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027-350-189
v- ti c- 027 350=189 ,PERMIT#98 08144 tiSTOCKS, Douglas' .8687,''Palermo ^Hohcut Hwy, Palermo �r Mobilehome Utilities ELECTRIC -k" l 2S 4;K10-4 =GAS LG`�`�" o?' ;COMPACTION TEST REQ SUPPORT STRUCTURErREQ A/0 027 :350.189;1 PERMIT#98-0815 STOCKS-, Douglas 8687• Palermo `1f6ncut :Hwy; Palermo_, Mobilehome Installation. :. _Q COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 CountyyCenter Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT %1 13:-- ASSEss8'tp'-N,�1MR 1� ZO NI A_5 BUILDING PERMIT OWNERDOUGLASSTOCKS WK LEPHON TE 532-1823 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C- OX LANE, GROVILLE 0596-5 ONTRA TO NAME TELEPHONE CONTRACTOWS-MAILING ADDRESS CONSTRUCTION LENDER NONE, Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER xoxE LICENSE NO. $ 20.00 —FilingFee Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 7.1.00 BUILDINGADDRESS* WY, OROVI 85U PALE�RM W1;CUT HLLE Energy Plan Checking Fee $ $ PERMIT FEE $ 00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [Q Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑i Other ❑ — 198— n� t �► Describe Work: MINT � 7 Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo"Aoa'ss 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.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I 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 I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. SO 3.5¢FT. HON -RESOD. MULTI -OUTLET CIRCUITS @7,50 8 OUTLOWER APPARAET APPARATUS Ex. Occup.OUTLET OR FIXTURESani 1.50 Ex. Occup.DUT rs RESID.OEEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby 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 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) {I I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' corT�pensation provisions of section 3700 of the Labor Code, I shall to ith co pl wit ose,provisions. X Date %(%_ Si aturre q Applicant --P Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ I• I Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP Vi FLOOD CDF. ✓ pggOEL V pp HD - ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ' By �': f ..t /" Datejr PERMIT EXPIRES ON Date Receipt No. 236710 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 (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 9?1 .11 I ASSESSOR PARC LNUMBER GRMB 189 ZONING BUILDING PERMIT OWNER DOUGLAS STOCKS WK TELEPHONE 532-1823 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS C 0 NT RAbY0 It & JUEP TELEPHONE ' COM IUNG ADDRESS CONSTRNONLENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 8687 PALERMO HONCUT HWY, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome A Other SPECIFY Each Trap 7.00 - Solar or heat pumpwater heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑X Other O Describe Work: _ MHT/QR— O� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service eoov OR LESS za.A OR LE SS 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.PSIOW License Class Llc. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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. l< I, as owner of the property, am exclusively contracting with licensed contractors r to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To I000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a Acc. sLos. SO 3.5¢FT: NON•RESID.T OUT 97.50 E ER APPARATUS a NGLOUTLET CSI R. Ex. Occu OUTLET OR FDCTURES 20 ''0° SAL @ .50 Ex. Occup. ourElErs RESIpOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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. O 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The Pove sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall ✓� not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' co ensation provisions of section 3700 of the Labor Code, I shall fo ith co ply it ose rovisions. / 9� X ____ Date 7 Sig e o Applicant - , Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE T TAL FEE $ 143.00 HA2. D. FE IMP FLO D CDF PAR PD v Ho su 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 DatepQ PERMIT EXPIRES ON 7-3/ —7 / Date Receipt No. WHITE-D.D.S.-B.D. CA AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT T� T+R.,„�.sFR ..e'$'��`�+'r-.�{.:an 'i,-ti•Y�ih,S1�•''�,_.r, ;`•+skC'.�A4.r"' . NNTY OF BUTTE= DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ik., 1.7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:n4n u-0 6* ?Itne k ASSESSOR PARCEL V % ' 3S " & 191 Proposed Building Use: V Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processmg and/or issuance: Date Received By 111. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. -------------------------------------- -------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ Manufactured Home data and installation instructions including Tie Down Specifica�------ ------- ❑ 10. Fees of $ ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. ----------------------------------------------------------------- Cahfornia D artment of Fore lan a PP roval/fees. --------------------------------------------------------- eP �Y P Ell 3. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit. --------- ------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 111. 9. ---------------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1120. Pre-nispection for required. Request to Building Inspector on (Date) 112 1. 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 El) - ------------- ------------------------ E124. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ . Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- J "26. Letter of intent on building use. ----------------------------------------------------------------------------------- 47. Manufactured Home utility clearance.--------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 1143 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 1130. -------------- ❑30. Other: ------- When you issue the permit, /process as follows ❑ Mail to owner, ❑Mailto tractor. Telephone 3� " / �3� and hold for pickup at C.�+OV �� office. ❑Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑Air ollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: 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 counter, by Date: Contractor, designer owner, wa of the above required data by ❑ phone, ❑ mail, ❑ Building Divi ' n,c® nter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on holdgm ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ,�„��rtir s-ne,_+g,F*� 'w... �..,, ..r. ,-- ._-.,-f.;KC6;.,L,iurr�%�fsiSau:s�f�^e','ir'.- ;.'sv�.i`.rY"�,�':k7a •rr,,.. ,�1-'�;.'+N'r,-y""v^y;.._So•,.,.-�,. w:.f',.r.c,a„.;c. r. A. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 COUNTY CENTER DRIVE,.OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER yf U� G �S A.P. # 0rJ / —310 / PROPOSED BUILDING USE ,L DATE . 6h19(5" REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ . -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (OiA0 L{ I1 ►`O h / YJ ��' (paid at District Office) _�K3. SHERIFF FEES (paid at Building Division) esidential .. x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES 142&0 425 0 (paid at Building Division) <7SRA FIRE INSPECTION AND PLAN CHECK 00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # )_ $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER 198 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT VA Z, 4 DATE Original -Owner Copy -Building Div. (Rev. 12/96) OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YE�S� NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building Permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:_-.. . NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following -person tor" COO supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: ,I, 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: SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER:_ DATE: ,1�%_Q0 NOTE. This Owner -Builder Verification is required by Section 198.31 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. OWNER BUILDER INFORMATION I 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 parry 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 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal 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 contractprs 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 wilt not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Informadon is required by Section 19830 of the California Health and Safety Code OVER (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPAREL Nu ETi NT,S'O-/a 0I ZONING 1 BUILDING PERMIT OWNER ©yIC4 s t©C TELEPHONE J- 3, 3 SO. FT. OCC. BUILDING VALUATION ,S; OWNFAS IUNO DRESS �� e o 0 c- elt 9Ys ,5 CONTRACTOR'S NAME vLC TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTI NLENOEA LENDER'S "UNG ADDRESS Fireplace Total Valuation Is ARCHITECT 5j1 ENGINEER LICENSE NO. Ellin Fee $ 20.00 Permit Fee S ARCHITECT OR ENGWEERS AWUNG ADDRESS Plan Checking Fee_ 0 BUILDING ADDRES 6 v Q Io rand .- NO C Energy Plan Checking Fee E v -% _ _ r'O ; l �` S PERMIT FEE $ 3 LAT NO. SUBDIVISIONS NAME PARCEL MAP _ PLUMBING PERMIT Fling Fee 20.00 USE OFSTAUCTURE SF ❑ Duplex ❑ Mobilehome OtherWater sPECLFY Each Trn 7.00 Solar or hent pump water heater 23.00 piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W Q20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600V OR LESS 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 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 4 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 5'0' deep and demolition or construction of structures over 3 stories in height. Main Service tow TO IOooA 48.00 NEW CONST.DWEILYJfi OCCUP. SO OR ADDNS. ( a ACC. BLDs. 3.50 T, =.c.0 D, ' "LT,' 04 ET @7.50 POwEA APPARATUS a sWGLE 0LmET CIR Ex. Occup. OUTLET ORPonURE9 20®10° eu .w Ex. Occup. o'.'D ...DER,, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $U.. U Energy Inspection Fee S Occ CONST. TYPE TOTAL FEES (- A I HAz. I D. FEES IMP FLOOD coF PARCEL Ho uE 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. ReceiptNo.-�,u 7/a WHITE-D.D.S.-8,0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) n ALL STRUCTURES AND EOWPMENT INCLUDING OVERHANGS SHALL BE Cl A SET SACC OF FT. FROi'ti° SIDE AND f l . S.%� y �Y?:Ti-• 7-t,i..'•:i'�tM;'RT L9S1ti i• AY9D �� FT. FF'40MI THE R^�Qc �� � yCEINiTE��Er�i_.?:d��.•y�SF�6ALL BE V�.C/'\R OF S 1 RLIv 1 8IC"[E s i Si"M EQUIPMENT 7 6�CCEPT A A 2 FT. EAVE OVERHA Mtn_ his $at C9 pwnt slid sp topF on the job at ag tine make any Changes mi' alterc writhm permission from the wwk coulft CdO cilic atio-in mu -hl and it is unlow4ul ;r� ion% on same with0ia' )e0aftent cd . Goer TV Q `�R O V" ' J 0 h cc) Goer TV Q `�R O V" 1. Owner's Name: bou Q. /,S � to'Ju u p 2. Assessor's Parcel Number: U —� r 1D- 9 3. Installer's Name: n C 4. Is the site currently under permit? Yes[x]. No[ ] Permit No. a �� 5. Is the site an existing site? Yes[ ] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? �Q Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[(� If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- X N- Amperes - b) The main service: Load- / Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ None[ ] 12. Size of ga pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?. -� ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION C May 1995 8.5 Mobilehome Manufacturer: lq 'oyd m on _ Manufacture Year: Q� l If other thaningle wide, furnisetup Model Number: Width: /!T (ft.) Length: 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. FOOTINGS: Wood pressure treated or foundation grade[] Other: SUPPORTS: Concrete block[] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................................................ Main Beams Line2................................................................................................ ine 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams Line 2 Line 1 ................................................. ine S Tag or Triple ine 4 ine 1 Line 1 Piers: Size minimum: x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: 21 x UDI. Spacing maximum: ` ? ` From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: I C` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` C1I•I-31 J A.P. # OWNER PERMIT # lF9 :7 �a ��j o lloy MH UTIL. CLEARANCE DATE INSPECTOR ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE YES NO YES NO SIZE LOAD TYPE SIZE LENGTH i las w,, OVA R t' t, �,. 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 PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. his»�sii.►fs�- i INSTALL' ANCHOR PLACE 3T4BUZ[R PLATE TURNING ANCHOR INTO GROUND, LEAVING NEXT 8 SHAFT BETWEEN INTO THE GROUND UNTIL' -GROUND 1ZOFSHAFT EXPOSED. ANCHOR AND CHASSIS �FINISH ANCHOR HEAD IS FLUSH 8[AW. AND DRIVE INTO WITH STABILIZER PLAT[. GROUND. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. � .~~..~~..~�..~~..~~..~~..~~..�~..~~..~~..~~..~~..~~.....~~..~ CO 1 CERTIFY THAT. I,HAVE�JNSTALLED THE_'ABESC0 ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE _NODCDIIF.1 TIONS -JO TOE ANCHORING SYSTEM, OR TO THE ING STRUCTURE.CT DATE: SIGNATURE:-- v.. CHASSIS 2;1p1 %-I '' #606 STEEL STRAP #614 5YL\I / STRAP 6 o q M • � ooN° so :. cti� a z co 4 #604 DRY 1. CONCRETE MUST BE A MINIMUM OF 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY EDGE. #615 WET 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY DRY. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. RESIDENTIAL 5 �R 027-350-189 PERMIT#98-0814 STOCKS, Douglas PERMIT NO.' 8687 Palermo Honcut HwY,Pal-ermo PERMITExPi Mobiiehome Utilities y Al - :OWNER CONTR. ASSESSOR PARCEL LOCATION OFFICE COPY Address i y GAS Meter By ELECTRIC D� HECKED BY Meter By D e FIRE SPRINKLERS REQ.- EQ:SPECIAL SPECIALINSPECTION ITEMS VERIFY a ,Temp. Power Pole K Called PG&E t Temp. Elec. Service i' Called.PG&E Temp: Gas Service Called PG&E JOB FINALED ate) Signature A Ala V=OK 4 O = Not OKNot e Ap `=Not Readyble MOBILE HOMES I MISCELLANEOUS Date MOBIJ& HOME UTILITIES lens OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Requirements - Setbacks - Easements °( 1. Zoning Requirements -Setbacks -Easements . oils I MH Support Sketch f 2. Footings; SoilsSize-DepthSpacing-ConnectorsSteel Location -Test -Fall -CIO -Concrete 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Aftrs.-Connectors Iectri ` ; Location-Clearances-Gmd-/ /Amp -Concrete Shthg.-Rfg.-Bracing as; tion -Test -Wrap; / /L'ft t 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures / at. oW,L-fLILPG 1 fi s. carports; windows -Doors W�learance & 51connect 7. Electric tility Clearance t 8. - Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 12. Braced Wall.Panels Date MOPILE HOME INSTALLATION(Plans) OK except #'s L ing Requirements Setbacks Easements t Date Card B-1 Date Card f3-1 Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 as; MH Test-DemandValve-Connector Date POOLS (Plans) OK except #'s lectricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements rain; MH Test -Fall -Flex Connector l 2. Soils; Compaction -Structure Stability 6.r; MH Test -Regulator -Connector c 3. Pool Structure; Steel -Connections -Thickness t- 7 and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distance-GFI T, Downs -Type -Installation Cert. 5. Elec.; Pool Lighting; 15 Volts-GFI Exits; Insp.-Sketch , 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 11. Cert of Occupancy ' 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Heater 12. Permanent Foundation Only: License Decal 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtgq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date and B-1 /Bate Card B-1 % 9. Health Department Approval Date Card B-1 o Date Card B-1 10. Plumb.; Cir. InWater Supply Test I 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 ✓ = OK O = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rffr. Ties-Puriin-roff Brac -Truss-Shting: Rfng. 4. Ftg. Porches & Decks; SoilsSteel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-BlockoutsA(Vrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Stairs; Width -Headroom -Rise -Run -landing -Fire Protection 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test Siding -Nailing Veneer 12. Electric Underground Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Pienums & Ducts; Clearance -Material -Support -Ins. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Shear Walls; Nailing -Bolts 15. Access & Ventilation 16. Insulation 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle FINAL (Plans) OK except #'s 18. Water Pipe; Test & Anchor -Nail Protection Ext Steps -Door & Sidelight Protection -Landings 19. D.W.V.; Test Fittings & Anchor -Nail Protection Smoke Detector 20. Shower Pan; Test, First Floor -Tub Access Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 21. Test Tub & Shower, Second Floor -Tub Access 66. 22. Gas Pipe; Sixe & Anchors 67. G.F.I. & Bath Fixtures & Tub Access -Spa Date Elec. Trim & Subpanel, Breaker Sizes & Labels Card B-1 Date Card B-1 Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth ELECTRICAL (Permit) OK except #'s 71. 23. Fixture & Transformer Clearance -Ins. Protection 72. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 73. 25. Size Bo es & No. of Conductors Stapled 74. 26. Romex Installed Close to Edge of Studs & C.J. 75. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 76. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 77. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 78. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 79. 31. Service -Riser Conductors & Ground -Main Disconect 80. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 81. 33. Clothes Closet Light -Shower Light -Spa Light 82. 34. Smoke Detector 83. Stucco Brown -Finish Date 84. Card B-1 Date Card B-1 Date 85. Card B-1 Date Card B-1 Date 86. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #'s Card B-1 Date Card B-1 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rffr. Ties-Puriin-roff Brac -Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection-DraftStop-Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �O 164 P la/710 6 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION • 7 County Center Drive - Oroville,'CaRornia 95965 - Telephone (916) 538-7541 P MIT NO. (Rev:12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ( 027-35-0-18Q ZONING A BUILDING PERMIT OWNER DOUGLAS STOCKS WK TEUW532 1833 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS OWNER CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER ' Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHME GWEER'S MAILING ADDRESS - Plan Checking Fee $ BUILDING ADDRESS 8687 PALERMO HONCUT HWY, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO.' 21 SUBDIVISIONS NAME VALENCIA T T PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R 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 ❑X Installation ❑ Other ❑ Describe Work: 2 BEDROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 60.00 PERMIT FEE S 80.00 ELECTRICAL PERMIT Filing Fee 20.00 eoov oR LES Main Service 200AORLESSs 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. XI, 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 ( a ACC. BUDS. so 3.54 CNS. NEW NON -R SI1DT MULCTI-OCU CUT ITS g7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FocruREs 20 � ' 00 BAL @ .50 Ex. Occup. ouTLE,% RESID.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 •00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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 fo ith co ply ith t se ovisions. X Date _✓ ' /' Sig e _oApplicant - 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. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 166.0 HAZ. D. FES IMP FLOOD CDF p C PD HD I1 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. Byate PERMIT EXPIRES ON C D fe Receipt No. WHITE-D.D.S.-E.D. CANARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT -, �'' " vd. !`�.�,�- k,Or" '�""F�' s; :+.M,�".�-�,+s `«i:,::.-. •Y rti7j': a+"JC'�(P1��'t '� Vf',`�'fi'` �. C UNTY OF BU DEPARTMENT OF DE ,OPMENT SERVICES - BUILDING DIVISION 7 COUNT�Iy''CENTER DRIVE - OROVILL�, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: S ASSESSOR PARCEL Proposed Building Use: Building Inspector: (, Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: If Date Received By q 1. All iiems hPsets, been submitted .------------------------------------------------------------� --------------------- lot plans, signed by the preparer of plans.------------------------------------------------------------ 113. 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! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 1. Impact fees as shown on the attached schedule. -------- Irt ------------------------------------------------------ W. �6 2.1-`=-- ----- California Department of Forestry plan approvaUfees. q w- ---- = ---- 3 a ❑ 13: Flood elevation certificate. ------------------------------------------------------------- ------------- W4. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking:-------------------------- 1118. ------------------------- ❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -------------------------- ar>�9. Encroachment Permit for driveway (construction approval prior to occupancy). --- a-p-�ao-------- 020. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- 17055. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- - eq _ 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: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑ ail to c tractor. Telephone 5 3 � and hold for pickup at C./f'0 v ; � o ❑Deliver with inspector. Applicant: r� �: L i` v'y/ Date: ` 196f Copy of Haz-Mat form sent ❑ Health Department, 13o Fire Department, ❑ Air ution Date: By: + ✓ Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: 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 counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Bui g i ' co ter, 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. e� vv ,-Orp ��Z.� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D -- J—• l} Owner Location AP#� Plan Approved for: Sewage Disposal v� Water Supply: Public Private Well , Clearance ford welling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist S -)-C- 7 P Date 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 verifcation is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YESA NO 0 2• I HAVE)P . HAVE NOT 0 signed an application for a building permit for the proposed wdrk, 3. I have contracted with the following person (firm) to provide the proposed construction: > . NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following -person to coordinate; supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF . WOR'K'--'-- SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER:_ DATE: 9� NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the, California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OWNER BUILDER INFORMATION I 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 parry 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 5300 or more for the entire project, and such persons are not licensed as contractors' or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you ,are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal 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 contracps 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. n rely, Mic el C. Vi ira, C.B.O. M ger, Building -Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code OVER t (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,. Califofnia 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER�LJ _ j ZONINO /t /^� BUILDING PERMIT OWNERho `J 4 s �Jo�1<s Cwk/^�ria/y����34 TELEP✓HONN{EE SO. FT. OCC. BUILDING VALUATION / OWNERS � ) KESS © /ten V,- Q l.. 5 11 . COM R'9 NAME Ury F TELEPHONE CONTRACTORS MACING ADDRESS CONSTRU ON LENDER LENDER•s MAIUNG ADDRESS Fireplace Total Valuation b ARCHIT CT/OR ENGINEER LICENSE NO. Filing Fee Permit Fee S ARCHITECT OR ENGINEERS MAJUNG ADDRESS Plan Checking Fee bal on BUILDING ADDRESS ' �m0 _ C �t �— Energy Plan Checking Fee b —6-Qf f` v b PERMIT FEE S LOT N0a SUBDN61pN's llri v PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome j� Other 1 sPECIEv Each Tra 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 ❑ Utiliitiesilk Installation ❑ Other ❑ Describe Work:L Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S t9?20.00 PERMIT FEE S Ff ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200' OR LESS 23.00 _Q 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 Uc. No. "EX. 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 of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwi comply with ose vi 'ons. /j X at. /'' �Ji Sign ` of licantOwner ❑ Contractor ❑ Agent An OSHA permit is requ 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. DWEIIJNG OCCUP. SG OR ADONS. ( a ACC. BLDs. 3.5¢FT: ppµR6iNEW D. ' OUTLET @7.50 POWER APPARATUS a SINGLE 0 gtET CIR. OCCU OUTLET Oa PaTLmEs aw ®'.w Ex. Occu . o sAPP o,° A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE : Moo MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE f Mobile Home Installation Fee b Energy Inspection Fee b Occ CONST. TYPE TOTAL FEES „A Z. I D PEES IMP I FLOOD COf I PARCEL Po HO GSUE 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. Receipt No. 0, WHITE-D.D.S.-E.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Data) AND %%*I I ENRECORDEDMAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CONY of Document Recorded 26 -May -1998 1998-0021484 Has not been compared ttith original Butte COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal„necessary farm operations. All that real property situate in the Count}, of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date: /'"la' �(J q U PRO PCR Y O RS: 66UGLA H. SToMS State of California ) County of Butte ) On May 26, 1998 before me Michelle A. Miller, Notary Public personally appeared Douglas H. Stocks personally known to me (or proved to me on the basis of satisfacton- evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the persoh(s) or the entity upon behalf of which the person(s) acted, executed the instrument.p� WITNESS my hand and official seal. MICHELLE A.MILLI:fd omrrdsslon #11711414 Mfr CPS1 = Notary Public Butte County, California C�i IMy Commission Exp. FSPR. 3, 2002 A.P.= U:) 'I -�j..S-O - /& V i DESCRIPTION 9 3- 3 3 8 9 4 ORDER NO. BU -136720-3 ALL THAT CERTAIN' REAL, PROPERTY SITUATE IN THE STATE OF CALTFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL -I -A: LOT 21, OF VALF.NC`IA TRACT, SUBDIVISION NO. 1, BUTTE COUNTY, CALIFOR41A, ACCORDfNG TO THE OFFICIAL MAP THEREOF, RECORDED IN THE OFFICE OF THE' RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 11, 1913, IN BOOK 7 OF MAPS, AT PAGE(S) 56. i RESERVIN: THEREFROkl A NON-EXCITJRTVF FACEMENT FOR INGRESS AND EGRESS, AND FOR PUBLIC UTILITY PURPOSES, OVER A PORTION OF LOT TWENTY-ONE ACCCRDING TO THAT CERTAIN MAP ENTITLED "VALENCIA TRACT, SUD. 140. ONE, AS FILED FOR RECORD IN BOOK 7, MAPS AT PAGE 58, LYING IN SECTIONS 27 AND 28, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA", SAID EASEMENT BEIIiG COMPRISED OF AND LYING OVER THE FOLLOWING DESCRIBED PARCEL: THE NORTHERLY 60.00 -FEET OF SAID LOT TWENTY-ONE. PARCEL :K -B: A NON-EXCLUSIVE EA4EMENT FOR INGRESS .AND EGRESS, AND FOR PUBLIC UTILITY PURPOSES,. OVER A PORTION OF LOT TWENTY-TWO, ACCORDING TO THAT CERTAIN MAP ENTITLED "VALENCIA TRACT, SUB. NO. ONE, AS .FILED FOR RECORD IN BOOK:7, MAPS AT PAGE 58, LYING IN SECTIONS 27 AND 28, 'TOWNSHIP 18 NORTH, RANGE 4 EALT, M.D.A. L M., 8CTTE COUNTY, CALIFORNIA", SAID 4ASEMFNT BEING COMPRISED OF AND LYING OVER THE FOLLOWING DESCRIBED:PARCEL: PARCEL ONE: i i A CIRCLE HAVING A RADIUS OF 50.00 FEET AND A CENTER POINT THE LOCATION OF WHICH IS MORE PARTICULARLY DESCRIBED AS FdLLOWS: COMP'IE14CING AT 'THE NORTHWEST CORNER OF SAID LOT TWENTY- TWO; THENCE N ;88 DEG. 4E' 13" E, ALONG THE ICOR':-H _TINE OF SAID LOT, 10.00 FEET; THENCE S 00 DEG. 10' 35" W, 50.00 FEET,. TO, THE CEN'T'ER POINT OF SAID CIRCLE. PPCF I_I-A• LOT 22, OF VALENCIA TRACT, SUBDIVISION NO. 1, BUTTE COUNTY, CALIFORNIA, ACCORDING TO THE OFFICIAL MAP THEREOF, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTA' or DUTTE, STATE OF CALIFORNIA, ON AUGUST 11, 1913, IN BOOK 7 OF MAPS, AT PAGE(S) 58. CONTINUED / 93-33894 ORDER 110. BU -136720-3 PARCEL II -A: - CONTINUED RESERVING THEREFROM A i10N-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS, AND FOP, PUBLIC UTILITY PURPOSES, OVER A PORION OF LOT TWENTY-TWO, ACCORDT?TG TO THAT CERTAIN MAP ENTITLED "VALENCIA TRACE, SUB. NO. ONE, AS FILED FOR RECORD IN BOOK 7, MAPS AT PACE 58, LYING IN SECTIONS 27 AND 28, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., BUTtE COUNTY, CALIFORNIA", SAID EASEMENT BEING COMPRISED OF AND LYT-NG OVER THE FOLLOWING DESCRIBED PARCEL: PARCEL ONE: A CIRCLE HAVING_ A RADIUS OF 50.00 FEET AND A CENTER POINT THE LOCATION OF WHICH IS YORE PARTICULARLY DESCRIBED'AS FOLLOWS: i COMMENCING AT -THE NORTHWEST CORNER OF SAID LOT TWENTY- TWO; THENCE 1183 DEG. 46' 13" E, ALONG THE NORTH LINE OF SAID LOT, 50.00 FEET; THENCE S 00 DEG. 10' 35" W, 50.00 FEET, TO THE CENTER POINT OF SAID CIRr1.F. �$CEL I-II A NON-E:CCLUSIVE EASEMENT FOR INGRESS AND EGRESS, AND FOR PUBLIC UTILITY PURPOSES, OVER A PORTION OF LOT TWENTY-ONE ACCORDING TC THAT CERTAIN MAP ENTITLED "VALENCIA TRACT, SUB. NO. ONE, AS FILED FOR RECORD IN BOLK-.7, MAPS AT PAGE 58, LYING IN SECTIONS 27 AND 28, TOWNSHIP 18 NO�TH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA'l, SAID ASEMENT BEING COMPRISED OF AND L7INC OVER THE FOLLOWING DESCRIBED:PARCEL: THE NORTHERLY 60.00' FEET OF SAID LOT TWENTY-ONE. END OF DOCUMENT LAND DEVELOPMENT BUILDING/ ENVIRONMENTAL- HEALTH -PERMIT CLEARANCE Building Permit No. OWNERS. A.P. — NAME• — ' V �Q-4S NUMBER PRINT LAST NAME FIRST V ADDRESS / LOCATION: �A LE/2M U N cUT �ES COUNTY ZONING" e• c� �x/SrS DESIGNATION: FLOOD ZONE: X FLOOD MAP: gO/3 APPROVED: CONDITIONALLY APPROVED: ✓ RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP IT C) • l0 A C_ DEED INFORMATION: DATE OF CREATION: LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION COMMENTS/CONDITIONS: DEED REFERENCE: LEGAL ACCESS REQUIRED: YES • NO YES NO MAP INFORMATION: Cider Gr DATE OF RECORDING LOT �i1 BOOK 7 PAGE 50' COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of _ 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from,all existing wells. 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. X, 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. _ 9. Connect to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized'community water. system, with hydrants that meet Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. —14. A traffic mitigation fee for each new or additional living unit shalt be paid. Pay the amount of $ as stated in the Oroville Area -Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. 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. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist.. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 23. 24. 25. 26. Ato l,oM013A30 atal '.t-Inq 40 ALN17103 1661 0 Z 13 0 LD 5,97 C13AI3331L CAWP% I IFOAMB. KWL OFEFW.ClA W BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District . /1fl M, ,),n Building Department No. r e A.P. Nu berms = (�+� / , Jurisdiction: City EZ 'County Sq. Footage 6 otProperty Mobile Home Owner d U S g le, ..Aonc Property Location/Address no en te Subdivision Lot No. Residential Development L i Sq. Footage 6 No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Building Department I Sq. Footage New Addition. -:*:r (Including Exterior Roofed Areas) Date moor rians revieppw,,ea Dy acnooi uistnct rersonneil District Identification No. V O 13 E`T (/ �.e. �% dna n School District certifies that S S . p^ (Applicant) (Street Address) (Phone Number) 0 CA (City) (State) (Zip Code) ,_ has complied with the requirements of Resolution No representing square feet. s Yont«A,. School District Representative Paid by Check # I Remarks: 116 q0 by payment of $ pU 2926 S LL MITIGATION $ Date a Notice: You may protest the imposition of the fees identified above by'submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable. Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm PI -L-,+- PLZ N - A.. P. 4-D,DQts , ' RS7 Pitegwo-quor- .16 4 Dou �� �. �57�ks i�ho j6 4@� rzmao "y Chonoz or . . vuno;li�, vWN CMALLOM�f"Ly vm--6,� "n, 9 0�3 rz� T�n &,51PI The attached Frio oto Mquiremen2g Must is camp lc7� CD CPseft-d and Co: D. F. 56 OF/C( r CDF FIRE SAFE REQUIREMENTS a 7 9 W, cC�}� AP# PERMIT # NAME Under authority of PRC 4290, the following checked. items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal 'or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [� 1272.00 Maintenance of Defensible Space. To ensure continued l� maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed er shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. Lyl 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [Y.] 2. The length of vertical -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a minimum turning radius'of 40 feet from the center of the road. ] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3. AP # PERMIT '# NAME ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. �(] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two'feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where. a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [`f] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi_ial inspection of a building permit. Page 2 of 3 AP # PERM # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed i0k of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 -coat . Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department.approved materials Date Signature Page 3 'of 3 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: 4 PERMIT NO.:, Owner's: Name: Owner's: Address: Mobilehome o b \-j p L.; Year of Manufacturer Manufacture: Serial numberInsignia Oq 7 Z1_ �M_)e or CAL or V.I. N. HUD number: Official approving installation: Date: If the mo . bilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg., g., Gold -Assessor,