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027-090-018
27-09-18PH�2 rA l 2,77�" O - v A . RASMUSSON V 2776 South Villa Ave, Palermo ContR: American Tradition Homes pw1,r Permit31927-89B,P,E,M(new single family) 7-090-018" PERMIT#95-0812 51 DI EY,' -Keith 2776 outh Villa, Palermo Cont; ton Const. Mobilehom Utilities 1 ELECTRIC_ � p20i9 1.� GAS LINE J -704 - COMPACTION TEST RE SUPPORT STRUCT RE 027=090- 8 PERMIT#95-0704 DILLEY, Keith / 2776 outh Vila Ave.,.Palermo Co Jim -'Fields ti M ilehome Installation 027-090-018 PERMIT#95- 130 i DILLEY, Keith 2776 South Villa -Ave., Oroville Open Deck/MH �� �,� 1 D ( Obi i e RtSIDENTIAL 027-090-018 PERMIT#95-1130 DILLEY, Keith 2776 South Villa Ave., Oroville Open Deck/MI1 �1'e JOB FINALED (Date) Signature J=OK O= Not OK =Not Applicable =Not Ready MOBILE HOMES ' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L" ft. / /"Nat. or/ /" L" fi./ /"LPG 7. Well Clearance & Disconnect ' 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1. Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zo Requirements -Setbacks -Easements c3efootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- -- -- ---------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- ------ ------- -------------- 19. Shower Pan: Test. First Floor -Tub Access -------- 20. Test -Tub & Shower. -- Second Floor -Tub Access --------------- ----------------- 21. Gas Pipe: Size & Anchors ----------------- ---------------------------------------------- Date _ ___Card B-1 --- Date --- Card B1 - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection - ------------ -- --------23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------- --- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ----------- ---------------------------------------------------------------- _ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----- -------------- I ------ ----------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / ga. _ Cu or At ---------------------------- - - - ------------ ------------------------- ---- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------------------------------------- 31. -Equip. -Clearances Panel s- Equip. ------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --- - ----------------------------------------- 33. ---------------------------------------33. Smoke Detector --------------------------------------------------------------------- ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation --------------------------- ------ - -------------------------------------- 36. ---------------------36. Condensate Drain & Overflow: Size & Grade --------------------------------------------- 37. ----------------------------------- - - --- - -- - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------------------------------- - 38. Attic Access & Platform if Furnance in Attic -------------- ---------------------------- ------------------------------------- Date Card B-1 Date Card B-1 ----------------------- --------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------ -------------- ------------------------------- ------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------- ------------------------------------------------------ 41. Bearing Walls over Girders & Floor Nailing ---------------------------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) - ---- - ---------------------------- ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing tingle & Duplex) Date FRAMING (Continued). _ 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------- _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection ----- -- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings -------------- ------- - 60. Infiltration-Walls-Windows -------------------------- -------------------------------- - Date Card B-1 Date Card B-1 --------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- -- - 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting --------------- 65. G F.I. & Bath Fixtures & Tub Access -Spa 66. Elec_ Trim --& Sub anel_Breaker Sizes & Labels ------------- 67. Stairs -&-Rails--- Rals -----------i----------- -- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance - --- - - 71. Elec. Outlets & Receptacles at Kit. Counter ---------------- ----------------------- ----- 72. Garage Fire Door: Swing -Landing -Closer ------------- ---------------------------- - 73.--A.C.-Duct in -Garage-Damper --------------------------------- -- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------- 75. Plb.. Elec. & M_ech._Equip. Listed for Location 76. Elec' Receptacles in Garage: (G.F.I.)-Romex Protection -- ----- ---------------------------------- 7-,. Insulation -Foam -Looked in Attic ❑ Yes 78 Guard Rails & Deck Construction -Post Caps ------------------------------------------ - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth _ __ Clearance Looked under Floor ❑ Yes _ 80. Following insild. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish ------------- -- 82. 82. A_C_Unit: _Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - - - ---------------------------- ----- 84. Water Well: Disconnect, Electrical, Plumbing ---------------------------------- -- -- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House - - - - - ------- ------------------------------ 87. Glass Protection ...... ......--------------------------------------------- 88. Corrections from Previous Inspections - - - - - - --------------- --------89. Gas Test -Meters Tagged: Gas -Electric --------------------------- ------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval -9 1. Energy -Compliance -Certificate. -Other Certificates- ------ --------------------------------------- ---- --- Date Card _B- 1 Date Card B-1 Date Card _B- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 5/20/96 KEITH DILLEY 2776 S. VILLA AVE OROVILLE, CA 95966 RE: Building Permit # 95-1130 Expiration Date: 6/6/96 A.P. # 027-090-018 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ XJ Permit work started, but not'completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be'completed and signed by you where indicated and returned to this office together with the fee shown. Please return all conies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new.permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. You'r's very truly, Michlael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (91'6) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER, 027-090-018 ZONING A5 :. BUILDING PERMIT .a OWNER KEITH DIL•LEY ' TELEPHONE 534-0760 SQ. FT. OCC. BUILDING VALUATION 288 0 2,016.00 OWNERS MAILING ADDRESS 2776 S VILLA AVE OROVILLE,,,951966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 54.W ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 35.10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2776 S. T PERMITFEE $ 109.10 DROVITLE, 955.966 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition IT Remodel ❑ UUlifies ❑ Installation ❑ Other ❑ Describe Work: Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service OOOV OR LESS ( 200A OR LESS •' 23.00 Main Service ( 200A TO 1000A 46.00 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 IL No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: JN 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. so 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS 97.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL .SO Ex. Occup. OUTLEEDTS (RESID.)EA ( � 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) O 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. Date Signature of Applicant Owner ❑ Cont r ctor ❑ Agent An OSHA permit is required for excavations ov r 60" deep and demolition or construction of structures over 3 stories',in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ 109.10 HAZ. D. FEES D IMP .IMP FLOOD CDF PARCEL PD HD ISSUE �/ This permit is hereby issued under the applicable of the Butte County Code and/OF Resolutions indicated above for which fees have been By Date PER MITEXPIRESON r (Date3 provisions to do work paid. •y�1 / r ReceiptNo. 180144', WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NGrNnaIVIGINa yr vcvcwrmu.. _u .•vry 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 5/20/96 KEITH DILLEY 2776 S. VILLA.AVE OROVILLE; CA 95966 RE: Building Permit # 95-1130 Expiration Date: 6/6/96 A.P. # 027-090-018 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [X1 Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing ,fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. - If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 RESIDENTIAL 027-090-018 PERMIT#95-0812 DILLEY, Keith 2776 South Villa, Palermo Cont; Staton Const. Mobilehome Utilities f —/9/9 9 /9 4 9) 70y OFFICE COPY Address GAS Meter By a ELECTR DJ Meter Date JOB FINALED (Date) Signature V=OK O = Not OK = Not Reaadyabte MOBILE HOMES Date/Initials MOBILE HOME UTILITIES Plans OK except #'a Z9sri'ng Requirements -Setbacks -Easements SgprSpecial MH Support Sketch Se : Locatlon-Teat-Fell-C/O Concrete 6elVaWrLocation-Test-Easement Needed (Sketch) ectricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / `Nat. or/ P'L"ft./ /"LPG "S learance & Disconnect ,��� Utility Clearance Date/Initials MOBIL OME INSTALLATION Plans OK except #'s opt Requirements -Setbacks Easements getings; Size -Spacing -Marriage Line ty8"'Ge Test-Demand-Valve—Connector I ricity; MH Test -Crossovers -Breakers -Clearances Ora' , MH Test -Fell -Flex Connector 6e4agtef"MH Test -Regulator -Connector a end Sewer Connected -C/O to Grade -HD Approval as Electricity Tagged its s p: Sketch rt. of OccuDancv MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rolls 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures S. Carports: Windows -Doors 7. Electric 6. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 6. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boa rds- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK ' O = Not OK - = Not Applicable RESIDENTIAL Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel, 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22.. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: ( COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT O. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-09-0-018 ZONING A-5 BUILDING PERMIT OWNER KEITH DILLEY TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME STATON CONSTRUCTION TELEPHONE 533-4675 CONTRACTOR'S MAILING ADDRESS P 0 BOX 1856 OROVILLE 95965 Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2776 SOUTH VILLA PALERMO PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ XOther SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CA Installation ❑ Other ❑ Describe Work: MOBILEHOME UTILVIES Mobile Home S @20.00 60.0 PERMITFEE $ 80.00 Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service ( o2o0v00A OR LESS OR LESS ) 23.00 23.00 Main Service ( 200A To 1000A ) 46.00 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. License Class C �/? Lic. No. �S 6��(7 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 NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. ) s0. 3.5{t FT. T NEW CCONST. MULTI-OUUTLETLE NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) G9 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FD(TURES ) 20 Q 1.00 a4L SO FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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. Datey Zy �� Signature of Applicant - r FloContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HA2. I D. FEES IMP F C F pARC Po ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been ' By PERMITEXPIRESON J (DA provisions to do work paid. ate / %b Receipt No. 176106 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C' ' MOBILEHOME INSTALLATION ACCEPTANCE COUNTI.OF UTTE DEPARTMENT OF DEVEEOPMENT SERVICES BUILDING.DIVISION-' 7 COUNTY CENTER DRIVE OROVILLE CA 95965 ---PHONE (916) 538-7541 .r APN: PERMIT NO.: i Owners: Name: Owner's Address: Mobilehome -, Year of Manufacturer /l�C/�r�►�`,.- Manufacture: / Serial number (� -7 """ ! Sr Ins4" ignia or, or V.I.N. ( -- HOD number: Official approving,i tallation: Date: . If the mobilehome is moved or relocated, the mobilehome installation acceptance shall be ome invalid. 41s form shall not be used when the mobilehome is installed on a foundation system.. i 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor WARNING ,OUND ANCHOR INS ALLATION MAKE SURE THE ANCHOR LOCATIONS WILL N07' `BE CLOSE TO ANY UNDERGROUND ELECTRICAL CABLES, WATER L,R,;ES, SEWER LINES OR GAS LINES. FAILURE TO DETERMINE THE LOCIATION OF ELECTRICAL CABLES OR GAS 1 LINES MAY RESULT IN SERIOUS D;,,JrJRY OR DEATH. 1. PARTIALLY INSTALL APPROPRIATE GROUND ANCHOR, ALLOWING TENSION HEAD TO MAINTAINAPPROXIlviATELY 14" TO 2. USING OVERSIZED HAMMER, VERTICALLY INSTALL STABILIZER PLATE BETWEEN FRAME AND ANCHOR. THE TOP SECTION OF THE STABILIZER PLATE MUST BE DRIVEN FLUSH WITH THE GROUND TO INSURE SURFACE SOIL COMPACTION. 3. FULLY INSTALL GROUND ANCHOR UNTIL TENSION HEAD BOTTOMS OUT AGAINST STABILIZER PLATE. 2) INSTALLER/CONTRACTOR CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION 'INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADF, TO THE ANCHORING SYSTEM OR BUILDING STRUCTURE. COMPANY NAME: DATE: 4 d - CONTRACTORS LICENSE # '94'0 (F SIGNATURE PAGE 9 September 28, 1994 Mr. Locke M. Jones Tie Down Engineering 5901 Wheaton Drive Atlanta, GA 30336 Dear Mr. Jones: r.. LISTING NUMBER: TIE -942609 . t Having completed the in-house audit of quality control, quality assurance, procurement, welding procedures, etc., Tri-State Testing Services in compliance with the rules and regulations of the Department of Housing of California lists the following products:. MODEL NUMBER- PART NUMBER DESCRIPTION M12H5/8 59080 5/8" X 58" DOUBLE HEAD ANCHOR W/6" AUGER M12H3/4 59085 3/4" X 48" DOUBLE HEAD ANCHOR W/6" AUGER M1225/8 59090 5/8" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS M1223/4 59095 3/4" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS MIT2 59115 3/4" X 8" DOUBLE HEAD THREADED ROD PATIO ANCHOR MIJ2 59120 5/8" X 12" DOUBLE HEAD J -ROD SLAB ANCHOR MICS2 59125 PATIO ,ANCHOR W/EXPANSION BOLT 59250 59250 3/4" X 36" DOUBLE HEAD ANCHOR W/6" & 4" AUGER MRA= % 59110 CROSS DRIVE ROCK ANCHOR 3/4" X 30" ROD MIC2 59096 5/8" X 30" CORAL ANCHOR 59292 59292 LATERAL STABILIZER PLATE MGRS 59145 GA1LVszNIZED ROOF BRACKET MIDH 59100 DOUBLE HEAD ONLY MIS2 59105 SWIVEL ADAPTER HEAD 67 56 SUCKLES COVE MEmf-Ais. TN 38 1 33 90 1-325-1 1 99 rAx 901-386-661 4 PAGE 10 " y' C l 'E COUNTY OF BUTTE BUILDING DIVISION' DEPARTMENT OF DEVELOPMENT SERVICES 1.469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 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 notify 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. Approved steps and or porches shall be installed within 60 days where indicated by X. Permits are required. Date Slu)4�f Inspector REV 10/d2 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 45�Q PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspectowe5 REV 10/d2 �'`` ...r ter, .� r +w ..�rr�1r1•T.-'4 �. .1 v�^.���,,, ... +,,..A....�.ni.-�+r,..r �iEyr,_..•._]C,�.�y,.wl.m..-eti:.�rr+.'�.-......1•.a..y,,.. .t��er'Y.^ :'n.r y •': r'.��: .,:•.,•'.� ...ia .. V COUNTY OF BUTTE - DEPARTMENT OF ELOMENT SERVICES - BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 0 PERMIT APPLICATION DATA SHEET D /CSC. �sr'4 Q Z - 6,?,e- 0 OWNER Proposed Building Use Building Inspector Date At time of permit application, I was advised the followigg data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted . ......................... . Plot plans, 3/4 sets, signed by preparer of plans. ................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... ti 2. mpact fees as shown on attached schedule. California Department of Forestry plan approval/ ee f0?_.zi�� ® 14. Flood elevation letter (100 year flood) by California Engineer. . . Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18 --Contact Land Development about (A) Improvements (B) Drainage. ......... 0qfV19. Driveway permit (construction approval required prior to occupancy). ......... ectio� re. quest Pre -inspection for required. .. to su id ng Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 4. Owner -Builder Verification (Given to owner Mail to ewner.. ......... ; ; Recorded copy of Agricultural Acknowledgement Statement . ............... . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... ,�- 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at CTU office. Deliver with inspector. Other Parcel Creation Acreage Applicant ZZZDate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other . Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: nce: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by ��ri Date -27 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Wo*s B.H. USE ONLY Plot Pdn AttacW f a w B.D. -.2.7- A& iL. 25� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance L(—Fy e�- � 76 ice— ,«A Owner / Location Plan Approved 10:Sewage Disposal �/ Water Supply: PublicClearance foredroom mobile home. Other --a?- 0470- 018 AP# Private Well 8/92 Date COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, 'California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERG Z O ZONING BUILDING PERMIT OWNER_ ^ L L / v / TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRALTO 'S NAME X/ TELEPHONE JET/j/J CONTRACT IRS NG AD ESS Fireplace CONSTFITICTIONENDER UNxNOWN Total Valuation $ Fling Fee $ 20.00 LENDERS MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS "UNG ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP ,Volar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer15.00 TYPE OORK New ❑ Addition ❑ Remodel ❑ Utijities Installation ❑ Other ❑ Describe Work: /� (/// Mobile Home S G W 920.00 14 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceOoOV OR ESS ( 20 A OR ESS / 23.00 ,2300 Main Service ( 200A TO 1000A ) 46.00 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER APPARATUS (a s NGLE OUTLET C R. ) EX. Occup. ( OUTLET OR FIXTURES ) aAL 20 @ 1.50 EX. Occup. FIXED APPLNS. D.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20:00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 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, shall forthwith comply with those provisions. X Date — -- Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 50" deep and de olition or cnstruction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. 1 0. FEES I IMP FLOOD COF PARCEL PO I HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I the applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. / 7 [6,6 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT And when recorded mail to: Building Division #7 County_ Center Drive Oroville, Ca. 95965 95-0150371 Rec Fee I COP Recorded I Check Official Records I County of I Butte I Candace J. Grubbs (- Recorder I 1:19pm 8—May-95 I PUBL XX 6. 00 1.00 7.00 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The 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: The West 96.8 feet of Lot 5 in Block 64 in Subdivision No. 1 of the Palermo Citrus Tract, as the same is designated and delineated on that certain map entitled, "Map of Palermo and Subdivisions 1 and 2 with Addition to No. 1 of the Palermo Citrus Tract", which map was filed in the office of the Recorder of the County of Butte, State of California, September 17, 1888. Date: %� / 5 PROPERTY OWNERS: ,//e State of California ) County of`"�b ) On I J before personally appeared k_e /744 G/ ai //`e Z - personall-* known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signatort l (('/����, L,CL� Seal: A. P. OFRML SEAL REBECCA L BLEDSOE NOTARY PUBLIC -CALIFORNIA N COMMISSION # 988238 i BUTTE COUNTY My Commission Exp. Feb. 28. 1 W7 JLl N 1 b ' 'a'_2 25 TO 11H CTR -0 F ;GE . 002 7 , t ? - rear r -D ,t►r, a of - I - -�► tom=ir - _ I 1 a � lo�c•> � S�i ._ s i ; e in i r T. I C) •l 1 � r- xL C �! _T_ i IN1—I 1� 4'�.".!! Mae OPT. MASTER BATH . d SME: MASTER BEDROOM W-2' X 12'-4" LlvlW3 ROOM 19' 0' X W-41 BEDROOM '2 111•10' X 11'-1' MT\1wmmw-0m�mi- V2..0' X 17 d. OPT. LINO 'FOYER 2 BEDROOM • MODEL 674 • 26'x 601 • 1560 SQ.FT. AmN cHamPion OW HOME BUILDERS CO. 'k ue ROVED Butte Environ Covn mental Health �,,. ..r ;:aat`. Srt`.'`s-: �w!" «A �h!g�'v..SY��a" °:' .r o.'G''I •;a....... �`'.t�v: . Y �,+'enfv+'9r"� .�,.y "':.;r.,.,.• r i _ .x v i ?rte i-.' .v� r r+', r;, fir, �.• F� .�•; .,1'.. ..+. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District dr—0 UXI H S ' Building Department No. A.P. Number.,?7-4)%iy/9- Jurisdiction ❑ City 'ounty Property Owner �/774 4c- Property Location/Address 2-776 S QOXw '/ Subdivison Lot No. Residential Development ❑ �� --� No. of Living MHI J+ -Addition Units Commercial/Industrial nlc�u Sq. Footage 15 62 CZ (Group R) 0 Sq. Footage °f4r4"ln (Including Exterior oofed'Areas) � i 9S� Date (Floor Plans reviewed by School District Personnel) Identification, ,NQ. 9 F 0 JQ ; -.'o, d ho 1 District certifies that. ` ..C. /i n (Applicant). (Street Ad '(City) � has complied with the requirements of Resolution No representing �) (U z { square feet. School District Representative Paid by Check # Remarks: Bank Number t Paid by Cash (Phone Number) (State) (Zip Code) 0 " ��) by payment of $c GO 6 ❑ Check here if fee received represents "Full Mitigation". Y113 Date 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) feeformmki (a/ea) LAND DEVELOPMENT - BUIL ING PERMIT CLEARANCE Building Permit No. S"o U / L AS�'1vSS vN� Cvlo��vE OWNER NAME: S J NUMBER: PRINT LAST NAME FIRS COUNTY ZONING DESIGNATION: A 5 FLOOD ZONE:_9� FLOOD MAP: ��© I3 APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS DATE OF CREATION:_ ) a,+ DEED REFERENCE: S 2� 4� G i�r r� o) LEGAL ACCESS PROVIDED: 17� YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: / YES NO COMMENTS/CONDITIONS: PARCEL CREATION BY MAP DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a building setback from right-of-way/centerline of _ 3. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. _ 4. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 5. Pay T.D.D. (Therrralito Drainage District) fee in the amount of $ 6. Maintain a 100 ft. leachfield setback from all existing wells. 7. Maintain a ft. leachfield setback from 8. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. 9. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. _ 10. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 11. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. 12. CHECK APPROPRIATE REQUIREMENTS YES OR NO OR CONDITION' NUMBER. LD 12194 - C:1WP511F0RMS.K%6LDGPERM.CLR I- ` ! ..int. -oqS.ju9uido,,e/%,-' " SO HdV auns io A; COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT W'f APPLICATION -AND PERMIT ,S_ © 4 ASSESSOR PARCEL NUMBER 027-090-01£3 ZONING BUILDING PERMIT OWNER KEITH DILLEY TELEPHONE 534-0760 SO. FT. OCC. BUILD IN VALUATION OWNERS MAILING ADDRESS 291 ALTA AIROSA OROVILLE CONTRACTOR'S NAME JIM FIELDS TELEPHONE 872-1639 CONTRACTORS MAILING ADDRESS CIRCLE5039 IN PARADISE, CA Fireplace CONSTRUCTION LENDERUN194OWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2776 SO VILLA AVF PERMITFEE $ 3.00 PAURM0, CA PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO.SUBDNIS ION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑X Other ❑ Describe Work: MHI al��j` J�� Mobile Home TFrd[ W @20.00 PERMITFEE $ – Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 �' J Lic. No. S/ ltS �/ �j 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 F,. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( SIPOWER APPARATUS ) 8 NGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES p. ( ) 20 @ I.DO BAL 50 EX. Occup. (OUTLETS FIXED PRESID.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) 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 rov Ions. X �--- Date '��—�J — Sigln re of Applicant - ❑ Owner �2ontractor ❑ Agent Arr SHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE FEE $ 143.00 HAZ. 1 O. FEES IMP FLOOD v COF _ PARCEL PD HD 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. By(/_� sC1�{� Date PERMITEXPIRESON (61 (Date) Receipt No. 175844 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1-1 ^-:iw•..vr...�"Y �:..•+ri" d''.�" .:, iY'�- -w "f+l.i%�Y-`• +� � v..��••4;•_ P �'-5 �'�f_. r. c`�"`>.7'a;✓.»l .,.- r�. E�bPM COUNTYOF BUTTE -DEPARTMENT OF D VENTSERVICES -BUILDING DIVISION . 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET vllU lOWNER Proposed Building Use D/L A. P o. .l /- Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY L.-'1All items have been submitted. . `2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... An -:,Fees of $ .......................................... Impact fees as shown on attached schedule. - a ifornia @apartment of Forestry plan approval/ .................. . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. D . 't t "^tion a royal re wired rior to occu anc ) 19. nveway perms (cons r pp q p p y . .. Pn Ins . pect on req"est 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27 Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. .......... { ..................... 30. Documentation of 50% subdivision developed or (A') Road ffiprovements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When vQu issue the permit, process as follows: Mail to owner. ) Mail to contractor. Telephone and hold for pickup at 0 office. Deliver with inspector. Other -/-,"C' a A Parcel Creation Acreage Applicant t x mate P P P P - -- - - - Co of Haz-Mat form sent Health Dept. 1 Fire De t.;' Air Pollution Date ! o c) Copy of plans sent Health Dept. Fire -DeP t. Other Datel_4_L 1 By The -following data must be submitted prior 1. Index permit for above items No. 2. Additional items requi le,d: ' ance: (Circle new item not,'checked above). Contractor, designer, owner, was advised of.above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, s Isedlof above r quired da�a by _ phone _ mail Counter by _ Date Plans checked by,, t ' ' t/, -.'r Date -Z% 5 Plans approved by oc�.� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE --DEPARTMENT-OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (916) 538-7541 OWNER A. P. # 27 d PROPOSED BUILDING USE DATE REC. # DATE REC SCHOOL DISTRICT FEES &2. (paid at District Office)... .............. ... SHERIFF FEES .(paid at Building Department) Residential ......un=$ S � ACommercial unit amt. (sqft) . .x _$ &/'1-3.' sq.ft. amt. URBAN AREA FEES (paid at Building Department) Residential (per unit) x _$ # units amt. Commercial (per sq.ft) x.. _$ sq.ft. amt. 94. RECREATION DISTRICT FEES (paid at District Office) .............. ......... /5. DRAINAGE DISTRICT FEES _ ontact Land Development Division)............ ` 4�6. SRA FIRE NSPECTION AND PLAN CHECK = $89.00...... ai uilding Department) 7. OTHER 8: OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. . _ 7 County Center Drive - Oroville, Callfornia'95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER yr �_ D �fO _ ZONING --- BUILDING PERMIT OWNER A, 7- TELEPHONE S< -7 SO. FT.... OCC. BUILDING VALUATION ---— - -- — OWNER'S MAILING AD Ess ,.. /�,-6 /' /` /' / L2 R2 4 CONTRACTOR'S NA— V72-16 E39 CONTRACT'OR'S MAILING ADDRESS SV CONSTRUCTION LENDER UNKNOWN --- --- Fireplace Total Valuation --------- Filing Fee $ T� LENDER'S MAILING ADDRESS _ Permit Fee �3 ARCHITECT OR ENGINEER LICENSE NO. = Plan Checking Fee Energy Plan Checking $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty _----------$ BUILDING ADDRESS Permit fee— $ , -PLUMBING PERMIT Filing Fee Each Trap Solar or heat pump water heater 20.0_0 — LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Eachwater heater or vent _ _ 5.00_ USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQr Other SPECIFY _gas Gas piping system 1 - 5 outlets —5.00 Building sewer 5 OU — Mobile Holne TYPE OF WORK New[—] Addition[] Remodel[] Utilities❑ InstallationLV Other[] Describe work: Permit Fee Contractor _— ELECTRICAL PERMIT _ Filing Fee Main service e00V OR LESS 100 AMP OR LESS - Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury '(check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. >lea� Classification 16 ^ % ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. _, Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N 0R Aonris. ACG, SLOGS. 2'h¢sgft �;Ew c<ii•i rri �+ 1 -OUTLET NUri.laEil U. BRANCH CIRC -W.1 2.50 ea _ (POWER APPARATUS &) \SINGLE OUTLET CIR. �_ EX_ Occup�OUTLETS OR FI%'rURE.3 _ — zo Of Int eA1.g30f FIXED APPLNS. OR Fx_OC::up. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 —_.'.- -'hl ohile Home Facilities — — _ Misc. Wiring --_ _ Permit Fee $ Contractor —_ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. --- MECHANICAL PERMIT Filing Fee Heating _ Cooling — — _ Hood 3.00 Ventilation — Permit Fee $ Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. — �`����5' X Date Signar ;-.".-f Applicant — Owner ❑ Contractor- Agent ❑ An OSHA permit is required' For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ e Energy Inspection Fee $ TOTAL PERMIT FEE $ 0ccu P. CONST.TYPE JSCH001_1 FLOOD PARCEL PD IID 1 139UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. S WHIT[-D.P.W.. YELLOW-ASOESSOR. PINK INSPECTOR. GOLDENROD -APPLICANT Tine set of plans and spe kept on the job at all times make any obang'es or altar, written permission from tl Works, Counter of Butte. NOTE: All Materials & W Aoaordance with Recogn of s quality Prescribed fc in the Uni¢oram Building, 00dlss and the National E qw, The attach nd F requiremer is a as specifiei I an by C.D.F. vV-1- ons MOT be JIM unlawful to on same without u tment of Pub11c 3mehip Shall Be In rood Practices and Specified use Bing & Mechanical .oal Code. KE«+ Orc-Ef .117(o So. UILO ME. PALU"1c , CA AFN4 27 -090-018 SC&E I it - 50 r ALL STRU ,TURES AND EQUIPMENT INCLUDING OVERH.ANC S SHALL BE CLEAR OF ALL EASEMENTS, A SET BAC .K OFC &16z�` ,FROM THE SIDE AND f3p ""r -T. FROM THE REAR PROPERTY LINES AND I^ -I'. jFROlb,1 THE LOAD CENTERLINE SHALL BE CLEAR OF'STRUCTURE` AND EQUIPMENT EXCEPT FOR A 2 Ffl. EAVE OVl-.13MAP40. /-6o EyUMNIG I- CE CE vrI t. e Safe st be completed approved �J L Q�r REVIEWED BY BUTT'E CO. FIRE DEPT. CALIF. DEPT. of FORESTRY approved as submitted sipproved with conditions pi. -7 attached shest�. i aiyr�aty�ie Date *UfTE COUNTY WILDING DEPARTMEN' APPROVED %ogIz M4Lt. cis - o -704 MPTP sovW vu.A Aug. CF/LE ;27-og-ia AP# 9 CDF FIRE -SAF E=REQUIREMENTS PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are•made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by, the Butte County Building Department for compliance. [ ;1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties'in conformance with these standards and measures and -to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Drivewav Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apF•_,rtezant-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 verti^tel curves in roadways exclusive 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 / traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of ; 3 ., Z)-7 -o9 q37, 0 el Z f 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. [�] 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 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. [i a 1. All parcels 1 acre azzd larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [xj 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�zal inspection of a building permit. Page 2 of 3 W 11 AP # PERMIT # Other Requirements Buildina Setback is T5 to 3-0 Feet - Class A or B roof - Enclosed eaves NAME [ ] If Buildina Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cierit setback - - Class A or B roof with enclosed eaves - Interior automatic sprinkler 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 Date Signature Page 3 of 3 TRI STATE TESTING - MEMPHIS, TENNESSEE r "' ` TIE ]DOWN ENGINEERING A CALIFORNIA APP— RGVD LISTING AGENCY 9. �•- - ,.,;>:'• ....._.. -,' CALIFORNIA APPROVED ANCHORING PRODUCTS MANUFACTURED HOUSING AND COMMERCIAL CO �'2►: INCLUDES SCHEDULES DIAGRAMS FOR SINGLE/DOUBLE/TRIPLE/QUADRUPLE WIDE UNITS 3 1. PRODUCTS DESIGNED FOR A. SOIL ---1,000-4,000 AND UP PSF SOILS (CLASSES 1-4, 200-550 INCH POUNDS AND UP TORQUE VALVE (CLASSES. 1-5, UBC -CALIFORNIA) SOIL CLASSIFICATIONS GENERAL DESCRIPTION OF SOILS Blow Count ALLOWABLE PRESSURE (Pounds Per Square Foot) SOIL TYPE No allowance made for overburden based on the unified pressure, embedment depth, water classification system table height or settlement problems rock or hard pan 4,000 and u Sandy Gravel or Gravel 2,000 Sand, Silty Sand, Clayey Sand, 1.500 Silty Gravel, or Clayey Gravel preuaded silts. and clays Clay, Sandy Clay, Silty Clay, or 1,000 Clayey Silt Uncommitted Fill Special analysis is required. Peat or Organic Clays Soecial analysis is required. B. WIND—ZONE 1, 85 MPH EXPOSURE nCa ���.0 7-1EoOW'V �ysre��n APPROVED �U�!rCT TO CCR2ECTIC't-:S NOTED Approvn) dots not .•u:t:ori:e .rapprove any omission or dev4:tior. from rey:�:re•r.:et?t; o.'1anpliccible State laws and •eflulaiigns. Sloic of C Aifornio DoPcOnsent of iluusir.a and Community Development Dlv:cl! iX•i:ES A;:D 57ANDARDS (sig:ta vee) r� Loll 1 7t,,.c FT(�n Ap :)r.)vc:! Ex.pires_11411s, C. SEISMIC—ZONE 4 Types of Soil Blow Count Test Probe I (ASTM DI5861 Tara— Value 2 1 Hard rock NA NA 21a) Vey -d— and'o ' cemented >and,. coats¢ ravel and cobbles• more than preuaded silts. and clays 40-,p 550 tbs. Inch more than (b) Corals 40..p 550 1b,. Inch 3 Madlumdense coarse :and,. sandy gravels. very. 350 a tiff sus & days 2:39 549 lbs. Inch 4 Laos. to medium dens¢ sands. f .. a sda clays & 200 to sits. enuvivm fig 1423 349 lb,. inch 5 Concato slab , Tmsionvg devices for use in conc.0 pad. runner, t... shag be tested (some as arch—) and specifi—i-, as to p5I end tura rima of <onc�ere, reinfocat, sizer, and thixress of ::once.., size end depth of bolt hole, typo and kind of shield 1-1 pennusible. Mvtimu.•s: distance at which ten riming device can be installed front edge or end of slab. pad. turner. ate. shag be specified. Ins=ons shipped with each tensioning device shag include the abov.. (a) The test probe is a device for meas—ig the torque vaiw of sods w assist in evaluating the hoiding capability of the soils in wi,ich the anchor Is placed The test probe has a hens on it. The —an length of the helical section is 10.75 Inm cha: the aim d'wneter Is 125 Inches: die mbtor damacas is 0.81 bnches: the pitch 1.75 inches. The shaft must be of suhable length for anchor drp:1t_ (b) A measure synonssnous with morn: of a force when dntrlbuted around the shaft of the tat probe. 10 Belay these values, a professiaml Wig'. shmId be consulnd a additional anchors added. Desion Wind -load Zones:. Standard Wind Zone 1 15 psf Horizontal 9 psf uplift' Hurricane Zone II -t39 psf Horizontal 27 psf uplift Hurricane Zone III y47 psf Horizontal 32 psf uplift net uplift Note -- psf: pounds per square foot WITS cous" anufactured Home Construction and Safety Standards (MHrov 5(c)(2), latest edition AMP Pr 2. CAPACITY OF ANCHORS - EACH GROUND ANCHOR, WHEN INSTALLED, SHALL BE CAPABLE OF RESISTING AN ALLOWABLE WORKING LOAD AT LEASE EQUAL TO 3,150 POUNDS PLUS A 50 PERCENT OVERLOAD (4,725 POUNDS TOTAL) WITHOUT FAILURE. 3. CAPACITY OF STRAPPING - TIE DOWN ENGINEERING GALVANIZED STEEL STRAP MEETS OR EXCEEDS THE NCSBCS/ANSI 225.1-1994 AND THE ASTM -D 3953-91 SPECIFICATIONS FOR 1-1/4"X.035 (MIN.) TYPE 1, FINISH B, GRADE HOT DIPPED GALVANIZED STRAPPING. CONFORMS TO SB -750 REQUIREMENTS SECTION 1336.3 OF THE CALIFORNIA CODE OF REGULATION TITLE 25, 18613.4 OF THE HEALTH AND SAFETY CODE. PAGE 1 Side Frame Ties Must Be No More Than 2' From Each End Of Unit. Other Ties Spaced Evenly Thoughout The Length Of Unit. Side Ties —I I— 2' Max. —I I— 2' Max. Single Wide Unit End Ties Wind - Zone I (85 MPH - Exposure "C") Seismic - Zone 4 Required Number Of Tledowns For Each Side And Each End Unit Length 20' 30' 40' 50' 56' 60' 62' 66' 70' Tiedown Locations Side End Side End Side End Side I EndSldeE12 Side End. Side End Side End Side End Single Wide 4 2 4 2 5 2 6 2 7 7 2 8 2 8 2 8 2 Tota'NumberNunher of Tledot12 12 14 16 18 18 20 20 20 M CA) Side Frame Ties Must Be No More Than 2' From Each End Of Unit, Other Ties Spaced Evenly Thoughout The Length Of Unit, Wind - Zone I (85 MPH - Exposure "C") Side Ties Seismic — Zone 4 —I I— 2' Max. I I— 2' Max. Double Wide Unit End. Ties Required Number Of Tiedowns For Each Side And Each End « Unit Length 20' 30' 40' 50' 56' 60' 62' 66' 70' Tiedown Locations Side I End Side End Side End Side End Side I End Side End~ Side End Side I End Side I End Single Wide 4 1 4 4 4 5 4 6 4 7 1 4 7 4 1 8 4 8 1 4 8 1 4 Totnl Number ❑F Tledorns 16 16 18 20 22 22 , 24 24 24 Side Frame Ties Must Be No More Than 2' From Each End Of Unit, Other Ties Spaced Evenly Thoughout The Length Of Unit. Wind - Zone I (85 MPH - Exposure "C') Side Ties Seismic - Zone 4 —I I— 2' Max. —I I— 2' Max. Triple Wide Unit End Ties Required Number OF Tiedowns For Each Side And Each End Unit Length 20' 30' 40' 50' 56' 60' 62' 66' 70' Tiedown Locations Side End Side End Side End Side End Side End Side End Side End Side End Side End Single Wide 4 6 4 6 5 6 6 6 7 6 7 6 8 6 8 6 8 6 Total Number Of 20 20 22 24 26 26 28 28 28 Tledowns W 0 Q M 0 Side Frame Ties Must Be No More Than 2' From Each End Of Unit. Other Ties Spaced Evenly Thoughout The Length Of -Unit, Wind - Zone I (85 MPH - Exposure "C') Side Ties Seismic _ Zone 4 —I I— 2' Max. -I (— 2' Max. Quadruple Wide Unit.. End Ties -.Required Number OF Tiedowns For Each Side And Each End Unit Length Tiedown Locations 20' Side End 30' Side . End 4 8 40' Side End 5 1 8. 50' Side, End . 6` 8 56' . Side End 7 1 8 60 Side. End 7 1 8 62' Slde End 8 8 66' Side End 8 1 8 70' Side End _ 8 8 Single Wide 4 8 Total Nunber Of Tledowns 24 24 26 28 30 30 32 32 — 32 Engineering Calculations 85 MPH Wind EXP 'C" P LAT=(1.06)(1.3)(17)(1)=25.6 PSF W LAT=(25.6 PSF)(13')=333 PLF 85 MPH Wind EXP "C" Vs. Seismic Zone 4 333 PLF=0.186 1(32.5)( ,Or ,;h)+1607 ``th or =50,8'=D 51' Wth Seismic Zone 4 V=0.186(DL) V=0.186 1(10 PSF)(` th )+(� +10 Psf)(dth �` r )+(2 WALLS)(8')(10 PSF)] Wind - Zone 1 (85 MPH - Exposure "C') Seismic - Zo.ne 4 Width Length Load /Load Trans Trans Total Lond (Trans) Total Load (Long) tt Trans T.D. Side '(les it Long T.U. End Ties Single Wide Wi14' 40 FT. 333/333 13,320 LBS. 4,662 LBS. 5 2 50 FT, 333/333 16,650 LBS. 4,662 LBS. 6 2 60 FT. 333/392 19,980 Lbs. 5,488 LBS. 7 2 70 FT, 333/453 23,310 LBS. 6,342 LBS. 8 2 40 FT, 333/333 13,320 LBS. 9,324 LBS. 5 4 Double 50 FT. 333/333 16,650 LBS. 9,324 LBS. 6 4 Wide Wi28' To 60 FT, 333/392 19,980 Lbs. 10,976 LBS. 7 4 70 FT. 333/453 1 23,310 LBS, 12,684 LBS. 8 4 40 FT, 333/333 13,320 LBS. 13,986 LBS. 5 6 Triple 50 FT. 333/333 16,650 LBS. 13,986 LBS. 6 6 Wide TO 42' 60 FT, 333/392 19,980 Lbs. 16,464 LBS, 7 6 70 FT, 333/453 23,310 LBS, 1 19,026 LBS. 8 6 Quad 40 FT. 333/333 13,320 LBS. 16,650 LBS. 5 8 50 FT. 333/333 16,650 LBS. 16,650 LBS. 6 8 Wide Wi50' 60 FT. 333/392- 19,980 Lbs. 19,600 LBS. 7 8 70 FT. 333/453 23,310 LBS. 22,650 LBS. 1 8 8 CO w Q a TIE DOWN ENGINEERING INDEPENDENT TESTING RESULTS NOTE: ALL ABOVE TESTS -WERE CONDUCTED BY ATEC ASSOCIATES, PRODUCT TESTING, INC. AND GALL ET & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE MADE AVAILABLE UPON REQUEST.' PLEASE FORWARD YOUR REQUEST FOR THIS INFORMATION TO: TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 PAGE 7. ULTIMATE MODEL NO. DESCRIPTION OF TEST STRENGTH TEST DATE MI2H % VERTICAL PULL-OUT IN MOIST SILTY CLAY. 6,133# ,9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE BETWEEN (AVG.) ' 200-349 INCH POUNDS- MI22 . VERTICAL PULL-OUT IN SILTY SAND AND GRAVEL . 5,733# 9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE 550 INCH POUNDS (AVG.) " AND MORE-,-- ORE-__MRA MRA VERTICAL PULL-OUT IN LABORATORY FIXTURES 5,567# 3/2/93 FOR SIMULATION. UNCONFIRMED ROCK WAS NOT AVAILABLE. MICS2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200# 3/24/94 CONCRETE. TEST STOPPED AT -5,200 POUNDS. MIJ2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200# t 3/30/94 CONCRETE. TEST.STOPPED AT 5,200 POUNDS. MIT2 VERTICAL PULL-OUT IN 2,500 PSI CURED 5,200# - 3/30/94• CONCRETE. TEST STOPPED AT 5,200 POUNDS. MMH64 J VERTICAL PULL-OUT IN SILTY CLAY. TEST PROBE 5,200# 10/6/93 - (59250) TORQUE VALUE BETWEEN 200-340 INCH POUNDS ML 45 DEGREE PULL ON STABILIZER PLATE IN SILTY 6,067# 8/5/92 (59292) CLAY. TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS - NOTE: ALL ABOVE TESTS -WERE CONDUCTED BY ATEC ASSOCIATES, PRODUCT TESTING, INC. AND GALL ET & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE MADE AVAILABLE UPON REQUEST.' PLEASE FORWARD YOUR REQUEST FOR THIS INFORMATION TO: TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 PAGE 7. TIE DOWN ENGINEERING ANCHORING SYSTEM MI2H (5/8"-3/4") 48" LONG ANCHOR ITERAL STABILIZER PLATE MI22 (5/8"-3/4") 30" LONG ANCHOR PAGE 8 SIDE FRAME TIE (MBU) J J J J MRA (ROCK ANCHOR) . o0 o� BUCKLE/W STRAP (SIDE FRAME TIE) MLFT (END FRAME TIE) WARNING BEFORE BEGINNING GROUND ANCHOR INSTALLATION, MAKE SURE THE ANCHOR LOCATIONS WILL NOT BE CLOSE TO ANY UNDERGROUND ELECTRICAL CABLES, WATER LINES, SEWER LINES OR GAS LINES. FAILURE TO DETERMINE THE LOCATION OF ELECTRICAL CABLES OR GAS LINES MAY RESULT IN SERIOUS INJURY OR DEATH. 1. PARTIALLY INSTALL APPROPRIATE GROUND ANCHOR ALLOWING TENSION HEAD TO MAINTAIN APPROXIMATELY 14" TO 16" MINIMUM GROUND CLEARANCE. 2. USING OVERSIZED HAMMER, VERTICALLY INSTALL STABILIZER PLATE BETWEEN FRAME AND ANCHOR. THE TOP SECTION OF THE STABILIZER PLATE MUST. BE DRIVEN FLUSH WITH THE GROUND TO INSURE SURFACE SOIL COMPACTION. 3. FULLY INSTALL GROUND ANCHOR UNTIL TENSION HEAD BOTTOMS OUT AGAINST STABILIZER PLATE. ct 2) �CwC , ., rl INSTALLER/CONTRACTOR CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING STRUCTURE. COMPANY NAME: DATE: CONTRACTORS LICENSE # SIGNATURE PAGE 9 TAT E TESTYNG SERVICES, INC. September 28, 1994 Mr. Locke M. Jones Tie Down Engineering 5901 Wheaton Drive Atlanta, GA 30336 Dear Mr. Jones: LISTING NUMBER: TIE -942609 Having completed the in-house audit of quality control, quality assurance, procurement, welding procedures, etc., Tri-State Testing Services in compliance with the rules and regulations of the Department of Housing of California lists the following products: MODEL NUMBER PART NUMBER M12H5/8 59080 M121-13/4 59085 M1225/8 59090 M1223/4 59095 MIT2 59115 MIJ2 59120 MICS2 59125 59250 59250 MRA'% 59110 MIC2 59096 59292 59292 MGRB 59145 MIDH 59100 MIS2 59105 DESCRIPTION 5/8" X 58" DOUBLE HEAD ANCHOR W/6" AUGER 3/4" X 48" DOUBLE HEAD ANCHOR W/6" AUGER 5/8" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS 3/4" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS 3/4" X 8" DOUBLE HEAD THREADED ROD PATIO ANCHOR 5/8" X 12" DOUBLE HEAD J -ROD SLAB ANCHOR PATIO ANCHOR W/EXPANSION BOLT 3/4" X 36" DOUBLE HEAD ANCHOR W/6" & 4" AUGER CROSS DRIVE ROCK ANCHOR 3/4" X 30" ROD 5/8" X 30" CORAL ANCHOR LATERAL STABILIZER PLATE GALVANIZED ROOF BRACKET DOUBLE HEAD ONLY SWIVEL ADAPTER HEAD 6756 BUCKLES COVE MEmpt-iis, TN 38 1 33 90 1-385-1 1 99 F, -,x 90 1-386-66 1 4 PAGE 10 Tie, Down Engineering Page 2 September. 28, 1994 BCS 59175 CRIMPING.SEAL FOR 1-1/4" STRAP MBU 59140 GALVANIZED STRAP BUCKLE MBUS 59139 SPECIAL GALVANIZED STRAP BUCKLE BISB _ 59135 SLOTTED BOLT AND NUT - MS33 59149 1-1/4" X 33' GALVANIZED STRAP MS35 59150 1-1/4" X 35' GALVANIZED STRAP MS37 59155 1-1/4" X 37' GALVANIZED STRAP MS42 59160 1-1/4" X 42' GALVANIZED STRAP MS60 59165 1-1/4" X 60' GALVANIZED STRAP MS600 59170 1-1,/4" X 600 GALVANIZED STRAP MHT6 59185 1-1/4" X 6' FRAME TIE W/HOOK MHT7 59190 1-1/4'.'X 7' FRAME TIE W/HOOK MHT8 59195 1-1/4" X 8' FRAME TIE W/HOOK MHT10 59210 1-1/4" X 10' FRAME,TIE W/HOOK MHT12 59211 1-1/4" X 12' FRAME TIE W/HOOK MHT15 59050 1-1/4" X 15' FRAME TIE W/HOOK MBU6 59137, 1-1/4" X 6' FRAME TIE W/BUCKLE MBU7 59141 1-1/4" X 7' FRAME TIE W/BUCKLE MBU8 59142 1-1/4" X 8' FRAME TIE W/BUCKLE MBU10 59138 1-1/4" X 10' FRAME TIE W/BUCKLE MBU12 59144 1-1/4" X 12' FRAME TIE W/BUCKLE MBU15 59143 1-1/4" X 15' FRAME TIE W/BUCKLE If you have any questions or if we may be of further help, please callus. Sincerely, TRI-STATE TESTING SERVICES, INC. William E. Jac son Manager TRI-STATE TESTING SERVICES, Ir PAGE 11 STATE OF CALIFORNIA - BUSINESS. TRANSPORTATION AND HOUSING AGENCY PETE WILSON. Governo DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT a�""' DIVISION OF CODES AND STANDARDS 1800 THIRD STREET, Suite 260 P.O. Box 1407 SACRAMENTO, CA 95812-1407 (916) 445-9471 FAX (916) 327-4712 TDD 800-735-2929 TIF September 29, 1994 j OCT 05 1994 William E. Jackson, Manager Tri-State Testing Services, Inc. 6756 Buckles Cove Memphis, TN 38133 Dear Mr. Jackson: This is to confirm that the California Department of Housing and Community Development has approved your firms application to become an approved testing and listing agency for load bearing supports and structural components used with manufactured homes, mobilehomes and commercial coaches. This approval is for the listing and labelling of structural components used in the manufactured housing industry in accordance with the standard established by your firm. Please note the Department may require design calculations and test data be submitted to substantiate a design when the listed system or component does not appear to conform to your approved standard. We may also request this information for the purpose of routine monitoring or complaint investigation. Revisions to your approved standard as well as listed designs may be necessary in the future as a result of amendments to current statutes and/or regulations. Thank you for choosing to become an approved listing and testing agency. If in the future you have any questions or need to discuss a particular issue, you may contact either myself at (916) 445-9471 or Mike Rosenberg at (916) 255-2501. Sincerely, " 63::�4 * Chris L. Anderson Mobilehome Parks Program Manager cc: Mike Rosenberg PAGE 12 ' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET ' 1. Owner's Name: K i 7Z.;,_ 2. Installer's Name:irf�l 3. Is the site currently under pe�rinit? [''Yes' ;} No E •., (If yes, furnish permit number �SrD �r z > OR Is the site an existing site? Yes No (If yes, furnish two plot plans.), 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes Er No 1-1 (If no, clarify _ 1 5. What js the mobilehome electrical rating? ------ Amps 6. What is the mobilehome site service rating? ------------- "'•�� Amps 7. What is the mobilehome site circuit breaker rating? ----- %'� '' Amps 8. Is there any other electric load to be served by the No a mobilehome site service? ----- Yes (If yes, identify the load and sizer (Load) (Amps) 9. What is• the mobilehome; site`gas`pipe size? --------- - y (in.) 10. What is the type of gas service? ---------------}--- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- • * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This infortiation not required if pipe length less than 6 ft. on natural`gas or less than.50'ft. on LPG.) MOBILEHOME SUPPORT DATA /l"" If other . than single wide, c� ' Mobilehome Mfr. �`,.g!);G;/) furnish Setup Model No. Year Width (ft.) Box Length C, C! (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual•and structurdl setup sheets (if not on file with the County of Butte). FOOTINGS (check one)Fj�:-1. Wood -pressure treated or foundation grade. a 2. Other (specify) .SUPPORTS (check one)a1. Concrete block. 1-1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Mala Zama — Line LineLine1 Line 1 Piers: Size -Min. ------------ ,k „ Spacing -Max. -•------- From Ends -Max. ------ Main Scams -- ..-.Line 4 Tag or Triple Lino 1 Ltne 1 Oveainxs Size -Mill. ---------- - ----- x ya Each Side of Openings 77 with Width Over --------- a " Line 2 Piers; Line 1 Piers: (Under gearing wall Only) Slze-Mln- ------------ „x�'7 Gi Size-Min------------------- Spacing-Max ---------- ------------------Spacing-Max---------- ,-� ,. Specing-liax---------------- From ------Fro■ Ends -Max.------- '. " From Ends -Max -------------- ' I no I Roo Loads' Slaa-Nio------------- y�'i ,x 1 ,. O u ,k_ oo "�'' 2"�Q fZx3j / x .-Location (From Front) ne 4 Sera: LineSFir•: (Under gearing • • Un y Size -Min------------- Size -Min ------------------- ,k n 'k „ Spacing -max. ---------- Spacing -Max ---------------- From ------------- From Enda-Max. ----- , „ From Ends -Max.- ---------- Line -------- Lina S Roof (.vada; dul-• c S1•e-Min.-....._..--- x „ „x x u Location (From Front) 0 Vgd N5_ 1 5.03-r' 95;--0150371 Rec Fee 6.00 1 COP 1.00 Recorded I Check 7.00 And when recorded mail to: Official Records I Building Division County of 1 #7 County Center Drive Butte I Oroville, Ca. 95965 Candace J. Grubbs I Recorder 1 1:19pm 8—May-95 I PUBL XX 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The 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: The West 96.8 feet of Lot 5 in Blocl �64 -in Subdivision No. 1 of the Palermo Citrus Tract, as the same is designated and delineated on that - certain map entitled, "Map of Palermo and Subdivisions 1 and 2 with Addition to No. 1 of the Palermo Citrus Tract", which map was filed in. the office.of the Recorder of the County of Butte, State of California, September 17, 1888. Date: / 5 PROPERTY OWNERS: State of California ) County ofd ) On S before personally appeared �-2 / fh �i Me- y crsonully known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the persons) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. a o , OFFICIAL SEAL •* REBECCA L BLEDSOE NMARY PUBLIC -CALIFORNIA N COMMISSION # 886238 F BUTTE COUNTY My Commission Exp. Feb. 28, 199-7 NOTE TO RECORDER: DO NOT RECORD THIS SIDE A.A. - I .. ............... .. . < :AG t � l T VIIZA:. S'TATEIt�E T.:� t Pi()ti LET I ENT..:.... Instructions for recording Agricultural Statement of Acknowledgement: Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). Property owners must sign in the presence of a Notary Public and have the form notarized. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday). OVER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE 12/16/91 _ American Traditional Homes - 3014 Olive Hwy. RE: Plan Return Oroville, CA 95965 A.P. # 027-090-018 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet LXX Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER LL We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded.copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER The one year time limit in which to issue the New Single Family Home permit for Mr. A Rassmusson on S Villa Ave., Palermo, has elapsed. We are, therefore returninp- the plans to you. Should you have any questions concerning the above, please contact DJ or Anne of this office. (916) 538-7541 Yours very truly, JFG / a j William Chaff Director of Public Works .F. Glander - Chief Building Inspector COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754PERMIT NO. APPLICATION AND PERMIT -1/10C2 ASSESSOR PARCEL NUMBER 027-090-018 � ZONING A5 BUILDING PERMIT OWNER KEITH DILLEY TELEPHONE 534-0760 SO. FT. OCC. BUILDING VALUATION 288 0 2,016.00 OWNER'S MAIUNG ADDRESS 2776 S. VILLA AVE r 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 35.10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS AVE9776 S- VILLA PERMITFEE $ 10 .10 nRnVTT,T,F, 95966 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome P Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition k] Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service EOOV OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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: AN I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 NEW CONST. DWELLING OCCUP. OR ADDNs. ( a ACC. BUDS. ) SD. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATLETUS ) 8 SINGLE 011rCIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL .00 Ex. Occup. ( OUTLEEDTs (ALNS. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 10 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. y—oof Date Jr— ^ �_ I Signature of Applicant - Owner ❑ Contr ctor ❑ Agent An OSHA permit is required 1?6r excavations ov 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is Occ CONST. TYPE TOTAL FEE $ 109.10 HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under the the Butte County Code and/or indicated above for which fees have By iV'�'� PERMITEXPIRESON applicable provisions Resolutions to do work been paid. D to fD� Receipt No. 180144 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .y,.1•t.�3�iwJ'�`��.r'�'Wi3���:i�°"i�'r:�xyhrlir'�»;���,�-�iirr--.YT;�t•nJ�-�- p"Y�^t rr•�.i;�, ,�-�titi. .,. r�3 .��. � /�/.''- •_ •V COUNTYOF BUTTE - DEPARTMENTOF D�VELOPMENTSERVICES -BUILDING DIVISION " r 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 C MIT APPLICATION DATA SHEET . PE OWNER P o. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: (f yt DATE RECEIVED BY 1. All items: have. been submitted . ........................................ 2. Plot plas, 3/41sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and callus, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. • Fees of $ .......................................... 11. Impact fees as shown on attached schedule . . . . . . . . . . . . . . . .I. . . . . . . . . . . . . . . 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year floodj,by Colifornia Engineer. .. ............ . 4. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ' 19. Driveway permit (construction approval required prior to occupancy). ..... . Pre-Inspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 1 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data'by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by G % f:3aag, g Date � � Plans approved by Gl A 4odS Date Sets of plans on hold in File cabinet' -_ AP folder Copy - Department of Public Works I COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER0,2 ZONING BUILDING PERMIT owNEr TEP1ONE OWNERS MAIU DRESS / SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S kAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDERSMAILING ADDRESS Permit Fee $ p ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 7 776 S PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ' Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ��L Mobile Home I S-1 GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service8000V OR LESS ( 2a OA OR LESS ) 23.00 Main Service ( 200A TO KOOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 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 NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLOS. ) SO. 3.5Q FT. CNS. NEW CONST. MULTI.OUTLET NON•RESID. BRANCH CIRCUITS ( ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) SAL Q K:50 Ex. Occup. ( OunEEDTs (REN ..Oea) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 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 Cod , I shall forthwith comply with those provisions. ,oy X Date U Signature of Applicant - ❑ Owner ❑ Contractor ❑ Ag -em -r-/ An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HA2. I D. FEES I IMP I FLOOD I COF PARCEL PO HO ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. -Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing -and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES['] NO[ ]. '2. I HAVE[ ] HAVE NOT[ ] signed an application for a building.permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'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: NAME: ADDRESS: CITY: 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: ' NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: A�,� V SOCA-.BSER: DATE: NOTE:. This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. i<iVA-*:1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) -is $300 or • more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerre�el / Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER This set of plans and spe kept on the job at all -Umas Mike Changes or altar. VIVUten p'; rmission from til Works, County of Butte. NOTE: All Materials &W A,cuordan.ce with Recoo of a Qua -ity=F'sscr=bed fc in the Uniform Building, Codas and the National F .ons XMT be Jo unlawful to on 80AAMe without %rtament of Public anship Shall Be In iood Practices and Specified use bing & Mechanical .oat Code. The attac requiremi as specifi r by C.D.F. BUTTE COUNTY BUILWNQ MPAM MENI APPROVED KEM oILLEY 217 So . UILLA AvF- . PAUMD,CA APN" 2'7 -090 -018 sCALE I ,, - so ALL STRUCTURES AND EQUIPMENT INCLUDING OVE i{�At�i S SHALL SEL CLEAR OF ALL EASEkkiEiL'TS. A SET nrj"( c FF'GM, B d.•; � �C? 4 THE S0EE Al D j,p ? i'7?: a '! -r, 1 P ,,:_F!=,�'!3 5� L 1, tri E, ;�t11V �0 [' i.i3"z'_�i[t•� T .._ �3i1;1'—�c'_9�'�: •�•.3: :s_ GL► A�. CF1 E T `EXC-E' ( I SySjEn \ \ °•fir:. , e Safe st be completed I approved ze,' s L �.r" i v; "CTi Y iv, .r•:•,�: �- ear;`:. �.r±'•.7iti:�•,� F4a.. . "AP Butte County Environmental Health �j� ?•� � [v J v � �.aGjC ---------------- Date S- Signature S)ol USA AVL (F/t OFFice Ca P5 ' 4*'x V of GrUARPVAIL 34 MAX. c DECKIIJG GIRDER KS MOBILO II E OR DECk ti at zo m -TOP VIEW H hklPI?AIL NOT SHOIIU IJ FOR CLARITY. 3 I r/g 130 i MAX. MI L. FKMU ---� — — — CLIP (EA. _ RE 4"x G,. POST - 2°x I2" x'LDF �-_ _ (2) 3/0" J e`MIN. BOLTS db • i.. PRECAST 4'x9" POST lo IER M04M 1*60NAL FEA„n,.,.1 BRACING. LT BUTTE COUNTY 'BUILDJNG DEPARTME m J APPROVED 0 ` a 1 (7'MIN. `I X ao Z ?'x4” PRESSURE TREAr£D OR REDWOOD PLATE i TYPICAL Rb -SI DF"Nr/Xl ST�Ps ,�No/�D�ck COUNTY OF BUTTE — DEPAnTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville. Calltornle 95965 COUNTY OF BUTTE - DEPARTM&VT OF PUBLIC WORKS 7 County Center Drive - Oroville, California Z5965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSES PAR E NUMBE ZONIN BUILDING PERMIT OWN NO S TELEPHONE SQ.IFT. 0 C. BUILDING VALUATION / 14 OWNER'S MAILING ADDRESS CO !Rr S NAME HO LTM Fireplace /J 000 CO TRACTOR'S MA LING ADD SS lr U Orfs v'1 / e 7J 76's - CONSTRUCTIO LENDER UNKNOW.N,. V Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I7 ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �¢ 7 7 / v61 r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Q E r m0 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 ou Each qas water heater or vent 5.00 Q USE OF STRUCTURE SF rV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New % Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ (% ' Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 j CONTRACTORS LICENSE LAW L decl re under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business f` and Professio Code and my license is in f force and effect. License No. Classification 4 ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ' ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. v ^`> Business and Professions Code for this reason `c NEW CONST. DWELLING OCC OR ADDNS. ACC. BLDGS.tA 'h2sgft NEW CONSTR U TI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NON-RESID. POWER APPARATUS e SINGLE OUTLET CIR. I Ex. OCcup�OUTLETS OR FIXTURES 200501 5AL090 OCCUp. Ex. OUTLETS FIXED PRESID.)REA.Y 2.00 Temporary service 10.00 �— Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling / re 0 Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmenW costs, and expenses which may in any way accrue agai y i onsequence of the granting of this permit. X/�j-�� Date Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0' eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE occuP.CONST.TYPE JSC.00LfP�Ll PD [_140 ISSUE ..� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. I r WHIT[-D.P.W.. YELLOW- 9 . PION S T .0LOENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT'&F;PRIILIC WORKS - BUILDING DIVISION OWNER Proposed Building Use 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. Building Inspector—") Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions.. . ..................................... 9. Fees of $ 1; ? 6 f L 10. Chico Urban Area fees paid ........................................ 11. Park fees p icj...................................................... 12. i%'�j�/ School District fees paid ................. 13. Sanitation approval from 4. 4g? pe /0 Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector _ 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... ::Z22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ......... ...................... . 25. , i ��l// A 26. Date) When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone �1� and hold for pickup at �%i office. Deliver w/inspector. Other _ i Applicant, `, �,�->� '� Dated-' _ 6 ' 41 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date c� Plans checked by Date Plans approved by d--ZL. Date Sets of plans on hold in File cabinet AP folder Copy—DPW AP' #, OWNER PERMIT �k MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . ervice ize Other Load Pipe Size Length YESI NO YES NO -Type aw 6 �` _ T, ttIIIIIIII k IIIIIit.................... 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