1 0>2 AP# O z: Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: �; 7 A C_ OwnersName: Owners Address: 6S'7 LcO L-\% rS LUD Dr2ovl trZ-f, 9 S9 L41 Telephone No.: S `3 `Z L) S 3 Situs Address: - 2� j SOUTH V1 L L,4 b Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition PA Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel. ❑ Commercial Remodel ❑ Industrial Remodel Other IS Septic Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date Page 1 of 5 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) 15 SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attar eil) • Flood Zone: ' • Flood Panel No.: C>O) 9 S L Index Date: – r� ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --- -------------------------------------------------------------------____— ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning,Code Streets & Highways Fire Prevention Subdivision Map Front So 0--A— Side Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire E ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87' ' ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ----------------------------------------------------------------------------------------------------------=--------------- Subdivision Map Special Fees { ❑ Water Tender Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By • . Deeds: ' Date of Creation:— Deed 'of Reference: (0 3 3 O Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: " Legal Access Provided: ❑ No KYes Legal Access Required ❑ No ❑ Yes ❑ No il Yes, Road Name: SOUTH ❑ No ❑ Yes v') LLA AY6 IN Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance , ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road'to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental. Health Department requirements I Page 3 of 5 na El Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: Date of Approval: ❑ 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 on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ 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. Page 4 of 5 V4 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy DocumentABuilding Permit Site Plan Reviewl.doc Page 5 of 5 s I { 02-3379 027=084-011': � • SORA, N IGUEL + + ; 2963 SOUTH VILLA, PALERMO'' . ' MHI r fl COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCLrLNUMBER ^ ZONING t BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING AD ESS , 3571 L CONTRACTOR'S NAME TELEPHONi- 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 Plan Checking Fee $ r r� BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: I I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. W:0 OR ADDNS. ( a ACC. BLDS. SO 3.50FT. NON•REOSID. MULTI -OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CI R. EX. OCCLI OUTLET OR FIXTURES @ I'50 BAIL .50 FU(ED APPLNS. OR Ex. Occup. ouTLErs RESID. E0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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.) 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. <- X �, s �Date X ��� � � Sig - ❑ OWneContractor W Agent &VoLfApplicant An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 1�n :H�AZ-,lO6. FEES IMP D CDF CEL PD HD J, ISSUE 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 ;` t i , �' By , Dat t PERMIT EXPIRES OND.S.-B.D. ate No _)4'<`t - f,!% " `. E CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-024-0.11 IA—r, ZONING BUILDING PERMIT OWNER r, TELEPRONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS '7,971 T n CONTRACTORS NAME E O 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 Plan Checking Fee $ 23-00 BUILDING ADDRESS 9963 SOUTH VILLA, PAT EIRM0 Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeX Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 1000A 46.00so VIEL200A NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT, NEWO9 rNC .REESIDT. MULTI.OUTLET @7,50 8 Olm-ET COWER APPARATUS IR. Ex. Occup. OUTLET OR FDrrURES Zu p 1,00 �L @_50 Ex. Occup. GL nFrs AES,6 °eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' CID 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 forthwith comply with those provisions. ' (% X L% ?b l Date lz— k io z- SignatM of Applicant - ❑ OwKer Contractor Wi 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 S Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ , G l nn HAZ. FEES IMP OOD CDF EL PD HD ISSUE This permit is hereby issued under the applicable provisions of th tte County Code and/or Resolutions to do work ind' ated o e for hich fees have been paid. By r Qate G 03 PERMIT EXPIRES ON t,ITE•D.D.S.-E.D. (Date) rReceiptNO'.i4 X01 M It O CANARY -ASSESS R - PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: C I I r^ ASSESSOR PARCEL NUMBER 2--7 — 0M " 0/1 Proposed Building Use: �" / �� Counter Technician: Date: ( 2. 6, Z Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed�y 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! WufE compliance design and supporting documentation in duplicate. actured homes: (A�ata sheets and installation instructions, (BeMarriage line information, ( )4Tbor Plan, (DKe down or tion plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receip��77 fing items.) ees as shown on the attached Schedule of Fees Due Sheet ....................................... \!^`� 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................:.. ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... (Wecorded copyofAgricultural Acknowledgment Statement .................................... anufactured home utilityclearance...............................................................isting violations and/or expired permits......................................................... 0`30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ , ❑ 31. Other: When issued Telephone <::z 2L7 and hold for pickup. lI have been informed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit applica 2. Additional items reqs Contractor, designer, o Contractor, designer Plans reviewed by: Structural reviewed by: Note transfer by: Date: /%— Z,:;, —p Z Plan Check Letter Wised cf thq bove data by Q" phpe, CA Mril f' ❑jW99Fjy J, Date: advisedof the ab ve data by Oofhone, ❑ mail, ❑ cou ter by Q Date: Date: \ o Plans approved by: Date: Date: Structural approved by: Date Date: Yellow: Building Division 1K COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER 50 r i C..._ . /�'/ 'A� Tc U -e PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ / Revised Plan Checking Fee .. . �f✓/ 2. HOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units 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) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # ��'D�y—01 J DATE RECEIPT # DATE REC. ow-AlF FA At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Z "li3 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 for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) -Tjk"`;r`e"..�.:�.: i -.r ,rF`V�.'�T �'•.^ti:`.�`� �'..'f�ir'=' �. :mow:.-; . � �.=, r'......^ ^�%�..'F.A�• fr. r^�+i• i�i�'t: a'-.�' ti �.�._'. -ti. rwwc.��>�a�n � .. � • - i _ ,w�; ,. -.a' y�:�.. a'{ r;fir BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM P vc� 7-- 4 0 O - — (One form per Building) ' SchooMistrict �� , ,' i j Building Department No. ;3 A.P. Number 7 �Q lJurisdiction: City -i—County I� Property Owner wv Property Location/Address / : S E, ,tea 4`�� 'tT� � -P, Le r - e Subdivision Lot No. ............................................................................................................ Residential Development .. No of Living Mobil ome Addition/ Supplemental to Units Installation Conversion Permit # i '(No foundation inspection: ................................................................................................................. . Commercial/Industrial / New Addition , District Identification No. ` Plans reviewed by School District Personnel) Sq. Footage / ! v / (Group R) `-199L�� Jce. Sq. Footage -�Kv 1 (Including Exterior Roofed Areas) 21< Dat— •r School District certifies that U (Applicant) (Street Address) i (Phone Number) F?7wryno 0A (City,) (State) (Zip Co e) has complied with the requirements of Resolution No. representing SCS square feet. tog —�F�,) by payment of $, AB 2926 $ FULL MiTMATMP4 S Paid by Check #.,�.— Remarks: l t, - Date t � Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Governmen' ilgode Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you -from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) - feeform.xis I10/981dmm