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027-240-002
BUILDING CODE VIOLATION LETTER 30 DAY Ste. I N A. -P. 27-24-2 J CHARLES BOND .&,9w S'�oZ� / %S 768.2 Palermo -Hot Rd., Oro. Permit• °1676'-74P. E , f utl_ '.f_or "lviu 27� 24-02 CHARLES BOND ' W/S Palermo Honut wy 300' S of Daly Ave, Palermo �a,Q "' IM PErmit #849-79B (demol'ition)- SF -- 27-24-2 Permit #3382-79P,E(uti1,,MH) ELEC. ` - OD GAS Z� '� -7 cj I P6r 3 1 4 i SUPPORT STRUCTURE REQ. -"7-to N COMPACTION TEST REQ. 'yw \ 27-24-2 Permit #4340-7.9MHI Issued 7 ' [/-Z4-UZ Contr; Wilson MH Ser U Permit#1.751-86MHI(ex.is-ting, s- it!e ` Issued 027-24-0=002 ` - z 1577 E,"- BOND,' Charles 'Family.,Trust 7682,, Palermo ' Honcut Hwy.,, -Palermo y's+ (new.'power pole) St' ng Elec 027240-002 - 60 DAVIS, WENDELL' 7682. PALERMO HONCUT, CONT: LIFETIME EXTERI ' EX MH ON,PERM FND ` ' •r 027-240-002 03-3846 ' WENDELL, DAVIS 7682 PALERMO HONC �P O Cont: OWNER NEW DECK 8X8 027-240-002 { ` ., 04287(; WENDELL/DAVIS, JOE/JI NNII-ER s ; 7682,PAI,;ERMO:HONCUT OROVILLE' }. rCONT. OWNER, "AG BUILDING 0.1 *'..-q,� 027'240-002 ,' , 04-3454 ,`• DAMS, JOE ' .'y a_ -ALICE AVE PALERMO ' Cont: BARNEY BOWS (2ND DWELLING) a' ; 027-240-002 G:5-071 F' i 9 DAVIS, JENNIFER 768' PALER -D:( ; )r'If wy. t " PALERMO .* NEW.DC IK,. I 3 k � ' a � t � 7 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: . BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2004-0001 63E* Recorded' Offir:ial Records I REC FEE 10.00 I L-IjN ORM 1.00 County Of 1 9U f T:: I CANDF11, J. &RUBES I Recorder 1 ROSEMARY DICKE-ON t Assistant I Kathyh 11:39AM 12 -Jan -P004 1 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. JOE WENDELL DAVIS AND JENNIFER LYNN DAVIS REAL PROPERTY OWNER/LESSOR P.O. BOX 364 MAILING ADDRESS BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP 7682 PALERMO HONCUT 1-2-04 INSTALLATION MAILING ADDRESS, IF DIFFERENT DATE NONE 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 03-3760 530 538-7541 BUILD G PERMIT NO. TELEPHONE NUMBER . 1-2-04 SIG ATURE OF LOCAL AGY CIFFICIAL. DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. KAUFMAN/BROAD HM SL 1984 CANYON CREST 807 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER SNB/A512128 56'X24' 287958/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMB SEE ATTACHED ER AP # 027-240-002 3 r HCD FORM 433(A) REV. 8/91 WHITS . r --v R—dm CANARY - HCD PINK - Ar nlicant GOLDENROD - Buildine Deot. a s�/a/o V. �53�� X79—/975. M1k ' Description Order No. BU -214564-3 KB The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 1, BLOCK 130, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF SUBDMSION NO. 3 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 2, 1889. APN 027-240-002-000 1 0 r BUILDING PERMIT NUMBER: 03-3760 Address or location of unit: 7682 PALERMO HONCUT, PALERMO CA 95968 Legal Description of Real Property: AP # 027-240-002 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: JOE WENDELL DAVIS AND JENNIFER LYNN DAVIS Owner's address: P.O. BOX 364, BANGOR CA 95914 INSIGNIA OR HUD NUMBER: 287958/9 SERIAL NUMBER OR V.I.N.: SNB/A512128 MANUFACTURER'S NAME: KAUFMANBROAD HM SL YEAR: 1984 OFFICIAL APPROVING INSTALLATION: DATE: 1-2-04 PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND CuivilvIU1,411 x Lr• v�•-�• •:�� - CERTIFICATE OF TITLE Decal No: LAFi7202 Manufactured Home Manufacturer ID1Name Trade Name Model DOM DFS RY Exp. Date 07/11/1984 08/04/1988 01289KAUFMANISROADHMSL CANYONCREST 807 Use Type Serial Number Label/insignia Number Weight Length Width I SPC SCC Exempt SFD L.PT 287958 - 11.000 56' 12' 04 SNB512i28 287959 14,000 56' 1z SNA512128 I � Issued Total Fees Paid Nov 05, 2003 $117.00 Addressee JOE WENDELL DAVIS 7682 PALERMO/HONCUTT HWY OROVILLE, CA 95966-A \ -70// _:.- �teg sMerea JOE WEND JENNIFE Joint Ten 7682 PAIA OROVI Situsr 7682 P er th of vorship x /HON U HWY CA 95966 CA 95966 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE LNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 3193574 11052003- 288 RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: JOE WENDELL DAVIS JENNIFER LYNN DAVIS P. 0. BOX 364 BANGOR, CA 95914 203—�Q�171921 Recorded Official Records County Of auric ANDACE J. ORUBBS Recorder 1,OSEMARY DICKSON Assistant 39:OOAM 15 -Oct -2003 REC FEE 10.00 TAX 99.00 Barbara Page 1 or Above This Line for Recorder's Use Only A.P.N.: 027-240-002 Order No.: ORO/C Escrow No.: 214564KB GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $99.00 X J computed on full value of property conveyed, or 1 computed on full value less value of liens or encumbrances remaining at time of sale, X ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, CHARLES E. BOND, TRUSTEE, AND SUBSEQUENT TRUSTEES, OF THE CHARLES E. BOND FAMILY TRUST, DATED DECEMBER 22, 1994 hereby GRANT(S) to JOE WENDELL DAVIS and JENNIFER LYNN DAVIS, Husband and Wife as Joint Tenants the following described property in the �atl Xd£ UNINCORPORATED AREA, County of Butte State of California; SEE ATTACHED LEGAL DESCRIPTION THE CHARLES E. BOND FAMILY TRUST DTD 12/22/94 By CRARLES E. BOND, TRUSTEE Document Date: October 9. 2003 STATE OF 6.461 "91A )SS COUNTY OF (L\ C.-4 ) On � c p I 0 , �Q O 3 before me, �—e t GL �6 personally appeared (• 11 o -r I e S L' Fu n cl 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 capaciry(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature ,(�^� '" This area for official notarial seal. �•:t;ti OFFICIAL SEAL � � Lela Polk IL216975 Won My comm. exp. May 28, 2007 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below I-. Order No. BU -214564-3 KB Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 1, BLOCK 130, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF SUBDIVISION NO. 3 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 2, 1839. APN 027-240-002-000 NOTES RESIDENTIAL ` + PERMIT NO. 027-240-002 03-3760 ^DAVIS, WENDELL -- ---- - 7682 PALERMO HONCUT, PALERMO i.. CONT: LIFETIME EXTERIORS EX MH ON PERM FND 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. f - SPECIAL CONDITIONS CHECKED BY SRA , FLOOD CERTIFICATE REQ. w ' FIRE SPRINKLERS REQ.' . ,SPECIAL INSPECTION ITEMS t ✓VERIFY ArZwel 4cakee"-deol a { koro5z - cmi tonne& USE PERST Cm IT NS SUB -STANDARD HOUSING LETTER r Y , JOB FINALED(Date) - Signature J= OK 0 = Not OK Not ._= NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect - 8. Utility Clearance 1.0. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements . Card B-1 Date Card B-1 2. Footings; Size-Spacirig-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 5. 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. 8. Gas and Electricity Tagged 7. 9. Tie Downs -Type -Installation Cert. 8. 10. Exits; Insp.-Sketch 11. Cert. of•Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Enclosure; Fencing -Alarms Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 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 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 1.0. 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 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 57. Siding -Nailing Veneer 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 60. Shear Walls; Nailing -Bolts 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 63. Infiltration -Walls -Windows 12. Electric Underground Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. FINAL (Plans) OK except #'s 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 67. Bedroom Exiting Date Card B-1 Date Card B-1 Date 70. Stairs & Rails Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 72. Elec. Outlets at Wood Panel, Int. & Ext. 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 75. Garage Fire Door; Swing -Landing -Closure 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 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes Date 83. Following Instld./Ddve 11 Yes 0 No/Walks Cl Yes 0 No/Planters O Yes 0 No Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Perrnit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 91. Corrections from Previous Inspections 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 94. Energy Compliance Certificate -Other Certificates 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 Card B-1 Date Card B-1 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Date 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Ddve 11 Yes 0 No/Walks Cl Yes 0 No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: -....COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT C)3 -3j %O ASSESSOR PARCEL NUMBER 027-240-002 ZONING BUILDING PERMIT OWNER WFNDET.1. & JENNIFER DAVIS TELEPHONE 79 SO. Fr, OCC. BUILDING VALUATION • OWNERS MAILING ADDRESS PO BOX 364 BANGOR CA 95914 1344 R 72 576.00 CONTRACTOR'S NAME LIFETIME EXTERIORS 228-342 TELEPHONE CONTRACTORS MAIUNG ADDRESS PO BOX 494 PALERMO CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 12,576.00 ARCHITECT OR ENGINEER LICENSE NO. —Fling Fee $ 20.00 Permit Fee $ 259.00 ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 7682 PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT [Each Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Trap 7.00 Solar or heat pump water heater 1 23.00 Water piping 1 15.0015.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH PERM FM Gas piping system 1 - 5 outlets 1 15.00 5.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 50.00 ELECTRICAL PERMITFling Fee 20.00 Main Service 20ov OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in `fu�ll force and effect. / License Class C R 7 Lic. No. �% �f��O� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Mein Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BUDS. so 3.5¢FT: =R s,DT MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @ �:s00o Ex. Occup. oUT EDS R610)E0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. E I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier FV/✓b MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Policy Number eync, lu — OZ (The above sections need not be completed 'rf the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ith comply wit hose provisions. C—of X Date Z,2 --%_->"z'9_3 Signatur Appl a ❑ 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 $ 352.00 HAZ. D. FEES IMP FLOOD _ CDF _ PARCEL _ PD HD ISSUE This permit is hereby issued under the Butte County. Code and/or indicated above f r whic fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work n paid. Date Z 31 Date Receipt No. WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT s zex" ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-715„4 _��UMIT No. APPLICAT.10N AND PERMIT t �� --C)- SESSORPARCe...ER ^ -7 / /rl ZONING ��/ BUILDING PERMIT A , Un �,�V`/`` ^ /� ^ V TELEPHONE SQ. FT. O BUILDING VALUATION I rrR 10 10 SIJ/ V � {� �v' A _ -67q -7 C - . r, NAME j. .. /, 1 ' LENDER'S MARING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Rlinq Fee '$ 20.00 Permit Fee �^ $ dKIq- 0C gRC1QTECr OR ENGNEFRS MAJLING ADDRESS Plan CheckingFee $ du SU0.DNGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. sUBDN61oNSNAME PARCEL MAP_ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome Other Water piping 15.00 , SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Building sewer -115.00 Mobile Home SG W @20.00 Describe Work: PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service mon°oa tr, 23.00 Main Service 200A TO 1000► 46.00 NEW CONST. DW: NG OCCUP. 3.5QF°; OR ADDNS. 8 ACC. BIDS. CONS . MULTI-0UnET N01D' @7.50 PERMIT FEE PAID POWER APPARATUS b SNG1E OUTLET CI0. Ex Occup. OUTLET OR FwruRE5 � @ "0* enL .50 FDOD APPIM OR Ex. Occup. OUTLETS 616. E0. [TemporaryService 5.00 SRA $ 23.00 Mobile Home Facilities 20.00 Mise. Wiring23.00 SHERIFF $ PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 OTHER $ Heating —Cooling Hood 6.50 $ Ventilation PERMIT FBI= S Mobile Home Installation Fee $ $ Energy Inspection Fee $ `-10 `ro"sT' Trr TOTAL FEE $ "� 11 FEES IMP FLOOD GDF pq�Cg PD HD � AMOUNT RECEIVED $ Sa " This permitsi 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. DATERECEIVEDL By Date DCrCIDT ±E IS7�I �� PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET ('�� OWNER:1 ASSESSOR PARCEL NUMBER C� (4 0- OOa Proposed Building Use: I �I 0/1 Counter Technician: Date: It required in order to apply for a permit. All boxes MUS a checked OR marked NA in orderlo 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. ❑ 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 approval 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............................................................................................ ❑ 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 r ve y from the Public Work Dept ......................... C 28. Pre -Inspection for �'1 required....... </G�y" ❑ 29. Contractor's license information. (Numbe , Name Styl , Classification) ................... ❑ 30. Workers 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. 37. 38. Deed Restriction.......................................................................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Let er from Legal Owner, ❑ Check to H.C.D. $ Other.6XE)�e&_ Yl: a pi�!n.�k P4aQ, zs `�o-t.r,�� ❑ 39. Other: When issued Telephone - and hold for pickup. I have been informed of the al, ove items and requirements for obtaining a building permit. Applicant: r� Date: 1. Index per ' 'c tion fo above items numbered: Plan Check Letter al items required Contractor signer, owner, was advised of the above data by lone, ❑mail, E3 counter, by Date: tractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter b Date: Plans reviewed by: & t✓ Date: 12 • �] 0 , Plans approved by: M Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division REQUEST FOR INSPEMQP4 , P%Ar t Na lJ--3-7 O Location: �k%41ALRV� Owne', Contractor: r Comment: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PR IN PECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Stucco Lath Stucco Brown Top Out Gas Piping/Test Temp. Gas Temp. Service Main Service Underground Corrections Final Job Status Permit Renewal Woodstove Brace Panel Sewer Piping Water Piping Well Circuit x Mobile Site POOL Insulation Shower Pan Nailing Gunite Demo Bonding Corrections Corrections Corrections Light Niche Final Final Final Corrections Ready for t Final Inspec. on: i • Date: Call L] Phone: OWNER LOCATI4 CONTRACTOR PgE.,NSPETION FOR: DATE TO IKSPECTOR:]� Budding Description: Canmad "Sq ResideadaW of L PRE -INSPECTION UP:ORT Electric: Gas: cm=ltiy Occupied !f Abandoned V==! 01-- loo Ae*--10 Yes " _ . No CoMmon of Electric Na=21 Obvious Problans PERMIT HISTORY:( )NONE Q() AS WELDING RMPECiOR'S REPORT Electric =n=jdy C+n Off DATE: 3 ZON NCr. Nona�-- CurrmdY On v--*- - Off Sanitation: Plumbing Worm Well Woridng Potable Water Obvious Sc`vage?mblems ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector - Date /Z'- �11 r' — )� - Sketch buildings on reverse and indicate location on proper COUNTY OF BUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7�544�5 _3MT No. (Rev.12/96) APPLICATION AND PERMIT�-- ^ U ASSESSOR PARCEL NU ^ CO. ZONING BUILDINGPERMINUMBERR ^ � / 0 — TELEPHONE SO p 1 BUILDING VALUATION OWNER ,^ ` CONTRACTOR'S NAME ♦ © �. F-'; �� _ J - �1_�(G''1 Fireplace LENDER'S MAILING ADDRESS Total Valuation $ LICENSE NO. FilingFee $ 20.00 ARCHITECT OR ENGINEER �-• $ Permit Fee ARCWMCrT OR ENGINEER'S MAILING ADDRESS Plan Checkin Fee $ Energy Plan Checking Fee $ BULMGADDRESS $ PERMIT FEE $ SUBDMSIDNS NAME PARCEL MAP. PLUMBING PERMIT Fling Fee 1 20.00 LOT NO. Each Trap 17.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 Water piping 15.00 , SF ❑ Duplex ❑ Mobllehome Other SPm Each gas water heater or vent 15.00 TYPE OF WORK Gas piping stem 1 - 5 outlets 15.00 ,(� New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Building sewer 15.00 I Mobile Home S G W @20.00 Describe Work: PERMIT FEE S ELECTRICAL PERMIT Feng Fee 20.00 Main Service Oaoa on LPVBS 23.00 Main Service 20" TO IOWA 46.00 NIw CONST. pWBLNG OCCUP. 3.50F7 OR ADDNS. 8 ACC. BIDS. CONST. MULIT-0LITLET e0 7.50 FEE PAID $ NDN�iLSID. POWER APPARATUS b SM(SS.E OVRfT C0. .PERMIT Ex. Occup. OUTLET OR FvruFtEs .00 g� @ I.Sp Ex. Occu . Dvn®s FsiD�� 5.00 SDA $ Telor Service 23.00 Mobile Home Facilities 20.00 Wisc. Wiring 23.00 SHERIFF $ PERMIT FEE S MECHANICAL PERMIT Feng Fee 20.00 OTHER $ Heating Coolin Hood 6.50 Ventilation $ PERMIT FEt S Mobile Home Installation Fee $ $ Energy Inspection Fee $ TOTAL FEE $a. HAZ 0. FEES I IMP FLOOD CDF PARCEL I PD I ND ISSUE AMOUNT RECEIVED $ I I I 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 RECEIVED By Date 11- . t i - CHARLES BOND �/ S�aa/�S 7682 Palermo -Ho cut Rd., Oro. Permit 1676-74P,E (util. for MH) 27-24-02 CHARLES BOND W/S Palermo Honut Hwy, 300' S of Daly Ave, Palermo ?;,,ta V-71-1 PErmit #849-79B(demolition) SF 27-24-2 ' Permit #3382-79P,E(uti1.,MH) ELEC._ 2--/-1-71 /4 C7 f r GAS '7-.,'2 SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. '7-L.0 27-24-2 P Permit #4340-79MHI Issued 002 Contr.Wilson MH Ser 27-24- -fiPermits#1751-8(MHI(ex.isting. site" Issued 027-24-0-002 98-1577 E BOND, Charles Family Trust 7682 Palermo Honcut Hwy, Palermo (new power pole) Str ng Elec J Butte County Department ofDevelopment Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile t; WE January 15, 2004 Mr. Joe Wendell Davis Mrs. Jennifer Davis P.O. Box 364 Bangor CA 95914 RE: Request for HCD 433A (mobile home on a foundation system) Location: 7682 Palermo Honcut Rd., Palermo CA 95968 AP # 027-240-002 Dear Mr. and Mrs. Davis: The State of California requires the decals of license plates of the mobile home (or modular) to be surrendered to them. If the afore mentioned cannot be located or has been destroyed please submit a letter stating as such to Butte County Department of Development Services Building Division, 7 County Center Drive, Oroville Ca 95965. The recorded 433A and supporting documentation must be mailed prior to the State of California removing the mobile from state license rolls and the Butte County Assessor treating the mobile as real property. Should you have any questions concerning this matter, please contact Alice Mefford or Tammie Powell at (530)538-7541. Thank you. Sincerely, A a 41 Tammie Powell Plans Application Assistant i Building Permit Number: Q 5-3 *7(PO Owner Name: 'Dav�j Residential Construction Re uirements 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. Building Permit Number: Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: Page 2of 2 03--37�c All structures an a ui ment including overhangs shall be clear of all easements. A setback ofG� from the side anderee om the re ar property lines and feet (25 feet if Federal Aid Route) from the edge of the right of ay hall be clear of o 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 Califomia registered engineer or licensed architect. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes /L--' No / / (If yes, furnish permit number ) OR Is the site an existing site? Yes No j (If yes, furnish two (2) 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 No (If no, clarify ) 5. What is the mobilehome electrical rating? ----;L- -------------- Amps 6. What is the mobilehome site service rating? -- ____ ©vAmps 7. What is the mobilehome site circuit breaker rating? ------------- fps 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.) 10. What is the type of gas service? ----------------------------- Natural / / LPG / i 11. What is the gas pipe length from meter or tank to the mobilehome? - 3 (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) • Misinformation not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) TTE COUN rt \1 F-7 MOBILEHOME SUPPORT DATA If other than single wide, Mobilehomz Mfr. 6 IZ6 4T- ) A&�. furnish Setup Model No. Year Widthjij_(ft.) Box Lengthrp:Z _(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. Single (ft. (in:) Center su port locatio s* (ft.) in.) ti y (in.) (in.) Center support footing sizes (in.) (in.) (in.) (in.) (in.) � 0 (in.) (in.) Footings (check one) ��. Wood either pressure treated o - foundation grade. 2. Other (specify) Supports (check one) Concrete block. 2. Other (specify) AlEr-Tagalong or Expando, show support details. Z x31 -- Typical Support. (in.) (in.) Footing Size 5� -- Max. Pier Spacing /r -- Max. Overhang (ft.)(in.) du 11' GILDING pEPARTMEN PROVED *If center piers are other than drawn above, draw in 1nnntinnc_ gnanina anA AiTnancinne Vector Dynamics Foundation Syste►r INSTALLATION INSTRUCTIONS for the State of California Version 9/212003 INDEX Approval PAGE RELEASE SECTION NUMBER DATE MANUFACTURED HOMENOBII.EHOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 INTRODUCTION 2 9/2/03 "PROVED GENERAL INSTALLATION 3 9/2/03 SUBJECT TO CORRECTIONSNOTED , PARTS LIST 4 & 5 9/2/03 kPPROVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OF LONGITUDINAL DEVICES 6 9/2/03 APPLICABLESTATE LAWS AND REGULATIONS State of California PIER HEIGHTS 7 9j2/03 t eosin anaCommunityDevetopmeat W+N#ES AND STANDARDS SET-UP INSTRUCTIONS 8 9/2/03 DATE (Sip"we) SPA FOOTER SIZES This An Approval Expires— WIND xpires WIND ZONE I - SINGLE 9 9/2/03 y �� - DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 QROFESS/04, DOUBLE 14 9/2/03 -.TRIPLE 15 9/2/03 No. 6 245 P. ZO • ,; / 0- V -DRIVE & PIER SYSTEMS 16 9/2/03 OFCAOO\P SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST�i,Y;" a IQ 00 co O N O O O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square Teets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California 9/2/03' GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 4x4 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03 Vector Dynamics Foundation Systems Lateral Component Parts List oft Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ft. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 5928.7 - V -Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ft. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. Page 4 California 9/2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List s a ;t 0.101, r Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, longitudinal struts not included) 3 Sq. Ft. Pad Vector Longitudinal System # 59026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 59014 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut a # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34% 60" (includes short u -bolts, nuts, washers and 6 self taping screws) Page 5 California 9/2/03 Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD (s Combine Vector Dynamics & LSD 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) Note: Two struts = 1 L.S.D. system. 3. Longitudinal Strut (2 per system) Can be used on one pad or slipt on 4. Tie Bracket (2 per system) opposite ends of the home. Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single 5ection I o I 1 I I I I I I I I I I I I I I I I I 1 I 1 I Wind Zone I Double 5ection 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Wind Zone I Triple Section Wind Zone I Tag 5ection 9 48 Ft. Max. Page 6 California <r -H=`-- 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 it max. . Unequal Pier Heights Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". <: Page 7 California 9/2/03 Set -Up Instructions for Vector System #59018 A _+ r Y� r Ey Long U -Bolts 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches,, .:, past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. C Califor 9/2/03 n 0 WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for Single Section Homes _ - ' ' _ - " " ♦ `, \` (Materials Required) home secti0 -_ _ -, - 72 It single I , _ t. Note: L.S.D.= Stabilization I See Page o. Soil Classifications: Soil Bearing Capacity: Anchors Required: 2, 3, 4A, & 4B s I of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. 1,000 PSF minimum 30" with 24" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties Home Length Vector Systems Required Anchors Required Per Side or 24 Pier 24+" piers L.S.D. 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) CQ CD 0 n w 0 sw WIND ZONE I, SEISMIC ZONE 4 - "" _ '♦'" ' \\ \ Vector Dynamics Systems Required for Double Section Homes me I `\ (Materials Required) - _ - p h dpub.,. 1 ♦ 1 \ 1 - — s �„ .. +�+, �-�� qur }� vi . �� � .ac•� tj9µ` \ \ I — , ,,, . x � 1 ♦ ` _ � �f� U�". a' � — � n 7 mid '�� - � � � � � r,_ fii:.'a¢� ♦ s,ti. -. _ � ., -.. :Y�S,3:':�C ;�tay*r. 2✓� ?: ;c .�`,�_;.: .. .,w�^1... rff�rs '� ...a .v„� �� :. ., n _-/ NOTE: Vector Systems should; be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 10 N CD n 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': None (*Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 . 41' to 66' 3 0 3 67' to 84' 4. 0 4 85' to 90' S 0 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. WIND ZONE I SEISMIC ZONE 4 _ _- Vector Dynamics Systems Required for , _ _ - - - " , _ - mutt se�ctve tO° ystiemsi Triple Section Homes - _ _ _ - " _ _ - amPte os se eras sFa°�n9 ` (Materials Required) EX hc`" _ _ - _ ". ", "-' ;, ' -v co NOTE: CD When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home n manufacturers' instructions and/or state requirements. 0 Tag ori. full triple 2 sq. ft. pad 2 sq. ft. pad A v Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': None (`Marriage wall anchors may be required by home manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0 to 48' 2+ 2 on Tag 0 2 1 49' to 71' 3+ 2 on Tag 0 2 1 72' to 84' 4+ 2 on Tag 0 2 2 85' to 90' 5+ 2 on Tag 0 2 2 Each Vector System requires one of the following: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) GD N C-) 0 ._,; 0 0 I---- - - - -"- WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) " Vector Dynamics Systems Required for Double Section Homes (High Pier Sets with Diagonal Ties)- - - ` h e i i i NOTE: Uector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. 0 to 48' 2 2 2 49' to 71' 3 3 3 72' to 84' 1 4 1 4 4 85' to 90' 5 5 4 Soil Classifications: 2, 3, 4A, & 4B WIND ZONE I Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': 30" with 2-4" helix anchor (59095), 12" stabilizer plates Max. Height unttwldth (59292) 1-1/4" frame tie with connector See Page 7 45* Min. Each Vector System requires one of the following: N ,.Beam 1-4x4 or 2-2x4's pressure treated wood compression member, sPa°i"9 Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) �2 sq. ft. padr ' WIND ZONE II (not to scale) 411 Home Length Vector Systems Required Anchors Equired per side . LSD 0 to 48' 3 • - _ ♦. •.. .• -'jam "- I�\ - 49' to 60' 5 WIND ZONE 11,- SEISMIC ZONE 4 (Hurricane) 2- -61" 61" to 72' 6 7 2 . 73' to 84' 7 Vector Dynamics Systems Required for 2 85' to 90' .8 Single Section Homes 2 (High Pier Sets with Diagonal Ties)me - - SectloroC o, ells g�',del"es'\je ct an R' I - 1 me s a�\anon 2 �� jai in ,e o� sPa - Xarnp olds 9e s be to _° - us d I ds a dation Pa our CD \ 4. `V` � . i ti. f ' - W ' ti � � ` • f MOi's" — — ` � .. _ , • � .. _ .. , (VOTE: Vector Systems should be spaced as symmetrically as possible along the length of the • Soil Classifications: 2,3, 4A & 4B - home"Pier spacing must be consistent with home Soil Bearing Capacity: 1,000 PSF minimum manufacturers' instructions and/or state requirements. - c ' , _ Anchors Required*: 30" with 4" helix anchor (59095); - - 1-1/4" vertical ties w/4725 lbs. min. Maximum allowable working. drag load for the Vector ' R - breaking strength. System with steel compression strut is 4,000 lbs. per Y' the K2 Engineering test report. ' WIND ZONE II (not to scale) 411 Home Length Vector Systems Required Anchors Equired per side . LSD 0 to 48' 3 5 2 49' to 60' 5 6 2- -61" 61" to 72' 6 7 2 . 73' to 84' 7 8 2 85' to 90' .8 9 - 2 Y N CD �` ; \ Each Vector System requires one of the following: Famul z = I 1-4x4 or 2-2x4's pressure treated wood compression member, 2 sg. ft: pad,. Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) N CD �` ; \ Each Vector System requires one of the following: Famul z = I 1-4x4 or 2-2x4's pressure treated wood compression member, 2 sg. ft: pad,. Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) G� CD j n w 0 co n a I ` ` WIND ZONE II, SEISMIC ZONE 4 Vector Dynamics Systems Required for , _ - - seot�o nor °ys a Us 9�1deWle� 1< ' ' " "?`♦ Double Section Homes _ _ ' _ cioub�e for pec t;on man ' ♦ - ' _ `,ttUs- , _ - ' a ostatla- - ,, , __ - - I ` iofae2erak StoPhrae %n- \e n,e9EXacnP hows\,St be trasSac\n9 m a�dp pads dation ♦ ♦ \ 7. H _ , ♦ � ♦ _ a✓ �, � — , fix: - z,. ", x I NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. WIND ZONE II (not to scale) \2 sq. ft. pad/ Soil Classifications: Soil Bearing Capacity: Anchors Required': 2,3, 4A & 4B 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min, breaking strength Home Length Anchors Equired per side Vector Systems Required LSD 0 to 48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 3 73' to 84' 7 7 4 85' to 90' 8 8 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE 11, SEISMIC ZONE 4 Vector Dynamics Systems Required for Triple Section Homes - - _ _ - e�tion hosme istems. \ (Materials Required) _ "' "fit m�\tnsfor jecto CD cn W NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements Soil Classifications: Soil Bearing Capacity: Anchors Required': Tag or_---* 2, 3, 4A, & 4B full triple 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 3+2onTag 4 2 1 49' to 71' 4 + 2.on Tag 6 3 2 72'to84' 4+3onTag 7 3 2 85' to 90' 5+ 3 on Tag 8 3 2 Each Vector System requires one of the following: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 't 1 2 sq. ft. pad � 1 2 sq. ft. pad Vector Dynamics Metal Pier & V -Drive Installation METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount 'upside down' as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16'. Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V-1 for rocky sc 1 V -Drive anchors are used only be installed. re used only in tion homes. in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bol ut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. qQnfIpAfe tighte "n strap until all slack is out and strap is tight. , I C N C Page 16 California '�/ — 9/2/03 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils 1 Sound hard rock...... Blow Count (ASTM D2586) NA Soil Test Probe (1) Torque Value (2) NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2- gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23. 275-349 lbs - in. • sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and.lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface. and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed .around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: 1 6x1 6 = 256 sq. in. or 16x18 = 288 sq. in. Footer Size: 20x20 = 400 sq. in. _ - or 17x25=425 sq. in. - -- EQUALS EQUALS 2 -Vector Pads # 59275f 1 -Vector Pad # 59271 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent /iste bove. *Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in r ar with site conditons C Page 17 California 9/2/03 Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the, base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One of a Single Section Set -Up Vector pa for concretc footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt Vector Dynamics System for Concrete Applications Instructions 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for • wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. N Illustration Two Inside Tie Bracket Compression boards or PVC Pipe Page 19 California Vector pad for concrete Concrete footer <Maj 9/2/03 SITE PLAN REVIEW APPLICATION Date:—LA AP#I. .Permit Number (if applicable) nAz APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: Situs Address: Prouosed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel -� Well BSE COUNTY OCT 18 2004 DEVELOPMENT SERVICES DO NOT WRITE BELOW THIS LINE RAM DEVELOPMENT SERVICES INFORMATION (For Staff Use) FA Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval .IS Site Plan Stamped Approved By 1!5Z066,tDate %� �� 4 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: El 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) 9c? ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: Flood Panel No.: ndex Date: (g 9 ❑ Sacramento River Reclamation District (Approval must be obtained from the C 'forma Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit El Minor Variance El Administrative Permit ❑ Variance ------------- ------- Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Subdivision Map Front �O , Side Side Street Rear w Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. l Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------ Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with Co ty Standards for Deed Creation:❑ No ❑ Yes Comrm: 4/1 SS4 4el aAt Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). El Construct road to: ❑ -Meet Parcel size required by zone ❑ Meet current Enviroiamental Health Department requirements .0 ME SSubdivision Map/Parcel Map:�a� Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: POCX130 Book: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control 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 Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa INI Summary of Specific Requirements: This information provided in this summary is based on the application information of review. and on the best available data at the time CALairys\Building Permit Site Plan Reviewl.doc T PERMIT NO. i M' ; figq!IH UTIL. , 1676-7 PERMIT NO. 4'P, E ' t . PERMIT EXPIRES • ,, ``,OWNER Charles Bond p{�I;ONTR.' OWner. OCATION (A.P. 27-24-2' ) 7682 Palermo=Honcut Rd., Oroville i! er2 Temp. Power Pole -'� Called PG&E • 'Temp. Elec. Serv. Called PG&E Temp. Gas Serv. I Called PG&E B FolNALED ;!. (Date) (Signature) , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS d BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback =• 2 Z — 7 ' Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping Temp. Gas & Test Slab Patio Final FIREPLACE Sanitation Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service - ]— Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final Ine ley DATE REMARKS OR CORRECTIONS ` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK / 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 cls ((U!!!!! f APPLICATION AND PERMIT • ' BUILDING Owner 19-4 - SQ. FT. OCC. BUILDING VALUATION Mailing Address J Te ep ne No. Fireplace Contractor P Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Z) --1 Each Trap 1.50 LO ev ^ `e— Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No .� > .� � Zoni s Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 ' F S4) io Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans r eclaration rce a p 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Recd Porcel Approval ans Plans Approval Permit Fee $ $ Q NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 metera. Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal dzo Receps., switches & fix outlets 2002.5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X4�Z X_ / Date Signature of Permitee or Agent Receipt No. 169-e:76 7 White-D.P.W. — Yellow -Assessor'— Pink - inspector — Goldenrod -Applicant 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. DIRECTORY PUBLIC WORKS ^ �'� ' % T/ By Date J ' 1lding permit expires Date................,:..7�. l - 93oN J ' 1C -F -x4'0 j-�oNcu-� W � All utili OR located within 4 ft. outs de hall be 0�2oti'��e' CA• 165' third section of the the rear.. on the left (road) side of 'Mobile home. e , " ' . 1v�06 � IC �{1ME c , �( ' �l00 �,•� . ' e Septic system and location __ " A9R 4 to 'be as pper � Butte County Health Dept. quirements: well O i T�he Bldg. Setback shall be elft frog the side property line and 5%f from I e centerline of the road, �r fitting maximum of a. 2 ft. eavev hang. ��� �✓ Gx �s .Nc j TE: ---AIS Materials & Workmanship Shall Be it. - cordance with Recognized Good Practices and a quality prescribed for the Specified use in th J'form Build ing.Code.Uniform Plumbing Code,'and t e National Electrical Code. This set W plans and specifkations MUST be kept on the job at all times.and it is unlawful to make any changes or. alterations on some. without Written permisson from the Department of Public Works, County of Butte. A B16LDING-DEPARTMENT 1 1 1 DECLARATTON REGARDN- G LO"!' OR Y'A R C L -L S S certify that as -owner of the property acquired by deed in f` = Volume , Page;--'¢- , Official Records of Butte County, (Ap. .2 G U� ), x am requesting permission to build or install an additional living unit on this property.* I will not divide the afore- =- mentioned property for sale, lease, rent, or financing unless all applicable- -land -division-laws-and•-map--requirements-are.-complied -with. Z am conversant with the present zoning regulations affecting the • aforementioned property, and declare that I shall not violate same, I .represent that the proposed use of the additional living unit is ... ar_d- L t further 2 -shall �o 'change -this ro osed- use -o - g P P o f the .additional living unit unless and until I receive written approval therefor, fron. the County of Butte.. I fully understand that pursuant to Chapter 20 of the Butte County Code and §11535 .et seq of the Business and Professions .Code that if ..I, ''• in the future; sell; 'lease; or finance the area., on or adjacent 'to sa; d -�:mprovem ht without fully complying with the applicable .laws and ordinances.,:. that I shall be' -guilty of a misdemeanor and therefore, subject to -the aforesbid-penalties and imprisonment pursuant to her. Further, ..---this statement- shall •be --properly..• acknowledged and .-recorded at the request - ---o --the-..County_of...Buttp OF 0i, i:. Fief 0 Do 1�E ....27386MAY i St K JX OFFICIAL _SEA4'Address. L NOTARY PUELIG'iCALIEORNIA • BUTTE COUNTY .•_ - ktV(Y3h1M,15510ti•EXWRES:NO`J. 79.1977 Date 7` STATE OF CALIFORNIA � ss. • CO1P1%.i Or .AL3ttn ) - On this 14th day of May 1971+ , before ,ne, the undersigned a Notary Public in and .for Erie Col;:.ty or RvttP _ , State of California, residing therein, duly U. commissioned ks orn, personally appeared Charles F. Bond known to me to be the pe -son whose nom.e is sc� `s�,cri6e e witCn to trehin instrument and acknowledgea to me that—:, O T-' executed the same,. Tse W1T4ia(;S WIIL:REOF I have hereunto set m - official seal in the -Count of h hand .and affi ed r,y �i l Butte the da; and year in this �� certia ficte first above written, END OF DOCUM�NI BUTTE COUNTY DEPARTMENT OF. DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 7 519,-1%% , g L/� License Class : _ 16:-117 License Number: ?�J Date: -y- 05 Contractor: 13A Vt� r7CrvC 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 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 State 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).): ❑ 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 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 pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I here 4y affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 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 #: / % ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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: .G �. — Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BP043454 Issued Date: 02/09/2005 APN: 027-240-002-000 A 1; e_g, 94/e -J Site Address: g$gZ HWY PAL Map Index: Description: NEW MH-EERM FNDN_EX-—T&(1640) Owner: DAVIS JOE WENDELL & JENNIFER LYNN P O BOX 364 BANGOR, CA 95914-0364 Applicant: DAVIS JOE WENDELL & JENNIFER LYNN Contractor: B & B MOBILE HOME SERVICE 6493 LINCOLN BLVD OROVILLE, CA 95966 530-534-9694 License #: 751948 Architect: Engineer: Total Square Ft: 1640 S.F. Valuation: $106,600.00 Census Code: This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolu 'ons to o work iindicated o e for /wNch fees have been paid. By: /%///�/y��(� / ' Date: PERMIT EXPIRES ON: ❑ 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 enter upon the above mentioned property for inspection purposes. Print Name: J J l� N In 'G y d /�i7 c� Signature: '�G'--� Date: !/ (Downer C ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pq 1 c � BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE ISL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name'Ft Nam SE Address City Sta Z►p Phone 530 (61Z--�ij Fax E -mag D< iv P *U , isj 6 l iI 1 APPLICANT NAME CONTRACTOR Name. City 6 2� Address l z1 Q G Zip ,GS�6,6 City or Fax �.�� • State Zip 6 Phone,,,,, _ 6 y Fax tai -c E-mail Lot # Lip. #.7 Class , APPLICANT NAME ARCHITECTIENGINEER Name City 6 2� Address Zip ,GS�6,6 City Fax �.�� • State Zip Phone Fax E-mail Lot # State License Number APPLICANT NAME Name Address �i City 6 2� StateC,,,-- Zip ,GS�6,6 Phone � 3 Y — �6 l�. � Fax �.�� • E-mail APPLICAN GNATURE X Fo office us only: ZOkL& Flood Zone SRA Yes o Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # LOCATION AN 0 gr? Pro City /Qe Crstreet WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time ofpefmit issuance. LENDING AGENCY Name Address Description or Scope of Work: MU5 f A l YELL 5 Elf.er eiG sz.�� Sq. Footag ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. R c ived b : Amount SRA Recei P if .. _Ap nF►,e. Date: l 6 D " -0) SUBMITTAL & PERMIT REQUIREMENTS o ., The following drawings and specifications must be submitted to the Building Division in order to apply for a Mit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEG/BLEAND /N INK. - 1. Site plan , r 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete p ans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.— ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ / 5. Statement of Intent for Non -heated and A/C. for Non -Residential Buildings. f9' 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Ti- -or find plans, all in duplicate. -- -- ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. -- 11. Detached Accessory Building Form filled out by the owner (if required). 12. Hazardous Material Form (for Commercial Buildings only). 9d a o 13. Sanitation and site plan approval from the Environmental Health Department. 360 Remaining items needed to issue the permit. Additional items may be required after Plan Check and, Plannin : . review (May require additional plan review upon receipt of the following items.) 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 2. Impact Fees. 7 3. California Department of Forestry plan approval (if requited)' ` 3 4. NPDES Form. . I 7 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 7 6. Contractor's license information. (Number, Name Style, Classification). 7 7. Worker's Compensation Carrier and Policy Number. 7 8. Owner -Builder Verification (if required). 3 9. Letter of Signature authorization (if required). 1 10. Recorded copy of Agricultural Acknowledgment Statement. 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). F you have questions or would like additional information regarding this process, rontaet a Permit 1pplication Assistant at (530)538-7541. EXPIRATION OF APPLICATION .pplications for which a permit has not been issued will expire one year after date of application. In order to renew action n an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS efunds can only be made upon written request by the person who paid the fee. The request must be made within two ;ars from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits sued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan leck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION M FORMSSUILDING F0RMS\BId_qAPP1SubRamts_doc Pone 7 ..s ') COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Orovi;le, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET ' \ l I , OWNER: ASSESSOR PARCEL NUMBER U�j '0 `7G - G Proposed Building Use: Counter Technician: Date: Items required in order td apply for a permit. All boxes MUST be checked OR marked NA in order tozapply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. 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 homesData sheets and installation inst, (r�loor 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 approval 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 -rt 1❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ....... O 20. Erosion Control Plan Required........................................................................ ........ g/ 21. Fees as shown on the attached Schedule of Fees,Due Sheet .............................. ❑ 22. City of Chico Plumbing permit......................................................................... 01 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: AC4-(B)Parking: (C) Parcel Check:_-PER�T- ❑ 25. Contact Land Development about -Improvements, -Drainage ......................... 2 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... f❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... to 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 DeedgM.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. er: =r' ❑ 39. Other: When issued Telephone - Co Li and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: /a - -7 4- 1. Index permit application for the above ' s numbered:q93k 4 Plan Check Letter 2. Additional items required Contractor esigner, owner, was advised of the above data by IIKphone, ❑ mail, ❑ counter, by _ Date: ► ;L • 28.0+ Contractor, designer, owner was advised of the above Pata by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: _ �✓�^ Date: v 17, i lof Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: 06;j-2,1 Yellow: Building Division E.E. li USE ONLY 9io7 ®len Attached ';;:� ^- Floor Man AKachod-_a Sona to S.D. / TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposa Water Supply: blic Private Wel Clearance for dwelling. Other i, r Hold final for: Final clearance O.K. for: NOTE: 8/96 W. I•� PROPRO 1. BUILDING PERMIT FEES --- Balance Due ..................... COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES --- Additional Fees Due........ $ (7 1 4�.l -J --- Revised Plan Checking Fee.... $ 41 2. SCHOOL DISTRICT FEES ��1 LI \ (paid at School District Office) (form available after Plan Check) ,;_�.3. SHERIFF FEES (paid at Building Division) ] Residential............ X $360.00 =$ (.P its Commercial (sq. ftg.). 4. URBAN AREA FEES Residential (per unit).. X $0.03 = $ Sq.Ftg. A.P. #6q�a DATE - RECEIPT # DATE REC. 11 / 1?10� ; -< -05 ITP / V /V/ �0 /. Ct-5 y i94,�8 2_q_as (paid at Building Division) X =$ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 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. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER �:�:kM I P I d .. (' ('t' �, _ Z -�%J D 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 procSss----) DATE %,?- — 7 -- 4 y Pursuant to Government Code Section 6602wyou 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) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION 4 TORM (One form=per{liuildin9) - - School District A.P. Number Property Owner Property Location/Address j$ bdivision Residential Development OM `� � - dJo of Living• , Units �W 1 Cgmmercial/lndustnal i 0 �\VJ t,,,, \ New U Ill. Building Department Repres,bntative 7 District Identification No. ®'!) y School District certifies that BuildingDepartment No. ;Jurisdiction: City County ;l (Street Address) (City) hs complied with the requirements of Resolution No. ��representing /I (.0 y� square feet. School District Representative Paid by Check Remarks: 2. a-ViS U �•IApplicant) L one Number) Ci / (State) (Zip Code) , (J S 9 b by payment of $ 2926 $ l rLL MMGA710N ` ' Lri Date Not`gs. You may protist the Imposition of the fess Identified above by submitting a written protest to the District, In compliance with Code 8ec�tlm 66020(x), within 90 days from the date foss aro paid. Failure to submit a timely wrtltenpirgt}3t yyl�•Arddbit y4 from challenging the Imposition of it. 119. In any court action. �� �//%/ d '�_U Jc if, subsequent to the School District Representative signing this Butte County Seh000ls(Impaet Fes Certification Form, the School District Is no" by the applicable Local Planning Agency that this proledt Is being re -low under tia CagfornW EwAronnrntal QuMNy Ad (CE"h projed iiy to sublect to additional selrool fess to fully mlflQett its Impact on tins school disUld^a schools.. N • _ �. _ u Whiife (applicant), Yellow (building department), Pink (school district) t feetorm.xie 00/03)dmm ' t 0 OQPR�"t�T qc 6UTTF �0 // .0 I� 0 c o c a — �I �� 5 �LJC W0�� Department Michael Crump, Director Public Works - LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 !National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: /" /-./ _Z- ow r�/-, �Gu Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1. acre or more of land and that I, therefore, do not need to.apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control 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 a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 ENCROACHNS ENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Fonns: www.buttecounty.net/publicworks/forms.html Gal 'of 6f32- 70 NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number District APPLICATION 1 / 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 and highways , all in accordance with County ordin;mct5 and general laws. (All information except signature must be tyfxdor legibly printed.) 1. Applicant's Name:_ �J t ''/'\J tl1� /r •• ✓14�%S G �� Ia. Compuny Name: 2. Address: ell 3. Phone: S33_ 4. sse sor's Parcel N ere S. Location of Work to be Done - / �JG^ /f+��i�0 I` /✓L� d • b..+ •' NJd.�' O�t� /jam � !T/�.. 6. Applicant's sigiullure 7. Dalt': CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 10. Phone: 11. Fax: 533 -2 iZ � 72. Cuntractur•> License Number. 13. Ccnilicatc of lnsurunec: Yes No: ❑ 14. Contractor's Signature: �— // 14u. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Plcuw Check: Cult:❑ Gutter: ❑ Sidewalk: ❑ 17. If Driveway List Type: �4 IN. Other work - Describe: 19. Plans Attached: ❑ Yes ❑ No PERMIT GRANTED Ia compliance with the above request, and subject to all terms, conditions (including those on page 2 ofthis permit form) and special conditions written below, lel-im Sion Is hereby @171111etI. 20. Conditions / L ndergruund Sen icc Alen (L.S.A.) must he aolilied two woli:in_ days prior to any excavation. 8011-227-26011 21- ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions El 2. Dole Issued 23. Expiration Dale: 24. Surety 2';. Date raid: Z 26. Amount Na / 2 uiJ liv: ' '- _J Receipt Xu.: Mike Crump, Director of Public Works (Xj 01 By: Forr•ouary 29. final In.Iwction Dale: 30. Inspected By: ❑ Completed - OK Completed — Not OK ❑ Additional Comments Attached t'w Oab: 31. Comments: uY ,,..eine. u 31— t»u/ j.r5-4356, they can be aewyea up to one week. Page 1 of 2 2"x STEEL ANGLE CHAS%S FRAME 3/8' CAD PLAIED BOLI, NUT A WASHER COACH -C' FRAME COUNTER BORED FLUSH WITH BOTTOM 2" CHANNEL AT e 0-C- (e) REQUIRED 1/4' STAND BASE TEK STS . .— ABESCO AIDS PAD 0503 (2) REQUIRED 1/4(2) TE REQUIRED 1/4` GRIPPER BASE 1/2-13UNC-A307 x 4 -- BOLT WITH NUTS (4) REQUIRED 01 1,42' SCH 40 PIPE RISER WITH 01/2 ADJUSTER HOLES AND 3/B" THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO 01/1" ADJUSTER HOLES Q ABESCO ABS PAI #503 STEL FRAME ccr nFTAIL 21 so 3E" MAX TO BOTTOM OF PAD r 01/2'x 3- C.R. LOCK PIN WITH 01/8' BRIDGE PIN I 1/4' GRIPPER BASE 1/2- A307 BOLI (2) REQUIRZO 3/8'x 6"x 6' STEEL PLATE 1/2' A307 BOL (2) REQUIRED 10.00 o9/16 HOLE (TYP) STAND BASE TOP VIEW TUE-1 PERMANENT FOUNpATi0N SYSTEM 1/4' GRIPPER PLATE L -BEAM ATTACFINSEPIT COACH 'J" FRAME 1 /4'x1-1 /4" TEK STS (4) RLOUIREO —BE M ATTACHMENT B« 1/4' GRIPPER BASE 1/2* A307 BOLT (4) REQUIRED 1/2' DIA. +IDLE (6) FLACES • r — so` `j SIE.E1 FRAMME TOP VIEW '�°• STIP z"' , M/1<lYOOD4��� As "Ip,{11011101!!l10f1� p{}f ORB1�IA1la1�B01B1 111 Ono sworn -1 I woo z MWC0.3US 035-Ri COWANY 5851 FWD - PRIM ROAD V SAC (RAKE ,CCA848313 ,., FAX: (91s) Sea -52o7 WAYNE T. POLVADO, PE-LISTIN3 N0. F942a9 SHEET 1 c+ 3 1%AU Ci 1r r be- 9,4 s tt e ill WING DEPARTM Vf,Ev.f W >}y GENERAL NOTRS rUS Cyeltn Ts IF—1 1. ALM .nine. LIVE LOAD - 30 L.B. BOOR LIVE LOAD - 40 PSF WIND LOAD - SO MPH EXPOSURE 'C' SEISMIC ZONE '4' *SHOW LOAD 100 PSF (SEE NOTE X15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FA14LY LEVEL SITE WITH N7 EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTR:ICTIONS'. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DSa CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED VIHEN'DS EXCEV 5 1/4', OFb WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT, 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAC SOIL PRESSURE, AHO SHALL BE COMPATIBLE WITH LOCAL SOIL COOMONS. COMPACTED SAND N MAY BE USED TO FILL LOCAL VOIDS UNDER PA)S. E. STRUCTURAL STEEL- FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIGHL ELECTRODES -370 A36 BOLTS -SAE GR 5=ASTLI A449 -ASTM A3725. PLATES -ASTM 7. THE GUS GUARD ASSEAtBUFS SHOWN ON THIS PAGE SNALL BE usrED AND LABELED BY BSK AND ASSOCIATES FOR THE FOL'IANNO LOADS: A®�WAMi< mane. HORIZONTAL, VMnCAL VJS GUARD TUF-1 2200# G 6000 JS GUARD MGP PAD 2200/ GOOD# GJS GUARD E -Z TIE PAD 2200/ 6ODC# S. DURING PRELIMINARY WSPECTON, THE ESTIMATOR SHALL ENSURE THAT * MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. INSFALLING EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY FOUNDATION PLANS.UNITGUS GUARD TUF-1 S AS SHOWN BTI THIS PACE OF TYPICAL FOUND 10. THE CUS C"qo TUF-1 SYSTEMS ARE SAFE FOR INSTALATION IN FLOOD PLAIN AREAS WHERE CEPTH OF FLOODING DOES NDi EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF—1 UNITS UNDER EACH UNIT IS THE SAME AS SAOWN REQUI3ED PER EACH UN:T. 12. SINGLE -WIDE UNITS REDUIRE AUDITIOHAL RESTRAIlY. • (SEE SHEET /3); 13. ALL FETAL CONPONEIM AND ATTACHMENTS REAS SHALL BE PRDTMltd COANA 14. WHEN CONCR;TE.SLAB IS 1N EXISTANCE, PAD 6 NOT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH FOUR (4) 1/2-i 3 1/2' EXPANSION ANCHORS. IS. GUS GUARD TUF'-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO iw PSF mot INSTALLED WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE ONE BASIS. THEM ON A ONE TO 16. FOUN)ATION BLOCKS 16'x 16"02' POURED UI PLACE AT GROUND LEVEL MAV BE USED AT UISTALURS DISCRETION ALTERNATTWE Ttp PADS. SINGLE WIDE COACHES DOUBLE;/MULTIPLE COACHES E= 2: MIN. / 8' MAX. E= 2' M.N. / 11' MAX. 5= 6 MIN. /16 MAX. S= 6' MIN. / 22' MAX. VARIES W-70' (SEE TA9LE ON SHEET #3) FIE] S S �S u uU ❑RIDG❑ 'REQUIREDABY SUPPORT AS ❑ ❑ (TYPICAL) ❑ ❑ ❑ BNOM. 2 MOIL ❑ PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 80 DEGREES 07 'IERS AS RECOMMENDED BY AVOIDQFFTLEAROAN� RDOBLTEMS. NGINEER. MANUFACTOR URER OUCHOIJT STATE APPROV ^u l•1 PVC SERIES PAUD (TYTP) '►- �' � )AATiOpACipRRTIFp�� 17919: RBALTLTATIDBB 71oN AMOVO L.7laollrWla V Emp.� # �ZOF C;�** TUF-1 PERMANENT FOUNDATION SYSTEM ABFSC1Q4ZiJ3 OUARD COArIPAATy 5951 FWNN - PERM ROAD SACRAMWTO. C4 93323 PH: (800 382-8831 FAX: (913) 383-5207 sUXWr7+000T0etr Cl=m� APPROVAL DMN01Atmjm= CR APJIAMMW or�Issrorla as a>�AnaBT E�Lory APPL moLB RT'A!B gAus AND asom1=4•' SPA NO. '007 rF Imp" Tni v Plan A -.i c._._ WAYN£ T. POLVADO, PE—LISTING NO. F-94249 SHEET 2 It 3 1/4' GRIPPER PLATE (2, REQUIRED 1/4' GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH Ot/Z''ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND NITH TWO 01/1" AOJUSTER HOLES AAESCO RBS PAC #503 Q STEEL FRAME--, LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION =?I-vm umm am= IMB um Vigo HOME IF HOME B U a1 6 e 6 B -f Z 12 1 - a e lw-t' to a20 -1' b d0 1 0 10 10 HUMBER OF 111E-1 ItWUJEED HUMBER OF TUF-1 REQUIRED lI=- SIMXE MADE UNrN REQUIRE (4) E—Z TIE PADS. GUS GUARD TUF-1 HERS ARE TO K PLACED AT APPROXIMATELY EOWIL LNTERMALS MMO EACH FRAME RAIL N' o TUF-1 PERMANENT FOUNDATION SYSTEM E - Z TIE PAD PH taw) 3az-1 — FAX: (916) 383—! STATE APPROVAL IMAMWACTURIM IROM8IM01IDM 00 POURt>J1710N 8Yrl7lM L113AND8AP87TOOD$, ®Ci4d1111!!1 APmovsD uwlH.'i 710 ODARSCn= IOw= AMOVAL DOW NOT AU'EOWZE Olt AP?MMANI OMISSIOX5 OR DEVIATION FROM R34UDt81 MUS Of APPLICABLI&VAINI AWS AND ABOULATUM Btu of Collfadt 00, tod Oomtm�Dnal�gmeat BIIAND »p cam+) SPAY& TtdsllanlfAppow - WAYNE T. POLVA00; PE—LISTING NO. F94249 SHEET 3 of 3 o 3/4" DIA. x IB' LG. 1/2% 3 1/2' 1/2"x e" LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3/8' CAD PLATED BOLT. NUT A WASHER (4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM AT b" O.C• (B) REQUIRED l.i . CONCRETE PAO INSTALLATION POURED IN PLACE 16x16xl2 CONCRETE FOUNDATION INSTALLATION 1/4' GRIPPER PLATE (2, REQUIRED 1/4' GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH Ot/Z''ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND NITH TWO 01/1" AOJUSTER HOLES AAESCO RBS PAC #503 Q STEEL FRAME--, LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION =?I-vm umm am= IMB um Vigo HOME IF HOME B U a1 6 e 6 B -f Z 12 1 - a e lw-t' to a20 -1' b d0 1 0 10 10 HUMBER OF 111E-1 ItWUJEED HUMBER OF TUF-1 REQUIRED lI=- SIMXE MADE UNrN REQUIRE (4) E—Z TIE PADS. GUS GUARD TUF-1 HERS ARE TO K PLACED AT APPROXIMATELY EOWIL LNTERMALS MMO EACH FRAME RAIL N' o TUF-1 PERMANENT FOUNDATION SYSTEM E - Z TIE PAD PH taw) 3az-1 — FAX: (916) 383—! STATE APPROVAL IMAMWACTURIM IROM8IM01IDM 00 POURt>J1710N 8Yrl7lM L113AND8AP87TOOD$, ®Ci4d1111!!1 APmovsD uwlH.'i 710 ODARSCn= IOw= AMOVAL DOW NOT AU'EOWZE Olt AP?MMANI OMISSIOX5 OR DEVIATION FROM R34UDt81 MUS Of APPLICABLI&VAINI AWS AND ABOULATUM Btu of Collfadt 00, tod Oomtm�Dnal�gmeat BIIAND »p cam+) SPAY& TtdsllanlfAppow - WAYNE T. POLVA00; PE—LISTING NO. F94249 SHEET 3 of 3 o ash CJ I 11: Pi IL C"k pC V) Vi ApPiRc\/ED ri un alih M:; E. iron 7% na ure ZZ Q LU < k LLI C1.4 2E LU CJ� Lu C) 1 V) ash CJ I 11: Pi IL C"k pC V) Vi ApPiRc\/ED ri un alih M:; E. iron 7% na ure ZZ Ave. proposed septic I AP# 027-240-002 --Owners-Joe Wendell Davis and Jennifer Davis— P.O. Box 3641 128 Grimy Gulch, Bangor Ca 95914 Site address- 7682 Palermo Honcutt Hwy, Palermo Ca Contact # Jen Davis 530 682-2346 ALICE AVE ��EI�Q 2i31N3Q A1N(1O� L H1l�f3H 1`d1N3WNN1A%3 NOTES ; F� RESIDENTIAL s' PERMIT NO. — -240,-002 542ISJOEi'DAV- J,,)ALICE AVE; PALERMO ' Z-` Cont: BARNEY BOWE eo</ -4MHI (2ND DWELLING) 4-1 OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY ' * s r ,4 a USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER'"' yt � ra L9 ' JOB FINALED (Date) �C j a . Signature = OK = Not OK = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. So' ; Special MH Support Sketch i ewer; Location -Test -Fall -C/O -Concrete �✓ . a r; Location -Test -Easement Nee d (Sketch) 5 ctricity; Location -Clearances nd-/ /Amp -Concrete tKGas; Location -Test -Wrap; /" / P Nat. or/ /" L "ft./ 7. Well Clearance & Disconnect Clearance DateL tom Card B-1 Date Card B-1 Date Card B- Date Card B-1 Date MOBI OMF INSTALLATION (Plans) OK except #'s oni equirement -Setbacks-Easements 2 otings; Size=S acing -Marriage Line N' Ga< MH Test -Demand -Valve -Connector >,8/Electricity; MH Test -Crossovers -Breakers -Clearances 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 5. Drain; MH Test -Fall -Flex Connector MISCELLANEOUS Date 6. Water; MH Test -Regulator -Connector 1. 7. W r and Sewer Co hected-C/O to Grade -HD Approval aoOGas and Electrici agged f( Footings; Soils -Size -Depth -Spacing -Connectors -Steel 9. Tie Downs -Type -Installation Cert. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails ` f6h Exits; sp.-Sketch IT Cprfof Occupancy Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing row-nwLLty Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Date(, Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Siding; Nailing -Veneer -Stucco -Mesh 1. Zoning Requirements -Setbacks -Easements Roof; Shthg-Roofing 2. Footings; Size -Spacing -Marriage Line Ext.; Steps -Doors -Landings 3. Blocking Braced Wall Panels 4. Gas; MH Test -Demand -Valve Date 5. Electricity; MH Test Card B-1 Date Card B-1 Date 6. Water; MH Test Card B-1 Date Card B-1 Date 7. Water and Sewer Connected 1. 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 dll� 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails ` 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -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 Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped Siding -Nailing Veneer 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 6a. Hold Downs and Special Anchors Glazing Area -Glass Protection -Skylights -Plastic 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel Brace Interior/Exterior Wall Panels 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Insulation -Walls -Ceilings 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Infiltration -Walls -Windows 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 Date Card B-1 12. Electric Underground Card B-1 Date Card B-1 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 67. Bedroom Exiting Date 68. Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Stairs & Rails 17. Water Htr.; Vent -Access -Combustion Air Baffle Fireplace or Stove, Clearance -Hearth 18. Water Pipe; Test & Anchor -Nail Protection Elec. Outlets at Wood Panel, Int. & Ext. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 20. Shower Pan; Test, First Floor -Tub Access Elec. Outlets & Receptacles at Kit. Counter 21. Test Tub & Shower, Second Floor -Tub Access Garage Fire Door; Swing -Landing -Closure 22. Gas Pipe; Sixe & Anchors A.C. Duct in Garage -Damper 23. Fire Sprinkler; Test Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 81. 24. Fixture & Transformer Clearance -Ins. Protection 82. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 83. 27. Romex Installed Close to Edge of Studs & C.J. 84. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 85. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 86. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 87. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral 0 Yes Cl No 88. 32. Service -Riser Conductors & Ground Main Disconnect 89. 33. Equip. Clearances Panels-Motors-Mech. Equip. 90. 34. Clothes Closet Light -Shower Light -Spa Light 91. 35. Smoke Detector 92. Gas Test -Meters Tagged, Gas -Electric Date Water & Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 Date Energy Compliance Certificate -Other Certificates Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support Date 37. Vent Fan, Exhaust above insulation Date 38. Condensate Drain & Overflow, Size & Grade Date 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Comments at Final: 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive Cl Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes U 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: RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 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. JOE WENDELL AND JENNIFER LYNN DAVIS BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR MANUFACTURER'S NAME LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY PO BOX 364 VW4147A/B/C 7 COUNTY CENTER DRIVE MAILING ADDRESS SERIAL NUMBER(S) MAILING ADDRESS BANGOR BUTTE CA 95914 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIPA ��CITY COUNTY STATE -LIP 7 � - 04-3454 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT - BUILDING PERMIT NO. TELEPHONE NUMBER PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (iralso property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDEN WEST 1979 VILLA WEST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMUNUMBER VW4147A/B/C 60'X 24'/21'X 10' CAL164948/9/974 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 027-240-002 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. FOU =� �IONYYSTEIVI= y+ 1. t .n q CERTIFICATED.. 'OC;CUPANCY ..,,, . ,� i f. ►. r. BUILDING PERMIT NUMBER: 04-3454 Address or location of unit: 7682 PALERMO HONCUT HWY., PALERMO, CA 95968 Legal Description of Real Property: AP#: 027-240-002 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: JOE WENDELL AND JENNIFER LYNN DAVIS Owner's address: PO BOX 364 BANGOR, CA 95914 INSIGNIA OR HUD NUMBER: CAL164948/49/74 SERIAL NUMBER OR V.I.N.: VW4147A/B/C MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1979 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C d PERMIT No. 1751-86MHI 'ex sit PERMIT EXPIRES OWNER CHARLES BOND CONTR. Wilson MH ASSESSOR PARCEL 27-24-02 LOCATION 7682 Palermo Honcut, Palermo C? 42 3 • Temp: Power Pole Called PG&E Temp. Elea S Called P( Temp. Gas Sei Called PC JOB FINALE[ Signature J = "01K . t 0 = Not OK — = Not. Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch. ; 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's IVIZoq.ing Requirements—Setbacks—Easements 1, Setbacks -Easements oot' gs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3 as MH Test—Demand—Valve—Connector le .tricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI 5,rr ' '; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI pt€r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 1-*"Wa!pr and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater �jC/f a�s�and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes— Enc losures— Pane lboards—Ins. to Main in Conduit 9. Health Department Approval 'ts; Insp.—Sketch A'.—Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card B -I Date '"" Card -BI Date Card BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK ' 0 = Not OK, NotRdicable Not Ready RESIDENTIAL (Single and Duplex) = Date UNDERFLOOR (Plans) OK exceptq's I(Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. D 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. De 5. Stemwalls, Main: Steel -Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Gas Pipe; Size -Anchors _ 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI DateCard-BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17, Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI Card -BI Date Card B -I Card B -I Date Card -131 Card -BI Dale Date _ Card -BI. Date Date Card -BI Date ELECTRICAL (Permit) OK except ft's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights _& Switches at Doors 22. Size Boxes & No. of Conductors -Stapled_ 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or Al-A.C.-Wire Size / / ga. Cu or A 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes *No 28. Service -Riser Conductors & Ground -Main Disconnect_ 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Date Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts. Insulation & Support 32. Vent Fan: Exhaust above Insulation 33. Condensate Drain & Overflow: Size & Grade _ 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings_Stairs-Chases-Tub - ---- ---- ----- --- - --- - -- - -- --- 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnq. 44. F ireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE Anentrymust be made each time youvisit jobsile) 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter{ 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instid.: Drive [] Yes No; Walks ❑ Yes ❑ No. Planters ❑Yes [J No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outle'. 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _ 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House _ 82. Glass Protection 83. Corrections from Previous Inspections _ 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to -Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Com lents at Final: 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Card -BI Date Card -81 Date Date Card -BI Date Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter{ 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instid.: Drive [] Yes No; Walks ❑ Yes ❑ No. Planters ❑Yes [J No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outle'. 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _ 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House _ 82. Glass Protection 83. Corrections from Previous Inspections _ 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to -Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Com lents at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0.''� Address or location of mobilehome Owner's name=a Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPVtANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. S i 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS 7 County Center Drive - Oroviller&Californla,95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. f r ASS 5 OR P R EL NUMBER _ �1.- ZONIN BUILDING PERMI OW6,� TELE H E SO. FT. OCC. BUILDING VALUATION OWNEIJ'S (AILING DR = CONTRA TOR'S NAME .^ ` V Ll TELEPHONE C TR TOR'xh S MAILING A D SS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS$ r� a1 /6 CAL 0 ft + Permit fee (�S PLUMBING PERMIT Filing Fee '10.00 Each Trap 2.00 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ tal lationX Other ❑ Describe work: ` I— _ -+ ,0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professis� ode an my license is in full force an ffect. License,� License No.� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d\ yzQsgft OR ADDNS. ACC. BLDGS. / NEW CONSTR MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS h1 SINGLE OUTLET CIR. I 20050C Ex. Occup OUTLETS OR FIXTURES ALO 30C R Ex. Occup. OUTLETS (RESID•)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ Th rmit is for $100.00 (valuation) or Jess. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 ' Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 alolliab'l'tiese judgments, costs, and expenses which may in any way acc ea of the granting of this permit. Sr 'Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Of. on Energy Inspection Fee $ TOTAL PERMIT FEE $ occ". CON_9T.T7PEJ IFLOODIPARCELI PO ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOWOFP BLIC S PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date +� Receipt No. LT&BY WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF, -,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE� CYLRNIA 95965 - TELEPHONE: 916/534-4541 M PERMIT APPLICATION DATA SHEET f ( Permit No. OWNER�►ICAV, Ll A. P. No. Proposed Building Use, x I S i y t(—' Permit Fee Based Upon: Complete Contract Price v DPW Valuation BuildingInspector At time of permit application, I was advised the following,,data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED All items. have bee submitted. . Plot plans in plicat triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs... . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . �, Letter of signature authoriza ' n. • _�f_01(41Sanitation approval from V i1 Health Dept. �� ��O p 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data. . . . . . . . . . Pre -inspection for Required. Pre I ding iri request to p q Building Inspector Date) Record-, fg�A� ftjMy�u �l Acknowledgment Statement . x KM t� onstruction approval required r occupancy 19. Other, pri o Whep you issue the permit, process as follows:Mailowner. _ —f9C� Telephone and hold for pickup at u office. Other Mail to contractor. _Deliver w/inspector. Date G / 5 / Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above Vimetpplication, circle item.) 1. Index permit for above Items No. 2. Additional items required: , (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Plans checked by Plans approved b, Other Copy–DPW Date Date Date Other To: Building Department From:-,-nvironmental Health Subject: Sanitation Clearance C. Z. Pct N �- Z7 -z �{ 0wner Location ►{�u\AP# Plan Approved for: Sewage disposal O"- water supply Hold final for: water supply ` Final clearance O.K. for water supply, Clearance for bedroom mobile home. Other NO TE- Sanitarian F Sanitarian Date ` Return to RA IDPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMERECORDED M 011101AL RECORDSNT OF BUTTE CO!JHTY,CAI_IF0RWA FOR RESIDRNTJALKDFVELOPMENT,TTH[R`E01IFSi UF, Section 26-8.1 of the Butte County Code requires this acknowledgement PART- S M01whi be recorded prior to issuance of a building permit. 8G,':'°21130 1986 JUL -31 $ 30 The property described herein is adjacent to land or includedELEANQR M.�3EChf=R e___1 within an area zoned for agricultural purposes, and residents of this CLERK -RECORDER FEE property may be subject to inconveniences or discomfort arising 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.estab.lished 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described � as follows: ILI Lot I !n Block 130, as Torn on thet certain map entitied .•"Rep of Subdivision No. l or tLr ralermo Citrus Tract, Butte Co., Cal.' rhIcb n was rlfo,1 in tiie orrice of the Recordor of the County of Butte. Mata or Cellrnrnla. June 2, IRS9. Date: July 2, 1986 PROPERTY OWNERS: State of. Ca- On this the. 2nd day of July 1S86 before SS. me, the undersigned Notary Public, personally appeared County of Butte ) CHARLES E. BOND************************************* ANGFI FF�cr4t s NOr4Ry A HF e4k M y co ~RB 'c�pA�'COpp,NDERFkGT MM.St.O/ E)c Cp liv "14 1` SEpT � '986 Personally known to me. 357 Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and.official seal. Notary Public Present A.P. No. 4 "/ - 0.y -0 Notary y'0 A emit Nvill be r, instkllation of the �1 j V1 _ 0 o° ciuired for All u..,. ��;�c.:,. _•,s shall be `? to e C ""-in 4. ft. cutsicle the rear ir;! secticn of the mobile home }} on the left (road) side of the mobile i� th m e. `� m � h N Septic system and location I IU.� �° Butte Count be as per �; y Health Qept, Re- � N quirements. 1 p Shall Be in Materials \t4 rO mansh►practices aad ,OTE—All v�ith R^co„sized Good in the �:,:T�e� i use d Aeeorft�ance ribe:; i;,,. ,i,e 5;�:. Codes an of ktuality pre, arIcal ..1 �L'Ilolnrj� ' '::.5'.1.:..• j � Un -40”" �1 V4o• v) the �ational E'ectricr �, . The Nft. Setback shall be 5 ft. from i `y side property line and 50 ft. from centerline of the road, permitting a me `S mum of a 2 ft. eave overhang but entir i out of all easements. I his set of plans and specificoti:,n-s MUST !- , i kelon the job at all titres rand it is me any changes or c:ltrrc.- iI ;r,s on s,rmaJ without wri ten permission fro M fhe Departrn..crt of Public W rks, County- of Gu., 4 c*, N `S 1751-8°& M Wr __._.._.._._� .__.ZWEAMM TX,.._.._ .._...._..__.�_..�� BUILDING DEPARTMENt APPROVE® BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: ��6e- /� is the mobilehome electrical rating? --------------- Amps 2. Installer's Name: l� a—lx- is the mobilehome site service rating? -------------' !�U Amps 3. Is the site currently under permit? Yes F-1 No mobilehome site circuit breaker rating? ----- / �~ Amps _ (If yes, furnish permit number ) OR Is the site an existing site? Yes No .� site service. (If yes, furnish two plot plans.) (If yes, identify the load and size: (Load) 4. Will the mobilehome be located at least 5 ft. away from septic. ank and leach 10. fields and clear of all setbacks and easements? Yes is the No F] LPG (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? -------------' !�U Amps 7. What is the mobilehome site circuit breaker rating? ----- / �~ Amps 8. Is there any other electric load to be served by the --------------------------------Yes No mobilehome site service. (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size?----=-- - (in.) 10. What is the type of service? 'Natural F] LPG gas ,-,�-=--;j-,---------- 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- �� (ft.) * 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.) MOBILEHOME SUPPORT DATA Cius� I,,p niftier than single wide, � .~ Mobilehome Mfr. .4!�1Ornish Setup Model No. -7 Year ZO Width -?—'7/ (ft.) Box Length tri (ft.) Tagalong or Expando Size' ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural•setup sheets (if not on file with the County of Butte). FOOTINGS (check one) "�1. SUPPORTS (check one)LWood-pressure% treated or foundation grade. 2. Other (specify) -Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE t.1c„a Line 1 1 ink _ _ _ _ _ _ _ _ _ _ ' Line 2 Main Beams Line 2 Main Beams — — — — — — — -o –Line 4 Tag or Triple ilnw Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max .------- Line 2 Piero: Size -Min .------------ Spacing -Max.--------- 6 From Ends -Max -------- Line -------Line 3 Roof Loads: Size -Min. -,--------- Location (From Front) O� Line 4 Piers: ,. 32 Size-Mi6------------- �k � Spacing-Max.--------- From Ends -Max .-- ---- „ Line 5 Roof loads: Line 1 Openings: Size -Min. ------------------ ux n Each Side of Openings With Width Over'-------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „x n Spacing -Max________________ From Ends -Max -------------- I ------------- arlz=®� I��� e ,)Viers: tunaer nearing walaa vnay) Size -Min .------------------ Spacing -Max.--------------- �- n From Ends -Max .------------- Size -Min. - --------- -- „x n ux .1xa nx � ik. 1 ox a .131n .,x u Location (From Front) i_ w ,_ r- en t D-EPAR MISCELLANEOUST' CESS'BUILDING f'ARCEC SHEET"3- OF 3 9/dg. S - DESCR/PP/ONOF �UILDIiVGS HEETS _ No Structure Size •Found.Roof Exterior %6./e ,�,/Type Cover Floor 8 Interior Detoi/ Second Story Year ,Est Tot. m 2 h —�� �iG- T�,r�c or Loft Built Life Yrs 2r/D ohs/� :� _ �> iir, 'Q S o _. ' Gn-� c. -fru rrf f _ - •- /9�zp �' , 2 / _ Go wno .f idiyt .Go:-iG �sr. ry I: _ Gtioa�/ P7, - _;7 4ppra/ser - Dat@ Ita/ praiser- Date 'o/ All 531-H 9244 C�JWPUP,4T10f1 /9 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS '7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 , CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Catifpr .ia �1 inistrative Code, Title 25, Chapter 5, under permit numbWr% -::5 ; , for the following location: Owner�r`f�i'rJ :,tsl•� �, Owner's Addresses Mobilehome Mfg. Model f- _Year Insignia No.,/N Serial No. It is hereby certified for occupancy at the above described location and' may be occupied. Director of Public Works Date '' 1227 By =�T� THIS CERTIFICATE Ia�VOID *HEN MOB14EHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. '73382-79P E s • ° 'PERMIT NO. _ PERMIT EXPIRES Charles Bond OWNER ,CONTR. owner LOCATION (A.P. 27-24-2 W/S Palermo Honcut Hwy, app.600'S.of Daly Ave., Palermo 1 Temp. Power Pole Called PG&E —Elec. Serv. Z Called PG&E 1'em'g=Gas Serv. J JOB FINALED i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING /11 BUILDING (Cont'd) A f PLUMBING inacK Ftjrewall c> BUILDING /11 BUILDING (Cont'd) A f PLUMBING inacK Ftjrewall it Piping F o AN& Pa'tqpets t Floor Mai Bldg. Restr Finish 2n Floor Fo ins Windows 3rd Xloor Stem all Siding To out Slab Roof SheathNg Water PI Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings A Prov. for phsical handica ed Conformance of ex. structure V Appliances Gas Pi Ing & Test Temp. as Slab Final A Sanitation Patio F EP ACE Final Footin s Footing ECTRI !- Masonry Masonr Walls Throat Rou h Reinf. Stee Final Fixtures Bond Bea FIRE SPRINKL Motors Framina Test N Water Htr Stucco Final Sub ane Mesh MECHANICAL Grd. F i Prot. Scralch Heati W1g Servl e BrAn Coo ng mp. Pole nish Du is nder round I erior Lath VV ntilation Permanent Afoor Closer anal Final OBILEHOMEUTILITIES------------------ Elec_ Service 711-1P " 1 = Elec. Pedestal Water Piping Sewer 7 Gas Piping f Z C 1 E ME INS AL A 10 - - - - - - - - - - - - - - Support Elec. Continuity Water Piping %�/' ,— Drainage Gas Piping f DATE REMARKS OR CORRECTIONS u /Ll9Pil/L�K/ P a�/`"— -77 7 0h -O (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY 0 "BUTTE —'-DEPARTMENT OF PUBLIC WORKS s• . 7 County Center Drive —1 Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT #7�a (I CIUl11U/IGC ICIJICTVIIGIIVCJ UI UIC IJUUIIIy UI DUMC IU CIIICI UJ/UFI UK: above-mentioned properfor inspection purposes. X � �� �� - Date 4L 7-79 Signature of Permitee or Agent IF% Receipt No. / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTO PUBLIC WORKS BY Date B ilding permit expires Date BUILDING Owner nz SQ. FT. OCC. BUILDING VALUA ION Mailing Address 76 CI T ephone IN � 3-6 ko Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan G"r Checking Fee&/or Penalty ermit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 00 Each TraD 1.50 Repair drainage or vent piping 1.50 l� A. P. No. oC. Zoning g fanning Water piping 1.50 Q, 00 Each gas water heater or vent 1.50 F Ne a i tion Fire Dept. Fire Zone Use ennit Gas piping system 1 - 5 outlets 1.50 ,I�>Z) EQA Parking Plans Parcel Declaration Parcel ap 60' R/W Improveme s' Each additional outlet .30 Building sewer 5.00 (� Bldg. ans Recd • Parcel A royal Planspproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES R OTHER ❑ FT Permit Fee $ 37 M,$ 3 C ELECTRICAL No. @ FEE . PERMIT FILING FEE $3.00 , O� Main service 600V OR LESS vO 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. \ ACCDWELBLDGS.LING CCUP. s) 20sgft LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le of: style NEW EW RE, MULTI.OUTLET NEWCOSIDD •( BRANCH CIRCUITS) 12.50ea NSTCONTRACTORS NEW CONSTR POWER APPARATUS 9 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES B L@; Ex. Occu / FIXED APPLNS. OR p•\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 00 License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 6c WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL IN10.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee TOTAL PERMIT FEE $ 6( CIUl11U/IGC ICIJICTVIIGIIVCJ UI UIC IJUUIIIy UI DUMC IU CIIICI UJ/UFI UK: above-mentioned properfor inspection purposes. X � �� �� - Date 4L 7-79 Signature of Permitee or Agent IF% Receipt No. / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTO PUBLIC WORKS BY Date B ilding permit expires Date a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 'AwcouAy Center Drive- ONavitde, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ' BUILDING Owner c9t—ASO. e FT. OCC. BUILDING VALUATION Mailing Address / Telephone No�O Contractor C Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address (y PtGvj Ian Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A.P�No. a,oning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F� UOQ. -69 Eta!iel+ FireDept. I FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel'Each Declaration Parcel Map 60R/W Improvements additional outlet .30 Building sewer 5.00 Bldg.. 5 RecdParcel A vel Plans AKP rrfo-y"ai' Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 610V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 2.50 ' Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. h) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CIR T NON.RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. EX. OCcuo(OUTLETS OR FIXTURES BAL@j FIXED ALNS. Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑-1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. pcertify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Fep,,$ O TOTAL PERMIT FEE $�� authorize representatives of the County of Butte to enter upon the above-mentiond property four inspection purposes. X&L,/teopr+, . 1,5—J Date Signature of Permitee or Agent Receipt No. o4A-3 Z 1.7_:� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f which fees have been paid. DI CT OF PUBL C WORKS //711 B Date — Building perm -n expires Datey BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name.: 2. Installer's name: Ae 3. Is.the site currently under permit? Yes /L-4— No'/. / (If yes, furnish permit number. ) OR Is the site an existing site? Yes No (If yes, furnish two (2) 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 / No (If no, clarify ) 5. What is the mobilehome electrical rating? ---- Amps 6. What is the mobilehome site service rating? -- - -- of 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:) v 10. What is the type of gas service? ---------------------------- Natural / / LPG / Lf - 11. What is the gas pipe length from meter or tank to the mobilehome? }3 a'(ft.) 12. :What is the mobilehome gas demand? ----------------------------- (BTU) s (This information not required if pipe length less than 6 ft. on natural gas,'; F or less than 50 ft. on LPG.) Y. MOB ILEHOME SUPPORT DATA If other than single wide, , Mobilehome Mfr. 6;)Z6 -;Q -T_ % 4k&:S furnish Setup Model No. Year Width— J14 (ft.) Box Length ; _(ft.) *Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center -.supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single r �� _ � 1. Wood either (ft. (in:) (in.) (in.)' Center su port Center support locatio s* footing sizes (in.) (ft.) in.) (in.) (in.) t (f t.) in. r� J (in.) (in.) ,/e x� (ft. (in.) (in.) (in.) �J (:Fit• I (4n.) (in -)I (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. pressure treated or foundation grade. E 2. Other (specify) Supports (check one) Concrete block. 2. Other (specify) Tagalong or Expando, show support details. Z x3 D -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) -- Max. Overhang OUFTE E C-C)UN I 1 BUILDING DEPARTMEN APPROVED► �- MILES TOWNSHIP RANGE ©E E 5 [:5pTOlAL TIMBER- IMBER-WOOD r WOOD, ORDER NUMBER LAND , BRUSH REG. R.U. INCIDENT NO. 577T MO. DATE � YEAR CbUN1Y / AGRIC.S FIRE NUMBER t. FIRE NAME: PORU RE;. R.U. NO. Hi�ru-1 D -2- Z. ------------- 8D FC -18(3/86) RESPON. OF �'1ORIGIN LbCATION -., '`- OL / ' ' MILES TOWNSHIP RANGE ©E E 5 [:5pTOlAL MILES DIRECTION ❑ FROM aiN. NATIONAL FOREST, FIRE:DIST., CITY 8 STREET NO., ETC. /) c Co J] 5 IrNCIDENT TYPE ' FIRE ❑ FALSE ALARM --GO TO 3 BLOCK 10:1 ` 4A RESPONSIBILITY _/ 46 ;: V STATE ZONE O0 [:1E]WILDLAND BURNED OR THREATENED 3CDF LOCAL GOVT. CONTRACT I OOE]UNPROTECTED L ❑ ASSIST OTHER AGENCY (Not City) LOCAL ZONE � 'ASSIST LOCAL GOVT. CONTRACT OU ASSIST OTHER AGENCY (Not City) FEDERAL ZONE �� ❑ ASSIST FED. AGENCY (Not Mil.) 0 ❑ CDF LOCAL GOVT. CONTRACT MISC. AND OTHER OCl ASSIST CITY, CONTRACT CO., M O ER U STATE ❑ U.S.F.S. ❑ B.l, ❑ 'Y'•A) 5 CAUSE (STARTS IN U V �," (V ONLY) ❑ LIGHTNING ❑ DEBRIS ❑ PLAY W/FIRE ❑ CAMPFIRE ❑ ARSON [OTHER/MISC. ❑ SMOKING ❑ EQUIPMENT 6 LAND USE (STARTS IN DOMESTIC RANCH -FARM ❑ DUMP ❑ ROAD ❑ UTILITY, RAILROAD ❑ UTIUTY, ELECTRIC DAMAGE( TIMBER 8/OR ' YOUNG GROWTH WILDLAND VEGETATION Other than T 8 Y G AGRICULTURAL PROD (Other than T 8 Y G) DWELLINGS 8/OR CONTENTS OTHER STRUCTURES 8/OR CONTENTS VEHICLES & CONTENTS OTHER TOTAL NY v OR U ONLY) ❑ FOREST INDUSTRY ❑ RECREATION ❑ OTHER INDUSTRY-COMRCL. ❑ WILDLAND ❑ NON-WILDLAND ❑ OTHER ACRES OF VEGETATION BURNED c' AGENCY DIRECT PROTECTION ACRES BURNED CDF O 5 [:5pTOlAL TIMBER- IMBER-WOOD SIZE- CLASS ❑ A .25 ACRE OR LESS ❑ B .26 -9 ACRES ❑ C 10-99 ACRES ❑ D 100-299 ACRES ❑ E 300-999 ACRES ❑ F 1000-4999 ACRES ❑ G 5000 ACRES OR MORE V ACRES BURNED VEG. TYPE TIMBER- IMBER-WOOD WOOD, LAND BRUSH GRASS~ < AGRIC.S PROD. Vi!-, CDF TOTAL 1 ------------- 8D STA TUT.::::: RESPON. OF 0 ACRES BURNED STATE U.S.F.S. B.L.M. B.IA. B.O.R. OTHER FED. OTHER 1 TOTAL 10 Ultvt=R NUA1bt:R REG. R.U. INCIDENT NO. YEAR J OUTSIDE FIRE STARTED Enter 1ST. INSIDE C FIRE DISCOVERED }GO TO 12 FIRST REPORT12 �NAME: C2 FIRE CONTAINED s SECOND REPORTI Lu RECORD I I SITE i2 NAME: FIRST ATTACK BY CDF C2 FIRE CONTAINED CREW OVERHEAD RECORD i2 CDF STATE 8 LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CDF STATE & LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CREW NAME IZATION HOURS FLT. HRS. CREW NAME IZATION HOURS FLT. HRS. 1ST. ATK CDF CREW CDF OVERHEAD TOTAL ON 1 2 5 g FIRES, ENTER TOTALS BELOW U.S.F.S. (Incl. Overhead) TOTAL OTHER FEDERAL (Incl. Overhead) TOTAL FIRE DIST. 8 OTHER LOCAL TOTAL PAID HOURLY (E.F.F.) TOTAL VOLUNTEERS (Unpaid) TOTAL e137AM AP Z FC -188 (Additional crew activity) ATTACHED r1 COMMENTS Ists MAP IS: 5 ONE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED L0for I o Nt I S. c: r,' A j c P "31 Pc �, �t=� t �.►��� ` i t -7'-1 � u ! ORIGINAL REPORT BY: APPROVED BY: SIGNATURE TITLE _ DATE INTL DATE � �� 96, ��� �l� J ��' G' ��^'��� .`, � 6� `t) icy `v0 � O RECORDED IN 0FFI.01AL RECORDS Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OF BUTTE COUNTY,CALIF041A FOR RESIDENTIAL DEVELOPMENT ATTHER0UFST0F` Section 26-8.1 of the Butte County Code requires this acknowledgement ARr(SwwN be recorded prior to issuance of a building permit. Bs21130 1986 JU3 AM a0 The property described herein is adjacent to land or included / ELEANOR.M. BECKER within an area zoned for agricultural purposes, and residents of thisE aEQQRDER FEES property may be subject to inconveniences or discomfort arising 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 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: p e Lot 1 1n 131ock 130, as shown on that certain'map entitled, "Yap .of It Subdivision No. � of the Palermo Citrus Tract, Butte Co., Cal." which n was filed In Uie office or the Recorder of the County of 1` Outte, Mata of Calil'nrnla, June 2, 11139. 4F i Date: July 2, 1986 PROPERTY DOWNERS: State of Ca. ) On this the 2nd day of July 1966 ,.before SS. me, the undersigned Notary Public, personally appeared County of Sutte ) \-� A F o�F�c� s ` Nplq G Cq Q 4C e NRRV PUBS����DEI1. cI NO PAI yP My CQMMrs`c(ON FXPR!Tf oVNTY f11VRN A , SEPT 7 1986 CHARDS Ll Personally known to me. XJ Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed the within instrument and acknowledged that executed the same for the purposes therein IN WITNESS WHEREOF, I hereunto set my hand Present A.P. No. "/- d -/ —Q� to contained. and official seal. Notary Public END OF i)OC HENT sU. 6l0 �.,/MI,TT•(/J,. , _ / O H t I S-88 ��11 aYJ� �.: fi .�ki��y.�i'•-iY it U.J:�'s�w iTt."1i1 •re . SSV .3 ibn �f ..�itJ ['141.X • .K �,....���i 1��y�y {t r e• a 1 fib,«�[,�4�•:^ ji1�.7-) sU. 6l0 �.,/MI,TT•(/J,. , _ / O A; ermit will .be r aired for he nsttillation of, the mo i e omc DJ a Unif the All utia v Fconnect;ons shall be loc .�a wfThin 4.0. outside the rear F � ird section of the mobile home h on the left (road) side of the mobile Septic system and I 1� ocation Bute Coun be as per quirements• Health Dept. Rei �# c w°. Shall Be in _All Materials & Workgrmdnship . n ized C ood .Practices a;1d lance with Recog S�er;fied use in the uality prescribed -g the cyhar-ical Codes and Building, ode. . t•;.nal Electrical C W t �. The . Setback shall be 5 ft. from the side property line and 50 ft. from the OCJ �. centerline of the road, permitting a moxi-a mum of a 2 ft. eave overhang but entirely out of all easements. his set of plans and specifications MUST 1-rn ke t on the job at all times and it is unlawful A� m ce any changes or alterc,!ions on same without wri en permission from the Department of Public •3� �2 " W rks, County of Butte. BUILDING DEPARTMENT APPROVED r ,+ O Q CkL A; ermit will .be r aired for he nsttillation of, the mo i e omc DJ a Unif the All utia v Fconnect;ons shall be loc .�a wfThin 4.0. outside the rear F � ird section of the mobile home h on the left (road) side of the mobile Septic system and I 1� ocation Bute Coun be as per quirements• Health Dept. Rei �# c w°. Shall Be in _All Materials & Workgrmdnship . n ized C ood .Practices a;1d lance with Recog S�er;fied use in the uality prescribed -g the cyhar-ical Codes and Building, ode. . t•;.nal Electrical C W t �. The . Setback shall be 5 ft. from the side property line and 50 ft. from the OCJ �. centerline of the road, permitting a moxi-a mum of a 2 ft. eave overhang but entirely out of all easements. his set of plans and specifications MUST 1-rn ke t on the job at all times and it is unlawful A� m ce any changes or alterc,!ions on same without wri en permission from the Department of Public •3� �2 " W rks, County of Butte. BUILDING DEPARTMENT APPROVED E• I , n •,a 'PERMIT NO. 849-79B r PERMIT EXPIRES 2/16/8.0 a OWNER CHARLES BOND _ 1 CONTR. owner LOCATION (A.P. 27-24-02 ) W/S Pal Honccut Hwy, 300' S of Daly Ave Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Se". Called PG&E JOB FINALED- (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD , BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Sall Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicapped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footina ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 w Telephone: 534-4541 OvY APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Z—JI, —7 `P Signature of Permit'ee or Agent Receipt No. lg�ito � 6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. DIRECTOR, OF PUBLIC WORKS r��� ice•/�i� ���� � / Tvilding permit expires Datei i , BUILDING Owner ! 114 dA Aee2z SO. FT. OCC. BUILDING VALUATION .w Mailing Address Telephone No Contractor Mailing Addres Fireplace Total Valuation Telephone No. Permit Fee Building Address (� PlanCheckingFee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 a Repair drainage or vent piping 1.50 A. P. No. .► oda—. & Planning Water piping 1.50 Each gas water heater or vent 1.50 F S&Rket+en Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 81.4 per-=-. . Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER CK Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100V O 00 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS.T ACCLBLDGS.LING CCUP. 4') 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name t style of: Y NEW RESID.CONSTBRANCHCIRMULTI-OUTLET NON-RESID BRANCH CIRCUITS/ 2.50ea NEW CONST(POWER APPARATUS$ NON- R RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIPES 5 L25 Ex. Occup. FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured.against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No.1 FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ is TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Z—JI, —7 `P Signature of Permit'ee or Agent Receipt No. lg�ito � 6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. DIRECTOR, OF PUBLIC WORKS r��� ice•/�i� ���� � / Tvilding permit expires Datei i , r � _ + . �- � � t- { �. � f i 'y _. _ x 4 r � _ + . �- � � t- { �. � f i 'y _. _ x 14 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 —TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. i`3 Pa42 s S 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. - ASSESSOR PARCEL NO. ZONING OWNER ofE L N I nvd, PHONE NO.'30 6, t5 0_1� -3 0.4 LOCILA J+N I a v) G fd (O USE OF BUILDING _75- fis *v SIZE OF STRUCTURE c�0X�'=_SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TY OF SIDING ROOF COVERING FLOOR T PE �2 ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with follows: the minimum front, side, and rear yard setback requirements of the app cable County Ordinances as / N A_J 'f fia FRONT - SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. 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 mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence 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 confirms 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 any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner Permit Fee -466-O& 109.48 The above described AG Receipt No. 4f O� I_ Manager Building By \ White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant log is ekempt from a buildin PAR IX. l� Date ...-�tt".4.--. =a, �d,�y,�...rv- ao x.wi: a'yea.'e��,�Cl�,+.,nonx•L"�r +.1 e.�t+T�.?Lcr t y .t` k -s . f 027=24-0-002 98=1577 E,. BOND, Charles•Famil" Trust `F,. f i' 76.82 Palermo Horicut Hwy; 'Palermo; ' new power, pole) -,-Strang Elec "Mefe'r`By'Dat c •~ _ r 3 F, 9 OFFICE COPY -x; r �.( .. 4�r� R., '��?� fits _ � - � •�, ,�'�r Address i t- ` } J -{ y GAS .-meter8 " "; ,Date ..ELECTRIC; "Mefe'r`By'Dat f ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville; California 95965 • Telephone (530) 538-754 PERMIT N0. (Rev. 12/96) APPLICATION'AND PERMIT �� �J ASSESSOR PARCEL NUMBER ZONING i aL it h-5 BUILDING PERMIT OWNER CHARLES BM WILY TRUST TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P o BOX 605 ORMILLE CA 95965 CONTRACTOR'S NAME STRANGELECT TELEPHONE 1 533-4214 CONTRACTORS MAILING ADDRESS 950 C7 . 0 V LIYj 95965 CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDIN�_npoL s�A o HoNm im, PSA JE �v�rj� i+i�1�'W Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 a USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X1 Other { SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities ❑ Installation ❑ Other ❑T_ Describe Work: INSTAU NEW PQM POLE Gas piping system 1 - 5 outlets. 15.00 Building sewer 15.00 Mobile Home ISI G 1,.W 1920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 ov LE Main Service .D OR LESS 23.00 23. 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class t'"' / J Lic. No. 'el 5- j' .: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. O I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so CCU000A WEE200A NEW CONST. DWELLING OCCUP. OR ADONS. ( 6 ACC. BLDS. SO 3.5¢FT. T. NOµpESIO. ANCHOUTLET 97.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES 20 @ I.00 BAL o .50 FU(ED AOR Ex. Occup.oLmETs PPRES,ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23,00 PRE INSP 123.00 PERMIT FEE $ 89.00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 21 1 certifyithat in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,! X r" i %/,�Jl�°% Date Signature" of Applicant'- ❑ Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD 777E71 PD I HD I ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �t�( / 1/7lJ By` LLL'''' Date e PERMIT EXPIRES ON Dele i Receipt No. ti WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 P R NO. (Rev. 12/96) APPLICATION'AN`D PERMIT ASSESSOR PARCEL NUMBER 027-24-0-002 ZONING armh-5 BUILDING PERMIT OWNER CHARLES BOND LILY TRUST TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS P 0 BOX 605 LE A 95965 CONTRACTORS NAME STRANG ELECT TELEPHONE 533-4214 CONTRACTORS MAILING ADDRESS HIGHLANDS290 CANYON VILLE 95965 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILD11�gTsspALERt4O HONCUT HWY, PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome XX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK ��yy New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: INSTALL NEW POWER POLE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI w 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service .A OF 'S 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / License Class C .. / C7 Lic. No. Y 6S 5- e13 / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation hof one hundred dollars ($100) or less.) all', certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth 'th comply with those provisions. �7/of XDate 1c- Sidnat&d<of Applica - ❑ Owner ❑ Contractor ❑ Age An OSHA permit is r quired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWEwNG OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5Qs. REOSIU MULTI-NCHOUTLETU. 97.50 PDWER APPARATUS S SINGLE OurLET CIR. EX. OCCU OUTOR FIXTURES 64L 1Z.0 Ex. Occup. DUTIFTS PP E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PRE INSP 23.00 PERMIT FEE $ 89.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I COF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. nAll By ��' ldl/ Date r - I PERMIT EXPIRES O Aa to) Receipt No. 244500 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,% .Y'.�„'i.i�'i�,ii,[4✓� .�.��i Y" 1 1' � � [ M1~i� . J['« �' �, r''h. �,�ix f,'•*���' [`ti.`M74ra ''�7' �,}��'F'/�^'n'�Y�'��:j �T"rvi+/Iri"t5.r'f�wl_•i;k`••"(.•-1• _ * 1• COUNTY OF BUTTE DEPARTMENT OF DEVELOJAMENT SERVICES - BUILDING DIVISION w 7 COUNTY CENTER DRIVE-OROVILI;E"CALIFORNIA 95965 -TELEPHONE (916) 538-7541 07712 PERMIT APPLICATION DATA SHEET OWNER: Na., It S ASSESSOR PARCEL NUMBER: 7 - Proposed -Proposed Building Use:: Building Inspector: ra-5- 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 111. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ P3. 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. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---==------t----------------� �------------ ❑7. Statement of Intent for Non -Heated and A/C Buildings. ---------I=---- -------------- --------=------------------- ❑8. Hazardous Material Form. ------------------- ---=-------------------------------- -----------===-;---------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------ 10. Fees of $---------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. 015 . City of Chico plumbing permit. ----------------------------------- ---- ❑ 16. Plot plan and business license approval from the City of Biggs. --- *0. 0 - ❑ 17. Planning approval for (A) Use: (B) Parking: _ e. ❑ 18. Co tact Land Development about 11 Improvements, ❑ Drainage, El Legal Parcel. ----------------- ` ❑ 1. ncroachment Permit for driveway (construction approval prior to occupancy). --------------------• 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - ---------------------------------- Letter of signature authorization. -------------------------------;------------------------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations, and/or expired permits.---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑30. other: (Date) ' Wheen tfissue� t,.jrocess follows ❑ Mail to owner, ,❑�M.aiil�to contractor. TL1 elepnone ` and hold for pickup at C�1 V V /1(� o C1 Deliver with inspector. Applicap . Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution By: ' Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Zate: By: 1. Index permit application for the above items numbered: ❑ Plan Check- List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, -by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division.,coer, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. PRE -INSPECTION OWNER: DATE 'fLOCATION: CONTRACTOR: e4 G ZONING ft S PRE -INSPECTION FOR: / Z' C-� —"-7 i A% DATE TO INSPECTOR ----------------------------------- PERMIT HISTORY: Iff NONE Q AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION ' BUILDING USAGE: TENNANT: OCCUPIED �° 'HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES Q HEATED. -COOLED - PERSON CONTACTED /moo An.,i c OTHER COMMENTS: -wp bt Le 12 0 s G na ACTION RECOMMENDED: 0 ISSUE HOLD FOR � OTHER: A BY <t�-i DATE at VIA A.P. 27-24-2 CHARLES BOND. 7682 Paler=-Holcut Rd., Oro. f W -'7AD w- 11. for Mk-� 4 .7 CHAR] 27-24-02 CHARLES BOND IS ,Palermo' J alermo'Honut Hwy, 300' S of Daly Ave, Palermo P rmit #849-79B(demolition) SF 27-24-2 r PL Permit #3382-79P,E(util,,MH _- FELEC. Ani GAS GAS -7—j -i ---)j IP6� r4/ SUP 0 T E SUPPORT STRUCTURE REQ. 'W COMPACTION TEST REQ. -no if 27-24-2 Permit #4340-79MHI te. Issued 04. Contr! Wilson MH Ser Perm it#1751-Mj<ex--ng. site '4. ot , r J. x d e4 M % A z (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL. NUMBER _ _ ZONING BUILDINGPERMIT ER T NE SO. FT. OCC. BUILDING VALUATION OWNER'S_M0UUNQ ADDRESS Iwo 605 S Cow Rs NAME r ca AJ '3 TELS44ONE 3 3 3• �Ea1 t ►{ CONTRACTORS ADORESS orpoille C159L!; CONSTRUCTION LENDER IJ Fireplace LENDER'S MNLMG ADDRESS Total Valuation Is ARCHITECT OR ENWNEER LICENSE NO. Filing Fee b 20.00 Permit Fee $ ARCHRECT OR ENGViEERs MA61NG ADDRESS Plan Checkin Fee $ SUILOW G ADDRESS 4,11 Energy Plan Checking Fee S S PERMIT FEE $ IAT NO. SUSONISI N'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOF TRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECS Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ insiagafion ❑ Other 01Z Describe Work: �iitJ.-��a /l 4/e tv 42o We,-- 'e Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service pao�Rs 23.00 623 LICENSED CONTRACTOR'S DECLARATION I hereby g#ffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect License Class Lie. No, OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service pat TO IOWA 46.00 NEW CONST. DWELLING OCCVP. SO OR ADDNs. a ACC. morp. NON -R SID. NEW dO-WST. MULTI -OUTLET aAAWH CIRCUITS @7,50 POWER APPARATUS a awGLE oUILET CIR .00 Ex. Occup. oUnEr OR AXrURES SAL ®t.p Ex. Occup. DU EIS PL. D °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 e'O 1prQ ) �3 VPERMIT FEE = p t� MECHANICAL PERMIT Fling Fee 20.00 Heatin Cooling Hood 6.50 Ventilation PERMIT FEI: $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height Mobile Home Installation Fee S Energy Inspection Fee S OCC CONST. TYPE TOTAL FEES a 11112 IMP I FLOOD I CDF PARCEL I Po NO ssUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES RESIDENTIAL PERMIT NO. 027-240-002 03-3846 1 -WENDELL; DAVIS 7682 PALERMO HONCUT, PALERMO Cont: OWNER NEW DECK 8X8 0,370 r m SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature �w� CHECKED BY ^'��A � —. — s w .. ..' - -_ �� e '- ' � 4 - ` � ' _ 1 � r ��• .. -{_- � l � ��' r f r• 4- � ` l . _ - -�� �,�_ • A � � + � • . y . � �a _..� ,. _. i' '3• J �- r� ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) o APPLICATION AND PERMIT 01-IR46 W.M,3 ASSESSOR PARCEL NUMBER '327-240-002 TONING AR -5 BUILDING PERMIT OWNER WMELL. DAVIS TELEPHONE 679-1979 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 364 BANGOR Ca. 95914 64 0—nall 448.M CONTTRR�A�CCTTOOR�'SS NAME VWNM TELEPHONE - CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ XWOM 4L18.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 15. nn Plan Checking Fee $ 2 1. 0 BUILDING ADDRESS 7682 MEMO PONCUT, Energy Plan Checking Fee $ ALERM (' MIS IRMT, :'"A $ PERMIT FEE $ 57.00 LOT NO. SUBDIVISIONS NAME � ' � PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: .M":X,0 !Rsr Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 V OR LE Main Service . ' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo the following reason: 11101"l, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. erns. SO 3.51tFT; NEW CONST. MULTI -OUTLET NON•RESID. C @7.50 POWEPPARATUS 8 SINGLER AOUTLET CIR. EX. OCCU OUTIETOR FIXTURES �� p'; o Ex. Occup. GFur rs WREM.oEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed lt the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that lt I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X (Date 2 Signatur of. -Applicant wner EI Contractor ❑ Agent An OS permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ nerocc CONSTTYPE . TOTAL FEE $ 57.00 HAT. „� D. FEES ��_„ IMP FLOOD ,,,� _�«� 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 r wh&h fees have been paid. By Date PERMIT EXPIRES O �Z���� Date ReceiptNo. 394ZZ9/:jS/.C, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR' GOLDENROD -APPLICANT J=OK 0 = Not OK . = NotReadyable ,, MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 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 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 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 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 -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-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 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 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing _ 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ 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 - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION w 7 County Center Drive • OroviMe,, CAlifornia 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-3846 WrKM ASSESSOR PARCEL NUMBER 027-240-002 ZONING BUILDING PERMIT OWNER WENDELL DAVIS TELEPHONE 679-1979 SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 364 BANGOR Ca. 9591464 CONTRACTOR'S NAME OWNER TELEPHONE L CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ 448-00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 231,00 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 57.00 LAT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:F;ew a2Ek 8-x8 � M0QQS(o Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000 of Division 3 of the Business and Professions Code, g ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fq/ the following reason: Q10' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS.( 8 C.BLAS. SO 3.5Qa. NEW CONST. MULTI.OUTLEr NON•RES10. @7.50 POWEPPARATUS a SINGLER AOurl er Cw. EX. OCCU OUTLET OR FIXTURES 20 @ 1'00 BAL O .50 Ex. Occup. DUTELE7g 6.0 E,,q 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) tVicertity that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date �2indicated Signatu (cant - wner ❑ Contractor ❑ Agent An OS permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. --- D. FEES IMP --- -- FLOOD CDF ---- -- PARCEL ---- PD ---- HD ISSUE This permit is hereby issued under the of the Butte County Code and/or above r wh' h fees hav By v PERMIT EXPIRES O applicable provisions Resolutions to do work been paid. Date 3103 Zi131 6 Date Receipt No. 394229/$57.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENI'dF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive -Orovillle, California 95965 • Telephone (530) 538-7541 R4MIT, /N 2/96) APPLICATION AND PERMIT L11 �f BUILDING PERMIT PARCELNUMBERO J _ I/ (/1 �n _ SQ. FT. OCC. BUILDING VALUATION ONMACTOR•S MMUNG ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS ARCHITECT OR ENGINEER ARCIdiECT OR ENGWEERS MAUNG ADDRESS SULMOADDRE." / Al 3 ' f-,CL,j QJ7'��J�o Z:kT%05( P -3:N4; NAME PARCEL MAP LOT NO. OLJ1 3 W L t.- 0 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPEC Fr TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U6G6es ❑ Installation ❑ Other ❑ Describe Work: Mtt 1 -'n +fwI. .PERMIT FEE PAID SRA SHERIFF OTHER Total Valuation $ APPARATUS & SM oVrLET CIFJ- EX. Occup.OLM ET ES �" Filing Fee $ 20.00 PermR Fee $ 20.00 Plan Checking Fee $ C' Energy Plan Checking Fee $ $ $ Firing Fee PERMIT FEE $ PLUMBING PERMIT —Cooling Hood Fling Fee 20.00 Each Trap Ventilation 7.00 So eat pump water heater 23.00 Water piping 15.00 Each gas water heater vent 15.00 Gas piping system 1 - 5 outie 15.00 Building sewer 15.00 Mobile Home I S i G I '@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 1 20.00 Main Service z DCVOA LESS 23.00 Service ZODA TO IMA 46.00 NEWC MT. DwEwNC Occup. i 3. SO Fr AMOUNT RECEIVED $ DATE RECEIVED 20.00 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ =c CDNST. TYPE TOT L FEE $ NAZVI L FEES IqAV I FLOQD I CDF I RA96EL HD 6SUE 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 APPARATUS & SM oVrLET CIFJ- EX. Occup.OLM ET ES 20@ l.00 so $ Ex. Occup. unErs� D*. Ea , Temporary Service 5.00 23.00 Moble Home Facilities 20.00 Misc. Wiring23.00 $ T PERMIT FEE $ MECHANICAL PERMIT Firing Fee Heating —Cooling Hood 6.50 1 Ventilation AMOUNT RECEIVED $ DATE RECEIVED 20.00 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ =c CDNST. TYPE TOT L FEE $ NAZVI L FEES IqAV I FLOQD I CDF I RA96EL HD 6SUE 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 7 County Center Drive, Orovi(Ie,'CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: lJC..Jeo(�E' f I I�1 Ui S ASSESSOR PARCEL NUMBER Proposed Building Use: IV'RlJ! 1 U /y O Counter Technician Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. i � 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. J 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. 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 approval 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 I 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 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: =J 1124. Planning approval (A) Use: OK(B)Parking:(C) Parcel Check: 12- 3 1 -- �:IF ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ '26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................... ...... ........ " 31. Owner -Builder Verification (ven to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... 0 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. t Applicant: 9tQ Date: 1. Index permi pplication for the above items numbered: Plan Check Letter 2. Additional ems required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owne , as advised of the a oyg d�y phone, ❑ mail, ❑ count r Date: Plans reviewed by: Date: L Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division S 0 �„ -; TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. se owi Piot Pian Attache a ti Roar Plan Attacked Sent to S.D. Owner Location AP# Pian Approved for: Sewage Disposal— �Water Supply: Public Private Well Clearance for dwelling. Other � < 9 I��L k - Hold final for: Final clearance O.K. for: NOTE: Environmental He 8/96 Specialist M -U Date ,K—N., O U VLT wuuv LA; U 1, ' ��1 = _ _ +__ oc J I 9 ¢ \c, rA= el ILI Z4'vv DF -42 2 x !o D GIRDERS -IYa' TIG PLYWOOD CC EXT -\ z CTUARPRAIL E j 4"MAX. 4'' �or' dINS nrr vita/_ MIN. FOOTING GIRDER z F- FRMN G. CLIP__ I � ,v is at - ru to Tx IV #2OF.�%' B�MIN.1 4'X9" POST - AVE-04TE DIAL, ONA L 6RACI NG. m 2'x 12" STAIR STRINGER. 48'0.0. MAX. 'TDF VIEW HRU12RAIL NOT SHOWN FOR CLARITY. r-315" BOLT X I � 2"K4" PRESSURE rRI11T-r[) OR �RFDWOOD P1A7F." HANDRAILS Handrails shall be shaped as per the attached details or the shape shall provide an equivalent gripping surface. NOTE: We will continue to permit stairways and handrails serving single family dwellings, individual dwelling units within apartments, and residential mobdehomes with 2 x 4's flat as the top rail. (Exterior Only). 13/4 ~ 1 21/4 ~ 1h '' -2;5/8 e-► 13/4 " e May 1995 �+/= Tor 1'/2 t Me 1'42 IN. TO 2" MIN 1Va'TU2' IW MAX. :3 O NOTE: OTHER SHAPES MAY BE ACCEPTABLE IF THEY PROVIDE AN EQUIVALENT GRIPPING SERVICE. SEE THIRD PARAGRAPH OF SECTION 3306 6). NOT ACCEPTABLE ACCEPTABLE SHAPES AND INSTALLATIONS—HANDRAIL 2 3/8" 1 4.23 O.B.-1 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 propertyfin rovement : YES -,61 ---- NO ❑ 2.. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the followin person (firm) to provide the proposed construction: NAME: ADDRESS: 3 eI CITY:— Q PHONE:S3o 679 Zsi f CONTRACTOR'S LICENSE NO. r 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: PROPERTYOWNER: SOCIAL, SECURITY ER: DATE: Z/zS z NOTE. This Owner -Builder Verification is required by .flection 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER. I. • . O.B-1 I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -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 $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and materialpersonally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4rely, C. Vi ira, C.B.O. , Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. �I • 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 D4 (/l S If9 Z� —2cf� la z OWNER --'EAMIT 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 c-d%pleted. It you'lliave-any questions pertaining to this matter, or need additional explanation, please contact this off ice immediately. (/ o U!L- ""�� �4v LIZ T/Zs� < <.�= /� /9.�i► f 'r r� / : i Date z "—�3 Inspector REV 1,0/92 Building Pe t Number: 0 -3 / Owner Nam a A) -GD 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. Page 2of 2 3 3& �� Building Pe it Number: bU Owner Name 6UAZ mi Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. EMFire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and a ment including ove hs shall clear of all easements. A setback of�'fe�m ie s"�de ands feed{ from a 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. MM, ` 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. I 1 6' TYP. r . C-._ -(1 G PLYWOOD CC Rr. X vl .' F>CzLMIuPPf–, 1" TRINGER. 48'a.�. MAX.x2SA- 'TDP VIEW H RKIDRRIL : NOT SHOUT H • FOK CLARITY. 4.10V DF 2.' 2"x fn' DECKIIJG '(ALTA 5%, BOLT' $ paceG4 50 46tt ' a. GIRDERS 1118' Td G PLwaOI) Cc EXT. ,�.x4. �I't Sphere ca and .. MOBILE IIOME �r OR DECK • r a 4W MTI.. FRMN MAX. CLIP (ER. DE 9'MIN. \ y p J� U. 4'K4' POST i 2X12' � I;j •z—GrUARPRAIL 02DF�bx 2'K4"PRESSURE' 7RrAT£11 oR VOLTS MWOOLYPIATE' ' " G) DECXIWGGIRDER 4A 0 W PRECAST 4')94' POST �--"� IER APEOUITE DIAaDUAL _ /0--30-03.. _ s W tiR11CING• TYPICAL RES1DEAMIL fr4P.SANo/f,9fCK L'OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 14"wl °MIN. F'D�T l N6 7 County Center Drive — orovUle. Cellrornla 95965 'Telephone: -61-48=7543 low X vl .' F>CzLMIuPPf–, 1" TRINGER. 48'a.�. MAX.x2SA- 'TDP VIEW H RKIDRRIL : NOT SHOUT H • FOK CLARITY. 4.10V DF 2.' 2"x fn' DECKIIJG '(ALTA 5%, BOLT' $ paceG4 50 46tt ' a. GIRDERS 1118' Td G PLwaOI) Cc EXT. ,�.x4. �I't Sphere ca and .. MOBILE IIOME �r OR DECK • r a 4W MTI.. FRMN MAX. CLIP (ER. DE 9'MIN. \ y p J� U. 4'K4' POST i 2X12' � I;j •z—GrUARPRAIL 02DF�bx 2'K4"PRESSURE' 7RrAT£11 oR VOLTS MWOOLYPIATE' ' " G) DECXIWGGIRDER 4A 0 W PRECAST 4')94' POST �--"� IER APEOUITE DIAaDUAL _ /0--30-03.. _ s W tiR11CING• TYPICAL RES1DEAMIL fr4P.SANo/f,9fCK L'OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 14"wl °MIN. F'D�T l N6 7 County Center Drive — orovUle. Cellrornla 95965 'Telephone: -61-48=7543 ADD 'UNITS USE CODE EXPIRATION DATE STATE OF CALIFORNIA CODE YR MAILING ADDRESS DEPARTMENT USE ONLY BUSINESS, TRANSPORTATION AND FAUSING AGENCY DEPAP,TMFNT OF HOUSING AND COMMUNITY DEVELOPMENT ZIP DEPARTMENT USE ONLY TRANS CODE NEW DECAL # DIVISION OF CODES AND STANDARDS LPt PPT Street City State REGISTRATION AND TITLING PROGRAM CLERKS INITIALS STICKER # _ RECEIPT NUMB-3Z(S) RECEIPT DATE(5) Street City APPLICATION FOR DUPLICATE CERTIFICATE OF TITLE REGISTERED ASF _ SITUS CC OLD DECAL # Name of Manufacturer MF ILi 9 Trade Name 1. Pierce Arthur Model Name or # Golden West 1 Villa West Edwina S. JDArE Date of Manufacture Caiif. Dealer Llcerse ;; Date of Transfer .o Dealer ILT Exemption GG State Date First Sold New mss_ LOCATION from MFG City State ZipADDRESS 1979 7682 Palermo Honcut H Orovill� CA 95966 Norte 1979 DECALILICENSE u MANUFACTURER SERIAL NUMBER(S) HUD LABEL OR HCD INSIGNIA;' LENGTH WIDTH WEIGKr DATE FIRST SOLD D Inches Inches(pounds) If different than above LASSS80 VW4147A CAL164949 60' 12' LAS9580 VW41470 CAL164948 60' 12' PT LAS9580 VW4147C CAL164974 21' to, City State ZipPR ADD 'UNITS USE CODE EXPIRATION DATE TAX TYPE ORIG COST PRICE CODE YR MAILING ADDRESS Street City C ZIP SIT PO Box 364, Bangor, CA 95914 ILT Exr LPt PPT Street City State DEPARTMENT USE ONLY CLERKS INITIALS S _ RECEIPT NUMB-3Z(S) RECEIPT DATE(5) Street City Courty Stere REGISTERED ASF Last First MiddleF 7682 Palermo Honcut Hwy Oroviile Butte CA OWNER(S) (Pl frac Name(s)) 1. Pierce Arthur ]. 1 2. Pierce Edwina S. JDArE 2 MAILING ADDRESS Street GG State Zip LOCATION Street City State ZipADDRESS OP UNIT 7682 Palermo Honcut H Orovill� CA 95966 LEGAL OWNER D (printtrue name) Wells Fa Home M e Inc PT MAILING ADDRESS Street City State ZipPR APPLICATION FOR TRANSFER BY NEW OWNERS SURD J/We request that the new Certtflcetc of rWe arn9,4eyir aYnn CaM to bV rsSved as follovrs; CONF REGISTERED Last Flrct Middle REPO OWNERS) (Prlrtt 1. Davis Joe W. True name(s)) RREG �2. Davis ]conifer L. If ippliCabie, cnedk ane or the rollowir : Li TENCOM OR X Irm TEN OM AND COMPRO PLT MAILING ADDRESS Street City State ZIP SIT PO Box 364, Bangor, CA 95914 FUTURE MAILING Street City State Zip UTP ADDRESS 7582 Palermo Honcut Hwy, Oroville, CA 95965 _ Street City Courty Stere Zip ASF LOCATION ADDRESS OF UNIT 7682 Palermo Honcut Hwy Oroviile Butte CA 95966 LEGAL OWNER CCP (print true name) TOTAL City FIRST ]UNIOR LIENHOLDER , (print true name) If applicable, check one of the following: TENCOM OR JTRS T. ENCOM ANC COMPRO MAILING ADDRESS I Street C.ty State Lip MCD 480.4 — Side 1 (7/97) Z'd Lila -66S -06S queyauld atwwol dile:Zi b0 90 oaa "i 01 DECAL (LICENSE NUMBER(S)SERIAL NUMBER(S) I TRADE NAME LA59580 VW4147A VW4147B VW4147C Villa West SECTION I. CERTIFICATION OF MISSING TITLE The orginial HCD Certificate of Title or DMV Ownership Certificate (pink slip) was: ❑ L.ost, ❑ Stolen. If the title was lost or stolen after receiving it from a party other than the Department, enter the party's name he, ❑ Illegible, ❑ Mutilated. A mutilated or illegible tyle roust be surrendered to the Department. ❑ Not Received from the Department. This boy can only be checked by the Legal Owner of Record (lienholder), or If none, the Registered Owner of record. IAVe certiP/ under penalty of perjury under the laws of the State of Carifcrnia that there are no liens against this unit other than those shown on this application and the statements made on this application are true anti correct. i/tve agree to Indemnify and save harmless the Director of the Department of Housing and Communitj Development for any Iess suffered resulting from the issuance of said duplicate Certificate of Tate. Executed on at (nate) (Cy'N) (State) Signature Printed Name of Person Completing Cer0iication CF["ITAN ii_ RELEASE OF OWNERSHIP AND/OR INTEREST 1 A. RELEASE OF REGISTERED OWNER RELEASE DATE B. RELEASE OF REGISTERED OWNER RELEASE DATE C. RELEASE OF REGISTERED OWNER RELEASE DATE Z A. RELEASE OF LEGAL OWNER (LIENHOLDER) RELEASE DATE B. RETENTION OF LEGAL OWNER DATE C. ASSIGNMENT OF LEGAL OWNER DATE SECTION III. 3 A. NAME OF DEALER B. RELEASE OF DEALER SECTION IV. DEALER'S RELEASE OF ACQUIRED UNIT IVA NNER SIGNATURI DEALER NUMBER 4 A. NEW REGISTERED OWNER SIGNATURE If this transfer is the result of a sale, the sale price and sale date mi= be Joe W. Davis and Jennifer L. Davis t entered below. - B. NEW REGISTERED OWNER SIGNATURE C. NEW REGISTERED OWNER SIGNATURE HCD 480.4 - Side 2 (7/97) PURCHASE PRICE PURCHASE E'd LTIG-EES-OEs '4ueyauid airuwO.L dac:aT b0 90 gala BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP050718 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION + I hereby affirm under penalty of perjury that I am licensed under Issued Date: 05/31/2005 APN: 027-240-002-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 2478 ALICE AVE PAS : License Class License Number: Map Index: Date: Contractor: Description: 10 x 21 deck w/ramp (210) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that f am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DAVIS JOE WENDELL & JENNIFER.LYNN 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 P O BOX 364 the Contractor's State License Law (Chapter 9 commencing with Section BANGOR, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95914-0364 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 to a civil penalty of not more than five hundred dollars ($500).): ��applicant JiX 1, as owner of the property, or my employees with wages as their r sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an Applicant: DAVIS JOE WENDELL & JENNIFER LYNN 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 P O BOX 659 sale. If however, the building or improvements are sold within one PALERMO, CA year of completion, the owner -builder will have the burden of 95968 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' Stale 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: pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of tJhe Business and Professions Code Date Owner: WORKERS' COMPE SATION DECLARATION I hereby affirm under penalty of pbrjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as Architect: 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: TA -re �LL/1/L Carrier. 1./ce U �U Policy#: �� 3 Total Square Ft: 210 S.F. ❑ 1 certify that In the performance of the work for which this permit is Valuation: $2,100.00 issued, I shall not employ any person 1n 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' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall yl forthwith comply with those provisions. Date: (/ Applicant: 11 111 WARNING: Failure to secure workers' 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 3708 of the Labor code, interest, and attorney's fees. - CONSTRUCTION LENDING AGENCY .-----..—- :This permit is he y issued rider the appl' a provisions of_the Butte County Code and/or -. I hereby affirm that there is a construction lending agency for the Resolutions t o work i ve f which es have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �-" Name: By: Date: / PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑', Notification In accordance with Section 18827.5 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 'buthorize representatives Butte to enter upon the above mentioned property for Inspection purpose . -(ICounty /o'f Print Name: �OL !t &4&Y hatjI-S Signature: Date:C� S^ Owner 0 Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY _ DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIREDAT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARYa 'LOCATION AP# � -) — " �v �� Z Pro y Ad ress City � m Cross Stree 11e_e !✓ WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address PERMIT NO. SBP BIN # APPLICANT NAME CONTRA91, Name .2R Address p.,b Z``�� City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City�� I Address p.,b Z``�� City Fax State Zip Phone Book Fax E mail Planner State License Number APPLICANT NAME Name— f � � , t y Address 0 6 S City�� I State p.,b Z``�� Pho� ✓ � � �� Fax E-mail APPLICANT SJRVATURE X For Ice usenly: Zo ing Flood Zone SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Descriptjon or Scope of Work: toa� ' c1, w leil��> Sq. Footage LJ Structure built wltnout vermtts O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Tr Receipt #: Date l S Page 1 of 2 Amount: Bldg SRA Sheriff SMIP �) Other " �— Total REV 7-27-04 /Ics SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's): If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\13IdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:ASSESSOR PARCEL NUMBER Proposed Building Use: V}'� i �y Permit Technician: Date: 251 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order fo.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. ❑ 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) Installation manual, including 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. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of bu ding permit application without required clearances. 14. Other C�Lo�G��Y1CSLi Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Nlll 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ / 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet............... ............... ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ „� 23. California Department of Forestry plan approval ❑ paid. Sent by: ............ [> 24. Planning. approval for (A) Use: -6K(B)Parking: (C) Parcel Check: ............ 0*0, ❑ 25. Contact Land. Development about _ Improvements, _ Drainage ....................... 'f. 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: 515� When issued Telephone 1 and hold for pickup. I have been informed of the above it rTs nd requirements for obtaining a building permit. Applica % Date: 1. Index permit p Icatio�nlfor the ove items numbered: Plan Check L tter 2. Additional ite Contractor, de i n r - , was advised of the above data by phone, ❑ mail, ❑ counter, by = Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑counter, b Date: Plans reviewed by: Date: Plans approved by: 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, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # 0 PROPROSED BUILDING USE Yr DATE .J � BUILDING,PERMIT FEES RECEIPT # DATE REC. � 1./G I) %� / ` � � ,� �� S,� --- Balance Due ..................... $ (L/ "I --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg 4. URBAN AREA FEES Residential (per unit)..... X # Units Amt. (paid at Building Division) 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 $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 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. Commercial (sq. ftg.) ......... X = $ / 10. OTHER Sq. Fig. Amt. lY,1hY�J #of p a canon, a o e fees are required to be paid prior to issuance of the permit. These fees bech ur' a plan checking process,/ -1 DATE Pursuant to Govemm t Code Sp6tion 660#, 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 t e date of proval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified emment Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) f OA, Department of Public Works 0 C o u n t y o f B u t t e 0 0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION O / Storm Water Management Program 7 County Center Drive Oroville CA 95965 AC!`Nmu®'�5 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN 9 ACRE1 r Project Description: /0) //0A/e2I.M� Project Location and/or Parcel Number: 9a -2o` 2 �� —002 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control 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 a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 ® E` RIAIIWCON, 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 theajor labor and material for construction of this proposed property im rovement: YES [N 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: PHONE: CONTRACTOR'S 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: 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 required by Section 19831 and 19832 of the California Health and Safety Code. y This verification must be completed and returned to our office before we are permitted to issue the permit. V Rev'd 11/4/2004 Butte County Department ®f Development Services ADMINISTRATION' BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile 101 0191 �,'B 0- SIAN J _� _ffi N Dear Property Owner: 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o 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 under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their "own employees, without a licensed contractor 'or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. C. Vieirl, C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Oa -7I vo - 0 0 I o Y, , =r) 4 el .44 � o LJ . I. >� , i C;7 . m r VY✓ DING ®SPAR L 0 V IF. 2001 CALIFORNIA BUILDING CODE' FIGURE 11 B38 C NOTE : 1 6(r MIN. WHEN DOOR SWINGS WHEN NO DOOR ONTO LANDING - SWINGS ONTO 4Y MIN. PLUS. DOOR LANDING NOTE 2 WIDTH SEc Np�E MAXIMUM HORIZONTAL,1r 2 I DISTANCE OF EACH SEE- Np RAMP AND RUN VARY t SEE 9-tt 1 6d �,1N• 6IN ' LTOP PLATFORM INTERMEDIATE LEVEL PLATFORM AS REQUIR&D BOTTOM LEVEL PLATFORM (a) STRAIGHT RAMP RUN NOTE : 1 6(r MIN. WHEN DOOR SWINGS WHEN NO DOOR ONTO LANDING - SWINGS ONTO - 427 MIN. PLUS DOOR LANDING WIDTH NOTE : 2 SEE NI MAXIMUM HORIZONTAL2 DISTANCE OF EACH Nps RAMP AND RUN VARY SEE AS 6=hf/N. -TOP PLATFORM -INTERMEDIATE LEVEL PLATFORM INTERMEDIATE TURNING PLATFORM PS RE O97 --;p i (b) RAMP WITH TURNING PLATFORM _• tf Tmw THESE DIAGRAMS ILLUSTRATE THE SPECIF�IC R Q�U� IREf��� FOR BUILDING D SI N AND CONSTRIIzGT10N-.OF THESE REGULATIONS AND ARE P ID l FIGURE 11 B38—RAMP DIMENSIONS /7J"",4n,.t Prr 101 Figure 5.10a HANDRAIL SIZE AND PROJECTION CU TIE COUN f� Auft.[ANG DEPARTMW & P P R 0 V F t (Handout PQ 20) MIN• VARIES 36" •. -40 am mot -z" 6 ,o QimV LA 1 II 0 9 i �� Z- L1 �EIAAIUIZAiI I{EI6HT z�� 1 i z�`` MAX. N 2 STrz N rt a f -n PARTMWY In S TA(R O X y 6.5 I�iay 1995 • �6i ra39 lL �• Z 6: rnm � � NN f7 ?� C" c•s 6 rri TYP. x Q z I �rn _. T L G1 C7 -40 am mot -z" 6 ,o QimV LA 1 II 0 9 i �� Z- L1 �EIAAIUIZAiI I{EI6HT z�� 1 i z�`` MAX. N 2 STrz N rt a f -n PARTMWY In S TA(R O X y 6.5 I�iay 1995 • Q rn x T . LAS E! .a o a • rn 3 ? A � a P `� � 48 � MAX •Pa --•I m, � � : c 6s m F 3 � • to na .3 _ -40 am mot -z" 6 ,o QimV LA 1 II 0 9 i �� Z- L1 �EIAAIUIZAiI I{EI6HT z�� 1 i z�`` MAX. N 2 STrz N rt a f -n PARTMWY In S TA(R O X y 6.5 I�iay 1995 • RECORDING REQUTs MD BY 2 O IZ3— QJ 10 1 11j --a 1 MID VALLEY TITLE & ESCROW CO. Recorded t REX FEE 10.00 AND YAW RECORDED MAIL TO: Official Records 1 TAR 99.00 JOE WENDELL DAVIS Countyy Of t JENNIFER LYNN DAVIS S' BUT i't CANDACE J. GRUBBS 1 I P. 0. BOX 364 B A N C O it CA 95914 ROSEMMARYrDICKSON I , Assistant 1 Barbara 04:08AM 15 -Ort -W3 I Page 1 of 2 Abode This Line for Recorder's Use Only A.P.N.: 029-240-002 Order No.: ORO/C Escrow No.: 2145603 j GRANT DEED THE UT"DERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX 1S: COUNTY $99.00' X] computed on full value of property conveyed, or ] computed on full value less value of liens or encumbrances remaining at time of sale, X] unincorporated area; [ I City of_, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, CHARLES E. BOND, TRUSTEE, AND SUBSEQUENT TRUSTEES, OF THE CHARLES E. BOND FAMILY TRUST, DATED DECEMBER 22, 1994 hereby GRANT(S) to JOE WENDELL DAVIS and JENKIFER LYNN DAM, Husband and Wife as Joint Tenants the following described property in the)0q.Xdi L'NYNCORPORATED AREA, County of Butte State of Califomia; SEE ATTACHED LEGAL DIFSCRIMON THE CHARLES E. BOND FAMILY TRUST DTD 12(22/94 By 4f zz��� ARLES E. BOND, TRUSTEE Docun=t Date: October 9. 2003 STATE OF GA4W bQ1% FI t1 �` 60. )SS COUNTY OF G a_.4 ) On C1c.-vin�be v 10, "Os before me, 1.:e.t 0. Pal r�'rrt personally appeared h 0.r Its 8o n d personally known to me (or proved to me on the basis of satisfactory evidence) to be rhe person(s) wbose names) is/are subscribed to the within instrument and acknowledged to toe that helshe/the!! executed ibe same in his Iter/their au{torized capacity(tes) and that by his/her/weir signstare(s) on the irucumeot the person(&) or the entity upon behalf of which tie person(s) acted, =eeurrd the instrument. WITNESS my hand and ofncial seal. This area for official notarial seal. OFMClAL SEAL (- Leia Polk DD# 216975 X---)-Myc0MrrLeV.Mqy28,20O7 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below b'd LTT6-EES-OES �.tetyaut?1 atwaol dEE:2T b0 90 oaa Order No. BU -214564-3 KIB Description .The land referred to herein is situated in the. State of California, County.. of Butte; ,and is. described as follows: LOT 1, BLACK 130, AS SHOWN ON THAT CERTAIN MAP Eh i ITLED, "MAP OF SUBDPASION NO.3 OF THE PALERMO CnRUS TRACT", WhiCH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF ]BUTTE, STATE OF CALIFORNIA, ON JUNE 2, 1889. APN 027-240-002-000 S'd LiI6-EES-OES �JSyaUT� atwwoj dEE�Z1 t+0 90 oaa Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile January 5, 2004 Wendell Davis PO Box 364 Bangor, Ca. 95914 RE: Building Code Violation Location: 7682 Palermo Honcut, Palermo AP#: 027-240-002 Dear: Wendell Davis: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the construction of a 1.00 shed with attached 10x15 covered area, and a 2000 shed. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with thea above directions or to present an acceptable plan for abatement or convective actions to be taken by you. Should you have any questions concerning this matter, please contact Bill Barron in this office at the address or telephone number listed above. Sincerely, fM r Supervisor Building Inspector BB: ms cc: Assessor NOTES RESIDENTIAL r, Q27-240-002 OS -0713 PERMIT NO. `-DM AS-JENNTl= 7682 PALERJ140:H0.NrCT HWY, 'ALERiv,O'; ( Ni W ?BECK f i y 1 1 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) .5e Q Signature _� 11 CHECKED BY 0 Pi -, g OAIt r R01 Plea Attach8e111. �— Floos Plan Attache] Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner' Plan Approved for: Sewage Disposals Location AP#Water Supply: Clearance for dwelling.Other pp Y' Public r Private We►l C d` A� $' L7 i� ,A Y-1— 7 Hold. final for: Final clearance.O:K. for: -'NOTE- Environmental NOTE:Environmental Health Specialist Date J=OK 0 = Not OK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s ootings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test-Wrap; -/ /" L'ft. / P Nat. or / /" L "ft./ P LPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 8. Utility Clearance Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card 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 Date POOLS (Plans) OK except #'s 1. ISCELLANEOUS Date ECK VERS, CARPORTS, GARAGES (Plans) OK except #'s o 'ng Requirements -Setbacks -Easements Soils; Compaction -Structure Stability ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Date?//,,/, --,,,-Card 13-1 ate 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 I 9. Health Department Approval l 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card 8-1 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-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 64. 17. Water Htr.; Vent -Access -Combustion Air Baffle 65. 18. Water Pipe; Test & Anchor -Nail Protection 66. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 67. 20. Shower Pan; Test, First Floor -Tub Access 68. 21. Test Tub & Shower, Second Floor -Tub Access 69. 22. Gas Pipe; Sixe & Anchors 70. 23. Fire Sprinkler; Test 71. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 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 AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect _ 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 36. A.C. Ducts Insulation & Support Glass Protection 37. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 38. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Water & Sewer Connected -C/O to Grade -HD Approval 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -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 (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes 0 No/Walks O Yes 0 No/Planters 0 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: '!1 -jr t 3 .. pa, g"es ELECTRICAL,, IVIECHANICAL,AND PLUMBING SHALL COMPLY WITH CURRENT EDITION OF NEC,, UAC AND UPC. 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