Loading...
HomeMy WebLinkAbout027-230-100I 0 t MISCELLANEOUS ; ;Ag Exempt. ,AG BUILDING• ''::' : !^ 551: 2061 COX LNr ti HENRY AND KATHRYN PATTERSON ti t1 .11 1 ' F 1 O .027-230-100 PERMIT#94-1763 QATLIFF, MARTIN & COKA COX LN.; OROVILLE MOBILEHOME UTILITIES `ELECTRIC -GAS LINE .COMPACTION 'TEST REQ SUPPORT STRUCT 'REQ 027-23 -1 _ 1458 RATCLIFF/PATTERSON; 2061 'COX LN; OROVIL•LE Cont: GREENE ROOFING , MH PERM FDN 04-1460 7 RATCLIFF/PATTERSON; 2061 COX LN; PALERMO Cont: FOX COMPANY FIRE SPRINKLERS'64-1458 r L� �o B06-2474 �� -'1 027=230-100 MISCELLANEOUS ; ;Ag Exempt. ,AG BUILDING• ''::' : !^ 551: 2061 COX LNr HENRY AND KATHRYN PATTERSON �o B06-2474 �� a mdr I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES AGRICULTURAL BUILDING EXEMPTION PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds HENRY AND KATHRYN PAT' Building Garage Remdl/Addn 2061 COX LN OROVILLE, CA 95966 Other Porch/Patio Total_ (530)534-7086 952 952 FEE INFORMATION Ag Exemption Permit $109.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 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. X 12/29/2008 Contractors Signature Date I WORKERS' COMPENSATION DECLARATION I 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. 11I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by HAVE 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: _ (This section need not be competed if the permit is or one hundred dollars ($100) or ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 12/29/2008 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip total cnarged: $109.98 Fees Paid: $1 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or �r"oNTRACTORS prove for the purpose of sale.). LJ EAS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Owners 12/29/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County,' its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prope owner or am authorized to act on the property owners behalf. �l a,- L r< A 1, 12/29/2008 00"wner 1:1 Contractor OR. Agent for Owner DAgent for Contractor 'FILE COPY PROJECT INFORMATION Site Address: 2061 COX LN Owner: Permit NO: B06-2474 APN: 027-230-100 HENRY AND KATHRYN PATTE Permit type: MISCELLANEOUS 2061 COX LN Issued Date: 12/29/2008 By TMP Subtype: Ag Exempt OROVILLE, CA 95966 Expiration Date: 12/29/2009 Description: AG BUILDING -TRACTOR & HAY (530) 534-7086. Occupancy: U-3 Zoning: A-5 HENRY AND KATHRYN PAT' Building Garage Remdl/Addn 2061 COX LN OROVILLE, CA 95966 Other Porch/Patio Total_ (530)534-7086 952 952 FEE INFORMATION Ag Exemption Permit $109.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 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. X 12/29/2008 Contractors Signature Date I WORKERS' COMPENSATION DECLARATION I 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. 11I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by HAVE 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: _ (This section need not be competed if the permit is or one hundred dollars ($100) or ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 12/29/2008 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip total cnarged: $109.98 Fees Paid: $1 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or �r"oNTRACTORS prove for the purpose of sale.). LJ EAS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Owners 12/29/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County,' its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prope owner or am authorized to act on the property owners behalf. �l a,- L r< A 1, 12/29/2008 00"wner 1:1 Contractor OR. Agent for Owner DAgent for Contractor 'FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net/dds AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initials AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 2061 COX LN Permit No: B06-2474 APN: 027-230-100 Square Footage:_VY X28 = q s Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: A-5 Description: AG BUILDING -TRACTOR & HAY STORM Required Setbacks: Applicant: HENRY AND KATHRYN PATTERSON Front: Side: 5' Rear: 5' 2061 COX LN Type of Construction: OROVILLECA95966 (530) 534-7086 Type of Siding: Metal Owner: HENRY AND KATHRYN PATTERSON Est. Const. Cost: $ 29,900.00 2061 COX LN Roof Covering: Steel OROVILLE, CA 95966 (530) 534-7086 Floor Type: Concrete I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that time and prior to occupancy. Signature of owner: Date: 10/19/2006 be -c-, �.0��8 FILE COPY BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (539 OCT 19 2006 °� - AGRICULTURAL BUILDING EXEMPTION PEWT ]BUTTEA PERMIT NO COUNTY 1A 1C^ — 4 ' % �� Agricultural building is deft dq[Agricultural building is a ructure designe �n constructed to house farm implements, hay, grain, po�v�k, or other horticultural produ ts. This structure be a place of hum habitation or a place of employment where agricultural produ is are rocessed, treated, or p ckage e a place used by the public. '11 rls�- A AS'n OR PARCEL NO. MKr . O �� r J ZONING -/Ili '` OWNER �( '/ -q ... 0 - PHONE NO: 41 e OWNER'S ADDR 'C L� t3y-b vil co LOCATION OF BUILDING = 7-0 co f el G4- '?,5 G F BUILDING trm b,�t,t 57,6Y4 SIZE OF STRUCTURE 3 Y ' x �_' - �� so. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCR OTHER (Specify) TYPE OF SIDINq 34-e2 / ROOF COVERIN FLOOR TY E c� �� ylGrei2 ESTIMATED COST OF CONSTRUCTION 431i - AG Buildings shall comply with the.minimum front, side, and rear yard setback quirements of the applicable County Ordinances as follows: FRONT SIDES R R AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields\feet' AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 fece, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 2sidence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use con i ms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building ivision and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time nd before occupancy. /. Date 1011016c Signature of Owner Permit Fee -$109.98 The above described AG Buildig is exempt from a building permit. Receipt No. I I FLOOD I PARCEL I P.D. I ROOFING ISSUE Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2474 Date: 10/19/2006 Location: 2061 COX LN By: KEJ Parcel Number: 027-230-100 Sub Type: Ae Exempt Owner Name: HENRY AND KATHRYN PATTERSON Phone: (530) 534-7086 Description: AG BUILDING By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: 00i P1 e—f FILE Date: 10/19/2006 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codesibutteco/ Reference Number: B06-2474 Date: 10/19/2006 Location: 2061 COX LN Parcel Number: 027-230-100 Owner Name: HENRY AND KATHRYN PATTERSON Phone: (530) 534-7086 Description: AG BUILDING Signature of Property Owner: Date: 10/19/2006 Dec-aaiooO FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLAh TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT(YES R NO) 2.((HAV)HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: AG BUILDING Reference Number: B06-2474 Applicant Name: HENRY AND THRYN PA TE SON Signature of Property Owner: Date: BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Permit Number: B06-2474 Job Address: 2061 COX LN Contractor: Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Printed: 10/19/2006 9:58 am Fee Description Account Number Fee Amount Paid Date Pmt Amt Ag Exemption Permit 0010-440001-4210500-1010 $109.98 10/19/2006 $109.98 Printed By: Karen Jones 109.98 $109.98 Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: Date: 10/19/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). RECORDING REQUESTED*Y: z AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded Official Records I REC FEE 10.00 I CONFORM 1.00 County Of BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kathyh 10:40AM 06 -Oct -2004 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. HENRY P. PATTERSON AND KATHRYN S. PATTERSON REAL PROPERTY OWNER/LESSOR P.O. BOX 2332 MAILING ADDRESS MARYSVILLE YUBA CA 95901 CITY COUNTY STATE ZIP 2061 COX LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1458 530 538-7541 BUILD G PERMIT NO. TELEPHONE NUMBER aum2g -o ATURE OF LOCAL AGENCY OFFICl5kL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD HOMES 2005 SUNCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER CAFL417A/B27684-SC13 24 x 60 PFS0864398/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 027-230-100 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPER'T'Y SI'I'UAl.'E IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL 1: PARCEL ONE OF THAT CERTAIN PARCEL MAI' FILED IN THE OFFICE OF THE COUNTY RECORDER, IN BOOK 125 OF MAPS AT PAGES 38 AND 39, ON FEBRUARY 6, 1992, COUNTY OF BUTTE, STATE OF CALIFORNIA. Al" NO. 027-230-100 PARCEL H: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES, 60 FEET IN WIDTH LYING EASTI.RLY OF AND CONTIGUOUS TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE SOUTHWEST CORNER OF THE NORTI-141AL.F OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 27; THENCE SOUTH ALONG THE WEST LINE OF THE NORTHEAST QUAR'T'ER OF THE SOUTHWEST QUARTER OF SAID SECTION 27, SOUTH 00° 40'48" WEST 90 FEET MORE OR LESS'TO THE CENTERLINE OF COX LANE AND THE END OF THIS DESCRIPTION. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 06 -Oct -2004 2004-0061626 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording.. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. HENRY P. PATTERSON AND KATHRYN S. PATTERSON REAL PROPERTY OWNER/LESSOR P.O. BOX 2332 MAILING ADDRESS MARYSVILLE YUBA CA 95901 CITY COUNTY STATE ZIP 2061 COX LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME I UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD HOMES 2005 MANUFACTURERS NAME BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1458 530 538-7541 BUILD G PERMIT NO. TELEPHONE NUMBER 7URE OF LOCAL AGENCY OFFIC&L DATE NONE DEALER NAME (if not a dealer sale, write "NONE") RIOR DEALER LICENSE NO. DATE OF MANUFACTURE SUNCREST MODEL NAMEINUMBER CAFL417A/B27684-SC13 24 x 60 PFS0864398/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) _ _ : 8 • * _ _ � s.r. • . SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 027-230-100 TT— nen%♦AI II Al nvv 0ini SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL TIIAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 31, AS SHOWN ON TIIAT CERTAIN MAP ENTITLED, "SWEDES FLAT SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF TILE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 12, 1982, IN BOOK 85 OF MAPS, AT PAGE(S) 33 THRU 42. AP NO. 072-530-009 PRELIM BUILDING PERMIT NUMBER: 04-1458 Address or location of unit: 2061 COX LANE, PALERMO CA 95968 Legal Description of Real Property: AP#027-230-100 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: HENRY P. PATTERSON AND KATHRYN S. PATTERSON Owner's address: P.O. BOX 2332, MARYSVILLE CA 95901 INSIGNIA OR HUD NUMBER: PFS0864398/9 SERIAL NUMBER OR V.I.N.: CAFL417A/B27684-SC13 MANUFACTURER'S NAME: FLEETWOOD YEAR: 05 OFFICIAL APPROVING INSTALLATIO DATE: PHONE: (530) 538-7541 H.C.D. 513C FILE No.949 07/20 '04 AM 09:49 ID:EXECUTIVE HOMES FAX:530 891 8753 PAGE 2 'TOP f STATE OF CALIFORNIA . BUSINESS, IRANSFORTATfQN.AUD_HQU8jNQ AgeNGy_. NUM R: . R P DEPARTMENT OF NOUS/NQ AND COMMUNITY DEVELOPMENT OIVIBION OF CODES AND STANDARDS Lt�8 719 8 5 t• �+ NL!PACTURED HOUSING PROQRALl. I ( MANUFACTURER CERT[FICXTEOF Q.RtGK -- FO CHECK IF TH18 18 A OUPIICATE MCO•ENTER ORIGINAL MCO NO. ff-& -ES NGLE-FAMk-y'DWELC 0 MUMH MULTIUNIT N0 MANUFACTURED HOU61TUMBER.OE - �� ( TRANSPORTABLE SECTIONS 2 crop OCCUPANCY GROUP 11 1m FLEETWOOD HOMES QD CALIB.ORNIA, .ZN.G.. - UFAc u� 8 N v�. 8UI RQ._ BQX .liQB. - y 'OODLAND btNl y 4NUFA TUBER DE NAME: CI ' 9fue ' CA ZI 95776 1 M DEL NAME ANninR uunco. SUNCREBT AME OF' T (0►4/K4wo KRAN& BBCURITY M/B SHOW/NORTH, INC. D$AI EXECUTIVE HOMES EAL OR NBFER ADOR - 2 XOPLAMADE.. 162 MARKET.BTRSET SUITE 100 SECTION MANUFACTURER SERIAL NUMBER t •e 1 CAFL417A27684-SC13 2 CAFL417B27684-SC13 TRANSPORTER NAME; �?TT TRUCK TR_n ApOgT TRANSPORTER ADDRESS: oa 1001 INDUSTRIAL PARKWAY suLr,0., 80X.../6.4.. . )63TINAT10N FOR UNIT DESCRIBED ABOVE; 9534 5603B._____________ 603BY^-- 2005 l 07/00/2004-. e 9244]- 07/14/2004 CHIC0 (8tete) CA 171.,.� 95973 ICUL KNOXVILLE. V002✓ IICD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH VIt;IOHT PPSO864398 724 154 24,72 PF8001043 724 154 21 Z MCODNOUO$ CA 30263 Bule z Ceelh mdv 2e^ANY of 2�rN✓kunW r.It1e_Iatvi of the 61.0 er Cit . Uleorrtedm 07/08/2004 WOODLAND YOLO CA ( ((stete) tONATVAe OF AUTHORIZED AGENT; . •ti-►�' ��• - ' IaIOLLIIQb• ORTOINAL IPINK) FORWARDTIO HE INVENTORY CREDITOR, UNLESS THERE 18 NONE. THEN FORWARD TO THE PURCHASER (DEALRR ORIRAN�EREEL COPYT((YE EOW)-' ' DELIVER TOT a TRANSPORTERTTO ACCOZIP V THE UNIT TE01 8 DEBTINATION� COPY 3 (GOLDENROD) TO BE RETAINED BV TILE MANUFgCTURER. 463.0 • Side t • (7/67) 02i1•(iO4 09:13 BIDWELL TITLE 4 530 891 8753 •.. �I�wrlorwo�.l.o�. AnOld Z. Ileeenoaae nsovsetso aY. • ! • � orwwille Title Co. OrAsr No- 9OIJ17 "a w1101 RVID.ase owl. N rMr. Je Mrs. Hortill C. Re �••• 1764 -16th Street oroville, Pie it. 95965 rr tlr.. I;r.ayC�tt r LLE 1r.. td-,ry1:u5�1M1� N 9 9 PI119i� I ' •1 A Y,LII :.,: , t IiU:IIY li:;l [;ii., 6 11 Fit .... L -ij 23570 W lu P.,ewR, A �r „». some ea above �.A.r f, L. to ..1 C■ 19401 erAC[ ARICVR THIR 41MR poll eeCoeeee•e Ual[ –j eoculEHlnnY Inoor,q I ti 7.70 7L c._Llrvltu ull sat . .. r.•:::nlr l'1 relwlr[o, COLWv lU Ph I.o. .. V"•_"; ;• a MICUMPAMCU IIIaIAt:G:44 (14d:3R At • I • t. OF SALE J Jlroville Title re e, --�.. — -.. _ .. _._ _ _ stilt Pl1D Joint Tenancy Grant Deed ivi-x.{ TV" www NNMI.NM p71RFt W.VManCt•MN vAYN COMMIIY ran A YALUABiE CONSIDERATION, re■.Ipl vl whkb b h.rrby .ebnowledged. W11118M P. Hegnese end Deniso L. Menness, his wife' 6w11CRANT(3) Is Martin C. Ratliff and Coro B. Rstlirf. hie' Wife, lbo re.1 proppg 10 Iln AS JOINT •l>rt'1vA1+ % C"aly at Butte F1+11' oil C..ldomi., devrribrd NI Thd'gorth half of: the Ilortlivast"Quarter aC the -ovRhweeE quartor of Section 27, Township IS North. Range 4 Esst, M. D. B. s M. Ir.lrlll _ gebr_ee>rr 20,..19.73.. %� ' ; •� .+ -y. tvil NTv OY N li1`90I e lame, Lit. fcDrutrr ?.. 19J8 b1,n. N., lb. e■d.l. _ li■r,t . Algwr IwnN 1Jw Elpl to .IN otltw teta„■Or .tap,re 1 I 1 1 Rla D. 11e neje end _. . - _ _ e nea a.,,wn In mr Im40 -ALitbe,UMd a Ile .ebla S Im/I.IM.I ■.J ■rLs"A"41 1 Aul.-tlsy_-....r.w1 1b MIIP. RMIN% .r,d,{�.Irl_„1. ;. tLKWt�euL 6 ••; ' C9 1.,,► Q(1Qi . boiaa.oualle.clltlruul■a MARIA Cotnvrr F+ �...I .. erCoamepoelrwmRa.l7.tyr� � ADLTII r II owqr F. a M V. C■lu Ildm Co. VIM ITPI/ m. 1111 WWd ■mm IMI Title, IlrJrr !An o1 tat" No.. _ '1111ner.r-�oretod AWL TAX STATEMDM A! DIIRCTED A60VE 00 OF DOCU~ N0.039 P005 STATE 01: CALIFORNIA CW�ITor/, UUSINIM, TRANSPOR'FATIUN AND HOUSING AUI3NCY Q14 DBPAR'I'MBN'1' OF IIUUSIN(; AND CUMMUN11'Y DEVELUPMEN'1' c� �. DIVISION OF CUUI?S AND STANDARDS REM&FRA'I'IUN AND'I'1'1'LINU PRUURAM 1Y S't.'A'1'EIb ENT OF FACTS 'Ills writ is a: RM Mobilehoure ❑ Commercial Coach ❑ gloating Home ❑ Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) FLEETWOOD HOMES OF OR, INCI OREFL348A/B29302-4C. MP ' CONTEORARY 470-3T I/We, the undersigned, hereby state: L)ealer$ *&4lBf1Aale 9 - The Above Described Unit Has Been Placed On An Approved Foundation System in Accordance With 18551A Of The Health and Safety Code. The Above Described Unit Has Been Placed On An Approved Foundation System In 'Accordance With 18551A Of The Health And Safety Code. I/We further agree to indemnify and save harmless the Dircctor of housing an(I Community Development, Slate of Califonria, and subsequent purchasers of said unit, for any loss they may sutler resulting fivur registration of the above-described ulut in Califonua, or from issuance of a California certificate of title covering the same. 1/We certify under penalty of petjuly that the foregoing is true and correct. Executed on . 96/15.104 at CHICO CA 95973 (Date) (City) (State) lure(s) Addres3042 ESPLANADE Printed namc(s) By: JUDY NETTLES: or: EXECUTIVE HOMES City CHICO CA 95973 State 11CD 476.6 (REV 12/0(1) 10/06/04 07:,06, FAX 530 894 5713 BIDIMLL TITLE -TITLE DEPT X001 RECORDING 1LMUESTED BY ?+ Bidwell Title g Escrow Company Recorded I REC FEE Mee Official Records I TAX 77,00 CoBUTunt Of CANDACE S. GRUBBS Recorder ROSEMARY DICKSON Assistant Oe.021314 25 -Jun -2004 Andrew Page 1 of 2 A:aOVE TRIS LINE FOR REC•ORD19RIS VS9 Parcel No. 27-21-100 GPAN'T DEED TKES FORM FUit MRM BY 191DWFLLT= & ESCROW COMPANY - The Undersigned Gmnwr(s) Daclero(s) D urnentary'han6fer TAX is $ n ). 00 ❑ City(fown of V computed on full value of interest or property conveyed, or 0 Unincorpontcd Area ❑ full value less value of licn6 or encumbrances remaining at the tirne of sale ❑-Monurnctrt Fce of $10.00 FOR A VALUABLE CONSIAERAVON, receipt of which is hereby acknowledged, Martin C Ratliff and Cora B. Ratliff, His wife hereby GRA'Krl (s) to Henry P Patterson and Kathryn S_ Patterson,id Wife as Joint Tenants the following real property in the O City of ® Unincorporated Arnim County of guttae, State of California: Martin C Ratliff SEE EXFff A ATTACHED EMEETO AND NA.DE A PART HEREOF Cora B. Ratliff Documcat Dare: ,lune 14, 2004 State of Culifaaia County of autte SS. On ,Tune 14, 2004 befbre tate, the undamigned, a Notary Public in end for said County and State, personally Appeared Martin C Ratliff and Cora B. Ratliff (or proved to me on th,p basis of satistictoty FOR NOTARY SEAL OR S'T'AMP evidence) to be the person(s) whose nanle(s) - are subscribed to the within instrument and acknowledged to me that?e�ehhty exteuted the same in W57k&their authorized capacity(Jes), and chat by 0rsfgr1the - ',,i^nature(s) on the instrument the penon(a), or the entity— NEISOti upon behalf of which the personstru s) acted, executed the inment. Comm. SNAWPB I- T 13631b8 WITNESS my hand and official seal. NOTAArtPUBUC•CallfOAhul N • AIV Comm. E�s� h�70, ZD06 Signature AMIL TAX SMATEMENTS 7'O : Same as Abavp 13TEGGRA MEED AND WHEN RECORDED MAIL TO Nam* Fleury P Patterson sada gddcnn. P.O. BOX 2332 Marysville, Calif. 0W.SlAw 55901 ZIP ordarNo. 214284L -001 Recorded I REC FEE Mee Official Records I TAX 77,00 CoBUTunt Of CANDACE S. GRUBBS Recorder ROSEMARY DICKSON Assistant Oe.021314 25 -Jun -2004 Andrew Page 1 of 2 A:aOVE TRIS LINE FOR REC•ORD19RIS VS9 Parcel No. 27-21-100 GPAN'T DEED TKES FORM FUit MRM BY 191DWFLLT= & ESCROW COMPANY - The Undersigned Gmnwr(s) Daclero(s) D urnentary'han6fer TAX is $ n ). 00 ❑ City(fown of V computed on full value of interest or property conveyed, or 0 Unincorpontcd Area ❑ full value less value of licn6 or encumbrances remaining at the tirne of sale ❑-Monurnctrt Fce of $10.00 FOR A VALUABLE CONSIAERAVON, receipt of which is hereby acknowledged, Martin C Ratliff and Cora B. Ratliff, His wife hereby GRA'Krl (s) to Henry P Patterson and Kathryn S_ Patterson,id Wife as Joint Tenants the following real property in the O City of ® Unincorporated Arnim County of guttae, State of California: Martin C Ratliff SEE EXFff A ATTACHED EMEETO AND NA.DE A PART HEREOF Cora B. Ratliff Documcat Dare: ,lune 14, 2004 State of Culifaaia County of autte SS. On ,Tune 14, 2004 befbre tate, the undamigned, a Notary Public in end for said County and State, personally Appeared Martin C Ratliff and Cora B. Ratliff (or proved to me on th,p basis of satistictoty FOR NOTARY SEAL OR S'T'AMP evidence) to be the person(s) whose nanle(s) - are subscribed to the within instrument and acknowledged to me that?e�ehhty exteuted the same in W57k&their authorized capacity(Jes), and chat by 0rsfgr1the - ',,i^nature(s) on the instrument the penon(a), or the entity— NEISOti upon behalf of which the personstru s) acted, executed the inment. Comm. SNAWPB I- T 13631b8 WITNESS my hand and official seal. NOTAArtPUBUC•CallfOAhul N • AIV Comm. E�s� h�70, ZD06 Signature AMIL TAX SMATEMENTS 7'O : Same as Abavp 13TEGGRA MEED 10/06/04 07:06 FAX 530 394 5713 BIDWELL,TITLE-TITLE DEPT 2002 Order No.: 214284L -001 )EXiIIYiIT A THE LAND REFERIZED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL, I: PARCEL ONE OF THAT CERTAIN PARCEL MAP FIL•191) IN THE OFFICE OF THE COUNTY RECORDER, IN BOOS` 125 OF MAPS AT PA AGES 38 AND 39, ON FEBRUARY 6, 1992, COUNTY OF BUTTE, STATE OF CALIFORNIA. AP NO. 027-230-100 PARCELII: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES, 60 FEET IN WIDTH LYING EASTERLY OF AND CONTIGUOUS TO THE FOLLOWING DESCEIBED LINlE: T&RCI MINING AT THE SOU RWEST CORNER OF THE NORTH HALF OF THE NORTHEAST QUARTER OF THE SOUTRVEST QUA)f ITER OF SAID SECTION 27; THENCE SOUTH ALONG THE WEST LINE OF THE NORTHEAST QUARTER OF THE SQUI-QST QUARTER OF SAID SECTION 27, SOUT-11 00° 40'48- WEST 90 FEET MORP- OR LESS TO THE CENTERLINE OF COX LANE AND THE END OF THIS DLSCRIPTION. Lm SCHEDULE C rif;,. ;, ORDER NO.: 214284L-001 - MN __a THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCELI: PARCEL ONE OF THAT CERTAIN PARCEL MAP FILED IN THE OFFICE OF THE COUNTY RECORDER, IN BOOK 125 OF MAPS AT PAGES 38 AND 39, ON FEBRUARY 6, 1992, COUNTY OF BUTTE, STATE OF CALIFORNIA. AP NO. 027-230-100 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES, 60 FEET IN WIDTH LYING EASTERLY OF AND CONTIGUOUS TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT THE SOUTHWEST CORNER OF THE NORTH HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 27; THENCE SOUTH ALONG THE WEST LINE OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 27, SOUTH 00° 40'48" WEST 90 FEET MORE OR LESS TO THE CENTERLINE OF COX LANE AND THE END OF THIS DESCRIPTION. EXEC.____ COMP. PRELIM NOTES RESIDENTIAL PERMIT NO. _'027-230-100 04-145$1 RATCLIFF/PATTERSON, 2061 COX LN, OROVILLE Cont MH PERM FDN THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA � LOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS OFFICE COPY Addres�Jn���� GAS Meter By lf ELECTRIC Da Meter By Date__. to GAS�J{ Meter By I ELECTRI � Dat----- , Meter By --------- Date JOB FINALED (Date) Signature J=OK 0 = Not OK - = Not Applicable + =Not Ready.. 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 1 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / P' L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval Date 10. Card B-1 Date Card B-1 Date 11. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Enclosure; Fencing -Alarms 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PER_MANENT END SYSTEM (ONLY) ing Requirements -Setbacks -Easements 5c ings; Size-Soacina-Marriaoe Line titer; MH Test Water and Sewer Connected �8�_Gas and Electricitv Tamed to Decals #'s with C Uat§:V54a Card B-1 pN Date Card B-1 Date Card B-1 Date Card B-1 Hw GFse6�Dt�a-�9 3 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails I 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- 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/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Clearance Looked under Floor O Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive D Yes O No/Walks O Yes O No/Planters O Yes O No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive D Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530).538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. IICY lvfu7 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041458 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of - Issued Date: 07/26/2004 APN: 027230-100-000 the Business and Professions Code, and my license is in full force and effect. effect. % �/O5 /ij enseass : Cr_�_ Licen Number:—(OY--y6-- Site Address: 2061 COX LN PAL Date: Al/ Contractor: C���C�P�r%fJ Map Index: 1539 NEW MH PERM FND NEW SITE Description: Descrp - ( ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires.a. permit to construct, alter, improve, demolish, or repair any structure, prior Owner: RATLI FF MARTIN C & CORA B to its issuance, also requires the applicant for such permit to file a 2152 COX LANE signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and, Professions Code: The Contractors' State License Law does not apply to an Applicant: RATLIFF MARTIN C & CORA B owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. EXECUTIVE HOMES and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3042 ESPLANADE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA. 95973 (530)891-6.992 ' Date: Owner: License #: 640583 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penaltyyof perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. :have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: �/i'1 % 'Carrier: �'2S Total Square Ft: 1539 S.F. Policy#: i/l/� /�o D� Valuation: $100,035.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one t �-f1 -/\� �Ur `(' hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. j) r _ CONSTRtlCTIOR LENDING -AGENCY - ' "` 'This per he applicable provisions of the Butte County Cady+ 2nrt/or I hereby affirm that there is a construction lending agency for the �in Resolutimi'ove for which fees havebeen paid.performance of the work for which this permit is issued (Sec 3097 Civ.)l� -� ' Name: BY "Date: / PERMIT EXPIRES Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑,Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or.document of Butte County. I hereby authorize representatives ofButte County to enter upon the ab o mentioned property for inspection pu ses. ' Sign L ' Print Name: r ` t e: 2LIZ Date: ❑ Owner / Contractor ❑ Agent for Owner ❑ Agent for Contractor S'T'ATE OFCALIFORNIA r � 13USINFiSS,'I'ItANSI'UR'1'A'I'ION 'ION AND HOUSING AGENCY � .« DEI'ARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DI VISION OF CODES AND S'T'ANDARDS s � REGISTRATION AND TITLING PROGRAM STATE ME1NT OF FACT'S ry nis unit is a A(MObilcho"Ic ❑ Commercial Coach ❑ (:hating I-lolne ❑ Truck Caenp er Decal (License) No.(s) "Trade Name Serial No.(s) 6Uit/d,e,0S 7' !��03a We, die undersigned, hereby state: The above described unit has been placed on an approved foundation system in accordance with 18551A of the Health and Safety Code. I/We further agree to indemnify and save hannless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described urtit in California, or from issuance of a California certificate of title covering die same. Me certify under penalty of perjury that the foregoing is true and correct. Executed on _ %_16• l% O�l_ at MueG i (Dale) (City) - (Stale) Signature(s) Address City rrCD 476.6 (REV 12/00) 3042 Esplanade Chico Printed name(s) Susan Glatz Executive Homes CA State • AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUnDING DIVISION • 7 COUNTY CENTER DRIVE OROVELLE, CA 95965 2004-003-769 1 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 12:15PM 22 -Jun -2004 REC FEE 7.00 CONFORM 1.00 Cheryl Page 1 of i AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgement 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 following: The North half of the Northwest quarter of the Southwest quarter of Section 27, Township 18 North, Range 4 East, N.D.B. & M. Date C-- 14 -0+ PROPERTY OWNERS: KAT -HRP 5 10A77r450aJ U ' � Gi`GiLScxi . State of California County of Butte On lv 1 qo' -1 before personally appeared y)a:kk--% (y/n S 4tkke-rson C(\Gl VkenCv l?,QC'4 -56r) por-cs�ew�ta -me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) JWare subscribed to the within instrument and acknowledged to me that W/sjfe/they executed the same in hig/ht�their authorized capacity(ies) and that by hidger/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. SON SHAWN I. NEL Seal: �p Comm. q 1363163 Signature 1n � U7 ••� N07AAY PUBLIC -CALIFORNIA N Yuba County My Comm. Ezp4es June 30.2006 i4 APN 27-23-100 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/publicworks/for,ms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number :3 District S APPLICATION WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads I highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted.) kpplicant's Name: �G/LC T/z�E ' la. Company Name: kddress: � l4 'hone:/ � O,l —/ :� 4. Assessor's Parcel Number. 7-•—,,2a3 — .-ocation of Work to be Done �0 kpplicant's Signature - 7. Date: CONTRACTOR'S INFORMATION contractor's Name Address Phone: 09/ � � 11. Fax: Contractor's License Number: 13. Certificate of Insurance: Yes D— No: ❑ Contractor's Signature: 14a. Date Signed: Authorized Agent: TYPE OF WORK TO BE DONE Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. If Driveway List Type: Other Work - Describe: 19. Plans Attached: ❑ Yes ❑ No PERMIT GRANTED compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, rmission is hereby granted. Conditions Tlnm in ro, iderground Service Alert .SA must be notified two working days prior to any excavation. 800-227-2600 ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ , Special Conditions ❑ Date Issued _D . 23. Expiration Date: — - cd5 24. Surety: Date Paid: Z ! G 41 26. Amount Paid: o6 277 aid By: 28. Receipt G ) like Crump, Director of Public Works By: �Counry 29. Final Inspection Date: 30. Inspected By: ❑ Completed - OK Completed — Not OK ❑ Additional Comments Attached °coney. 31. Comments: )te: It permits are faxed to any number besides (530) 538-4356, they can be delayed up to one week. Page I of 2 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041458 LICENSED CONTRACTORS 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 Issued Date: 07/26/2004 APN: 027-230-100-000 the Business and Professions Code, and my license is in full force and effect. / `(i�sd Lice; License Class : � � Lice;;Number: Site Address: 2061 COX LN PAL Date: / Contractor: ��Cf��%E / Z Map Index: Description: NEW MH PERM FND NEW SITE (1539) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: RATLIFF MARTIN C & CORA B to its issuance, also requires the applicant for such permit to file a 2152 COX LANE signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: RATLIFF MARTIN C & CORA B owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. EXECUTIVE HOMES and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3042 ESPLANADE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA. 95973 (530)891-6992 Date: owner: License #• 640583 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My wor erscompensation insurance carrier and policy number are: Carrier: C�� G'2S C (l Total Square Ft: 1539 S.F. , Policy #:_ FA /(,9% ,6 Valuation: $100,035.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is ^ unlawful, and shall subject an employer to criminal penalties and one C-(�—/`-1 17 � C4 hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. 9 . (``}j.�' "I CONSTRUCTION LENDING AGENCY _ _. -This permit i : eby i "ued under the applicable provisions of the Butte County Coda and/or 'I hereby affirm that there is a construction lending agency for the Resolutions 0 indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ,� Name: BY Date: PERMIT EXPIRES - o Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representafves of Butte County to enter upon the ab o mentioned property for inspection pu ses. �/2�7i n-� Print Name: Sign e: Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor Q, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 WET DATE 5 _ , 0� ` b 7 APN: �n _ \� ` ZONING: 14 5 NEAREST CROSS STREET: CT/LOTPA SITE ADDRESS: 2 06 1 Ga>c lin . CRY, ZIP: OWNER NAME: PHONE STREET ADDRESS: n FAX: CRY. ZIP: ' `�\ S -V 1 �'�. e-1 � 5 1 'p \ E-MAIL APPLICANT NAME: ' �� r � PHONE. 7-- STREET ADDRESS: -%4t 2 5 f✓h4 to t7i� FAX: ) " Op -) s -3 CRY, ZIP: Citi l , Go !�1 5 E-MAIL: CONTRACTOR NAME: PHON • 9� p STREET ADDRESS: -� C le 5 FAX CITY. ZIP: CJ}a -1 . C-AI E -ML UCENSE NUMBER \-A .5 UCENSETYPE: ARCHITECT/ENGINEER NAMES: PHONE: STREET ADDRESS: FAX CITY, ZIP: UCENSE NUMBER: E - ML DESCRIPTION OR SCOPE OF WORK: �r�E,.� rr.-A .-. •� F C --- Fa ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number: Amount Received: D� �� q3 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET %J OWNER: �' AS_SESSOR PARCEL NUv Propo ed Building se: Counter Technician. Date: I r Srrequired in order to apply for a permit. All boxes MUST be checked OR marked NA i order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.. „y ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 45. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. / 7. Statement of Intent fo on eated and A/C for Non-Resid ti I Buildings. 8. Manufactured home : sheetsand n in t, ( a riage line info, loot P4 own or fnd plans all in duplicate. A;�t�t. a ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs r ❑ 12. Letter of intent for non-residential buildings ❑ 13. 'Detached Accessory Building Form filled out by the owner \n❑ 14. Hazardous Material Form ��I❑1r/✓ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Ch row le, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 17. Fire Sprinklers............................................................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by .. ❑ 19. Soils Report and/or Engineered Foundation required ........................................... 20. Erosion Control Plan Required......................................................................... 21. Fees as shown on the attached Schedule of Fees Due Sheet ............................. 7 v0 22. City of Chico Plumbing permit .................................................. 23. California Department.of Forest plan approval aid. Sent by ❑ 24. Planning approval (A) Use: 9SB)Parking: (C) Parcel Ch ck: - y 25. Contact Land Development about _ Improvements, _ Drainage ......................... .26. NPDES Form.............................................................. :.............................. 27. Encroachment Permit for driveway from the Public Works Dept...........................VE ❑ / 28. Pre -Inspection for required....... d/ 29. Contractor's license information. (Number, Name Style, Classification) ................... C( 30. Worker's Compensation Carrier and Policy Number .......................................... 0 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization ...................................... :............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility clearance ..... :............................................. .. ' ❑ 35. Existing violations and/or expired permits ...... ..................... I ...................... . 3% estriction ....................................................................... 37. rant Deed, I tle/ acts ❑ Letter from Legal Own r, to H.C.D. $ 38. Other: GL /�Y? - f D 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a buil in permit. ,�, .�,c,,�� ,�( Applicant: P411, .t Zy � ✓ � s /�/ /Q� 1. Index permit applicaticKfor thea ove items mbered Ian Check Lettgr�7� 2. Additional items required �J� 0 /- � t tZ U)IV-h ?Xla� Contractor, designer, owner, was advised of the above data by ❑ ph ne, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above d to by ❑ phone, ❑ mail, ❑ counter b f Date: Plans reviewed by: _C� Date: p Plans approved by: L Date : Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division Z .. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E. . 3E 6A Piot Pian AttecMd Floor Man Attachad� Sent to S.D. ! % &2 L3-��) ill =u � N . . �9 —/ ol j Owner Location AP# Plan Approved for: Sewage Disposa Water Supply: PublicP ivate Wel Clearance for dwelling. Other IAA 4b �UL YV'Ix- dI A 2 4 1 � LU YN -A Hold final for: Final clearance O.K. for: NOTE: / , <` Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION TCOUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 OWNER PR R SED BUILDING USE" / u ING PERMIT FEES - Ba ance Due ..................... --- Additional Fees Due........... $ ULE OF RECEIPT OF FEES If A.P. # 4A7 -ate 4!V 9UH DATE RECEIT # DATE REC.I ` --- Revised Plan Checking Fee.... s S HOOL DISTRI T F&'�= Q 0'/'�1/ istnt'�ffi a e Pla �C 43. RIFF FEES (pai t Building Di Residential........... X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES krSRA 10.00 (paid at Building Division) FIRE INSPECTION AND PLAN CHECK FEE $8#.'M (paid at Building Division) 152 e 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Cial (sq. ftg.) ......... X _ $ Sq. Ftg. Amt. 0.r . OTHER C > V / l At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE ✓ O / l �� Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) ._.School District A.P. Nlmbert— L; Property Owner Property Location/Address C BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM0��- o00 Or* form per Building) Building Department No. Jurisdiction: city County Subdivision Lot No. ........................................................... .............................. Residential Development Q Q Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Unit, Installation Conversion Permit # *(No foundation Inspection) ................................................ .. ......... ..... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) mme ial/Industrial Sq. Footage Addition (Including Exterior �oofed Areas) Building Department Representative Date' District Identification No. 040254 V_j chool District certifies that (Applicant) (Street Address) (Phone Number) 0 RL V has complied with the requirements of Resolution No. representing square feet. I V.1_- v L School District Representative Paid by Check # . - 6b? IL Remarks: (State) (Zip.Code), k /a5l 'q0 by p'a'yment of $ V q 7 JAB 2926 $ IFULL MITIGATION (?WCL Date PA)., A I I J. 0 0 -_)Ijt 1) 11 A. rt 0 A te. I I h aAA%) No*@: You may protest the Imposldwh of the -fees Identillecl above by subnMng a written protest to the District, In compliance with Gove.-..m t Code Section 66020(a), wffldn 90 days from the data fen are Pald. Failure to submit a timely written protest will'prohlbit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notilledbythe aWl, 1,1 Local Planning Aliency that this project Is being revlsvwd under On California Environments! Quality Ad (;IEAA) this project may be subject to additional school fen to " mitkiate. Its Impact on the school dialrictle schools. White (applicant), Yellow (building department), Pink (school district) teeform.xis 0 0/031dmm 6� NOTICE TO ASSESSOR HCD 433(B) THIS FORM MUST BE COMPLEDTED BY THE OWNER OF A MANUFACTURED HOME MOBILEHOME OR COMMERCIAL COACH AND FORWARDED TO THE COUNTY ASSESSOR UPON COMPLETION OF THE INSTALLATION OF THE UNIT ON A FOUNDATION SYSTEM PURSUANT TO SECTION 18551, HEALTH AND SAFETY CODE ORIGINAL PURCHASE PRICE FOR: The Basic Unit . $ 7.2 , ?/ 7 Optional Equipment & Upgrades Subtotal $ res $ y 75-2 Other (Specify) $ Delivery & Installation $ Z0[[. A TOTAL SALES PRICE $ 27, 6 7a. r'D DOES THE BASIC PRICE INCLUDE: The Towbar(s) ElLU YES � O Tires & Wheels El[ YES NO Wheelhubs & Ades ❑ YES D NO LIST NUMBER OF ROOMS: Built-in Dishwasher: Bedrooms —3 Dining Room Baths of Family Room Kitchen Utility Room Living Room _L Other Rooms Type of Exterior Wall Covering: C e St d vk,y (Metal, Wood, etc. Type of Roof Covering: 0_0 �Aa O S t t! O A) (Metal, Wood, Composition, etc.) Heating Type: I" Forced Air ❑ Floor or Wall . Air Conditioning: ❑ YES U NO Tons Evaporative Cooler: ❑ YES BINO Built-in Cooktop: ❑ YES DINO Built-in Oven: ❑ YES ''NO Built-in Dishwasher: 9 -YES ❑�--7 Built-in Wet Bar: El YES /NO NO Refrigerator: ❑ NO Roof Overhang(Eaves): rII'YES D YES ❑ NO y1 v inches Furniture Included: ❑ YES NO Value $ _,/ (LENGTH X WIDTH) Carport: El YES L✓J x Awning: ❑ YES ONO x Porch: ❑ YES a NO x Garage: ❑ YES 0 x Storage Shed: El YES [?'NO x Skirting: / 2 YES ❑ NO /71.6 LNE4LFEEr The sales price as shown does not include any amount for any in-place location. The Assessor's Parcel Number of the installation site is (5 a -7— ;L,3 0 -/0 c) ignafure) 3C)VA 6 (Address) (l- 95F7� 2 (Telephone) LJ AND WHEN RECORDED MAIL TO: BUTTE t;OUNTY BUILDING DIVISION 7 CQUNTY CENTER DRIVE OROVILLE, CA 99%5 COPAf Document Recorded 22 -Jun - 2 -Jun 24104 2004-0037691 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgement 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 following: The North half of the Northwest quarter of the Southwest quarter of Section 27, Township 18 North, Range 4 East, N.D.B. & M. Date le- 14 _ p + State of California County of Butte PROPERTY OWNERS: '/ � �n .�• /G1���lActi. KHrNR ,>J 5 Pq-r,-E,eso�cl On(.v 1 q 0"'1 before me,-5(Y1.L. \ Cis.\S�r1 C1�-�Gr�� `01 t C. personally appeared_ 1)aA-N Cyn S .` *Iason CC G) VkPnCv peRonal1y1nowa4o -rne (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) ofare subscribed to the within instrument and acknowledged to me that W/sjfe/they executed the same in hisfhe6their authorized capacity(ies) and that by hid/l'er/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. M----�-�-'I ...� SHAWN I. NELSON Signature Sal: N .� 3163 NOCARIY PUBLICmA -CALIFORNIA Yuba County APN 27-23-100 7� �:..::.� My Comm. Expires June 30.2006 s NOTES RESIDENTIAL PERMIT NO. !027=231=1111 04=146U� RATCLWF/PATTERSON, 2061 COX LN, PALERMO Cont: FOX COMPANY FIRE SPRINKLERS 04-1458 11 SPECIAL CONDITIONS 11 CHECKED BY SRA OOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i s JOB FINALED (Date) Signature i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041460 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/04/2004 APN'' 027-230-100-000 the Business and Professions Code, and my license is in full force and effect. License Class : (—/6 License NumberjQ!Z31125 Site Address: 2061 COX LN PAL Date: 4 Contractor: t0 Map Index: Description: FIRE SPRINKLER SYSTEM WATER SUPPLY OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 FOR MH Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: RATLIFF MARTIN C & CORA B signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 2152 COX LANE 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: RATLIFF MARTIN C & CORA B such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: EXECUTIVE HOMES pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 3042 ESPLANADE CHICO, CA 95973 Date: Owner: (530)891-6992 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 640583 ❑ 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. Architect: have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: .5 /i�TE'I X -U/f/P Total Square Ft: 0 S. F. Policy a: 2 72 U/V Z 3 Valuation: $0.00 O I certify that in the performance of the work for which this permit is Census Code: issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: �o A Applicant: WARNING: Failure to secureorrrs' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor04-- interest, fees. 8 code, and attorney's CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anrVOr I hereby affirm that there is a construction lending agency for the Resolution 1 do work indicated above or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) C O Name: By: Date: PERMIT EXPIRES ON: ` Address: Da ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. . Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to upon the above mentioned property for inspection purpose . .enter Print Name: ��OK �O�/%IRI!/Y Signature: Date: 0 Owner XContractor ❑ Agent for Owner 0 Agent for Contractor J=OK 0 = Not OK . = NotReadyable 1. • MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Date POOLS (Plans) OK except #'s 6. Gas; Location -Test -Wrap;-/ /" L -ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval B. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Roof; Shthg-Roofing Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: fr Building Permit Number: 0 LI - l5I S-8 Owner Name: j012-Allp A �Siorl Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your'parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. tf 1% Page 2of 2 Building Permit Number: 044458 Owner Name: o r) Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. OFire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of !�O feet from the side and � feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. r 11 FLS COD® ncrest Series Model 5603B • 3 Bedrooms 2 Baths • ,1,539 Square Feet •�:. .,�- .;;'d4. _ . -� :: ,..,T. ^TMti ,� � � - a .7 _ 'u - „y T '� 'J:`. � '€x � . �.: k „.ff'' cy i•- _ `�' - R,*�= - '. .. { �i..fiCr...'•t•' • .'- �sY'�- - Ft= _ v - - -u'Y Nom.,: :- _ n - _ Zl lA T is �/ ® ! wi ul°ss aosEf INSERTS ON w< �T•+i �1 C_ _ I I OWING ROOM \DA ! !S. i i SIDE - ALN 1 • -_ ` Y^ � - � KITC N i i BAR ori. OPT. DEN ,• .. ,tt DBL. 15'-6-x 12'-4' /a`r�J , DOORS " -Ae��® 1 I --------- PANTRY- �y ALL KITCHEN' 3 .M, IF' __ __ — LINEN O OPT. OHD �,�i-;_'"'1- J ❑❑ L • � TUB :SNWR. -}: � � - :per' j j INSERTS w GTROOM, ', � •' • -- SIDE � ' � ' a OP7 ' '!• , ' UTILITY; ' : I 1 SN ALK 'r. :: 2= '10'-3'xt21_4#. �` BATH. Lw¢N ij i:BAT i sHE WALK-W ' • GREAT ROOM 2s-a OPT. BATH r ; ".n-o x2s•o �dt MASTER: DINING ; GABLEDORMER `. i i BEDROOM #3 - . ¢BEDROOM • AREA 16.10,"X17-6• . I ' L6OORN6 9-z' X 12'-4'rOPT.CORNER ; ENTRY `� BAY ? .ulu fid) a 0APPROVED �U F , OPT.P` gen!llPt1?P1P�aZ ell WALK-IN r GI BAY i• �u —��'' S '. 1-. - CLOSET a r7 � re k " I��P Yet n1 i r `- OPT. RECESSED ENTRY _ ood Homes reserves the right to change colors, prices, specifications, models, dime s and materials without notice: Rendering and diagrams are meant to be representative and: in keeping with Fleetwood's policy of constant and improvement, may vary from the actual home. All dimensions are nominal 'and approximated. Square footage is measured from exterior will to exterior wall, and is an approximate figure. Length indicated in floorplans is only. The length of ,the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for. specifics. - ; SU/17/APRO3 I. Owner's Nan►e:,A�-r► t - - '14 T L1�'� ,A'Ts4y P16 -VT 2. Assessor's Parcel Number: `02`Z_ I 3. Installer's Na;►►c: rGX E G ..T ►.i 1'1 b. -Y. ` S I. Is (he site currently under pern;il? Yet`► ] Nu[ ] Per;nit No. 5. Is the Bile au existing site? Yes( ) No ] (If yes, fi►rnisl► two plot plans). G. What is (Ile electrical rating of Ilse n►ol)ilelic;n;c? VD --O Amperes. 7. What is the mobilehonle site circuit 1►1-ealcer raling'1 ��O Amperes. B. What is (lie electrical rating of the n;obilchon►e site'? 'L VRi Amperes. 9. Is the main service remote front file tuobileliouie site? Yes[v ) No( ] If it is, what is (lie rating? 'Lo'l Amperes. 10. Is there any other electric 1011(1 to be serval by the n►ol►ilelwn►c site electric service (i.e. well, garage etc.)? Ycsr] No( ] If Yes, please identify (Ile load and size: a) The mobile hone site: Load- Amperes - b) The main service: Load- W Ev- S•(► ft — K —S& Amperes- 3•o -a, 3 0 Is 11. Type ofgas service at uwbilchon►c site: Nawral( ] 1'ropalie None[ ] 12. Size of gas pipe at Ilse inohilehou►e site li om the meter or tank: 3) %A " inches. 13. What is the gas pipe leftgll► lion► the meter m tonic to the nwbilelwnto 41-(n.). 1'I. What is the mobilehou►e gas den;and'l riI fl IJ.'I'.U.* *(This information is not required if the pipe lenless than G feet on natural gas or less than 50 feet on propane). THE OTHER S1.1.)I!: (-)I TIIIS DORM mus, I. flu; CO[1 PLGTED 1N ORULR'I'O PROCESS THIS 1'l lt[1I1'1' A1'1'LICA'1'IO[V BUqTE COUNI tz;_ May 1995 11.5 Y 1;►1 A. Ri 11 Jf i A?:i JA'1t .. ' st.K• s:; ;.;.:;:. . .................. ..... .:::..... ........ f £ t Mobilehome Manufacturer_ ��. �-T W ov b Iti1,111ulacture Year: If other than single wide, (itrllish .setup Model Number: S bd 3 Q Width z j $M(fl.) Length: 4,c>) . '11.) Tagalong or Exl►ando Size -6�. On all ntobilehonies ntanufacUued a(ler October 7, 1973, furnish nianufacturer's installation manual and'stiuctural setup sheets. FOOTINGS: Wood pressure treated or foundation gratle[`4 J ,011ier: SUPPORTS: Concrete bloc* 1 Other: L'rovide Tie llo\vn S1►ecifica(ions for all Mobilehoules: 2" 1 semi Line Pier IFuu(ings Sizes mid Loca(imi 1 sING1,R \MDRD1111:1'1-\VIUR Line 2 I.Ine l � Line 2 ...............................................:...................:............................ Line 2 ........................ h1ain scams Line I —_ �— Line 3 Line 2 ....................................................................................... Alain nervus .......................................................................... ...................... I.uie 2 Line I ................................................. % —I.Ine S ..Tag or •I'tiple \Linc 4 . 1--I..ille i Line I Piers: bine 1 Openings Size ininillmin: "1; x 's'� Size Ininimmil: x L Spacing maxinuuri: 0 - g l"ach side of openings j From ends-niaxiniunt; o " \villi width over: i Line 2 Piers: Line 4 Picrs: Size tnininiuni: [z-"1 ] x [z`i 1 Size mininium: ' x Spacing maxinttnri: ` I Spacing maxinuuu: Prost ends -maximum: j o Irani end/s-niaxilllLl Line 3 Roof Loads: ��� �' mau"� /�eheA e�4 34 z Size minilrnlin Location (front front): Line 5 Roof Loads: Size ntininium: Location (front front): 3b�'3o `1x3o 'Sb�,3o 36s�3o 31a„Z OVER COjjJy DE �. 221-0' 1) This door pion may be exact mirror image about the and/or width axis. w 9a' Shwncil 30'-0" J Jaid. Y 2 top, 0 RECEFR.(SEE ELECT.SPECS.) ® ELM. PAL BOX t SWRCH N m 5X10 AIR REG. N it m ID THERM06W ® Von EXHAUST d: CEUNG FAN © D ® HUSH - SMOKE DEFECTOR C1 2'0b �'::: :Cox i� ' U X R*,, ETURN AIR GRILL W QD N kD ;: ..,;.. ' rl • In U z� E Z } 0 3 O O 3 LL LL t m 221-0' 1) This door pion may be exact mirror image about the and/or width axis. w 9a' Shwncil 30'-0" J Jaid. Y 2 top, 0 RECEFR.(SEE ELECT.SPECS.) ® ELM. PAL BOX t SWRCH U 5X10 AIR REG. 0 UGHr RXIURE it AIR SUPPLY ID THERM06W ® CEIUNG REGISTER EXHAUST d: CEUNG FAN © SHEARWFLL ® HUSH - SMOKE DEFECTOR C1 SUPPORT POST ® DOOR IIELL TRA45. R*,, ETURN AIR GRILL EGRESS L•1� 0 MEL L4 PCR bli PIER w. 3 Ll. 10001 L, LOGATXIY LOMA I= FROM t� MAX HT. 120' 1121 (0) IFtjj 0'-0' 0'-0' 5200 18 8'-1o' 32' 15-8' 15'-10" 9500 3g 6'-10 9 z 33'-7' 33'-9' 7500 A A 13'-4' 7 42'-4' 42'-6. 7500 S A 13'-3' 7 , N 60'-0' 60'-4' 5600 7A 9'-10'31' z r Motes 2' Wag o Hegared 214 POR h6 RFA Ya 4041-L. 10 D.L Law LOU PER FROM FROM LOAM LW. HT. 120' AZ1 (0) o IAXT 0'-0' 0'-0' 3400 1 A 4'-6' 1 32 7'-0' 7'-1' 5500 2 A 7'-10' 5 J Z 15'-8" 15-10' 9300 3g 13'-4' 9 i = 2 33'-7' 33'-9' 9300 4 A13, -3y, 9 °- 42'-4' 42'-6' 6100 58 8'-8' 6 W-11, 51'-1' 6200 6B 8'-10' 6 '3 60'-0' 60'-4' 4200 7A 5-7' 32 ' hTi mes 2' Bearing is Required APPROVED PFS Corporation Madison • 5 3033 HUDi9snuTaUured Home Construction 8 SafIYStandard Submittal #: 15-03-4119 WOODLAND # 17 � FLOORPLAN or ►'_)�'X �',..d' lgDEi: REM. SUNCREST 56036 D N w L7 OL J Q 0 FOUNDATION FOOTINGS WITH CONCRETE BLOCK PIERS Double concrete block piers may be used on any pad that covers at least 16" x 16". All piers shall be placed in the center of the footing configuration. TRIPLE DOUBLE PAD FOOTINGS ('DOUBLE PAD' CAPACITY MULTIPLIED BY 3) TWO DOUBLE PAD FOOTINGS SINGLE PAD FOOTING �' DISTRIBUTING DOUBLE PAD FOOTINGS PAD FOR FOOTING SUPPORT 16"X 16"X 4" CONCRETE PAD FOOTINGS F t" , Y " SINGLE PAD y 11 1/4" FOOTING 8x16x4" concrete pads may not be used alone. They must be used in configurations of at least two pads. TRIPLE PAD FOOTING 1 8" DOUBLE PAD FOOTING Fes? Y " J l ,Y J DOUBLE TRIPLE PAD FOOTINGS ("TRIPLE PAD" ` CAPACITY MULTIPLIED BY 2) ;a l Y W J TRIPLE PAD FOOTINGS TWO DOUBLE PAD FOOTINGS 8" X 16"X 4" CONCRETE PAD FOOTINGS DOUBLE TRIPLE PAD FOOTING ("TRIPLE PAD" CAPACITY MULTIPLIED BY 2) �2X 12 X 24" WOOD PAD FOOTINGS FOOTINGS AND FROST LINES In areas where the ground is subject to freezing frost heaving camead to unleveling and potential damage to the home. �Foll"ow� 'these COON in areas where the ground is subject to free zin-, v �. '�! PIC/A�+L� PIER' P �`b TYPICAL PIER " S nor, u FROST LINE DEPTH AS BOTTOM OF FOOTING PAD FOOTING PAP® ESTABLISHED BY LOCATED AT FROST LINE LOCAL JURISDICTION 6" MIN. _— _ _ = WHEN FROST LINE IS NOT OR ---- CANNOT BE ESTABLISHED, BACK FILL WITH ANY CLEAN GRANULAR SAND AND COMPACT FOR FIRM SUPPORT OF FOOTING. Multiple Section Installation Manual for WZ-1 F —Zk Page 13 Copyright a 2003 by Fleetwood Enterprises Inc. DOUBLEPAD �FOOTINGJ LOAD DISTRIBUTING `' " PAD FOR `r SUPPORT TRIPLE PAD FOOTING 1 8" DOUBLE PAD FOOTING Fes? Y " J l ,Y J DOUBLE TRIPLE PAD FOOTINGS ("TRIPLE PAD" ` CAPACITY MULTIPLIED BY 2) ;a l Y W J TRIPLE PAD FOOTINGS TWO DOUBLE PAD FOOTINGS 8" X 16"X 4" CONCRETE PAD FOOTINGS DOUBLE TRIPLE PAD FOOTING ("TRIPLE PAD" CAPACITY MULTIPLIED BY 2) �2X 12 X 24" WOOD PAD FOOTINGS FOOTINGS AND FROST LINES In areas where the ground is subject to freezing frost heaving camead to unleveling and potential damage to the home. �Foll"ow� 'these COON in areas where the ground is subject to free zin-, v �. '�! PIC/A�+L� PIER' P �`b TYPICAL PIER " S nor, u FROST LINE DEPTH AS BOTTOM OF FOOTING PAD FOOTING PAP® ESTABLISHED BY LOCATED AT FROST LINE LOCAL JURISDICTION 6" MIN. _— _ _ = WHEN FROST LINE IS NOT OR ---- CANNOT BE ESTABLISHED, BACK FILL WITH ANY CLEAN GRANULAR SAND AND COMPACT FOR FIRM SUPPORT OF FOOTING. Multiple Section Installation Manual for WZ-1 F —Zk Page 13 Copyright a 2003 by Fleetwood Enterprises Inc. SUPPORT 4 X 14 BEAM (SPF #2) 13,500 LBS. MAX. LOAD WOOD WEDGES BLOCK TO BE USED WITH: - 8" X 16' X 4' TRIPLE PAD -16" X 16"X 4' DOUBLE PAD -16" X 16"X 4' QUAD PAD - 2 X 12 X 24" DOUBLE PAD IES Twin Concrete Block Piers At Mating Line Support Post 4 X 14 BEAM (SPF #2) 13,500 LBS. MAX. LOAD TO BE USED WITH: -� - 8" X 16'X 4" TRIPLE PAD SEE TABLES FOR -16" X 16' X 4" DOUBLE PM , CAPACITIES - 2 X 12 X 24' DOUBLE PAD Twin Metal Piers At Mating Line Support Post 8"x 16"x 4" CONCRETE PADS 16" x 16" x 4' CONCRETE PADS SUPPORT _ 2 EACH TRIPLE PADS SOIL CAPACITY (PSF) POST` ? ' 4 X 10 BEAM (SPF #2) 2 EACH QUAD PADS SOIL CAPACITY 2 EACH DOUBLE (PSF) PADS 1000 11,700 LBS: MAX: LOAD SUPPORT - 7000 14,000 4 X 12 BEAM (SPF #2) POST �;a ; y 8000 ?• ; it 15,500 LBS. MAX. LOAD 15,500• 1500 12,000 2000 10,600 2000 14,200 15,500- OOD WEDGES 3000 15,500- 3000 1 15,500- 15,500- WOOD (t 1 15,500- 4000 1 WEDGES • ` AP BLOCK 4t CAP W BLOCK ti ,gyp- 6 TO BE USED WITH SEE TABLES FOR CAPACITIES SEE TABLES FOR TO BE USED WITH: - 8"X 16' X 4" TRIPLE PAD CAPACITIES - 8• X 16" X 4" TRIPLE PAD -16" X 16"X 4" DOUBLE PAD Twin Concrete Block Piers At Mating Line Support Post -16',X -16t X 4' DOUBLE PAD - 2 X 12 X 24" DOUBLE PAD ti SUPPORT SUPPORT 4 X 14 BEAM (SPF #2) 13,500 LBS. MAX. LOAD WOOD WEDGES BLOCK TO BE USED WITH: - 8" X 16' X 4' TRIPLE PAD -16" X 16"X 4' DOUBLE PAD -16" X 16"X 4' QUAD PAD - 2 X 12 X 24" DOUBLE PAD IES Twin Concrete Block Piers At Mating Line Support Post 4 X 14 BEAM (SPF #2) 13,500 LBS. MAX. LOAD TO BE USED WITH: -� - 8" X 16'X 4" TRIPLE PAD SEE TABLES FOR -16" X 16' X 4" DOUBLE PM , CAPACITIES - 2 X 12 X 24' DOUBLE PAD Twin Metal Piers At Mating Line Support Post 8"x 16"x 4" CONCRETE PADS 16" x 16" x 4' CONCRETE PADS 2 x 12 x 24' WOOD PADS SOIL CAPACITY (PSF) 2 EACH TRIPLE PADS SOIL CAPACITY (PSF) 2 EACH DOUBLE PADS 2 EACH QUAD PADS SOIL CAPACITY 2 EACH DOUBLE (PSF) PADS 1000 5200 1000 7000 14,000 1000 8000 1500 8000 1500 10,600 15,500• 1500 12,000 2000 10,600 2000 14,200 15,500- 2000 10,600 3000 15,500- 3000 1 15,500- 15,500- 3000 1 13,500- 4000 1 15,500- 4000 1 15,500- 15,500- 4000 1 13,500- Note: - Pad capacity limited by beam capacity. 1. All capacities shown are based on the footing capacity. Individual piers must also be capable of the capacity shown or the configuration must be reduced to match the pier capacity. Multiple Section Installation Manual for WZ-1 FLS Page 34 I 00"ftht 0 2003 M Fleetwood Ent wIW 2"x 2'x 3/16' STEEL ANGLE Dc --TAIL "A" CHASMS FRAME 1/4" GRIPPER PLATE . (2) REQUIRED 1/4" G.RIPPER BASE 1/2-13UNC-A307 x BOLT WITh NUTS (4) REQUIRE: 01 1/2' SCH 4D PIPE RISER. WITH 01/2' ADJUSTER HOLES AND 3/8- T THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD X503 STEEL FRAME cl SEED;€TAfL "A" 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED .=LUSH WITH BOTTOM Al 8' O.C. (8) REQUIRED 1/4" STAND BASE , ,,-- ABESCO ABS PAD f503 36" MAX TO BOTTOM OF ?AD 01/2'x 3" C.R. LOCK PIN WITH 0118' BRIDGE PIN r J i COACH "C' FRAME a^" CHANNEL 1/4"x1-1/4'- TEK STS (2) REQUIRED 1/4' GRIPPER PLATE 1/4' GRIPPER)fft BASE 1/2" A307 BOLT (2) REQUIRED 3/8'4 6"x E" STEEL PLATE 1/2" A307 BCLT-/ C -BEAM (2) REQUIRED ATTACHMENT 10.00-1 11 09/16 HOLE (T7P) STAND BASE TOP VIEW 17918 IR LISP 2�". ft�t WRIMU6U�` 11, 37' < if8 1 /2" TUF-1 PERMANENT FOUNDATION SYSTEM ARES "US GUARD COMPANY 5851 FLORII` - PERKINS ROAD SACRAME Ii . CA 45823 PH: (800) 382-8831 FAX: (916) 383-5207 COACH "J" FRAME 1/4"x1-1/4" TEK STS (4) REQUIRED M :/4" GP,IPPER BASE 1/2' A307 BOLT (4) REQUIRED J—BEAM ATTACHMENT DIA. HOLE (8) PLACES STEEL FRAME TOP VIEW ST Loa _ . >f m=A1lD>{umcum®CIf> .. taeoserii�ooa�t�rsctsloislblls :�;. SDI►JIE�01l1f1101r0EA}lROtls/Ul� -_,: amaa�sasneru��nr,��sa - � � lwattl6�eir _ - . -- .rte■�■itA11�.IM _ (OF "oftf WAYNE T. POLVADO, PE—LISTING N0. F94249 SHEET 1 of 3 GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE "4' *SHOW LOAD 10.3 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO EF CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTINC SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL OE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE ROME INSTALLATION INSTRUCTIONS". 4. IN AREAS WHERE DIFFERENTIAL SETT:EMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4', 0& WHEN IT WLL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VO DS UNDER PADS, 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRCDES-370 PLATES -ASTM A35 BOLTS -SAE GR 5=ASIM A449=ASTM AS725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE USUD AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING tiOADS: ALLOWABLE LOADS: 'HORIZONTAL VERTICAL GUS GUARD TUF-1 22001 60DOO GUS GUARD MGP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 2200# 6000# 8. DURING PRELIMINARY INEPECTiON. THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTIC14. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TLF-I UNITS AS SHOWN OH THIS PAGE OF TIPCCAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT Of, THREE FEET. 11. MULTIPLE TWIT INSTALLATION IS ACCEPTABLE PROVIDED YTHEINUMBER OF TUF-1 UNITS UNDER EACH UNIT IS WHE::S-AME AS SHOWN REQUIRED PER EACH UNIT. Ili. 'SINGLE .AMIDE UNITS REQUIRE ADDITIONAL RESTRAINT. * (SEE SHEET 13. `II L METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. r� t , =1-41 •WHENtOONCRETE SLAB IS IN EXISTANCE, PAD IS ROT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT FOUR. (4) 1/2"x 3 1/2' EXPANSION ANCHORS_ FOUNDATION SYSTEM15_ GUS .GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO tOG PSF WHEN INSTALLED ABESCO-GUS GUARD COMPANY WITH'EXCSTING STANDARDS REQUIRED BY COACH 5851 FLORIN-PERKAISROAD MANUFACTURER OR REPLACE THEM ON A ONE TO ONEB4SI5. PH: (RAME� O, CA 95823 382-31 FAX: (916) 383-5207 15. FOUNDATION BLOCKS ]6'x lex12' POURED IN PLACE AT GRDUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINCL£ WIDE COACHES DOUBLE/MULTIPLE COACH --S E= 2' MIN. / 8' IAAx. E= 2* MIN. / 11' MAX. S= 6' MIN. /16' MAX. S= 6' MIN_ / 22: MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) £ S S S E - ❑ 1.RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER ❑ (TYPICAL) F-� 0 1- + V ❑ 0"D B' NOM. . CHOW. ❑ ❑ PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNOATON ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY OFFSET TO OTHER SIDE TC THE MANUFACTURER OR -HE AVCID CLEARANCE PROBLEMS_ ENGINEER. TYPICAL THROUGHOUT PVC SERIES SUPPORT PAD (TYP) 17918! Exp. � crrrti� ��4 qlF OF C��1Ffl@ STATE APPROVAL JdAA]1)FAC'pt m HOMA1MOgm ED)if!< FOLINDAmoN SYST1rA[ HBALT" A" &am OOD$ acrxw I&= APBROVBD SuS=TO QOxREOTIO w 14w'1� APPROVALDOINMrAMOMUCMApP UM AW OMISSIONS OR DBVTATION FROM x8QVanW=OF APPLTCABLBSTATE LAWS AM jU&QUL&n" of8—tcQaxdCao�utotlsrDw,�� CODISANDSTAWDARM// BY y 6 (a>Nra) STA NO. This Plan Anm iaT F.—h- _ WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 1/2-x 3 1/2" - EXPANSION AVCHOR (4) REQUIRED CONCRETE PAD INSTALLATION CHASSIS FP,AME 1/4- GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 47 BOLT WITH NUTS (4) REQUIRED 01 1112" SCH 40 PIPE RISER. WITH 01/2' ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02' SEH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABE'SCO ABS PAD #503 1 /2"x 8" ANCHOR (4) REQI 3/4" DIA. x 18" LG. (4) REQUIRED 3/8" CAD PLATED BOLT, HUT & WASHER COUNTER BOP.ED FLUSH WITH BOTFcm AT B" O.C. \ (8) REQUIRED .� A, POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATJON 36" MAX TO BOTTOM OF PAD 01/2"x 3- C.R. LOCK PIN WITH 01 /8" BRIDGE PIN LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION llTJ m-wWR UNM SIIQGIS WDR uNrrs GTN OF V0DTH'OF HOME LENGTH WIDTH OF HOME HOME 24 26 28 44 HOME mUP TO 44 8 8 8 12 UP TO44 6 E4 -1' to 12 1 12 12 18 -1' fm 66"1a 8D 20 20 20 24 68'-1' 10 10 NUMBER OF TIJF-1 R1JgU1RED NUMBER OF TUF-T REQUIRED H4IE� SWAZ W13DE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARC TO SE PLACED AT APPROXIWTELY EQUAL STERVALS ALONG EACH FRAME RAIL FLORIN PERKINSO• SACLQ&NTO, `(E100) 382-8831 r q4� STATE APPROVAL I+OUMATIOTI 3YSTM AND &*WN CODB, SECTION ]8571 APPROVED Si1B,TBOT TO CORRBCTTOm w0m APPROVAL DOI S NOT ATIMMZB OR APrPROVBANY 1~ OMISSIONS OR DEVIATION FROM REQMREMEM OF APPLICABLE STA713 LAWS AND REGLU ATIONB Smog Of Ca farab Iso Afro ST By z� e aPAN4. ' ID ihiaPlm/lpprova! I 17 6 WAYNE T. POLVADO, PE—LISTING NO_ F94249 SHEET 3 of 3 0 CDF FIRE SAFE REQUIREMENTS 027-23-100 BP -04-1458 Ratliff / Patterson AP# PERMIT # NAME ' a' Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and will be ' superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to ' assure continued avail -ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. }, Driveway Standards [X] , 1273.02 ' Surface. All driveway surfaces and structures 1273.07 (bridges, { culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to , 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. ; 1273.04 Driveway Radius ' [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface = width of 4 feet shall be added to curves of 50-100 feet_ radius, 2 x . feet to those from 100-200 feet. IX] 2. the length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. r- [X] 1273.05 Tumarounds. If required, will have a minimum ' turning radius of 40 feet from the center of the road.' . [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet longTwith'a minimum 25 foot taper on each end. ,, • . , [X[ 1270.10. Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 1273.10' Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.11 Gates Pq 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 the roadway. - µ 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used: CDF .FIRE SAFE REQUIREMENTS 027-23-100 BP-04-1458 - Ratliff / Patterson AP# PERMIT # NAME Fuel Modification r 1276.01 Setback for Structure Defensible Space [X] 1. All parcels 1 acre and larger shall provide -a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than, 1,acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X] 1276.02 Disposal of Vegetation and Fuels.' Disposal, 'including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B'roof Enclosed Eaves i[ ] If Building Setback is Less Than 15 Feet — Class A or B roof with enclosed Eaves and: Choose any 2 of the following: Metal or no doors on side toward property line with insufficient setback Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D - ,. - Glass area not to exceed 10% of wall area toward property line with insufficient ' setback N ry Siding from the following list: ` Stucco — 3 coat _ { Hardi-Board or Plank Masonry ' Masonry Veneer Metal , Other Butte county Fire Department approved materials n .r Date - Sign tura 2 M1 A r I Say )CIA Tai4;fl Urip c F, to "C", S oil Orl .Our. .Lv- fi.:ivy' -)"Y V;v4'f4Qr!q ji OlUie eoeob ufj if) fc*.A-9,;� bu,. oj-, E iC) A av;,s, !0 -mj joi%.310i On"! r. Gfu,W cudtfj--: moz) .3 wN 4C7 F. ii r I National Pollutant Discharge Elimination System (NPDES) Phase II .Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE Project Title: �GLT if T� By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution .Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit:if my project disturbs 1 acre or more of land. I, further; certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: f{ FLEV::!1M1WD, S U i crest Series Model 5603B. -3 Bedrooms' • 2 Baths 1, 539 Square Feet' A �3 0101 G. i I OND CLOSET OWNW 1: PT I 1 ISE TI DINING ROO ^ T T `�'. i/L Qy\ I I SIDE - /- i ` S ACK `' �X 1..� i ITC N I `�� DPT. OPT. DEN r DBL. 15'-6• X 12'-0' DOORS - } Pf ALT. KITCHEN 60-0. .. ,. LINEN DPL 07fU _________ L . y . O ❑❑ I W/GLASS _ COPT. I I INSERTS ON 'DAY I I DINING ROOM OPT__,_ .-.� t--•-+/ UTILITY:: I I sr°E .• ; , ' f - � BAR. .i -BATH LINEN =KITCHENr� �— BEDROOM#2" „ 10 3 •X.12-1 • O -^I - O I BATH. 1 SHELFWALK LzLi / \ .CLOSET-�rF-.I I •PANTRY' GREATROOM 112 OPT. BATH ,'ar-o x2s-o MASTER: J' `.\ i r BEDROOM DINING GABLE DORMER BEDROOM #3 ox12 B AREA : I Iss x12 a<= 9'-2' X 12'-4' ' CORNER�,- CORNE NR EiRV . W BAY : s . . 1z BAAPPROVEDY •-Evutts C04 , OPT. V!i'Orimenw eal WALK-IN GI BAY CLOSET re i 1. �0mn OPT. -RECESSED ENTRY Fleerood Homes reserves the right to change colors, prices, specifications, models, dime s and materials without notice. Rendering and diagrams are meant to be representative and; in keeping with Fleetwood's policy of constant upd,Z.g and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior will to exterior wall, and is an approximate figure. Length indicated in Floorplans is Floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. SU/17/APR03.. . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041460 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/04/2004 APN: 027-230-100-000 the Business and Professions Code, and my license is in full force and effect. License Class : C—/6, License Number3eZ6 3 S Site Address: 2061 COX LN PAL Date: 4 O Contractor: Map Index: Description: FIRE SPRINKLER SYSTEM WATER SUPPLY OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 FOR MH Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance; also requires the applicant for such permit to file a Owner: RATLIFF MARTIN C &CORA B signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 2152 COX LANE 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: RATLIFF MARTIN C & CORA B such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: EXECUTIVE HOMES pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 3042 ESPLANADE CHICO, CA 95973 Date: Owner: (530)891-6992 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #• 640583 ' ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Ix-c4VP Total Square Ft: 0 S. F. Policy #: 2 72 uN Z 3 Valuation: $0.00 ❑ 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 61-fl,04 Applicant: WARNING: Failure to secure o errs' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees, -55/_n1/-04- 4�(cO�i rio I Ool 8y _ _ w CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Birtte County Code anNor I hereby affirm that there is a construction lending agency for the Resolution t do work indicated above or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) C O Name: By: Date: Address: PERMIT EXPIRES ON: Da ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Cl Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to upon the above mentioned property for inspection purpose . .ennter Print Name: z CCK 90w, I%V/ Signature: Date: 64/09 ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY �UT7F 0DEPARTMENT OF DEVELOPMENT SERVICES •��\\\\`illll//%/�i�0 BUILDING PERMIT APPLICATION ° ° 24 HOUR INSPECTION n: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) o OFFICE n: (530) 538-7541 M PERMIT NO. n� 1 DATE: APN: ZONING: NEAREST eROSS STREET: TRACT/LOT SITE ADDRESS: CITY, ZIP: OWNER NAME: /!l/1.QTlt/ i�i�Tl''L/ff �,��/ F�AT7�:�.Sa.�✓ PHONE: STREET ADDRESS: �46VWAA?&Z AD FAX: CITY, ZIP: ,�y O /�!� S ✓/�� 9.�/DI E-MAIL' APPLICANT NAME: PHONE STREET ADDRESS: FAX CrrY, ZIP: E-MAIL CONTRACTOR NAME: x �o/tl�i9�J- PHONE 2 7 O STREET ADDRESS: �3 9S�s a� ✓ c FAX 3 8 - ZS CITY, ZIP: oho t/i<<E n•4, 9S9G 6 E-MAIL: LICENSE NUMBER: ../ i� Fd/N 3D531o� WCJ�i�',A�i1,U G ly.". X 73 u/V 23 LICENSE TYPE: ('—/6 ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX - CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number: Amount Received: /� 01 q' �l� o WOO. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SKEET /�f 16 / oz / f/ �1 V OWNER: =nter ARCEL NUM Proposed Building Use: Technician: Date: Items required in order to apply for a kerniff. All boxes MUST be checked OR marked NA in o der to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. 0❑ 4`'Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license apprdpl from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers...................................................................................I......... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................: ❑ 22. City of Chico Plumbing permit................::....................................................... ❑ 23, California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage......... ................. ❑ 26. NPDES Form............................`.::.....................................................:........ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... Cl 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35.. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applican / Gi Date: 1. Index permit applicatii7for the above items numbered: RJan Check Letter 2, nntror, onal items required C designer, owner, was advised of the above data by CYphone, ❑ mail, ❑ counter, by ate: Contractor, designer, own , w advised of the ab ve da a by phone, ❑ mail, ❑ cou��rr by Date: Plans reviewed by: Date: Plans approved by: V " U� Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: X814 L/FF ?477 SCW� I""� ASSESSOR PARCEL W.WER: ".0 0 3 —/O 6 Proposed Building Use: �.PE i t/.r�gv�. Building Inspector: Date:. 2 At time of permit application, I was vi -ed the following data must be submitted prior to permit Vocersing nd/o —issuance: All items have been submitted. 02. Plot plans, 3/4 sets, signed by the preparer of plans. ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 06. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. 08. Hazardous Material Form. 09. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $ 1111. Impact fees as shown on the attached schedule. O 12. California Department of Forestry plan approvaVfees. ❑ 13. Flood elevation certificate. O 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, O Legal Parcel. 1119. Encroachment Permit for driveway (construction approval prior to occupancy). 1120. Pre -inspection for required. 112 1. Contractor's license information. (Number, Name Style, Classification). ❑22. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. 025. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. 027. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, O Check to H.C.D $ 030. Other: When you issue the permit, process as follows ❑ Mail to owner, OMail to tractor. Telephone 5- 33-- c; 3 and hold for pickup at � ffice. ❑ Delive vith inspector. yApplicant: Date:Y EXPIRATION OF APPLICA Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two .years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant. eoun4 qJ9Utt46 OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: MARTIN C. RATLIFF ADDRESS: 2152 COX LN OROVILLE, CA 95966 CITY 8 STATE: IMPORTANT: 8/11/94 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT B.P.#94-1763,94-1897, 94-1898, A.P.#027-230-100, RECEIPTS # 167067 AND 167013 DATED 6/22/94 &6/30/94, OWNER:MARTIN & CORA RATLIFF TOTAL AMOUNT PAID....................................$471.00 RETAIN REFUND PROCESSING FEE .............$ 25.00 RETAIN BLDG.PERMIT FILING .................$ 40.00 RETAIN ELEC.PERMIT FILING ................$40.00 RETAIN PLAN CHECK FEE .....................$ 23.00 RETAIN SRA PLAN CHECK FEE .................$ 43.00 RETAIN PLUMBING PERMIT FILING FEE............$ 40.00 TOTAL AMOUNT TO BE REFUNDED .....................$260.00 TOTAL 260. 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. / Dated this .! �............... day of ....... � ............. 19 � at ...i :..C, Calif. C.f ..S..... Signature of Claimant a be �n performed or de- livered and that there is a Budget Appropriation O or Specific Board Approval ❑ (Check one fo t ea I, the undersigned, hereby certify that, to the beat of my knowledge, the services or articl tied ablea Dated thin........11THUM ................ day of ....AUGU.$.T........ 19..9.4 at .....OROV�J Ji i.. cauf. ........ ..:....1�1.. ...'�� ................ .......... ..........apartmentr Authorized Deputy Dept. 440-002 E=p• 4210500 Code ............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information:— Number: ,0 fj Date:G Aps ji t-13019!1 9 ...Issued T Aafij",\ RWX Amount: $ 00 3 It a Fees Retained: 90-1193 "_W 944893 - Processing Fee: Bldg Filing Fee $ 010 of Plbg Filing 'Fee 010 40 Elec Filing Fee $ 420 ao Mech-Filing Fee $ Energy P/C Fee $ Plan Check Fee Fee Total Amount Retained $ /3 1.00 40 00 .TOTAL REFUND DUE REFUND CLAIM APPLICATION' CLAIMANT'S NAME MAILING ADDRESS 5e ,v ASSESSOR PARCEL # RECEIPT NUMBER(S) PERMIT # ?J '- W 8�- Request a refund of fees paid on the above receipt number(s) for the following reasons: -- Please refund any applicable fees in the followina cateaories: (Check those categories which.you wish to have refunded.) (X] Building Permit Fees [ ] Sheriff Fees [\] SRA.Fee (CDP Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. SIGNATURE DATE F EgTW WD Suncrest Series Model 560313"' •M 3 Bedrooms • 2 Baths • 1,539 Square FeetFOE ` ={ 1'v ' OPT- .—H DAY 1 I DININSG�REWM w - /' OPE OPT. DEN , DOORS y�` '/� _ . ` ►ANTRY i .6 �i�Pi �i� .. ALL KITCHEN 60'-0"r r OLINEN OPT. OND�:'-'i J ❑❑ `__ - 1 OHD O Y / / _r 7U8 . SHWR. } I I DUJWGTRt ONM j i • ^ _ U OPT ^' !• UTILITY' ' _ i I SNALK SDE ' ' ' ' -POQR'u� DPL, '/{"I __ : - I I BAR , i'rr . z„y.• - .. ' KITCH NT I_ 'BEDROOM #2= • - ala ' �__ O' `BATH. LINEN ..BA SHELF' - O �'-.�-C 1 '•a_'r� _ __ - ' ' _ _ • 0 _ - - :: __� WALK-IN j :I r - . s IF . t PANTRY -- - -=-- • 1 GREATROOM ,^\17'•0'X25'-O' OPT. BATH lvIASTER' DINING . �; GABLEDORNIER �`.` i BEDROOM�i13 , BEDROOM AREA ; 1 13rs;X 12-0=, 16'-IO',X 12'-6' 9'-2'X12'-0' - � - ..ti'�� 1 �RN OP; ENTRY �� i C BANYR APPROVEDl �� I Butte ou y DPL viron en e� WALK-IN t r� U �CJL CLOSET BAY 19� i 1 ffr4oM OPT. RECESSED ENTRY. Homes reserves the right to change colors, prices, specifications, models, dime s and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant 1d improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is Nonnly. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. 1 SU/17/APR03- COUNTY OF BUTTE - DEPARTMENT OF J)t V t,LurivmN i Jr.x v i%-za, Dvu.uu.v 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 RE: DATE: A.P. # With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm Mobilehome Utilities Installation,Sheet Mobilehome Installation\In_formation Sheet Typical Plan Sheet List of Codes Enforced We need the following information'prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies Plot plans, 3/4 sets, signed by preparer of plans. a Complete plans, 3/4 sets, signed by preparer of plans:. Engineered plans and calcs, 3/4 sets, with wet signature on,plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. 7—n Egineered truss details and layout do duplicate. Mobilehome data and manufacturer's installation instructions, 2•sets. Fees of $ - payable to Butte_ County Treasurer. ►� Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval' Health Department. City.lof Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. 1 f Other: returned. Planning approva or Land Development, (a) Improvements (b)� Drainage. •Driveway permit (approval of construction'required prior to occupancy)., Contractor's license information (No. Name Style, Class) or exemption' statement. Certificate of,Workmans Compensation Insurance. t i Owner -Builder Verification Form. Recorded copy -of Agricultural Acknowledgement Statement. Letter of signature authorization. - Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter'of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50t subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Should you have any questions concerning the above, please contact of.this office. Y rsvery tr ly, Midffael C. Vieira, C.B.O. NiCV•ahb Man ger, Building Inspection #oat-a3o-i�D glr lqy own�� w;ll ��Ise Or / S �Llaf se nc% �e- read C4 C/ cc? V-0 6--�a /C)C" O y- Li'l GfCP �'I � \ Y � Somme J. +_ i��' ����� ��P ���� ���� ��� �� ��� �� � �� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 91-1 - / % 4-� ASSESSOR PARCEL NUMBER 027-2in—lon ZONING A5 BUILDING PERMIT OWNER TELEPHONE 4-1458 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9199 COX T.N 0'R0VTT.TR, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. I SUBDIVISION'S NAME PA C�F LMAP 7.0 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ MobilehomeM Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 60 • 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitieM Installation ElOther O Describe Work: 2 LBDP.M 500 MIN. PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( ROOV OR LESS ) 200A OR LESS 23.00 Main Service( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDN8 S. ( ACC. BLDS. ) g 3.50. FTO,. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 119 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) B SINGLE OUTLET CIO. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. l I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes.coNST I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. -X f Dat"=�� Signature of Applicant Owner Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ W" TOTAL FEE $ 1 .00 HAL I D. FEES IMP FLOOD XX COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY PERMIT EXPIRES ON /Dare! provisions to do work paid. Date o ` Receipt No.,�,�,�:�-. (� l WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT j iw COUNTY OP'BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT _ 7 1.Z,3 ASSESSOR PARCEL NUMBER ' - ZONING AS BUILDING PERMIT OWNER •.-534-1458 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS > ' 9-199- MY TN CONTRACTOR'S NAME - J . OWNER TEIlEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS , Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPERMIT V FEE $ 23.00 -- PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 '. Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAMEP CEL MAP y 7.2 ! Y Each gas water heater or vent 15.00 'USE OF STRUCTURE yyyy SF ❑ Duplex ❑ Mobilehome'4J Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 60.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitieA Installation ❑ Other ❑ �s�,,, Describe Work: 2 $Dl� 500 MN. PERMIT FEE $ g0 00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 +- 800V OR LESS Main Service ( 200AORLESS ) 23.00 ' Main Service ( 200A TO 1000A ) '46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. OLDS. ) 3.50 FSTO.. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business ander Professions Code and my license is in full force and effect. License No. Classification ® I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) - -fes B SINGLE OUTLET CIR. "`Ex. Occup. ( OUTLET OR FIXTURES ) BAS @ 1.0500 Ex. Occu FIXED APPWS. OR p' (OUTLETS (RESID.) EA. ) 5.00 / Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. r ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance''or a Certificate of Consent to Self -insure._ /Ib 1 shall not employ, any person in any manner so as to become subject to the Worker's Compensation laws of California. - 1 Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation �t pE MIT FE,E/ S Contractor / I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X -- s Dat :1 -1, - �j4� Signature of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. T PE TOTAL FEES ' 1 •00 HAZ. I D. FEES IMP FLOOD XX CDF 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. Date PERMIT EXPIRES ON !Date! //2By Ece o. 4.6w4 g.. I 0 0/ �J.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9y - / 7 /--:, ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER MARTIN & 00 TELEPHONE 534-1458 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9152 MX LN OROVILLE. 95966 CONTRACTOR'S NAME - TEV PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ ;t, 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS COX N PERMIT FEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 - �~ .. Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PAL MAP r^ t� ?.� Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehomey4 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 11P kG I V 1 @20.00 60.00 TYPE OF WORK V ❑ Addition ❑ Remodel ❑ UtilitieshQ Installation ❑ Other ❑ Describe Work: 2 BDRK 500 k1N. PERMIT FEE $ • RRn.()()Rn.()()New Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 1OVOR LESS 200A 200A OR LESS ) 23.00 300 Main Service I 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. I &ACC. SLOS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter ter 9, Division 3 of the Business and p Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON RESID. ( BRANCH CIRCUITS ) @7.50 I POWER APPARATUS ) & SINGLE OUTLET CIR. -Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 "RAL. 2. 50 Ex. Occu FIXED APPLNS. OR p' I OUTLETS ) (RESID.1 EA. 5.00 Temporary Service 23.00 Mobile Home Facilities i,20.00.20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-insure.Cooling ,] I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE oil, Contractor I MECHANICAL PERMIT Filing Fee 20.00 Heating Hood 6.50 Ventilation .r• '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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Data/ - !; �% Signature -of Applicant -1A Owner] Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ o c� cON T. PE )I TOTAL FEE $ 1b6.00 HAZ. I D. FEES IMP FLO� CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have been BY PERMIT EXPIRES ON (Date) applicable provisions to do work paid. Date 1r/77■ ^'wy /� / Receipt No. 1,7� V {./�?IYYIr.I. ' ! WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT " FAJ�. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT gC� + / 7 4,-a ASSESSOR PARCEL NUMBER Q27-230-100 ZONING 5 BUILDING PERMIT OWNER MAryryM & COqqA &lU" TELEPHONE 534-14% SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2152 COX LN OROVILLE. 95966 r CONTRACTOR'S NAME }}••S�W��}�R VYli�faeLl TEIL4PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS it PERMIT FEE $ 23.00 mom ,i7 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. t SUBDIVISION'S NAME PARCEL MAP, Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home }t. XG I W I EH!noo y00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities"17yyyy Installation O Other ElContractor Describe Work: 2 EDRM 500 t'IN• PERMIT FEE $ 80.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 101 OR LESS ) 200A OR LESS 23.00 2300 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.5C FT CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) El am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) - @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 -SAL. @ .50 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 in n WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. l ID I shall not employ anyperson in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of.Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X r'' ',,, ��; Date' Signature of Applicant -'O Owner,❑ Contractor El Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCCacoN t ? T.,T,," /V TOTAL FEE $ 266,00 -1 HAZ. I D. FEES IMP I F 0%X I CDS'IPARCEL PD HD I 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 Date • PERMIT EXPIRES ON (Date) ro iJ Receipt No. i§.1710- §.171 + 167 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 % PERMIT APPLICATION DATA SHEET OWNER A. P. No. 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: 1. All items have en submitted. -� 2. Plot plans, 3 4sets signed by preparer of plans. 3. Complete plan -s-,734 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 $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by Ca ifornia Engineer. 14. Sanitation and plot plan approval i e 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). - 20. Pre -inspection for required. 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. 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 Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant ' ...,-,.. ••a.y .. , �-r'-�•..�w,�.-r i.rl.r^ r..�..r �.. �._ �.,,w.,y....4:..wr �r�-.N'" i'• n'-. '-.�•�..,,�,,,�..�-r.� ,.� .Y.---.�� ,- .. ...� .. . �.. - �-.. ,. "'. r'r COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION Y 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER �-b� I l P. No. D a `7" P 30 - 16p Proposed Building Use i11 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 1. All items have n submitted . ..................... ................ q!*PlZ4ot 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...lntept 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 $ ,. Z11. Impact fees as shown on attached schedule. . 12. California Department of Forestry plan approv /fee 13. Flood elevation letter (100 year flood by Ca ifo sneer . ................. . 14. Sanitation and plot plan approval V( ,2 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: . ......... 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 _). ...... ::� -k 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.J 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 t9orrmit 'issuance: (Circle pew not checked above). 1. Index permit for above items Nn 10q Ah 2. Additional items required: G 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 4 = Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works °'SRP 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. ASSE PyL�tUMY/)BER — /O O�7 i. 2ONING,AI dr BUILDING PERMIT OWNER �/• / 37 NE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4 ` - CONTRACTOR'S NAME TELEPHONE , CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ a 3, Q Z) Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS e_ -_a v /` PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAMEPAR CEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehom. Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home G W @ 20.00 .bD TYPE OF WORK New ❑ Addition ❑�jRRemmo,�del ❑ UtilitiesA( Installation El Other ❑ Describe Work,, b& e, /el PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service ( BDDV OLESS ) 23.00 pt 3, 200A OR 06 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( a ACC. BIDS. ) SO. 3.50 FT. NEW CONST. MULTIOUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) BAL. @ 1.SU Ex. Occup.FIXED (REST .OR ( OUTLETS IRESID.) EA. ) 5.00 Temporary Service ry 23.00 Mobile Home Facilities 20.00 -20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is.for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 3, Q 0 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidHA2. County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE ,D I D. FEES I IMP I ZCOF PARCEL (9 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 Date PERMIT EXPIRES ON /Date! / Receipt No. 16 % b/ Z WHIT E-D.D.S.-B.D 'CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Building Division Oroville`. 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I rsonally plan to provide the major labor and materials for construction of the proposed property improvement yes r no) .•2. I(hav /have not) signed an application for a building permit for the proposed work. 3. 1 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 S Date NT:. This Owner -Builder Verification is sent to you as required by Sections 19831 and'19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 027-230-100 PERMIT#94-1763 KATLIFF, MARTIN & COKA COX LN., OROVILLE MOBILEHOME UTILITIES 027-230-100 PERMIT#94-1763 KATLIFF, MARTIN & COKA ` COX LN.,' OROVILLE l MOBILEHOME UTILITIES FROM BUTTE COUNTY BUILDING DIVISION #7 COUNTY CENTER DRIVE OROVILLE CA 95965 TO { MARTINI& COKA KATLili 1 r 2152 COX .LN.. 1 OROVILLE, CA 95966 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on job site. 027-230-100 PERMIT#94-1763 KATLIFF, MCOIC OKA LN., XOROVILLE MOBILEHOME UTILITIES F ^r— PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footinas round Conduit Do Not Pour Concrete Until Above Slaned unaerfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do Not Install Floor or Slab Until Above Signed Rough Plumbing Rough Electrical Frami Shower Pan Do Not Cover Until Above Signed Fireplace Footing Fireplace Throat Do Not Continue Fire lace Until Above Signed Stucco Lath Scratch and Brown Water Service I I Plum Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILEHOME IS APPROVED FOR OCCUPANCY Info ( 24 -Hr Insp ) Oroville 7 County Center Dr. 538-7541 (538-7636) Chico 1469 Humbolt Rd. 891-2751 (891-2751 ) Paradise 747 Elliott Rd. 872-6307 (872-6307) Revised 12/93 UmSoMatL o■ o Important Because we know your time and money are valuable, we suggest you call your local Post Office before you install a mailbox. .Ask to speak to the Carrier Supervisor; who will ' tell you the proper location for your box and explain current requirements for mail. box installation. The .location and other requirements must be approved by the Carrier Supervisor, before your carrier will begin delivery, Thanking you for your cooperation %`ce 2��exed .St��te� �adta� S�ucce _ aaa� �!aur� zacae ;V"t Opt 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 • FAX: (916) 538-2140 RE: Attached Mobilehome Permit Dear Permittee: Attached is your mobilehome permit along with the approved set of.plot plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases, and also have the approved set of plans on the site at all times. Inspections will not be made,if the job card and approved plans are not on the job .at the time of inspection. Please review the approved set of plans before you start work and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office -- do not proceed with the work without making the correction. The job card must be signed by,the inspector before proceeding with each item listed. Should the inspector not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy the mobilehome for which this permit is issued without approval from this office. Please do not confuse gas or electrical service to the mobile as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector. Your permit expires one year from date of issuance. If'the work has not commenced, a new permit application and'fees will be required. Upon completion of the work covered by this permit please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to the installation of the mobilehome or utilities, please do not hesitate to contact this office. 'Mii hael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments ,. RESIDENTIAL SRA 027-230-100 PERMIT#94-1763 + KATLIFF, MARTIN & COKA IJ COX LN.,.OROVILLE MOBILEHOME UTILITIES " JOB FINALED (Date) Signature V=OK O =Not OK ► - = Not Applicable =Not Ready MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirementa-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearencea-Grnd-/ /Amp -Concrete 8. Gas; Location -Test -Wrap: / P'L'Yt. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakere-Clearances 5. Drain; MH Test -Fall -Flex Connector 8. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Inap: Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Solis -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.:Connectore Shthg -Rfg -Bracing S. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 8. Caroorts: Windows -Doors 7. Electric 8. Frma: Sils-Anchors-Studs-Rftra-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI S. Elec.; Pool Lighting; 15 volts-GFI 8. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Teat -Water Supply Test V=OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) 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. Stemwalis, 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. Plenums & Ducts; Clearance -Material -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 -Ina. 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/Mach. 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 Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Puri in -roof Brac-Truss-Shthng.-Rfng. 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 -Lending -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-Skyllghts-Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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. & Mach. 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-Draina e & 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: CF/L-E W ND -H lS ism} —rg U774 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County,Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND.PERMIT X41- 97_ b ASSESSOR PARCEL NUMBER 027-230-100 . ZONING BUILDING PERMIT OWNER MARTIN & CORA RATLIEF TELEPHONE 534-1458 SO. FT. OCC. BUILDING VALUATION E ST 1,506.00 OWNER'S MAILING ADDRESS I UNKNOWN CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDr' ' 027-23 „19„,,.,,,_; �:. CONSTRUCTION LENDER ]0100_ - i• • PERM1 1,IT#,, r 8 7 RATLIFF , MARTIN & , CORA `" ^`; '.2061 -COX -.LN.---- = '•`� ^ ^" "• - W...L� r LENDER'S MAILING ADDRESS - , t ' SPRINKLER SUPPLY SYSTEM/MH �� _ _ . _ _ «�. _. , ..a, _ ARCHITECT OR ENGINEER y. �" '(�t•��" •• , +. —J Fireplace Total Valuation is Filing Fee $ 20.00 Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9061 COX IN PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 T57- LOT NO. SUBDIVISION'S NAME PARCEL MAP 0 -Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome O Other SPRINKLER SUPPLY SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK Other O New O Addition O Remodel O Utilities ❑ Installation 1:1 Other Describework: SPRINKLER SUPPLY SYSTEM FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS )23.00 200A OR LESS Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) 3.50 FBT,O- CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) 1� I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 1 BAL.@ 1.50V5.00 Ex. Occu FIXED APPWS. OR p• ( OUTLETS IRESID.1 EA. ) 5.0 0 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 25.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood t6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the gra ting of this permit.— X Date Y (O -3 Y Signat re f Applicant Ooyfitractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC co"'. TYPE TOTAL FEE $ 138.00 HAZ- I D. FEES I IMP "^ I FLOOD I CDF 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON (Dare) Receipt No. 167067 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT " COUNTY OFBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .'"`'• 7 Count'*Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9q-197 ASSESSOR PARCEL NUMBERZONING 027-230-100 BUILDING PERMIT OWNER .MARTIN & CORA RATLIFF TELEPHONE SQ. FT. OCC. BUILDING VALUATION .534-1458 OWNER'S MAILING ADDRESS - X, UNKNOWN e EST 111500,00 C�N7AAC7��,,$.J'JAME-_� TELEPHONEY� CONTRACTOR'S MAILING ADDRESS f " - I ' Fireplace CONSTRUCTION LENDER ✓�. ��{._.! •* UNKNOWN - Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S:MAILING ADDRESS It Penalty $ BUILDING ADDRESS 9,061 MY TN PERMIT FEE $ 78.00 QROVITJE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00. LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome El Other SPRINKLER SUPPLY SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition C1 Remodel ❑ Utilities C1 Installation ❑ Other El Describework: SPRINKLER SUPPLY SYSTEM PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 1 21101 01 LESS ) 2BOA OR LESS 23.00 Main Service 1 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. ORADDNS. ( 8 ACC. BLDS. ) So. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW_CONST. MULTI -OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex_ Occup. ( OUTLET OR FIXTURES ) 1 e2 @ 1.000 5.00 Ex. Occup.FIXED APPWS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. .19 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 25.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating. -to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. J/,/ / X`�%�/� , ���2�y Date !o ��� � Signature of Applicant Owner ❑ tractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 138.00 HAZ. 1 0. FEES I IMP I FLOOD I COF PARCEL PD I HD I ISSUE This permit is hereby issued under theapplicable provisions of the Butte Count Code and/or Resolutions to do work y indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By_Date PERMIT EXPIRES ON /Date/ Receipt No. 167067 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i �,.�v�,,.,��,_:::�%.'�;�:,r�'i"+""�iiv'lj4-^r;" .- _,se...•tw.,- ,n"T.;�„�r"r�w�y.�r. ,-,..-o.,r,�_y R,..-.-•'"k,s"-+e+.fr:+.r<nr+..--,..r COUNTY OF BOTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -. 7 £ountvpCenter Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No. APPLICATION AND PERMIT 941_1,97 ASSESSOR PARCEL NUMBER I 027 -230 - �00 ZONING A5 BUILDING PERMIT OWNER MARTIN & CORA RATLIFF TELEPHONE 534-1458 SQ. FT. OCC. BUILDING VALUATION 1�7+ 5M.lJ\.1 OWNER'S MAILING ADDRESS T�Tq�t/�{�}�� � U1�K V�11\ CPNgRACTOR.'S.NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE 110. Plan Checking Fee $ , Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S.MAILING ADDRESS Penalty $ BUILDING ADDRESS 0 p �T l/() A PERMIT FEE $ o 00 �(1 LJl.7 .fV OROVIT I.E PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 . LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome O Other SPRINKLER SUPPLY SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New El Addition ❑ Remodel ❑ Utilities ❑ Installation El Other ❑ Describework: SPRINKLER SUPPLY SYSTEM PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLINGO OR ADONS. ( 8, ACC. BLDSCCUP. ) 3.5C FTO,. S. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESOD. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 1 @ 1.00AL.0 5.00 B20 B Ex. Occu ERrq S. OR p' (OUUTT LETTSS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 0 I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 25.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. / X // /•�/c�/ !r, /_ /���-,/ !r //- Date 7l Signature of Applicant 44 Owner ❑Contractor 5 -Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 138.00 HAZ- D. FEES . IMP ""� FLOOD I CDF PARCEL I PD I Ho I 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON (Date) Receipt No. 167067 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a M COUNTY OF. BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7,Coun.,�4,Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT 9y - /ry r i ASSESSOR PARCEL NUMBER 027-230-1,00 ZONING ZONING BUILDING PERMIT OWNER ?MRTIN & CORA RATL.IFF TELEPHONE 14 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ('� UNKNOf MT CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 35.0 ARCHITECT OR ENGINEER ' LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'SMAILING ADDRESS Penalty $ BUILDING ADDRESS ZQ61 PERMIT FEE $ 78.M ORMILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SPRINKLER SUPPLY SF ❑ Duplex ❑ Mobilehome El Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation C)Other 1:1 Describe Work: SPRINKLER SUPPLY SYSTEM PERMIT FEE $ • Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 'OVOR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.SO ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) e2 @ITT • Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. d I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ • Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X r i . / i Date % '� Signature of Applicant -IQ Owner ❑Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEES • HAZ. I D. FEES I IMP I FLOOD I CDF 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. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON lDetel 167067 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ' A. P o. o� 3 Proposed Building Uslg"Pti%CL6L sit Pr4-� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ................. . � 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans.�Jt'.,, A66. . 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 . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 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. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Pn�aAsp*ecfi�o; 20. Rquest Pre -inspection for required. . to Building lnspedor (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. 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 �%/�� G,%� Date Y Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date r' 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`1.. . Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder , Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NC. APPLICATION AND PERMIT ASSESSOR PARCEL NWSER T ZONING •BUILDING PERMIT ' 'ELEP1ONE �. SQ. FT. OCC. BUILDING VALUATION OWNEWS MARAG ADDRESS ,S� CONTRAGTq,IKSN TELEPHONE CON TRACTOR'S MARINO ADDRESS Fireplace CONSTRvcT1oN LENDER UNKNOWN Total Valuation $ LD40MS MARAG ADDRESS Filing Fee $ 20.00 Permit Fee $ -5;06 ARCHITECT OR ENGINEER LICENSE NO• Plan Checking Fee g J3.00 Energy Plan Checking Fee $ AACNITECT OR ENGINEER'S MAILING ADORES9 Penalty $ BUILDING ADDRESS ^ / U PERMIT FEE $ 1Q PLUMBING PERMIT Fling Fee 20.00 Each Trap 7,00 Solar or heat pump water heater 23.00 LOT No. sueolvlslow3 NAME PMCEL MAP Water piping 15.00 ,p(� Each gas water heater or vent 15.00 USE OF STRUCTURE " SFO Duplex O Mobilehome O Other sPECIFv Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G W @20.00 TYPE OF WORK New O Addition ❑ rf� emodel O Utilities ❑ Installation O Othe 0 Describe Work: PERMIT FEE g Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main ServiceBOOV OR LESS ( 200A OR LESS I 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. I SOsa 3.5C. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. , Business and Professions Code forthis reason •NON.fl SNLWVOnIDT ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS I a SINGLE OUTLET CII. Ex. Occup. ( OUTLET OR FIXTURES I 20 @ 1.00 BAL. .50 Ex. Occup.FIxEo APPINS. oR (OUTLETS IflESIo.1 EA. I 5.00 5 6 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ (? Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date /ov Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee g occ CONST. TYPE TOTAL FEE $(� HAz• 1 o. FEES P I FLOOD I coc PARCEL PD No 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 Date 0 / 7 Receipt No. C� FROM BUTTE COUNTY BUILDING DIVISION #7 COUNTY CENTER DRIVE OROVILLE CA 95965 TO _ MARTIN & CORA RATLIFF �_ .. 2152 COX_ LN. i. OROVILLE, CA .95965 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on job site. 027=230-100 PERMIT#94-1897.,-., , ;RATLIFF, MARTIN'& CORA -2061-"COX"LN. A`` 1SPRINKLER.SUPPLY-SYSTEM/MH I PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR round Conduit unoervoor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do Not Install Floor or Slab Until Above Signed Rough Plumbing Rough Electrical Fram an Do Not Cover Until Above Signed Fireplace Footing Fireplace Throat Do Not Continue Fire lace Until Above Signed Stucco Lath Scratch and Brown Water Service Pool Final Plumbing Final Building or M.H. Final I I DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILEHOME IS APPROVED FOR OCCUPANCY Into ( 24 -Hr Insp ) Oroville 7 County Center Dr. 538-7541 (538-7636) Chico 1469 Humbolt Rd. '891-2751 (891-2751) Paradise 747 Elliott Rd. 872-6307 (872-6307) Revised 12/93 Dear Property Owner: ,6utte C LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 53&7541 FAX: (916) 538.2140 We have issued a permit to construct a new building, an addition,. or to do remodeling on your property. This letter is to inform you we have approved the building plans submitted for conformance with code requirements. We will only inspect the construction for conformance with code requirements. It is your responsibility to see that the building conforms to your plans and expectations. Should you have any questions concerning this letter or any other matter pertaining to the construction, please do not hesitate to contact this office. MCV:ahb Yours very truly, Michael C. Vieira, C.B.O. Manager, Building Inspection RE:' Attached Building Permit Dear Permittee: L A N D O F NATURAL WEALTH A N D BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 BEAUTY Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date, or if the work has not commenced, a new permit application and fees will be required. IIpon completion of the work covered by this permit, please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. Micliael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments RESIDENTIAL 027-230-100 PERMIT#94-1897 I RATLIFF, MARTIN & CORA 2061 COX LN. SPRINKLER SUPPLY SYSTEM/111H j JOB FINALED (Date) Signature V=OK O = Not OK • = NotNot Reeaadyable MOBILE HOMES Date/initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requlrements=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-Clearencea-Grnd-/ /Amp -Concrete 8. Gas; Locatlon-Teat-Wrap: / /" L" ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 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 Teat -Fell -Flex Connector 8. Water; MH Teat -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 MISCELLANEOUS. Date/Initial DECKS, COVERS, CARPORTS, GARAGE& (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Solls-Size-Depth-Spacing-Connectors-Steel' 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftra: Connectore Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. 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/Initials POOLS (Plans) OK except #'a 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 8. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5'-Cir6ulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Z. Fig., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd -/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. 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 -Material -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 -Nail 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. Wells 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 Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 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-Draina e & 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 Cerfificate-Other Certificates Commonts at Final: COUNTY OF BUTTE -DEPARTMENT OF DEsVELOrMENT SERVICES - BUILDING DIVISION JUN 2 9 1994 `qg4 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. „LN 2 9 APPI KATION AND PERMIT 9 q - / :7 42 3 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER . i TELEPHONE v SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS OR QAA CON TRACTOR'S NAME nwMFR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNIWOWN Total Valuation S Fling Fee $ 20.00 LENOEW MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee S ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS COX IN PERMIT FEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 t Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARC LMAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O MobilehornX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home bp @20.00 60.00 TYPE OF WORK New O Addition O Remodel O Utilitie.0 Installation O Other O Work: 2 BD%, M- 500 IMIN . PERMIT FEE g Contractor ELECTRICAL PERMIT Fling Fee 20.00 Describe Main Service ( 600vOR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST.( DWELLING OCCUP. ) OR ADONIS. &ACC. SLDS. 3.5C SO NEW CONST. MULTI -OUTLET ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason .NON•RESID. ( POER APPARATUS ) 8 SINWGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES p• ( ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED S IR''I1, . OR (OUTLETESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $_[___63-U9 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. n � •X Signature of Applican�-Ownere9/bontractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oer CONST. TYPE TOTAL FEE $ 166. 00 HAz. D. FEES IMP FL000 XX CDF PARCEL PG HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date !Deter Receipt No. ?k6' ' ^-7 C/ WHITE-O.D.S..S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f� CDF FIRE SAFE REQUIREMENTS D -2,3 - r o c� 9 -176 3 ��trt-ice, i'>'l -i.,✓ AP# 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. Driveway Standards [ 1273.02 Surface. All driveway surfaces and structures (bridges, / 1273.07 culverts and other appsrte-iant 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^:.:1 curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. I�1 1273.05 Turnarounds. If required, will have a minimum turning 1 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 : 2.-, r r p0 9L(—(76 3 X,4 -7-L_1 Fl-, ►/)ve,2 ,o Cee,* AP # PERMIT # NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�() 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [x] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 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. [)Q 1. All parcels l acre aid 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. [ ] 2. For parcels less than l acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [x] 1276.02 Disposal of Vegetation and Fuels. Disposal,.including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction :or fi_lal inspection of a. building permit. Page 2 of 3 AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no.doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed i0% 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 6 Date Signature Page 3 of 3 n CDF FIRE SAFE REQUIREMENTS AP# 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. v\ 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. Driveway Standards [Q 1273.02 Surface. All driveway surfaces and structures (bridges, / 1273.07 culverts and other appirtezant 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. 1213.04 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 ver-_i:—.:l curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�1 1273.05 Turnarounds. If required, will have a minimum turning I 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 I traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 ' o;f : :?.-, r r 00 9V—(76 ►/1 Pme ,o dee,+ AP # PERMIT # NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�(] 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 [�C] 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. [�Q 1. All parcels 1 acre and larger shall provide. a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [)C] 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 Dr fi_ial inspection of a building permit. Page 2 of 3 v W AP # 14-C263 PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no.doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic spri_Zkler system per NFPA 13D - Glass area not to exceed 10%of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 6 -2-q- t e Signature Page 3 of 3 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT No, APPLICATION AND PERMIT ��-f�9� ASSESSOR PARCEL NUMBER 027-23-100 ZONING A5 - BUILDING PERMIT OWNER MARTIN & CORA RATLIFF TELEPHONE 534-1458 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2152 COX TN OROVILLE, 95966 EST 2,500.00 CONTRACTOR'S NAME OWNER TELEPHONE 1 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER•.- - �'��"""'•'-1 027-230100!'" PERMIT#94-1898— `, - LENDER'S MAILING ADDRESS RATLIFF-' MART)IN & CORA I »mow «'�' ti ARCHITECT OR ENGINEER ++ ' 2.061 COX •LN . , OROVILLE �" k , �.rJ' - 4` I BRACING -SYSTEM/MH, _ �" , -- ,., .. ARCHITECT OR ENGINEER'S 1 M Total Valuation S Filing Fee $ 20.00 Permit Fee $ 35.00 Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 9061 COX IANE PERMIT FEE $ 78.00 O-ROVILLE, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP .Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeR Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W ' @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities ❑ Installation ElOther Describe Work: BRACING SYSTEM PER PARCEL MAP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 11V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. - ( & ACC. BLDS. ) SD. 3.50s(? CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) 1:11 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. icense No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2 @1. 00 L50 Ex. Occup.FIXED APPLNS. OR I OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. X I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that l have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XJ Date 301. 17 - - I Signature of Applicant - ❑ O ner ontractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ " Energy Inspection Fee $ Dcc CONST. TYPE TOTAL FEE $ 78.00 HAZ. 1 D. FEES I IMP ^ I FLOOD COF PARCEL I PD -- HD ISSUE This permit is hereby issued under the applicable provisions of the Butte Count Code and/or Resolutions to do work y indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON (Dare) Receipt No. 167067 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT wrrr.r•;T"S'!f^�'gp.'t`=�'�yar�['Ce9'•i�''�"�'+'°i"R"W,.�".'r"" m ;`, ,�,.. -. ..5. - ,, ,. - _ .-. br COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 6unty Center Drive - Oroville, Cali>�ornia 95965 - Telephone (916) 538-7541 91 ,/�E� �,NO• a c 7 ? jf !:� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-23-100 ZONING BUILDING PERMIT OWNER MARTIN & CORA RATLIFF TELEPHONE 534-14$8 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS i 2152 COR LN OROVILLE 95966 EST * 2,500.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS i Filing Fee $ 20,00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9,061 My T,ANF.PERMIT FEE $ 78.00 JOROVITLE, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. j. 1} SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 i USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome,( Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New C)Addition ❑ Remodel 1:1Utilities ❑ Installation ❑ Other Describework: BRACING SYSTEM PER PARCEL MAP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV ORLESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. S OR ADDNS. I & ACC. SLOS. ) 3.5C ST'. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and p p Professions Code and my license is in full force and effect. License No. Classification I� I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES )E23.00 Ex. Occup.FIXED APPLNS. OR I OUTLETS IRESID.1 EA. ) Temporary Service Mobile Home Facilities Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I2� I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood EL6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit."~ X `T�7� �`- L� ?.� /aDate�% _ � Signature of Applicant - ❑ Owner ,Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 78.00 HAZ- I D. FEES I IMP I FLOOD I CDF PARCEL PD `1- 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. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON (Date) • Receipt No. 167067 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT w+S.vn�yi'f.'`R.-tiv-:S'�r-`t`?fwvvi�'�.l.fu�t�/Y�..:�...'Y'°�F: `-q;*v^firs R�--�s.t•,ra,v^-: e^ :'t"';..� .,,w,�•,ti.�'*r—�.... ,—+frr•. ,..... ,-..,y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Gounty Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 PERMIT NO. �. �APPLICATION AND PERMIT - g � ASSESSOR PARCEL NUMBER n Y l/ ZONING BUILDING PERMIT OWNER MARTIN & COM RATLIFF TELEPHONE 534-1458 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2152 COR IN OROVILLE 95966 EST 2 . 00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace - CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7061 MY LANE PERMIT FEE $ 78.00 OROVITI.E.,Each PLUMBING PERMIT Filing Fee 20.00 Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome)Py Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel C3Utilities ❑ Installation ❑ Other Describe Work: BRACING SYSTEM PER PARCEL MAP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 'OV LESS 23.00 Main Service ( 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. 3.50 SFTO.. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS @7.50 POW EF. ) & SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES 1 20 @ 1.00 BAL. @ .50 Ex. Occu FIXED APPLNS. OR P. I OUTLETS (RESOD.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Q I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ . Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting ,of this permit. / X - i, '' - %� i7 j/ f� Date / — / ��f Signature of Applicant - Cl -Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 78.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL I PD I 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. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON (Date) Receipt No. 167067 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OFI DEVELOPMENT SERVICES - BUILDING DIVISION 7 County.Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT ��� /Y99 ASSESSOR PARCEL NUMBER 27"-23-100 ZONING BUILDING PERMIT OWNER MARTIN A CORA RATUFF TELEPHONE 534--1458 I SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2152 COX LN OROVIU2 95966 En 2,500.00 CONTRACTOR'S NAME OWNER TELEPHONE ,! CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6 N PERMIT FEE $ 78.00 6 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex CIMobilehome.;� Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ElOther 03 Describe Work: BRA BG SYSM PER PARC''' MAP PERMIT FEE J$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 'OVOR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. I & ACC. BLOS. ) SO, 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ I.O00 BAL. S Ex. Occu p• I FIXED APPLNS. OR OUTLETS (RESOD.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X • /11 ./f Date X / Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 7$•00 HAZ. D. FEES IMP qK1-1 FLOOD COF PARCEL PD HD 1 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON lDetel 167067 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . ..• .. , .�. y .. .. v r . • ' r- •4 • - � r ... � ..� .�,. .. . � � 1 ..( • s'l .. w .i�N.y ,..'`..�-l.I�...' t .....�_ � .. �,,.. •,.. ,r . r a � - r-� � - r� - . COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A�Z_N . Proposed Building Use G S 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 All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans. ...... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans.1S7'�Ji ../qre 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 . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 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. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . Pre -Inspection requesr- 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.' 34. {+When you issue the permit, process as follows: V Mail to owner Telephone and hold for pickup at Other Mail to contractor. _ office. Deliver with inspector. Parcel Creation Acreage Applicant /�G�� Date 3l/ 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 1. Index permit for above items No. 2. Additional items required: (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 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 Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico:" 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information ,at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No. building permit- will be issued until this verification is- received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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 Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT N0. AeSE3SOR PARCEL NWBE71 Z0 BUILDING PERMIT n nv-t�- I �� �A-�— L' TELEPO1N"01�1 "O NE SQ. FT. OCC. BUILDING VALUATION OWNEN-9jMV � AOORE99 4fz' X !�• t� / S (O 6 �' CONTRAS NAME /' _ TELE MNE CONTRACTOR'S MAILING AMOS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ �-eo ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z 3.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS / t, v / PERMIT FEE $ O Z) PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W TYPE OF WORK • New O Addition O Remodel O Utilities O Installation O OtheyPERMIT Describe Work: �JG�N G' S 7 S , v/ / /C�� ynl'R 7 17 (/ l/7 F@20.00 FEE g Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( =A 0:Lfs3 ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDs. ) SO 3.50FT; NEW CONST. MULTI -OUTLET •NON•RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. , Business and Professions Code forthis reason ( POW ER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1:00 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 R) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ F. Contractor MECHANICAL PERMIT Fling Fee ?0.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes, 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may In any way accrue against said County in consequence of the granting of this permit. X Date g Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee g occ CONST. TYPE TOTAL FEES O HAZ• I D. FEE'S I MP I FLOOD COF I PARCEL I PO NO 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_Date / COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on job site. 027-230-100 PERMIT#94-1898 RATLIFF, MARTIN & CORA 2061 COX LN., OROVILLE BRACING SYSTEM/MH PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Underground Conduit Pre-Gunite Do Not Pour Concrete Until Above Signed Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do Not Install Floor or Slab Until Above Sianed Rough Plumbing Rough Electrical Roush Mechanical Insulation Shower R Do Not Cover Until Above Signed Fireplace Footing Fireplace Throat Do Not Continue Fire lace Until Above Signed Stucco Lath Scratch and Brown Do Not Cover Until Above Signed Sewer Service Water Service Pool Final Plumbing Final nal Building or DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILEHOME IS APPROVED FOR OCCUPANCY Info ( 24 -Hr Insp ) Oroville 7 County Center Dr. 538-7541 (538-7636) Chico 1469 Humbolt Rd. 891-2751 (891-2751) Paradise 747 Elliott Rd. 872-6307 (872-6307) Revised 12/93 -= LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.3397 TELEPHONE: (916) 536.7541 FAX: (916) 538-2140 Dear Property Owner: We have issued a permit to construct a new building, an addition,. or to do remodeling on your property. This letter is to inform you we. have approved the building plans submitted for conformance with code requirements. We will only inspect the construction for conformance with code requirements. It is your responsibility to see that the building conforms to your plans and expectations. Should you have any questions concerning this letter or any other matter pertaining to the construction, please do not hesitate to contact this office. Yours very truly, Mic ael.C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection RE:' Attached Building Permit Dear Permittee: ,gate C LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans -before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date, or if the work has not commenced, a new permit application and fees will be required. IIpon completion of the work covered by this permit, please contact this office for final for final insertion. Should you have any questions concerning this letter or any other matter pertaining to'building construction, please do not hesitate to contact this office. Micliael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments RESIDENTIAL 027-230-100 PERMIT#94-1898 ! RATLIFF, MARTIN & CORA k 2061 COX LN., OROVILLE BRACING SYSTEM/MH i JOB FINALED (Date) Signature V=OK •. ,�l O = Not OK - = Not Applicable Not Ready MOBILE HOMES ' = Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 8. Gas; Location -Teat -Wrap: / P'L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except IVa 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 -Fell -Flex Connector 8. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a ' , 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftre-Trueses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date/Initials POOLS (Plans) OK except IVa 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 S. Elec.;Enclosurea; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 9. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) . . 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. Plenums & Ducts; Clearance -Material -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. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 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-Cellings 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 -Meth. 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. & Mach. 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-Draina e & 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.-Clearence 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 Commonts at Final: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: �4 AQ rZ ILI 2. Installer's Name: 3. Is the site currently under permit? Yes F-1 No (If yes, furnish permit number ) OR Is the site an existing site? Yes No F-1 (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 1�71 No (If no, clarify 5. What is the mobilehome electrical rating? --------------- 0 Amps 6. .,What is the mobilehome site service rating? ------------- � Q ,:�5 Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes ® No (If yes, identify the load and size: - (Load) / (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) yP g ? -------------- 10. What is the t e of as service. ----- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- Z 61E� * 12. What is the mobilehome gas demand? ----------------- ---- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION.- Mobilehome Mfr. Width / 1_ (ft.) MOBILEHOME SUPPORT DATA If other than single wide, furnish Setup Model No. Year Box Length(ft.) Tagalong or Expando Size_ft. x--/2—ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.a 2. Other (specify) SUPPORTS (check one) 1. Concrete block.El2. Other (specify) vtr—'cT—� v Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 i ,Line 1 Line 2 _ — _ — Main Beams Line 2 ` , _ —• _ — _ — _ _ — _ — _ — ,+ i.ine 2 Main Beams — Llne 4 Tag or Triple Line 4 ... _ .... . Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ Spacing -Max. --------- �_ Each Side of Openings From Ends -Max. -------- ----- ' With Width Over --------- Line 2 Piers: Size -Min. ------------ „x Spacing -Max. From Ends -Max .------- Line 3 Roof roads: Size -Min. ------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ y� Spacing -Max.--------------- From Ends -Max .------------- Lire 4 Piers: Size -Min .------------ Spacing -Max.--------- „ From Ends -Max.------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) e 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ Spacing -Max.--------------- From Ends -Max .------------- Return t ; AGRICULTURAL STATEMENT OFA KNOWLEDGEMENT B�/'ding Division FOR RESIDENTIAL DEVELOPMENT / Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. All that real property situate in the County of Butte, State of California, described as follows: �f> E i✓`o �2Th f� A /�' O �' Thi E i3'o.c2 Y!, E ,�! e %' �6 AI !2 77/.7 Date: PROPERTY OWNERS: 31919WOK51- State of California ) County of On A5.23 - 9 before me, ,e /Uo /"e v personally appeared /`% eAAP 0 . /P 7'�I.-9f A,,J ev2AS . X, /I personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. RICHARD FEUERSTEIN WITNESS my hand and official seal. r COMM. N966104 0 NOTARY PUBUC-CAUFORNIA 0 i� BUTTE COUNTY J Signature 116ZG� i� \ L Gc / Seal: My Comm. Expires Feb. 28. 1897 A.P.# <:'5)0?7 I The property described herein is adjacent to land or included 94-0265981 Rec Fee 6.00 within an area zoned for agricultural purposes, and residents I COP 1.00 of this property may be subject to inconveniences or Recorded I Cash 7.00 discomfort arising from the use of agricultural chemicals, Official . Records I including, but not limited to herbicides, pesticides, and County of I fertilizers; and from the pursuit of agricultural operations Butte I including, but not limited to cultivation, plowing, spraying, Candace J. Grubbs I pruning, and harvesting which occasionally generate Recorder I dust,smoke, noise, and odor. Butte County has established 2 : 00 p m 23 -Jun -94 I P U B L XX 'I agricultural zones which have as a priority use for productive 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: �f> E i✓`o �2Th f� A /�' O �' Thi E i3'o.c2 Y!, E ,�! e %' �6 AI !2 77/.7 Date: PROPERTY OWNERS: 31919WOK51- State of California ) County of On A5.23 - 9 before me, ,e /Uo /"e v personally appeared /`% eAAP 0 . /P 7'�I.-9f A,,J ev2AS . X, /I personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. RICHARD FEUERSTEIN WITNESS my hand and official seal. r COMM. N966104 0 NOTARY PUBUC-CAUFORNIA 0 i� BUTTE COUNTY J Signature 116ZG� i� \ L Gc / Seal: My Comm. Expires Feb. 28. 1897 A.P.# <:'5)0?7 s SITE PLAN REVIEW APPLICATION Date:"' AP# Permit Number (if applicable) O L4 — % L)!E;6 Bin Number APPLICANT INFORMATION Parcel Size: M A (� Owners Name: Owners Address: �5x F C 07-t )ADt--EFS Telephone No.: Email: Situs Address: C1 H AQL,q:_: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition EJ'Single Family Remodel Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer \acid `..G .. a ❑ Multi -family c Non-residential4Fp ❑ New Commercial P ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other JM Septic Iff Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief 'Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See atta hed) • Flood Zone: Q • Flood Panel No.: C ) G) S C- Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone Use Requires: Use Permit ❑ Minor Use Permit ❑ Administrative Permit -Minor Variance ❑ Variance Building Use Form ❑ Encroachment Permit -a1 Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Subdivision Map Front' g. _ ❑ Side ❑r Use Permit ❑ Minor Use Permit ❑ Administrative Permit -Minor Variance ❑ Variance Building Use Form ❑ Encroachment Permit -a1 Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front' Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 I Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By El Deeds: Date of Creation: - Legal Access Provided: ❑ No Deed of Reference: Legal Access Required ❑ No Parcel Frontage on Publicly. Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Yes ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23): . ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: P% 2i"1 ?,J RA7 U-� . Map Date of Recording: 2-$ - 6) r2 - Lot: Lot: ' ❑ Use Permit/Minor Use Permit Permit Number: Book: )2-6 Date of Approval: V- Page: Parcel Map/Subdivision Map/Use Permit Conditions H Comply with the following Conditions of Approval: in Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 OR Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in .one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Aii Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. FE] u Page 4 of 5 ALAD, 7,79,46- Awinu/.�✓G ooeor /o5 ~ lm�aw,-.%47-14ml OA&Y .AT MW 7%440 Ac- A44�WP/. /� 7"�WV MOP A<IP /0 Algr jwm� To A,P"f A�GaRo rlma -M 16.41,65e- 7 )PIOA R46-440AAP .0 -4,07W - V. A10 MgMq 4W41- Ae 445AW Allr-.zl-l.Al lvo ,&-vor OF 7 -H -WA 4A07We. e-- 0,a, Rwocol 4. AO ,P -A -IAL AW Aajg/„�E�17"/AV OrRMCMWv Al Ae,",COR04AIZe W17W 7%W Ala7ZMW Pl ,oP'A.074F4r/JA,/ Ay*o"rlml 6ziw/�U!/ 3D Ar2q 7w IAAsrwze.,mvAl OF 1wR1A1x,4aq �Yi5TEA45- IAV 044/25FaM, 49 7W-40 AW140 AW4W4, AbrIP4 15r-0A490.RV A3,9. 7-A/4--7 t9,11 O.,r 7� 1A147;AU47-14AI OkV7"4 /0 420A A,o,o1r1,oA1,ai- i"cwrYA"1.o RuAwqry IpRo7w6rloAl //-/ 7AW e,V,CA17- Off' A:XE . 7AI15 A75944,arlVml ;Wj,j, A&MA�e 7kW Aeh=10 AUR 47-RZ1C7VRA4 47�;� IAI rA1i0-5-e-- 1Al1-6r-w,,AA1-t;,lel--l5- MAIAO-We 7WCY ORO IA14=45v 6 441Y AAWA"J40 AW�ft 0A1 617";6 M 04-6 T1 p &A 07&AAWC rROa7WV 00 442 A9 R00/ST 1-07O'A3,4Z 40. D,6V415,64P,4A6A1r 11W 1CW9W4e. / MAY Relgl'11,016 IoCP'ayAl'0(1r OF .0 9147'612 71AMOeR ^Sef- IAJ,Fe,,RR,5,0 Z -0A1,6 (Na D;,,1,64,L,1AJ6,S 4q.4LI, 136F C0A157-RZ1Cr-=D) AF,PdRr O v1V1I-1P4YP0AJ, JUA15 4, /01.0W 60' 4-5r,%Z9 .44ed A400 L-IMIT OF TME 1A1xreAAgp "L,&rzoA1r= eff t.VAo-'I6rRl1Cr,-0) F/771 LA --- 61w1r o,,=- -nm- md��e-Amcro ,lw4147, zoxmr -0'5L- r0411LOIA16 LIAI.6� 0 Marin c. Ratliff, TPM, AP g7-23-28, 2 parcels located on the north side of Cox Lane approx. 1.3 miles east of Palermo-Hancut Hwy. Palermo area. Engineer: Barnhart/Brown,Associates / Public Works conditions: o /� cam' e (�`"t,y Deed to the County of Butte 30 ft. right-of-way from the centerlin e of Cox Lane (30 feet on.each side of centerline). r � Indicate a 50 ft. building setback from the centerline of Cox Lane. 4 0„t-3 Show all easements of record on the final map. 1+ee&,3s -M /'cc �z ayle ii'V-. & S Obtain encroachment permit for all driveways, new or existing, and construct to county standards. 51 02'13 (r Sv' Pay any delinquent taxes or current taxes as required. oit_��fGr Meet the requirements of the Butte County Fire Department. ,�4,,, Health Dept. conditions: 7 Provide a 100 ft. leachfield free setback around existing wells either within the property or within 100 ft. of the property boundaries on parcel 2. 8 Show a 50.ft. leachfield setback from the drainage way on parcels and . 2 . 9 Show the usable sewage disposal area proven to meet the requirements of the Subdivision Ordinance on parcel 1. 10 Place a note on the map that no water well may be located within 100 ft. of the usable sewage disposal area on parcel 1. 11 Prove that the required quantities of domestic water are available to parcel 1. THE FOLLOWING MITIGATION MEASURES ARE REQURIED: 1 Place a note on the final map stating, "Automatic fire suppression �( #,sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for �f6., ttj the installation of sprinkler systems in one and two family dwellings 01Jap and mobile homes, NFPA Standard 13D. The purpose of the installation ,,pf sprinkler systems is for additional safety and property protection _V q- in the event of residential fires. This installation will reduce the demand for structural fire protection services in those instancaes where 7,0 they are installed. O. K' 2 Show on the final mp no building areas as recommended by the geological �( survey. 3 Place a note on the final map stating "Any mobile homes on-site to be tied down, braced, or otherwise treated so as to resist lateral forces from ground shaking.��;,, ` 9TY) ►2 3 BUTTE COUNTY W: AGRICULTURAL BUFFER ... ` UNUSUAL CIRCUMSTANCES REQUEST�N4'k Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being divided or subdivided. Applicant must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name:: _— -�-� Phone: S X11 �b *,c)'L Fa-1L-R•TN�f E �� Assessor's Parcel Number. Reason you believe you qualify for the unusual circumstances exception:�.e �q l.�s.^•-1T So iR42e6a q --g 5wX-r-e- 41N P G -e o - S Applicant's signature Fs.N Esc Cj� VL)-fatpj UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements For Agricultural Commissioner office use only: (to be completed after submittal) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) 0 Exception Recommended - ;< Exception Granted with the ❑ Exception NOT Recommended following conditions- Reason/Conditions/Specific setbacks from adjacent agricultural operations: 5oL -Gc g L. % ct cK < W J_ Coc i s , bl� f-a-vt-m l r Agricultural Department Signature: Date YMC 4/20/03 a 6 tv C=) ;_. 6,9 .. ............. -- - - ............ - _ ....... ........... . ............ ............ .. --- A l - ..._ ING aAli AP!?ROVA -- ��- �i.�--....,. ,�-- y -- "-•- 'L'� ......................... ..... -. ........... -..... _........... r._.___._...._SITE PLAN - - . _ s � Vit• � »,..._.»....».».,..._�»... '�'?-•��@ v.q �» --:» _ _ ---------- h.L.T I .. .. . .. . � Ir °lam_�.--s:•�,--c��;�r�:�..... . .. .. .. .. /•� �' . - - `Rc cid=.% j •- 4"1 ''1 4%. 'tnir3 •�•-• I .......... -- - c. ELEcmCA . ti_ECHN.4ICAL, AND U--' BINI FUN .............. j.,�__ _ • - - . .. .. t I 1 Cit I Sm^6 / - - . I ............ -• .. _ I . _.... .. .... . 55.7 &5¢.67' �i ....... - --- - - -.. ._ _ ............ ...... tiot�r�. K:.... _ _ i .. .. .. _. . ©-T ......................... .. .�I..` ............."LIfGDEPA_T��_.......-.-- fir_ iy ... .;.p ...... _.........--- Assessors Parcel Number .... - ...- - ... : .._....__..__......_ ....._..... -•----......_. ,..:: ...._..... 0, Q ^ ©®_ a D S le• 1u = �U T t Owner Name X -y-) Address / Phone No. ?--c Site Location ",2-061 Contact Name .iL �E.i�- —�-� Fo° FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS (OU SIZE (AC): " � Svt i,>✓ ° General Plan Desig:227;E� I -E -Az ,,._. o °ZONING: N� Size, Acres GEN PLAN: Phone _ $"j 1 — \o g q2 a.W USES: SITE PLAN I _ I 2 r'• .. .. .. .. ............. .. .. .. .. .. .. .. r ......... .. ._ �R-oQAS E� . :Z�'"• x »b' ._ F« D�SPosAc Z / .. m / - - - - - tti,-q,•; v,-r=a .......... _ - 1A �;�, q,�-t- - / I .............................. _o._... _ . P�4R�EL / - - -- :'**-'7 - / .... ...... ................... - - - . -• - - :....:...:.... _ .. -- .. .. .. .. ._.................... .. ............. ........................ pia.. ........... ... .. •. - — ....... __ .__..... 5'r►r{, S'c��� / . .......... ;. . ., ✓ _ _ .......... .. - - ._ N APPRG Butte CO usity . - - - - - .. �.. - at•.. I I................. . ••. b �a,.K ............ .. SST ��.-, ............. .............. ............ .. ... . - -- _ .. ENVIRONMENT _- - .. .. .. _ . AL�HEftLTH� •; . h n .. - .. ... - I X lJit/E _4A I Z�Bti -..... _..... _...........».... - ......... - -........__.._._..........._....._..._......._.....---•--......_....._.__.... - 7 C011NI"l, CETEURNE..... Asse_....._. _..... _...... .....- - ........_.....- - - ........_._....._......... ssor�s Parcel Number: Q 0 EE — DI®- [ Owner Name Address / Phone No. Site Location 20 b 1 Contact Name le.gcw�l phone 1Z F51 Stile: 1" $ck I - b g M2 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres a.00° PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: . ..�...« _ SITE PLAN .....;....._1..._.......t-----:......_.............. 2 4GrZE5I;T - ............._ ._ �` i _ --- .. ..... .. Qo�aS ------E� �. it 6V .. - �- , �. ...... - - -- - . _ - -.. - / _.. - _ ............. ...P.r Paste-- -- -- - - � �Zfl '•• - � .. .. -• -- --. ----- ---- •- - -- ..... ..--------- ----- I t ; - .. - .............._. ....................._ - - A� --� .. __.. I - ......_... .... - ----- -I , _... v� _ ! / - i i ! u /.. / ............. ------ _ I FAL A�IIiUtVfSfC33i = BUILi(NG 1'RPpR�i1 -— _ . . fit S ST �Y.,� ...... ............. Use: �'• _ - - _ . .. .. . .. ..�%..;. G o x L Q�yE - . _ �..... ........... _ _ - - - - ._ .. Cltbet Sig tune:!... na ........-..... _........... _..... - - ...�. �; -..... r.... _...... ...... n: Owner Name Address / Phone No. Site Location Contact Name S ?A ) °-= Phone 1" = --4,00 -, 00 v L>✓ W LE�w, 4 tea= . FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres a.00r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: SITE PLAN ..... . -- ............ I - .......................... ... ._ .. . _ i SEk/Q E / I - G \ f ................. -- - Q{ZoQr�S FLj ZSR h - is ion } ... r D/5P05gG Z / - - Tr%......'C>} r -- •- - - ................._. - ' } 1 • -- --- -- ..... -.. .- • . • Paste • -- -- - - � Zfl �. • _ - - j i -- _f._........ .. ._ .. .. -- •- - -- 6...-r�X... -......... - - T ------ ...... ...__._- -• .. .__.. - i .. ._ .. Esc i STT�n S G . . .. ._ zr) S •►o slti cr o 1ki> I c co 3 - - ,� 1 �. ,:mss so t•:}{ _ .... ... - .. .. .. .. .. ... ....................... I i 1 .-- - .......... -..... ............. o S _ ►... - - - - I - - - - .......................... I\i i LL i _................... . I ' i I r•v�cNAIi�VG•©}VISIGIN :DUll;olN6 PLAN Ai'PRUVAL � .. Z S / �` / -- •• -- .. .. ................... ............. P�fKin9.....n...�= La�idsca 'ng: I SSHo �p r�. ............. Other �� 5$� •-.i�(L - 5� S -r fie,,,,, -� :....................... .........•;.....-......:............i .... Signature: - — .. _ .. _ _ _ �, _ - .. _ . _ . ..�n....,. .. _. G O _ _4)�.n,�_... - ...... _..... ............ _..... _..........._...... ..... ......_..._._.... -....- _..... ._ .. .. .. . i .. .. tollz ------.........._...... ..... ...... ...... - ._. . ...._........... _..... Q. Assessor's Parcel Number 17151— ❑ � � S le: 1" _ � `3� T TF' - ...... �� o o FOR OFFICE USE ONLY PROVIDE FOR ALL Owner Name Y`r1 T,,., fl-�;,� o FZoning: ADJACENT PARCELS Address ! PhoneNo. '20SIZE (AC): ��z- fl • YY1 tL sv ti.v 0 O General Plan Desig: Site Location 20 b 1 G,p Y L,n ��' 4 O C ZONING: Contact Phone Name 1 �L OU N ( Size, Acnes GEN PLAN: �5 LE����: � `b`� 1 — \° g °�2 0dchw=OM a.00r USES: ' Building Permit Number: N�O OwnerName: Reside" t"I U"ORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated I 00 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also fie required. Note: We will normally accept the following as compliance with the flood elevation requirements: 1 . Building is anchored to concrete sternwall system with conventional anchor bolts. 2. Building plate on top of sternwall to be one foot or more above the 1 00 -year flood elevation. (Plate height less ffian 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than I square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 0 Owner Name: mj Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0� Fire sprinklers are required in this structure. MThe following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of � feet from the side and -' ;�,Q feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Fire Sprinkler Systems 1. Fire sprinkler installation and supply system shall comply with NRA 13D-1999 Edition. 2. The owner is responsible for the condition of a sprinkler system and shall keep the system in normal operating condition. 3. The fire sprinkler system shall be tested for leakage at normal operating pressure 4. Where stored water is used as the sole source of supply, the minimum quantity shall equal the water demand rate times 10 minutes. (7 times for exception to section 2. 1) Minimum quantity required is 9 0 0 gallons. 5. A piping system serving both sprinkler and domestic needs shall have a sign affixed adjacent to the main shut-off valve that states in minimum 1/4 inch letters, "Warning, the water system for this home supplies a fire sprinkler system that depends on certain flows and pressures being available to fight a fire. Devices that restrict the flow or decrease the pressure such as water softeners shall not be added to this system without a review of the fire sprinkler system by a fire protection specialist. Do not remove this sign." 6. Each system shall have a single control valve arranged to shut off both the domestic system and the sprinkler system. 7. Each sprinkler system shall have a drain and/or test connection with a valve on the system side of the control valve. 8. A pressure gauge shall be installed on water supply pressure tanks. 9. Residential sprinkler heads must be at least 8 feet apart. 0' 10. Sprinklers shall not be painted with the exception of those p Lbg applied coatings. si iside or in 11. Provide adequate protection against freezing for system WnQt 0 the unconditioned space. 12. See plans and specifications for other requirements. 13. Minimum of ;:? b gPm is required at 7. 0 q ipsi. 3995 olivc Highway, C}roviil� CA 95966 916-533 2730 % 916=533-1825 FAQ Lic. #305365 C-102 C=16, C-20, C-36, C-43 Water Source Pump and Holding Tank 1 _ CALCULATIONS GN • PLAN S 2-- BOOSTER PUMP 3- PRE S S URE SW I TCH 4- TANK F I LL CONTROL S _ 2 POLE FLOW SWITCH i=^ �-?k n�A � COMP� 7 _ HOLDING TANK I,<*-n� Goulds IRRI-GATOW ci 14 13 GT- I (D 12 1011 2 COMPONENTS.. liern.No. Devripation Suction L1tt UO 4 .-L-i �12 In'Feet e iff S a 4 Diaphragm 5 Machine screw 6 Difluser 7 GT073 2 2013 XG Mechanical s Foot 0 Bolt — toot to adapter 11 1 Motor adapter GTIO/ Bolt — casing to adapter 43 41 39136 Bolt motor 40 Deflector— PERFORMANCE RATINGS GT10 :GT15 psi Suction L1tt Model Disch. In'Feet Pressure 5 101151201 20 44 4 36 31 GT07/ 3 34 31 26 22 GT073 2 2013 XG J3 21Yi6 4 10 4 0 0 20 53 61149146 GTIO/ 30 43 41 39136 GT103 40 29 22 16 8 rr 20 63 59 54 49 GT15/ 30 60 55 51 46 GTI53 40 45 38 33 2C 20 86 77 70 5 GT20/ 0 8 7 67 5-1 GT203 0 65 60 57 5( GT301 [::��90 184 175 1,1 GT303 I ' 40 1731671621551! Performance ratings arp in GPM. DIMENSIONS AND WEIGHTS Mo . del GTO GT10 :GT15 GT20 GT30 GT103 GTI53 GT203 GT303 I 2 0 3 ±2= 1/4 1 1 1h 2 0'/11 2 2013 XG J3 21Yi6 Height rr 76 9'/4 49 :1 52 55 69 71 Wt. (tbs.) 48 1 I�! 1:1, 1 Phase I cinnia (All dimensions are in inches and weights in tbs. Do not use for construction purposes.) 11/2' NPT DISCHARGE 11/2* SUCTION i P f RFORMANCE CURVE IIEIEMI 40 30 C-) 20 C:3 )--C C) ELI u MOULDS PUMPS Einvindusifies 10 15 20 0 5 Gf-1LONS PER MNUTE (0) Single and three phase have same perlormance. SPECIFICATIONS AFIE sU13JECT TO CHANGE WITHOUT NOTICE )0 U.S. GF;J 25 M3/hr Water Techriologies c .Seneca Falls, NY 13148 PRINI ED IN U.S.A JUNE, 1980 Supersedes paZe P3 PUMPTROLO" PRESSURE SWITCHES Im. ��z ' Dated 3/76 TYPE FSG MORE ASOUT THE PUMPTROL PRESSURE SWITCH WITH FORM M4 LOW PRESSURE CUT-OFF. The Class 9013 type FSG Form M4 switch includes all the features of the standard type FSG Pumptrol pressure switch. In addition, the Form M4 low pressure cut-off feature aids in pre -serving the Iff e of the pump. When pressure in the systern drops to approximately 10 P.S.I. below the set cut -in point for any reason, such as a low water condition, the switch will open to turn off the pump.* When the condition has been relieved, the manual lever is turned to the start position and, if pressure is restored while hoUnZ there, the switch resumes normal operation. The Form M4 manual lever also has an off position for com- plete pump shutdown. INMRTANT: The cut -in point. must not be set lower than 19 P.S.I. -. consequently. the cut-out point on rising preSSUTC MUSI not be lower than 30 P.S.I. Electrical Rafmgs — See preceding page. NOTE: Form M4 is not available on FYG types Example: Switch set 20-40. low water cut-out = 10 approx. Switch set 30-50. low water cut-out = 20 approx Switch sei 40-60. low water cut-oul = If! amuox M, Typo FSG. Fwm G5 M4 (She�n@ Comimnation of Mw UgN and Le- Prewve Cut -o" WddCat'OnS) FOR PRICES AND ORDERING INFORMATION SEE PRECEDING PAGES 3.93 278 100 0 71 0 r1r) CD LL (n 0 L.0 z c- 0 0 L) 1% M1 C� tD 1.59 59 SWLNG PADIUS is 225 IN. Typo FSG-2.Fwm M4 UNDERWRITERS LAZORATORIES LISTED rn-1 - - - &=--t 509"REDCOMP—ANY ; .0-2.05 L.1.39 52 35 Duat 0,—ns,. VSR-SF VANE TYPE WATERFLOW ,POTTER FOR SMALL PIPE ALARM SWITCH WITH RETARD ;=r �Rladric Signal Company Pottor Electric Signal & Mfg. LTD 2011 Craig Road a P.O. Box 2#490 1987 Losll* Str"t at. Louls, MO $31464181 Don Mills, Ontario, Cahill" M302M3 (314) 1784321 a (800) 325-3936 (416) 441 -1 In UL Ul-C. CSFM LlaTF-D and NYMEA ACCEPTED STK. NO. 1113000 to U.S. PAT. NO, 3921989. CANADIAN PAT. NO. 11009680 oyru=0 PATENTS PENDING. Thq Model VSFI.SF is a vane typo w&t6ritow switchloruse onw4t4PMkI*f systems that use 11, 1 114% or I 1/2'plpo size. The unit may also be used as a woonal witerflow detector on large systems. The unit contains two slngil pole double throw SrWP potion switches end an Adiustable pneumatic Ward. The switchas are actuated when a flow 01 nuts or more occurs downstreArm of the dovIss. The low 10 gallons par rni condilon must exist for a porlod of tirns necessary to OVIMOM4 solooted folard p4viod. INSTALLATION: Thess d4ovicas may be mounted In horizontal or vorkal pipe. On horizontal plo they should be Installed an the top side of ihe pipe where Ihoy will be a=ossIbie. The units should not bs installed within &I of a valve, drain or fitting %ttich changes the direction Of the wittrflOw- The unit has a 1 4 NPT bushing for threading Into a noh-corToolys TEE. Sea Flo. 2 for proper TEE size, type and Installation. Scrowthe device Into tho TEE rflrlg as shown In Fig. 2. ova mustba taken to property orient the device for the direction of W416010w. Sorvloo Prossuft: Up to 250 PSI Minimurn Flow Rate for Alp rm: 10OPM Maximum Sur": IS FPS Eneltsurt: DI"ast rod onamel OnIsh. cover h;� in piece with tarriper resistant scrows Contact Ratings: Two saw of $PDT (Form C) 15.0 AmF* at 125/250 VAC 2.0 Amps at 0-30 VD0 Congult Entraneas: Two Knockouts provided fof 1/2' condult Wave: Ustod Plastic. Copper and Soh#duW 4o Iron Pipe File pipe 84,08 - 1', 1 1141, and 1 `1/2' Note: I paddles are furnished with each unit one for each pipe Size of threaded or sweat TEE, on* for V CPVC, and one for 1 1/21 polybutylone (CTS-Copof tubing size) Environrmignilml Spealficatlions- Suitable for indoor or outdoor use with factory lr*tid*d gasket and dl*-oW housing NEMA 4 listed Enclosure - uso wtth appropriate tondult fItting 'fs"r&tLT# Ringo: 400 F/120, F (4.5' C/4r C) Coalition: This d#vk-# Is not Intended far applications In OVIOSIve environments Sarvi" Use: NFPA-13 Automatic Sprimider On$ or two family dwelling NFPA-13D R"donlial occupancy up to four stories NFIRA-11311 National Fire Alarm Code NFPA-12 optional: Cover Tanspor Switch, ordw Stk. No. 001110011 The vine must not rub the Inside of " TEE or bind In any Way. The 94M should moys freely whom "rated by hand, The doyl . *a can also be used In copper of plostic pipe ingwUtions wlth the propor adapter$ So that ft sWIA&d TEE " MY be Welled on the "I rum. INIPECMN AND TESTING: Cnock the opor&Von Of jhs unit by op4ming the Inspecloe taiii valve at the end of Vw sprinkler 11no or the dralm and test oonwtion, If an Inspsejor's test valve to not provided. if 0wre are no provisions for testing the operation of vw flow detection devLos on the system, #ppliesMn of the V8R-SF Is not recommended of adv1sable The h"uanoy of the Inspection and testing and b gswialtd protective mon1torkV system should be In acmdanct With "" applicable NFIpA Codes and Standards "or authority hAvWQ lur%&00n (manufactirw recommsrids quarterly or more frequentA. CAUTION: There ars 8 paddles furnished with each unit. These paddles have rai5ed lettedng that shows the PIPO size and type of TEE that they are to be used with. The proper paddle nl& be used. . The screw that holds the Paddle must be securely tightened. MKT. #00000 - IREV I PRINTED IN USA mira. moo"I - 3AS I'Aar I of 2 Manufacturers of Pumps and Supplies 2081 Frontie: Tra., Anderson, CA 96007 (916) 365-255n ORDER DESK: CALIFORNIA (800) 4,16-4800 ��,!IoNAL (800,2?2-HAi` VALVES ONLY PIPE, VALVES & FITTIN�-"'-" 'P" V Sh�eet �No. S r 1211-0-1 Eff( ,ctl' -I S -C)(_) Su persedes 0-00 1,2,, 1 23.10 BALL FLOAT VALVES Oi5fii NO. sl Eli I 11ii'EIGHT I LB. LIST PRICE E N T 1-10 1 1 JN&ETU P R400-1/2 1,2,, 1 23.10 1511.55 $10.78 R400-3/4 314.. 1 29.74 1 4.87 13-88 R400-1 1. 17., 6.. R440-6 6 46.8 2_4 3 0 21.84 R600-1-1/4 1-1/4" 160. 1 ('0 107. 1� 53.57 50.00 R600-1-1/2 1-1/2" 4 107.14 _5 .1. 5 7 50-00 R61 0-2 2" 3 113.90 56.95 53.16 COPPER FLOATS 125 105 1 0 INi I I 85 6 5 1 5 5 GALIONS PER MINUTE G.P.M. ----- - 2-- _ 1 / R400-1/2" 0 ORDER SIZE EIGHT LIST NET NET NO. R400-3/4" PRICE 1-10 I 11 &UP R440-5 5 $24 58 24. S 12.2 9 1 S1 1. 4 7 13.44 6.. R440-6 6 (9.() 28.8 0 28.80 14.401 'R440-8 81, 160. 1 ('0 113 79.113 '59 .91 3 7.2 7 I_ __J0 OR THRU-HOLE ADD 4 T 267. 241 24 POLYPRoPYLENE-FLOATS ALL PRICES AND SPECIFICATIONS ARi Sl,jj3jf_('I TO CHANU, �SIZ�EV��! N 0. C P'RICE 1-10 & UP EC)R�DER P P F 5' 5" S9.32 S4.66 S4.35 P 6" PF6 11 .02 5.51 5.14 1. P F,8 8" 12.92 6.46 6.03 FOR THRU-HOLE ADD S4.03 EACH TO NET Big ALV E VALVE V 125 105 1 0 INi I I 85 6 5 1 5 5 GALIONS PER MINUTE G.P.M. ----- - 2-- _ 1 / R400-1/2" 0 3-0732 36.0 () .5 30.2 0 25.8 2 2 R400-3/4" . 64. 1 56.51 47.1 1 71 I, C) R400-1 82.5 8 76.4 7 4 (9.() R p CIO 600 LI ALL 160. 1 ('0 .1 SIZES SIZES 1 0 11,610 267. 241 24 2'1 b ALL PRICES AND SPECIFICATIONS ARi Sl,jj3jf_('I TO CHANU, -HAYS PUMFIS INC. lqwp PO E -R BELLS PBA -AC & PBD -DC Potter Electric Signal Company Potter Electric Signal & Mfg. LTD 2081 Craig Rd./P.O. Box 28480 1967 Leslie Street St. Louis, MO 63146 Don Mills, Ontario, Canada M3132M3 (314)878-4321 / (800) 325-3936 (416)441-1833 .11� UL LISTED, FM APPROVED 6" BELL SHOWN Sizes Available: 6", 8", and 10" Voltages Available: 24VAC 120VAC 12VDC (10.2 to 15.6) Polarized 24VDC (20.4 to 31.2) Polarized Service Use: Fire Alarm General Signaling Burglar Alarm Environment: Indoor or Outdoor Use (See Note 1) -40* to 1509F (outdoor use require weatherproof backbox) Termination: 4 No. 18 AWG stranded wires Finish: Red powder coating Optional: Model BBK-1 weatherproof backbox These vibrating type bells are designed for use as fire, burglar, or general signaling devices. They have low power consumption and high decibel ratings. The unit mounts on a standard 4"square electrical box for indoor use, oron a model BBK-1 weatherproof backbox for outdoor applications. ALL DC BELLS ARE POLARIZED AND HAVE BUILT-IN TRANSIENT PROTECTION: SIZE VOLTAGE MODEL NO. STOCK NO. CUPIRENT(MAX) TYPICAL d8 0 10 FT. MINIMUM dE 0 10 FT. 12VDC PBD126 1706012 .1 2A 85 75 12VDC PBD128 1708012 .12A so 75 10 12VDC PBD1210 1710012 .1 2A 92 75 6 24VDC PBD246 1706024 .06A 87 75 a 24VDC PBD243 1708024 .06A 91 79 10 24VDC PBD2410 1710024 .06A 94 79 6 24VAC PBA246 1806024 .17A 91 75 11 24VAC PBA248 1 "024 .17A 94 75 10 24VAC PSA2410 1810024 .17A 94 75 6 120VAC PBA1206 1806120 .05A 92 82 a 120VAC PBA1208 1808120 .05A 99 82 10 L 2'OVAC __I_ -05A 99 85 Weatherproof backbox model BBK-1 Stk. No. 1500001. Notes: 1. Minimum dB ratings are calculated from integrated sound pressure measurements made at Underwriters Laboratories as specified in UL Standard 464. UL temperature range is -30, to 150'F. 2. Typical d3 ratings are calculated from measurements made with a conventional sound level meter and are indicative of output levels in an actual installation. PRINTED IN USA MKT. #111850001- REV K PAGE 1 OF 2 MFG. #5400776 - 4/94 Gig �w T I rM � : RESIDENTIAL FIRE SPRINKLER SYSTEM DESIGN BY FOX COMPANY C-16 LIC. 4 305365 PER REQUIREMENTS OF NFPA 13D. 2002 EDITION RATLIFF/PATTERSON EXECUTIVE HOMES AP027-24-100 COX LN. 3042 ESPLANADE PALERMO CHICO CA. 95973 5/10/04 CALCULATED FOR I HEADS WATER SOURCE IS WELL & HOLDING TANK 45 WATER PRESSURE IN HOLDING TANK DEDUCT PRESSURE LOSS FROM SOURCE* TO SPRINKLER CONTROL VALVE MAIN SECTION EQUIV.FT. 1 /2 PIPE 275 FT. I GATE VALVE 2 FT. .1. CHECK VALVE 6 FT. 2 ELBOWS is FT. 14 COUPLINGS 14 FT. 0 TEES (RUN) 0 FT. 0 TEES (BRANCH) 0 FT. .0049 1.54 43.46 TOTALS 315 FT. X DEDUCT HEAD LOSS FOR ELEVATION 6.51 36.95 15 FT. X 0.434 DEDUCT PRESSURE LOSS FOR PIPING FROM CONTROL VALVE TO FARTHEST SPRINKLER PIPE SECTION ONE EQUIV.FT. ------------- 1'' PIPE 70 FT. 4 ELBOWS 28 FT. 0 COUPLINGS 0 FT. 5 TEES (RUN) 5 FT. I TEES (BRANCH) 5 FT. 3.20 33.75 TOTALS 108 FT. X .0296 BRAND OF HEADS = TYCO LF -II G.P.M. p.s.I. CONVERSION FORMULA: K FACTOR OF HEADS USED = 4.9 (G.P.M./ K FACTOR)2 P -S -I - EQUIVALENT FEET CALCULATED @ 1 HEAD I HEAD = 13 G.P.M. FLOW 13 G.P.M. EA.) FRICTION LOSS 'C' FACTOR 150 MINIMUM PRESSURE REQUIRED = 7.04 P.S.I. PRESSU RE AVAILABLE IN SYSTEM = 33.75 P -S -I - RESIDENTIAL FIRE SPRINKLER SYSTEM DESIGN BY FOX COMPANY C-16 LIC. # 305365 PER REQUIREMENTS OF NFPA 13D, 2002 EDITION RATLIFF/PATTERSON EXECUTIVE HOMES AP027-24-100 COX LN. 3042 ESPLANADE PALERMO CHICO CA. 95973 5/10/04 CALCULATED FOR 2 HEADS WATER SOURCE IS WELL & HOLDING TANK 45 WATER PRESSURE IN HOLDING TANK DEDUCT PRESSURE LOSS FROM SOURCE 1-0 SPRINKLER CONTROL VALVE MAIN SECTION EQUIV.FT. 1,--1/2'' PIPE 275 FT. 1 GATE VALVE 2 FT. 1 CHECK VALVE 6 FT. 2 ELBOWS is FT. 14 COUPLINGS 14 FT. 0 TEES (RUN) 0 FT. 0 TEES (BRANCH) 0 FT. .0178 5.61 39.39 TOTALS 315 FT. X DEDUCT HEAD LOSS FOR ELEVATION 6.51 32.88 15 FT. X 0.434 DEDUCT PRESSURE LOSS FOR PIPING FROM CONTROL VALVE TO FARTHEST SPRINKLER PIPE SECTION ONE EQUIV.FT. 70 FT. 1'' PIPE 28 FT. 4 ELBOWS 0 FT. 0 COUPLINGS 5 FT. 5 TEES (RUN) 1 TEES (BRANCH) 5 FT. 67 -11.52 21.36 TOTALS 108 FT. X .10 BRAND OF HEADS = TYCO LF -II G.P.M. - p.S.I. CONVERSION FORMULA: K FACTOR OF HEADS USED = 4.9 (G.P.M./ K FACTOR)2 = P -S -I - EQUIVALENT FEET CALCULATED @ 2 HEAD 2 HEAD = 26 G.P.M. FLOW 13 G.P . M. EA FRICTION LOSS 'C' FACTOR 150 = 7.04 P -S -I - MINIMUM PRESSURE REQUIRED PRESSURE AVAILABLE IN SYSTEM = 21.36 P -S -I - 6 0 F &a L ffW—M1LAJLJe I LVA 1:1 --k*-N suncrest SeriesModel 5603B 3 Bedrooms - 2 Baths - 1,539 Square Feet 1?1 C.p.V.C. TYPICAL I THROUGHOUT. PIPE IS SUPPORTED ON ROOF TRUSSES ON 24''CENTERS. PIPE is STRAPPED FOR LATERAL MOVEMENT PER SEC. 3-4.2 SOLID LINE SHOWS PIPING ABOVE CEILING. BROKEN LINE SHOWS PIPING BELOW FLOOR. PIPING OF HOUSE SECT . IONS TIED TOGETHER UNDER FLOOR. E +r 1,—Pages FURNACE & WATER HEATER CLOSET ;0 HAVE IAANICALAMD PILUM54!"'��', ELECTRiCAL, MEC 1750 HEADS. ALL OTHERS ARE 155 HEADS. NOT QKALLcc)MpLy WrrH F'7 or t " 6 jf-� A ?a �v IJ% . IFPI, � , al.V& 7Vr NO TIE TO DOMESTIC WATER. THIS IS A. STAND ALONE SYSTEM. ".&-4 /- te L caw roe rzw- 1'10,�Iag YxLvic pveg! 70 wa.,Vf x -6 &0., C, A TEE V A L .Xj2A#W V1- V. E CO" A Rij I LDI Ni G D,&-,! A p pt R 0, V SYSTI Pno)ICT co 1c, NCY OCCUI-A� ADDRESS CITY jpx��*po DRAWN TITLE PIPING PLAN and DETAILS 90% A/.//., -- SE t4o DATE FOX COMPANY 30536 .r -p Jos NO. 3995 Olive Highway ffr flZ orovillej C21ifornia 95966 T100 0 F (916) 533-2730 Lic. No. 305365 T- r`/ 1 N w 1 O C� r ,. __ - _ _ r _ ___ _ __ __ __