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Home My WebLink About027-360-155C'�i .r`llc�IL-f U2/-3bU-I» vY-cv» BRINDLEY, WILLIAM 8899 PALERMO HONCUT, Cont: CHICO MHS V Ea MH PERM I -ND 027-360-155 04-2184 BRINDLE.Y'. WILLIAM 8899 PALERMO HONCUI' I-IWI', PALERMO Cont: DOREMUS GERALD MALE D Ex SUNRM AS BUILT 'Z -O 7-360-155 PERMI #98-5 /,G.— BRI Idilliam 8899 Palermo t Hwy, Oroville A8 Ex it -Stalls Area BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE All: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042184 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensedJof provisions of Chapter 9 (commencing with Section 7000) of DivisioIssued Date: 07/22/2004 APN: 027-360-155-000 the Business and Professions Code, and y- i • rise is in fu[lll forceLicense Class: c se Numbe i (-s/Site Address: 8899 PALERMO HONCUT HWY PAL Date:.zContractor. G�2Map Index: Description: EXISTING SUNROOM AS BUILT Descrp • OWNER=BUILD/ DECLA TION I hereby affirm under penalty of erjury �iat I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BRINDLEY WILLIAM J C to its issuance, also requires the applicant for such permit to file a 8899 PALERMO HONCUT HWY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DOREMUS, GERALD GLEN Code: The Contractors' State License Law does not apply to an pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, p O BOX 4121 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95927 year of completion, the owner -builder will have the burden of 530-895-1774 proving that he or she did not build or improve for the purpose of sale.). O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. DOREMUS, GERALD GLEN and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 4121 ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA .95927 530-895-1774 Date: Owner: License #: 445103 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 Architect'' is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 240 S. F. Policy #:. Valuation: $15,600.00 8-11"certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Z'U� Date: .� Applicant: - r WARNING: ilure secure workers' compensation coverage is unlawful, and hall s ject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 4 ?-(o• ( S -71 $104-• 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 This permit is hereby issued under the applicable provisions of the Butte County gods. ?nrvor Resolutions to dork iri 'cated abov or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: Address: ate ❑ 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 th@ ow rr o�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 su�sta ce of a officia7ormm or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection p poses, ` Print Name: d�JZ `� �/� /// Siahature: r (/ Date: -- Z 2 / v ❑ Owner ontractor ❑ Age t forwner ❑ Agent for Contractor 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: `r-7 rr ` 0 L t % ASSESSOR PARCEL NUMBER �� t -' Proposed Building Use: �,�'��r'�'�'' r �� Counter Technician: �� Date: 7. , r~ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ' 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5, Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. a ❑ 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 talcs 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........................................................................a'rT ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit....................................................................../1 • 23. California Department of Forestry plan approval ❑ paid. Sent by:+t�S�',,.. (ate ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: 17 ❑ 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 (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:.-.......................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38.• Other: ❑ 39. Other: When issued Telephone i -7 7 4- and hold for pickup. I have be 'nftsrmed of the above items and requirements for obtaining a building permit. Applicant:.._..`--�,� ,I_� ��9 Date: 1. Index permappli6ation`$ r t e above items numbN d`- Plan Check Letter 2. Additional items rg'quired Contractor, designef, 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, ❑ count , Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved Date: Note transfer by: Date: Yellow: Building Division 41 z CL O <Zli Po &VIV 5RIAlVe AD P17 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.tiet\dds IERMIT NO. BP042184 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licens]underprovisions of Chapter 9 (commencing with Section 7000) of DiviIssued Date: 07/22/2004 APN• 027-360-155-000 the Business and Professions Code, and y-li • rise is in full for'LcenseClass: 'c se Numbe /`5 Site Address: 8899 PALERMO HONCUT HWY PAL Date: r Contractor: ` �s > � � Map Index: s Description: EXISTING SUNROOM AS BUILT p OWNEenalty f rjury A TION I hereby affirm under penalty of/perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BRINDLEY WILLIAM J C to its issuance, also requires the applicant for such permit to file a 8899 PALERMO HONCUT HWY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions applicant: DOREMUS GERALD GLEN 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, p O BOX 4121 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95927 year of completion, the owner -builder will have the burden of 530-895-1774 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: DOREMUS, GERALD GLEN and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). p O BOX 4121 ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA .95927 530-895-1774 Date: Owner: License #: 445103 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 Architect': is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 240 S. F. Policy#: Valuation: $15,600.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of th'e Labor Code, 1 shall forthwith comply with those_ provisions. Date: Applicant: r WARNING: iluresecure workers' compensation coverage is unlawful, and hall s ject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of t $4-2/,.IS T ` - /,• I S —71 zz a /04.. compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Bnffe County ,odA and/or I hereby affirm that there is a construction lending agency for the Resolutions to do rk in 'sated abov or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ?7 Name: By: Date: !✓ PERMIT EXPIRES ON: Address: ate ❑ 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 ow d or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the suslaylce of a fficiaform or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned for inspection p ses, property pu `�' `e Print Name: /iZ �� /%' G Signature: Date: -ontractor ❑ Owner ❑ Age t forwner 13 Agent for Contractor Y � { 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 M CORRECTION NOTICE ^� OWNER PERMIT NO. %. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address,.aKd should be corrected. Please notice this office when correction of work is completed. 1 ou have any questions pertaining to this matter, or need additional explanation, .•:_ please �cS act this office immediately. .ti �,(/Z,l .iA t614 D,CCe -z +-6 1V1--vcC�tvf TyzCry /r-cl �r �P73 1 -7 n l BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042184 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 07/22/2004 APN' 027-360-155-000 ' the Business and Professions Code, and rise is in full force and effect. 7 'c I' YS License Class: se umbe -3 Site Address: 8899 PALERMO HONCUT HWY PAL Date: -2 Z.C", r/ Contractor. Map Index: Description: EXISTING SUNROOM AS BUILT p . DECL TION OWr penalty I hereby affirm under penalty of erjury at I am exempt from the of Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BRINDLEY WILLIAM J C to its issuance, also requires the applicant for such permit to file a 8899 PALERMO HONCUT HWY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: DOREMUS, GERALD GLEN pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, P O BOX 4121 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95927 year of completion, the owner -builder will have the burden of 530-895-1774 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. DOREMUS, GERALD GLEN and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 4121 ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA .95927 530-895-1774 Date: owner: License #' 445103 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 240 S. F. Policy#: Valuation: $15,600.00 I certify that in the performance of the work for which this permit is Census Code: issued, 1 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, 1 shall forthwith comply with those provisions. - 2, Z ` G Date: L Applicant: WARNING: iluresecure workers' compensation coverage is unlawful, and halls ject an employer to criminal penalties and one �G q4- ¢ 4 A_ W,. hundred th sand ollars, ($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 This permit is hereby issued under the applicable provisions of the Butte County 5,odA and/or Resolutions to do Wrk indicated abov or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 7 Name: By: Date: G/ PERMIT EXPIRES ON: ae Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am tpR ow or the ul 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 su s ce of a9officia form or document of Butte County. I hereby authorize representatives of Butte County to enter u�ppon the above mentioned property for inspection p os . Print Name: -TedZ0Z �� ( G Signature: Date: 2 / (t ❑ Owner ontractor ❑ Ageforwner ❑ Agent for Contractor r0 0 a '0 BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" ARCHITECT/ENGINEER CONTRACTOR Name Address Address States, City Phone Z State Zip Phone Map Book Fax E-mail Planner:::: Lic. # Class ARCHITECT/ENGINEER Name Address Address City c States, Zip959Z 7 Phone Z Fax _5� E-mail State License Number v APPLICANT NAME Name Address City State Zip Phone Fax E-mail \ -"-,,4 PPLICANT SIGNATURE X For ffice Oe only: Z ing I Property Address _5"�"44 --e_ I Flood Zone Cross Street 4 / SRA Yes I No Occ. Type Const Subdivision Name Map Book Page Lot # Planner:::: Date Approved: I PERMIT NO. BP o4 -z 18 q-1 BIN # LOCATION Property Address _5"�"44 --e_ City 1 Cross Street 4 / 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 Description or Scope of Work: rli v U Sq. Footage ❑ 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. OVER FOR SUBMITTAL REQUIREMENTS U KAFORMSMILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: 141 Amount: Bldg SRA Receipt #: Sheriff SMIP Date: 716164- Other '4,Z7,74- Total REV 6-16-04 SUBMITTAL 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 W IN% Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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 en%dneer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. - 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS0dgApp1SubRgmts.doc Page 2 of 2 REV 6_16-04 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: --BrP M 4 L e>1 ASSESSOR PARCEL NUMBER " GCCiS U Cov o�i'� Proposed Building Use: -Su k -.t ►2o0 "4 Counter Technician: ��' a.� Date: 7 7 .,n 4 Ipms required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1,7 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 t 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........................................................................yZ ..... ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 0 , 22. City of Chico Plumbing permit....................................................................../� t 23. California Department of Forestry plan approval ❑ paid. Sent by:',,..1�� E >� ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. �+�^ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....,.. ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... ........................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone ie� �- 5. 1 -774- } and hold for pickup. of the above items and requirements for obtaining a building permit. Applicant ��li��ti��"� \ Date: ' -2? 1. Index permit/ ppli iie f r the above items numbered: Plan Check Letter 2. Additional items required Contractor, designe( 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, ❑ count Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved hh Date: Note transfer by: Date: Yellow: Building Division Por %X 'o f BUTTE TB COUNTY BUILDING DIVISION APPROVED �x f X r�mo� Adis w�► El r ;r �� v v o �o l� o � N rIf y � \ 1 � v o l� � N rIf d � \ 1 JUL-22-2004(THU) 10:51 UNITED COUNTRY -JOHNSON REALTY (FAX)530 877 7428 P. 001 United_Couatr-y.jolawn. Real Estate • $4z0 Slcxway, PO Box 370, ''Paradise, CEA 95967 J(530)877-1791 - 1Fax (530)877-7428 Uounur -=lei! frietttlde at�al Man . my. Friend_ _ ... . f Kvm FAXN® 53�- 2100 DA.TIE_ -7121-_ l b.-1.. . N0-.- OF PAGES- 4- ` lease call us . (RJCLUDING COVER) If you do not receive all the pages, p as soon as possible. 102F.SSAEsE- RcCtnimo t-brltct�-. pu2«zr L . 13 n nGl_ 14y. �onfyar: covvtpan J a -f Close o �c-row. m escrow CIA M a s i qn i nci- and CtSSiS'tUN_. -y- Wo'R`+ fse GtkTtC C� .. d.�'d vi � 1�v� �.e1vt,�'s �'.t,t l rho �u � � (�C,-� . 1�,�'.�►1 k�ot.�; . . to Notice -This telecopy n•ansrrtission belongs to the Sender -and -is- gaily lscivilGged and is_ intended onJye fot: the.use of Elie entity or. individual named above. If you are not the intended recipient ou Etre hearby notified that any disclosure, copying, distribution or taking of ally action in ralianee.on the sontcttcs_oLthis. info ation_is,stzictly. _rohtbited. if y_ou.lanve received this foxin error, please notify us immediately by telephone and arran r the return of the document and the information it contains. i...... .. Oa RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 I�I�f'I �II�IIII I'II��II"II II II �'I - as—Ca -1+ 1 1 g Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 County Of I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Shawnya •03:28PM 29 -Jul -2004 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE bF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 09� 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. WILLIAM J.C. BRINDLEY REAL PROPERTY OWNER/LESSOR 8899 PALERMO HONCUT.RD. - MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP ' UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04--2093 530 538-7541 B L ELEP O E NUMB �� D SIGNATURE OF LOCAL AGENCY OFFICIAL D4rE NONE DEALER NAME (if not a dealer sale, write "NONE".) DEALER LICENSE NO. FUQUA 1980 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 8233A/B 60'X 24' 159788/9 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 027-360-155 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. Record at the Request of Mid Valley TX* dr Escrow•Company Order No. Escrow No. 1624790T Loan No. WHEN RECORDED MAIL TO: WILLIAM J.C. BRINDLEY 8899 PALERMO HONCUT RD. OROVILLE, CA 95956 MAIL TAX STATEMENTS TO: SAME AS ABOVE 9 7-04411 o I Rec Fee I DOC Recorded I IHF Official Records I Check ,County of I Butte I Candace J. Grubbs I Recorder I 9:00atn 19 -Nov -97 I MVTC 5. 00 85.80 2.00 92.80 FM 1 DOCUMENTARY TRANSFER TAX $aSM X Computed .ii the consideralfon or value of props:.y conveyed; OR Computed on the considemilon or vskre bee lona or wm rrxronoes remaining at tkne of saie. ThA tmr1ArsIgnPd Grantnr f1tw-farAa —_ Signature of Declarant or Ngent determining tax - Frm Name 027-360-156 GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, ;CHARLOTTE R. NEWCOMB AN UNMARRIED WOMAN hereby GRANTS) to WILUAM J.C. BRINDLEY, a married man, as his sole and separate property the real property in the UNINCORPORATED AREA County of BUTTE described as State of California, THE SOUTH HALF OF THE NORTH HALF OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 33, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. $ M. EXCEPTING THEREFROM THE EAST HALF BY DEED RECORDED AUGUST 22, 1984 IN BOOK 2979, PAGE 145, OFFICIAL RECORDS. Dat [" r. I STATE OF FORMA } COUNTY OF ��e.- la - } V`' Q OrL before me, r.:=Wly appeared personally kr~ 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 Ir>strtmtent and acknowledged to me that he/sha hey executed the same In his/her/their authorized capacity(les), and that by hks/herAWr signature(s) on the Instrument the person(s) or the entity upon behoof which the person(s) acted, executed the In*rument. WITNES4pq,t%and and official seal. k \ Signature EJ DENISE TEMAH Corrnnis W / 1073063 Nth CPS Notary Put* Butte County, Cd t rho my Commboon E)v SEPY 30. 11 Cry '-E&O /5 -5 - STATE SOF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT o05tNc Division of Codes and Standards Registration and Titling Program Cl n c, I4 CL .nim ■��a P. O. Box 2111 1 �✓ Gl l 3 , Sacramento, CA 95812-2111 �'6 O 1-800-952-8356, (916) 323-9224 From TDD Phones: 1-800-735-2929 August 31, 2004 CHICO MOBILE HOME SPECIALIST P O BOX 4121 CHICO, CA 95927 Dear Owner, Decal or ID Number: LAY7601 DTN Number: 358637 Amount Paid: $22.0 Escrow Number: 1528322AM IMMEDIATE REPLY REQUESTED The BUTTE COUNTY BLDG DIV has informed this department the mobilehome or commercial modular, with the Decal Number given in the box above, has been installed on a permanent foundation and is now recorded as a fixture and improvement to real property. Pursuant to Health and Safety Code Section 18551(a), title and registration with this Department is subject to cancellation. The following documents are cancelled and are to be surrendered to the Department: [ X] Certificate of Title or Ownership Certificate issued on November 16, 1998 EX-):.Regist>~ation=Eard.issued-onNavember 16,1998 [ ]" Decal' or License PI.tte If any document checked above cannot be surrendered, please complete the certification provided below. Mail this letter and any document(s) in your possession to the address given at the top of this letter. [ ] If this box is checked, the original Manufacturer Certificate of Origin and a Dealer Report of Sale for a New Mobilehome must be submitted along with the $25.00 Dealer Report of Sale Fee and Administrative Service Fees in the amount of $205.00. Registration and Titling Program Initials: CERTIFICATION Uwe certify under penalty of perjury that the document(s) checked above has/have been lost, destroyed or is/are . otherwise unavailable for surrender to the Department of Housing and Community Development. Executed on at_ (Date) Printed Name: Signature: Address: (Street) HCD-RT 484.2 (REV 8/01) I� I 3586370 (City) (City) (State) (State) RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 29 -Jul -2004 2004-0046119 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WILLIAM J.C. BRINDLEY . REACPROPL'1frY0wIVEXT1MSolt-'" 8899 PALERMO HONCUT.RD. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME 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 LOCAI"ACr94MiSSUDWY-PE&MFFan CFJt,FMC-A,'FEOF:OCCXMANCX'— _ 7'COUNTY-CENTER DRIVE' MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 01-2093 530 538-7541 B G P 0. LEP O NUMB Z /� D SIGNATURE OF LOCAL AGENCY OFFICIAL. D417E (o� NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. FUQUA 1980 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER 8233AJB 60'X 24' 159788/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNUVLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER 027-360-155 SEE ATTACHED II Record at the Request of Mid Valley Tula h Escrow Company Order No. Escrow No. 162479DT Doan No. WHEN RECORDED MAIL TO: WILLIAM J.C. BRINDLEY 8899 PALERMO HONCUT RD. OROVILLE, CA 95956 MAIL TAX STATEMENTS TO: SAME AS ABOVE 9 7-0441101 Rec Fee I DOC Recorded I IHF Official Records I Check County of 1 Butte 1 Candace J."Grubbs 1 Recorder I 9:00atn 19 -Nov -97 I MVTC 5.00 85.80 2.00 92.80 FM 1 DOCUMENTARY TRANSFER TAX $&UQ is computed 1,n the consideration or value of pr"...y conveyed; oR Conputed on the consideration or value bss frtna or enarrrbmwes rernahhg at tine of We. The 1tndPrgInnPd Grantnr darlar a - Signature of Declarant of Agent detem>Inhg fax — Firm Narne GRANT DEED 077-360-155 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Cf ARCO1TE: R.,NEWCOMB-AN- UNMARRIED- WOMAN hereby GRANT(S) to WILLIAM J.C. BRINDLEY, a married man, as his sole and separate property the real property in the UNINCORPORATED AREA Counb/ of BUTTE State of California, described as THE SOUTH HALF OF THE NORTH HALF OF THE SOUTHWEST" QUARTER OF THE NORTHWEST QUARTER OF SECTION 33, TOWNSHIP 1'8 NORTH, RANGE 4 EENST, M.D.B. & M. EXCEPTING THEREFROM THE EAST HALF BY DEED RECORDED AUGUST 22, 1984 IN BOOK 2979, PAGE 145, OFFICIAL RECORDS. L - Dated Nnvamher 7. 1 QI7 STATE OF Cou IFORNIA A- - - - - ODUNTY OFOn �1� \\.I--` n before me, f+-monally appeared rn 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/shalthey executed the same In hts/her/thelr authorized capacitypes), and that by hW wAhelr signature(s) on the Instrument the persons) or the entity upon of which the person(s) acted, executed Use instrument. WTNE and official seal Signature DENM TEMAH Cornmts an / 1073963 AAO CPS Dutra County. Cd tomb Mr Commw on Em SEPT 30.1999 BUILDING PERMIT NUMBER: 04-2093 Address or location of unit: 8899 PALERMO HONCUT HWY. OROVILLE CA. 95966 Legal Description of Real Property: AP#: 027-360-155 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has-been- affixed to the real property above.by installatiamona foundation system pursuant to Health and Safety Code Section 18551. Owner's name: WILLIAM J.C. BRINDLEY Owner's address: 8899 PALERMO HONCUT HWY. OROVILLE CA. 95966 INSIGNIA OR HUD NUMBER: 159788/9 SERIAL NUMBER OR V.I.N.: 8233A/B MANUFACTURER'S NAME: FUQUA AR: 198 ,01 OFFICIAL APPROVING INSTALLATION: Ylllwa- TA&�f� DATE: -712 q6,j, PHONE: (530) 538-7541 H.C.D. 513C &L-08-2004(THU) 1536 UNITED COUNTRY -JOHNSON REALTY a*at,tevwxo"LA.Susu+Ess,TaA"SvorW A�MNOAULNGT •.:,, P PARTNI NT OF HOUSING AND COMMUNITY DEVELOPMENT -4?d3bn or Come MW 8bmtsm• (FAX)530 877 7428 Tide Search Date Nntal : 07107/2004 I*xA it: LAY7601 Use Code: INK Manufacturer: FUQUA HOMES fNC Original Price Code: AI;X Tradenzme: FUQUA Rating Year: 1980 Model Tax Type: L Mnufacwmd Date: 00/00/198o Lasa ILT Amount: Reg gration Exp: Date ILT Fee Paid: First Sold On: 004/1980 ILT Exemption: NONE Serial Number HUD Label insignia Length Width 8233A 1597U 60' 12' VMB 159789 60' 12, Record Conditions. FPF exempt Registered Owner: WILLIAM J.C. BRINDLEY 9899 PALERMO HONCUT HWY OROVILLE, CA 95966 Last Title Date: 1111611998 fast [let Card: 11/1611998 SNelfraasfor Info: Price 540,000.00 Trsasfeacd nn 11 /l9/1997 Sin1s°Address:--� x-8699 PALER tM HONCUT HWY / Situs County: 'BUTT Legal Owner. CTX MORTGAC E COMPANY P 0 13O 199004 I?ALLAS, TX 73219 Lion Perfected On: 10/13/1998 l 1:00:46 I ii etive_DeaaUDM'V: / ____.pMV 331QYD Open Escrow: MUD VALLEY TrMS PO BX 1068 7295 FEA'TH'ER RIVER BL OROVILLE, CA 9596S Escrow f le No; 1528322AM Pending Buyer: ERNESTO GL>T ERA.EZ Dealer Nettie; None RepWzd Escrow Opened On: 07/07/2004 Expires on: 11/0412004 sse END OF TITLE SEARCK "' Too GveION BZUL LL8 OES F 301Ir1080 31111 1,3-1dA 01W 917:ST t�0i60iL6 07/30/04 15:41 MID URLLEY TITLE OROUILLE 4 5382140 N0.122 D01 -fQ yvl Rovasstar Home Mortgage, Ine. S29 9 Plumas Street 1 �[ `tuba City,. California 9S491 1�%r� -'' r- 1- 0. 530.674.7885 OIRECT ' 530.674.7839 FAX 530:701.24SL.CFI I www.novasterhomexom/branCh569 TO WHOM IT MAY CONCERN RB: r 5899 PALERMO HONCUT HWY., OROVILLE, CA- A. -P. NO. 027-360-155 WARE THE. NF LENDER ON THE ABOVE PROPERTY DESCRIBED AND WE HEREBY CONSENT TO THIS MOBILE HOME LOCATED ON THE ABO PROPERTMBM&PLACERON APERMANENf FOUNDATION SYSTEM. NOVA STAR H'TGA'GE, R4r- DATED: Record at the Roquest of Mid Valley TWO & Escrow Company Order No. Escrow No. 1624790T Loan No. WHEN RECORDED MAIL TO: WILLIAM J.C. BRINDLEY 8899 PALERMO HONCUT RD. OROVILLE, CA 95966 MAIL TAX STATEMENTS TO: SAME AS ABOVE 027-360-155 97-044110, Rec Fee I DOC Recorded I IHF Official Records I Check County of I Butte I Candace J. Grubbs 1 Recorder I 9:00ain 19 -Nov -97 I MVTC 5. 00 85.80 2.00 92.80 FM 1 DOCUMENTARY TRANSFER TAX $0M ii Computed 1„ the oonaldwation or value Of prope:.y Conveyed; OR Computed on the oonsidemUon or value ins fens at enoun-branoes remaining at time of tele. ThA nnrIArs!LrnPd (ter ntnr dAriarAa Signature of Declarant or Agent determinhg tax - Flan Marne GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged. CHARLOTTE R. NEWCOMB AN UNMARRIED WOMAN hereby GRANT(S) to WILLIAM J.C. BRINDLEY, a married man, as his sole and separate property the real property in the UNINCORPORATED AREA Counbj of BUTTE State of California, described as THE SOUTH HALF OF THE NORTH HALF OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 33, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. EXCEPTING THEREFROM THE EAST HALF BY DEED RECORDED AUGUST 22, 1984 IN BOOK 2979, PAGE 145, OFFICIAL RECORDS. - Dated NnvAmhAr 7, 1 QQ7 STATE OF C4JFORNA COUNTY OF A before me. 5.1 � v-\ mwsonally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons) whose name(s) Is/are subscribed to the within Instrument and acknowledged to me that helsho/they executed the same In hb/hw Ahelr authorized capacy(ies), and that by Wher/ttwir signature(s) on the ktstrument the person(s) or the entity upon beho of which the person(s) acted, executed the Instrument. WITNES41mi,band and official seal k 1 .. Signature EJ DENISE TEMAH COMWon / 1073963 Mfr CPS I Notory Public W to Comfy. cc afornia my Commw on Em SEPT 30. 1' NOTES 5 RESIDENTIAL PERMIT NO. 027-360-155 _ V 04-2093 ~'— BRINDLEY, WILLIAM 8899 PALERMO HONCUT, OROVILLE Cont: CHICO MHS EX MH PERM FND + THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN `NJ THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATENf F.,NT OF FACTS (ONLY ON NEW + MH'S). ' INSPECTOR TO VERIFY SERIAL & LABEL #'S. I SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Cfl-L, (sq -7 � CR -L t S� 7R CHECKED BY JOB FINALED (Date) Signature- J=OK D = Not OK . = NotReadyable Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Electric 1. Zoning Requirements -Setbacks -Easements 9. 2. Soils; Special MH Support Sketch Roof; Shthg-Roofing 3. Sewer; Location -Test -Fall -C/O -Concrete 12. 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Date 6. Gas; Location -Test -Wrap;-/ P' L -ft. / P Nat. or/ P' L "ft./ P LPG 12. 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 PERMAWNT END SYSTEM (ONLY) oning Requirements -Setbacks -Easements ootings; 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. Gqp. and Electricity Tagged is ense Decals Verify #'s with Office r1a) A Date/' ` and 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 Elec.; Grounding; Equip. w/5' Circulating Equip.-Pool,Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit. 9. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip.-Pool,Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit. 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-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/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive ❑ Yes O No/Walks O Yes ❑ No/Planters J Yes ❑ No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.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 O No/Walks O Yes ❑ No/Planters J Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BPO42093 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/22/2004 APN• 027-360-155-000 the Business and Professions Code, and m license is in full force and effect. `� !, �T License Class : l _ ens e umb Site Address: 8899 PALERMO HONCUT HWY PAL Date? 2-,? Contractor: Map Index: Description: ex mh perm fndn ex site (1440) OWNER-BUILDO DECORATION I hereby affirm under penalty o perju that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BRINDLEY WILLIAM J C to its issuance, also requires the applicant for such permit to file a 8899 PALERMO HONCUT HWY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BRINDLEY WILLIAM J C 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, Contractor. DOREMUS, GERALD GLEN and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 4121 ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA. 95927 530-895-1774 Date: Owner: License #: 445103 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 Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 0--r ify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. — O Date: Applicant: WARNING: Failure to se ure workers' compensation coverage is unlawful, and shall bject an employer to criminal penalties and one hundred thousand oIlars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 40 to s a 2 7 4'• Q 5' -7/15/O �}• code, interest, and attorney's fees. 4-06 944 :A 7 4- ._Gib 1/1-2/04— /1-Z/04—CONSTRUCTION CONSTRUCTIONLENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anrVOr I hereby affirm that there is a construction lending agency for the Resolution to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �u ' 7' O 4 Name: B y Date: PER EXPIRES ON: 7• _� 3 • OS Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & 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 a e owner or t 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 tante of y o ficial form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the'above mentioned property for inspectio , .os Print Name: v �rl�� /� `e_Signature: l� Date: / ` ZZ_ t� / 0 Owner td' Contractor 13 Agent for Owner 13 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 REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" - -7b 155 APPLICAAM,flAME OWNER Last Name ;G 6 /# � " 1 irst Name Address R2:!22 PtZegmq �L Ur /illi City r2arl 1// '4 4 -C. State Zip Phone Fax sem 6 Fax E-mail Lic. # �O APPLICAAM,flAME CONTRACTOR Name ;G 6 /# � " 1 Address /SO L- 1 v City -�D State Zip Phone % 7 Fax sem 6 E-mail Map Book Lic. # �O Clas % APPLICAAM,flAME ARCHITECT/ENGINEER Name City Address Phone City E-mail State Zip Phone Type Const Fax E-mail Map Book State License Number APPLICAAM,flAME Name Address City State Zip Phone Fax E-mail PLICANT SIGNATURE Ix For off e u only: AP# U- Zoning'Flood Zone SRA I Yes I No Occ•, LENDING AGENCY Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT WE BIN # LOCATION AP# U- A dress R Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time of permit Issuance. LENDING AGENCY Name Address UVr-K rUK sUt3M1I IAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Sc a of Work: L Sq. Footage ❑ 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 eived by: Amount: I /� Bldg SRA Receipt r c Sheriff s�711 SMIP Date'1 1S 2 Other Total REV 6-16-04 I. SUBMITTAL REQUIREMENTS r R The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPERI ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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-signedv the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. .2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and•,signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. [15. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541.— OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6r16-04 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 ' l a l OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: \' 1 Counter Technician: Date:' G Items required in order to a ply for a permit. All boxes MAT be checked OR marked NA in order apply. jb 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-4-Yie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Find 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 driveway froPublic Works Dept ........................... 28. Pre -Inspection f for ��A-A required....... GA 7 1 to 04- ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction................................................................................ ... ❑ 37.E Grant Deed•5 M.H. Title/Statement of Facts, Letter from Legal Owner,ck to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have breertinfoged`o,f the above items and requirements for obtaining a building permit. Date 1. Index permit applic tion fo-r thf5-above iteenis trmbered� 2. Additional iterms rg uired Contractor, designe , owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, o w s advised of theMIVT� b❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division 7- _ Plan Check Letter Date: Date: Date Date: ` 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 J� A.P. #�� ( '. APROPRO D BUILDING USE DATEC(�; RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ -1 4-CS� 7 2 L OL% --- 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.). 4. URBAN AREA FEES X $0.03 = $ Sq.Ftg. (paid at Building Division) Residential (per unit)..... X = $ " V11— 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. Ftg. Amt. 10. OTHER 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 cha ng the plan checking p cess. APPLICAN DATE If `O Pursuant to Govemy6ent Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from/he 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 speci fidd in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Building Permit Number: © q - 2 01?3 Owner Name: a a k�,4 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 1007year 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 Building Permit Number: Q 7 ZO R Owner Name: rc vi d 1 Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. t =- The following parcel map requirements shall be met: ' ' I All structures and s� equipment including overhangs shall be clear of all easements. A setback of 6A,4�ei from the side and QD 04 Mee from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be' encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 1. owner®s name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 CAI MOBILEHOHE INSTALLATION SHEET L 2, th Ig;; ---------------------------------------------- Yes No Installer°s name: (If yes, identify the load and size: (Load) Amps) 9. o is the mobilehome site gas pipe size? ---------------------- 0 3. Is.the site currently under permit? Yep LG/-- No��,/ / 10. (If furnish number `rS6Z iff-0 A�,�� is the type of gas'service?---------------------------- Natural / / LPG 11. yes, permit is the gas pipe length from meter or A"" c't a mobilehome? (ft.) 12. Is the site an existing'site? Yes /. / No./ / is the mobilehome gas demand? ---------- ------------------- (BTU) (I£ yes, furnish two (2) plot plans.) (This information not required if pipe length less than ft. on natural gas 4. Will the mobilehome be located at least 5 €t. away from septic tank and leach fields and clear of all setbacks and easements? Yes / ff! No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- lfp e) Amps 6. What is the mobilehome site service rating? ----------------------® Amps 7.. What is the mobilehome site circuit breaker rating? -------------- Amps S. Is there any other electric load to be served by the mobilehome siteservice? ---------------------------------------------- Yes No (If yes, identify the load and size: (Load) Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas'service?---------------------------- Natural / / LPG 11. What is the gas pipe length from meter or A"" c't a mobilehome? (ft.) 12. What is the mobilehome gas demand? ---------- ------------------- (BTU) (This information not required if pipe length less than ft. on natural gas or less than 50 ft. on LPG.) Width+-�-7 (ft.) Box Length 4� a (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's instillation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of MOBILEHOME SUPPORT DATA mobilehome unless otherwise specified. Mobilehome Mfr. r ��y If other than single wide, furnish Setup Model No. Year /47 7f Width+-�-7 (ft.) Box Length 4� a (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's instillation 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 1. Wood either pressure treated o foundation grade. ' (ft.)(in:) (in.) (in.) ® 2. Other (specify) enter support locations* Center support footing sizes Supports (check one) (in.) 1: Concrete block.' 3 x 36 �® 2: Other ( spec ify) - (ft.)(in.) .36 (in.) (in.) 4—Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) " /i�- x3O -- Typical Support (in.) (in.) Footing Size / x3o (ft.)(in.) (in.) (in.) �.�(� -- Max. Pier Spacing (ft.)(in.) ® x ( -- Max. Overhang (.ft.)�(in.) (in.) (in.) (ft.)(in.) L42 -0U SUILDIN- DEPARTMEN A- P P R0V E: *If center piers are other than drawn above, Vector Dynamics : Foundation 'System INSTALLATION INSTRUCTIONS for the State of California ' Version 91212003 INDEX Approval PAGE RELEASE WMWAc�vRWarnMMOMM HMO SECTION NUMBER DATE FOUNDAMN SYSTEM fl8a= AND SffM CODE. SBMON 1 AM►W INTRODUCTION 2 9/2/03 mBoscr 70 coRR01rnaxa MOM GENERAL INSTALLATION 3 9/2/03 Affft0VALDM MYrAVnWR=0RA4FWWA2 PARTS LIST 4 & 5 9/2/03 OMMONs Olt mIATIONnOA4REQummu'PB AMCAMA STATS LAWS AND ABOUIATI" LONGITUDINAL DEVICES 6 9/2/03 r.,sweofax ow PIER HEIGHTS 7 9/2/03 C1iDT� AND SCAN SET-UP INSTRUCTIONS 8 9/2/03 d= FOOTER SIZES BP _ NoAnnwg &ph= WIND ZONE I - SINGLE 9 9/2/03 - DOUBLE 10 9/2/03" - TRIPLE 11 9/2/03 -HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03, ��QRQFEssr�,�9 IKE M. �< <F2 0 - TRIPLE 15 9/2/03 No, 602 45 * �cl&+ V -DRIVE & PIER SYSTEMS 16 9/2/03 �'�FOCIVIL'\P SOIL CLASSIFICATION 17 . 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST RUILDiNG D�� ®�� EPAR TMF A P P R 0, V r N 00 L co N O M 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 feets 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. �Xlomw_ Page 3 California 9/2/03 Vector Dynamics Foundation Systems Lateral Component Parts List 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 # 59287 - 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 Lector Dynamics Foundation Systems-' Gtor Longitudinal Component, Parts List 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 ® F, # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34% 60" (includes short u -bolts, nuts, washers ,,; ti . • ,. x and 6 self taping screws) Page,5 California 9/2/03 C 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 Combine Vector Dynamics •t. I IC 17raGK61L kG per symum) -rrw--- • •. • -- -- Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I I I I I I I I I I I I I I I I I I I I I I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 Wind Zone I Triple Section Wind Zone I Tag Section 9 48 Ft. Max. California 9/2/03 .L: .I•: •i.l Wind Zone I Tag Section 9 48 Ft. Max. California 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 Maximum 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". �X . Page 7 California 9/2/03 Set -Up Instructions for Vector System #59018 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. (�X<Wu California 9/2/03 Home .Vector Systems Required, Anchors Required Per Side or 24" Pier . 24+" Piers L.S.D. - 3 2 3 2. 73' to 90' 4 .3 4 2 WIND ZONE 1,.SEISMIC ZONE 4 Vector Dynamics Systems Require_ d for Single Section Homes (Materials Required) - _ ' -_ - _ - , ♦ \ • I I \ \ _ uxsy ^t, g �� ' , rt�(/I�d c +fitiir i � h z .n CD 1 r =r 34K m Note: L.S.D.= Longitudinal NOTE: Vector Systems should be spaced as, Stabilization Device '" , symmetrically as possible along the length - n See.Pa a 6. 9 :, . 'of the home. Pier spacing must be °i consistent with home manufacturers' o Soil Classifications: 2, 3,,4A, & 46 instructions and/or state.requirements. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: 30" with 24" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties- ies 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 I ' .......... i Each Vector System requires one of the following: p °--' � EX w .G 1=4x4 or 2-2x4's pressure treated wood compression member; Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) �2 sq. ft. pad CD 1 0 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. 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. O to 40' 2 0 2 WIND ZONE I SEISMIC ZONE 4 3 0 3 67' to 84' 4 0 4 85' to 90' 5 " " 4 - ♦ \` Vector Dynamics Systems Required for - - - " _ - ` I � Double Section Homes `. - ' ' - " " h O me \ (Materials Required) _ - " . _ - p esti n - -� i 2 - - rnPie a ♦ , I ♦ , \ sr�^ n> M . •vtit �.�' may, � _ , ,N% �.�• a. � 5. s >v".>✓�' .. ,.�v" ' 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. 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. O to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' 5 0 4 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) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2 on Tag, 0 2 J 49'to71' 3+2 on Tag .0 2 1 72'to84' 4+2onTag. WIND ZONE I, SEISMIC ZONE 4 -� ' "n\)omeems° ,, • ,` i ,`` 5+ 2 on Tag 0 - - \� 2 Vector Dynamics Systems Required -for \t r V e °tOv , " - ' " " . _ - ' "tt my Seo I .. Triple Section Homes - _ _ _ Ws.9e eta\ sPy0�n9 , - (Materials Required) _ " " Xamp;e : (\ shO sey. ' z .SAV•, ...,.: 23 y ag _ _ \ .. I - , k s \ Mr NOTE: co When a pier height at Vector locations exceeds 46",, an 1 anchor must be used on the outside wall/beam at that.Ta Of = ,•; �h � � � ' r . •approximate location: , _9 _�� ,� full - -triple r, NOTE: Vector.Systems should be spaced:as 9 symmetrically as possible along the length of the home: Pier spacing must be consistent with home Soil Classifications: 2, 3; 4A, & 46 manufacturers' instructions and/or state requirements. ° Soil Bearing Capacity: 1,000 PSF minimum ' — Anchors Required*: None (*Marriage wall anchors may o be required by home manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2 on Tag, 0 2 J 49'to71' 3+2 on Tag .0 2 1 72'to84' 4+2onTag. 0 2 2 85' to 90' 5+ 2 on Tag 0 2 2 ro^ Each Vector System requires one of the following: 2 sq. ft. pad 2 sq. ft. pad - 1-4x4 or 2-2x4's pressure treated wood compression member, „ Schedule 40 PVC Pipe or.1 adjustable steel compression (see parts list) sv CD N co WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) I , Vector Dynamics Systems Required for , , _ - _ " - - ' ; Double Section Homes (High Pier Sets with Diagonal Ties) - ' ' , - - - - n h°me 2� d°�b\e sed,0 , , , ` f a7 - I ` I � 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. WIND ZONE I Max. Height Unit Width See Page 7 cfl OI•Beam (p Spacing ,1 � R2 sq. ft. pad/ 4s• Min. 0 to 48' 2 2 2 49' to 71 3 3 3 72' to 84' 4 4 4 F85'to 90' S 5 4 Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292) 1-1/4" frame tie with connector 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 II (nofto scale) 24" Home Length Vector Systems Required Anchors Equired per side LSD WIND ZONE .II,. SEISMIC ZONE 4 (Hurricane) "- 5 Vector Dynamics Systems Required for 49' to 60' 5 Single Section Homes 2 61" to 72' (High Pier Sets with Diagonal Ties) T 2 Se�t�oio Om en sa` 7 8 - W-,'� 85' to 90' 8 fi a�sP9�n9e°rsa�\at�o�ma h°m EXamPsho S 9eust be to SV cxng anc\ W typ. 2K- CD \�� i "• W\ \ NOTE: 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. , 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 breaking strength. System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. WIND ZONE II (nofto scale) 24" Home Length Vector Systems Required Anchors Equired per side LSD 0 to.48' 3 5 2 49' to 60' 5 6 2 61" to 72' 6 T 2 73' to 84' 7 8 2 85' to 90' 8 9 2 Yii< X. �' ks eactor- o Each Vector System requires one of the following: I amlcs 2 Sq. ft. pad 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) n RL K 0 0 C.0 WIND ZONE II, SEISMIC ZONE 4 - - Vector Dynamics Systems Required for , , - - _ " " oto to �ys a �a� g�ideiines Double Section Homes . - ' _ " " " t d°vOe fO� vectOv man - ' �' NOTE: Vector Systems should be spaced as symmetrically as possible along the length i home. Pier spacing must be consistent with manufacturers' instructions and/or state req Maximum allowable working drag load for tl System with steel compression strut is 4,001 the K2 Engineering test report. aon bearing uapaclry Anchors Required": I,uuu ror Inmunum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length 13'enevO, Vector Systems Required LSD 0to48' 4 0' 15\10 ome Ws9vstbet�h'"-' , 5 '♦`♦ \\ 3 a,\dspacm 9m ,--' ,,-- .-.`♦ 13 \♦\ \\ n '♦`�'� ds Pa-,-'' 4 85' to 90' ♦\ \ tion _,,-' ♦\ — �� 2 n. max. \ I NOTE: Vector Systems should be spaced as symmetrically as possible along the length i home. Pier spacing must be consistent with manufacturers' instructions and/or state req Maximum allowable working drag load for tl System with steel compression strut is 4,001 the K2 Engineering test report. aon bearing uapaclry Anchors Required": I,uuu ror Inmunum 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 0to48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 13 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) n w K 0 0 Iv NOTE:,3•�- When a pier height at Vector locations exceeds 46", an'1§Y�' Anchors Required Per Side anchor must be used on the outside wall/beam at that , WIND ZONE II, SEISMIC ZONE 4 NOTE: Vector Systems should be spaced as - symmetrically as possible along the length of the Vector Dynamics Systems Required for e manufacturers' instructions and/or state requirements. Tag ori• Triple Section Homes full triple �5 hems, ' , ^ �` (Materials Required) Anchors Required": 3/4" x 30" with 4" helix anchor (59095) 171/4" - ' , , \t\ sect�e co , - ' g, fit mU - ♦ - Cie" .. - , ♦ ` a - -� -. Exa Shof,�s .. 1. ,. CUs IT ��,s All i ♦♦♦ ! '� ,_ �� f rye, ♦\� -' -� � ..... _.. n w K 0 0 Iv NOTE:,3•�- When a pier height at Vector locations exceeds 46", an'1§Y�' Anchors Required Per Side 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 4+2 on Tag home. Pier spacing must be consistent with home 3 manufacturers' instructions and/or state requirements. Tag ori• 4+ 3 *on Tag full triple Soil Classifications: 2, 3,4A, & 4B 2 Soil Bearing Capacity: 1,000.PSF minimum 5+3 on Tag Anchors Required": 3/4" x 30" with 4" helix anchor (59095) 171/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required, Anchors Required Per Side LSD Main TAG Oto 48' 3+2 on Tag 4 2 1 49'to71' 4+2 on Tag 6 3 2 72' to 84' 4+ 3 *on Tag 7 3 2 85'to90' 5+3 on Tag 8 3 2 CD Each Vector System requires one of the following: W I 1-4x4 or 2-2x4's pressure treated wood compression member, , ` Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 2 sq. ft. pad 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 -Drive System for rocky soil conditions V -Drive anchors are used only in Zone 1, single section homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. 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 bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. Page 16 California, 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 Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA 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: Footer Size: 1 6x1 6 = 256 sq. in. - 20x20 = 400 sq. in. - or 16x18 = 288 sq. in. or 17x25=425 sq. in. 'a - EQUALS - EQUALS _ 2 -Vector Pads # 59275 - L1 -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 listed above. *Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Ergineer familiar with site conditons <KIM 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 (gals. 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. S. 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 pad for .. concrete Concrete footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt 9/2/03 r Vector Dynamics System for Concrete Applications Instructions 9. Put a washer an&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. Illustration T Inside Tie Brackel Compressii boards oi PVC Pipe U -bolt Page 19 Vector pad for concrete Concrete footer California 9/2/03 a r PRE—INSPECTION REPORT BUILDING INSPECTOR'S REPORT . Building Description: Commercial/Usage: Residential # of Units: Currently Occupied ( ) Yes Abandoned/Vacant: Electric: Electric Currently ( ) On Condition of Electric Gas: ( ) No ( ) Off Currently ( ) On ( ) Off Condition Sanitation: Plumbing Worldng ( ) Yes () No } Obvious Sewage Problems ( ) Yes ( ) No ACTION RECOMMENDED: ISSUE () Yes Hold for permits or verify: Inspector: Mobile home # of Units: ( ) No 1, _ Date: i' 6 .a: /amu >r rF BUTTE COUNTY o O DEPARTMENT OF DEVELOPMENT SERVICES O ° BUILDING PERMIT APPLICATION o o AND SUBMITTAL REQUIREMENTS _ 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 CQII Id A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" 9 -1 _ 7- ss APPLICA NAME OWNER Name � /7llG � •�% / Last Namen C✓ 150,y J irst Name I % G� liml Fax Address Mt�, n, C eX 96e, City�� •� E -mail State Lic. #� Zip Phone Fax ` E-mail APPLICA NAME CONTRACTOR Name � /7llG � •�% / Address 150,y J City t_Y-� a Fax State Zip 9592 7 Phone % S2, 7 Fax Sr w e - E -mail E-mail Lic. #� Class ? APPLICA NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State license Number APPLICA NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE For office u , e only: Zoning Pro a Address Flood Zone Cross Street SRA I Yes I No Occ. Type Const Subdivision Name Map Book PageT�7 Planner Date Approved: PERMIT NO. 1 3' LOCATION Pro a Address City Cross Street 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 VvtK rUK bUkSPll I IAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 i Description or Sco e of Work e, Sq. Footage L/YD n ❑ 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 eived by: Receipt : T 6 (e � Date! Amount: .21") Bldg SRA 1 Sheriff SMIP i REV 6-16-04 .-f„Ac' P \ �� _ / BI.360-15W5 i PERMI #98-5 lliam 8899 Palermo �: flle wy,Orovi Ag Ex: it Stalls BdjzR Area r P ;*P,-" ARMOND D NEWCOMBrwv-.73/4: _Palermo=Honcu`t`mi: S: t Y -- of Cox bane, Palermo ..�»ll%3/�,' Permi=t /x.208 -73P -E' (ut itiest for MH) . P,RMONDa NEWCOMBP j x'89 r. Palermo-Honcut R�_�..-��'�' t ., 3/4 S of Cox Lane -CONTR: Acro-Lome..Or 7-7 r�jPermit 1798-74B (rrinc foMH) - c)977-3(oO- SS7 2 Permit /+25.67-80E(new 1ec.serv. MH) - Lle� 0-1;Iontr : S & 'H.-P��Io-ri`�ome---Se-rvice e Permit#48�S�NiHI (exist site) Is sued—{� f- -6 (covered Aeck/MH I j :+ - .c' .l..:d >,141?.x__: •+" .. .. - _�._.+.: _.. L:�iii,.'�; �.:w.�;'i""-r_�a. _ _,_ �. ;'.s::-_ .� - .....� .. "-mac•-z-:- ,. ..-.•a'.; 4I 07/28/04 12:21 MID VRLLEY TITLE URUUILLE 4 5382140 N0.072. D01 TO WHOM IT MAY. CONCERN & 9-PALERMO-HONCUT HWY. OP-O--VILL-E, EA,' A.P_ NO. 027-360-155 WL -ARE -THE- NEW -LENDER OI4-THE ABOVE-PROPERT-Y DESERIB€D-ASID-WE, HEREBY CONSENT TO THIS MOBILE HOME LOCATED ON THE ABOVE W PROPERTY B-E-FNGPLACEaON-A-PERIv —IAF FOUNDATION-S-YSTEW, , NOVA ST*Ht' INC. t BY DAT ED:04 533 • ��go -- and � -�►� - rLt�GL t E I tt� v s t til k-, Z . / 8 1N ------------ r 07/27/04 17:09 MID VALLEY TITLE OROVILLE 5382140 NO.057 D01 MID VALLEY TITLE ESCROW COMPANY 2219 5 FEATHER- RIVER- BLVD,- -SUITE A, o s7.3 � o • 15 S pROVILLE,.rCA 95965 TELEPHONE 'NUMEER 530-533-6680 ; July 26, 2004 To_ Whom._ _i t_ may. concern Re: 8899 Palermo Honcut Hwy., Palermo, CA Escrow Number 1528322AM Upon successful closing of the above numbered escrow, we will, pay, of f- Crti -Mortgage=Eompa-nX., Sincerely Angie Ma telotto Manag w -r Ir � PERMIT NO. — see 45b7-,PP,,E PERMIT EXPIRES-- XPIRES_ OWNER ARMOND NEWCOMB OWNER CONTR. S'& H Mobile Home Ser, Oroville ASSESSOR PARCEL 27-22-106 LOCATION ES Palermo Honcut Hwy 3/4 mi S ' Cox Lane ,111, 0 I j I Temp. Power Pole Called PG&E Temp. Elec. Service &E Call'edPG.&E ;l Temp. Gvice Cal i JO INALED(Date)— i Signature p ✓ = OK O = Not OK = Not Applicable * Not Ready RESIDENTIAL (Singh and-rDuplex) Date UNDERFLOOR Plans OK exce tll's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemv4alls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes []No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - -- -- 79. Water Well; Disconnect, Electrical, Plumbing Card B -I Card B -I -- -. `Date Card -BI Date Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts: Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. __33. Vent Fan: Exhaust above Insulation Condensate Drain -& Overflow: Size & Grade 86. Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34, 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI J_ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Comments at Final: Date _ FRAMING(Plans) 36. 37. 38. 38. 39. 40. OK except k's Sills; Proper Material &_Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over_Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43.Cing. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. 47. Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) J OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready 11 i ' MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p'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.,—Rig.—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 BILEHOME INSTALLATION (Plans) OK except H's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacin Marriage Line 2. Soils; Compaction—Structure Stability Gas; MH Test—Demand—Valve— onnect0 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Electricity; MH Test—Crossovers reakers— learances 4. Elec.; Receptacles and Lighting; Distances—GFI v Drain; MH Test—Fall—Flex Connecto 5. Elec.; Pool Lighting; 15 volts—GFI Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater . Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9.. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I DateCard-BI Date Card -BI Date Card -BI Date Card B -I Date. —2 and -BI Date Card -BI Date Card -BI Date l�96778"T 8 3 - >q `7 t I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPER .Y AD A routine inspection indicates that the followifig violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 -CORRECTION NOTICE J BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office imrgediately. Inspector - , Date �' CX COUNTY OF BUTTE DEPARTMENT OF PUBLIC WDRKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTI9N NOTICE 0 BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations -of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ellDate Inspecto�c' dc% : r= s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive Y Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 7 ASSESSOR PARCEL NUMBER 27- 2 Z -lo t� ZONING 4_Y. BUILDING'PERMIT OWNERorom Al / TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIN>ADDRESS -Z t1Gx Z 7zi C OJOI,c, CONTRACTOR'S NAME &.-I df `c H 4►cc. H TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER `'&, °1 `P t ' UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS ' Permit Fee $ ARCHITECT OR ENGINEER .) Uu_1 -4 !..— LICENSE NO.- Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS /10 PLUMBING- PERMIT FilingFee! g4;Q0; Each Trap „2.00.` ,3,`&10 Repair drainage or vent piping;2!00 r�y r1 Water piping LOT NO.SUBDIVISION NAME • � PARCEL MAP Each qas water heater or vent • 2.00 Gas piping system 1 - 5 outlets'0 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Add ition❑ Remodel E] Utilities ❑ , Installation Other 0 Describe work: .2`,/oc� �• �m.vy. n w — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee JCq.0GJ Main service LESS °.o AM11 P SLESS io OR 5.00 Cr, Vt.+ Main service EA; ADD'L too AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC, BL -.DGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlness and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑K 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 CONSTR. LTI-OUTI.LET 2,50 ea NO N•R ESID BRANCH CC ITS NEW CONSTR.,( POWER APPARATUS .& NON.RESI D. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR 'FIXTURES So@� BAL@1L FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 ,47c, Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 I 7 N, I� J�� cte n Z-00 Permit Fee f $ ZZ,s� Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating r Cooling Hood 2.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and;texpenses which may in any way accrue against said County in consequence of, the granting ofthis permit. ��`�� Date Signature of Applica t — Owner© Contractor EI] 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 $ Land Development Fee $ TOTAL PERMIT FEE $ e7 Sib OCCUP. GROUP I TYPE OF CONST, I PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. %Y I Kau PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �' Y_eo Receipt No. Z 7 -9, 0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT R CIO, 13,o 577 v G MOBILEHOME, INSTALLATION INSPECTION CHECK LIST 1.- Is the mobilehom& located with required separation from lot lines.and buildings and generally conform to plot plan? Yes_ No - 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes— No_ 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6.. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50*lbs. air test? Yes_ No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7.' Wastes and Drains A. Is connection made with Schedule 40'DWV and have flex connectors at each end? Yes_ No_ B. Does it have minimum'4" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of'water'through each fixture including washing machine.standpipe? Yes— No D. If coach is not State of California approved, does station have required trap and vent? -Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1, Open all applianceconnector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz,) calibrated in tenth pound increments. Test for 10 min, without drop, 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No. 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehomd*(must equal rating of mobilehome with a minimum of 100 amp) and other fac'i:lities on lot, i.e., water pumps, garage, cabana, etc.? Yes No. B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes_ No D. Is continuity test satisfactory as -per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor., 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved fo'r energizing, 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle A� Length_ Width R Vehicle Serial No. State Identification No, Additional Information or Comments: COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville-- --534-4541 ELECTRICAL INFORMATION FOR DE-RATING MOBILEHOMES Owner Location S /' LeU Mobilehome Installation' Permit. No. %r FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width x Box Length x 3 =� R. 2.2 Kitchen Appliance Circuits = 3,000 3. 1 Laundry Circuit ... ....... = 1,500 4. Ovens ...... .................... .. ..... 5. Cook Stove Top .............................. _ 6. Hot Water Heater 7. Dishwasher & Disposal ........................... 8.. Clothes Dryer................................. 9. Other (specify, i.e., motors, exhaust fans, etc.) Sub-total - Watts ..... First 10,000 watts @,100%.......................... ...... = 10,000 RemainingZq J watts @ 40% .......... 10. Air Conditioner watts @100'/a:. ) �1 Lar es Demand = Central.Heat System C/watts @ 65%.. ) r TOTAL DEMAND WATTS REQUIRED ............. ... c27 IS ' "Demand Watts Required" - 230 ............ = AMPS De-rate Mobilehome to .... ............... ...... AMPS f a s 4� i �i 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 California Administrative Code, Title 259 Cha�pPter 5, under permit number L1 %� P—S�7�1 for the following location: 5 Owner !1 r , ,_w .. --� I 1 i/.c: ► i 14f "021 l' Owner's Address - t�V '17� �� Mobilehome Mfg. Model 1 Years Insignia No. ff'•G7 rw-L c - / �, 7�! Serial No. ` ? It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works � � s Date ''� 4 _ � By 0 A— THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - O.P.W. v COUNTY OF Bl4TTE �, DEPARTMENT OF .PUBLI>IA. O S ERMIT NO 7 County Center Drive - Oroville, California 95965 - T,lephone 34-4541 rA-7141 APPLICATION AND PERMIT M , IL -A 1 -k ASS EPSs R PARCEL NUMBER ZON G^ --3 PERMI Veck� OWNER ' u Cl . k. -16b, cwt TELEPHONE SO. FT. OCC. BUILDING VALUATION O S MAILING ADDRESS Z 'AM �, O`NSft CTO S "Ra c/ - Ra' i f -el 'Pi �� TELEPHONE - s CON ATOR'S MAILD REZ,910 VS 7�3 CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ - LENDER'S MAILING ADDRESS - Permit Fee - if $ ARCHITECT OR ENGINEER A � /ted W LICEN SE NO. an eckin Fe $ CiC% enalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ GC) BUILDING ADDRESS -- S L 0144CV v u. PLUMBING PERMIT Filing Fee 3.00 i i �� Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qaS water heater Or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Building sewer Lawn sprinkler system 2.00 I TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ InstallationX Other ❑ Describe work: & S SP _ �Q , / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 V OR LES Main service 1°D°o AMP ORS SLESS 5.00 ' Main service EA. ADD -1-100 AMP 2.50 NEW CONST.DWELING OR ADDNS. l ACCLBLDGS.CCUPM 20sgft CONTRACTORS LICENSE LAW- I declare under penalty of perjury (check one):' ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in ,full force and effect.. License No. 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 CON5TR ULT ' -OUTLET 2,50 ea NON- RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES BAL@1 BAL�1o¢ FIXED APP LNS, OR -Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject �i 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 3.00 Heating Cooling Hood 2.00 Ventilation FF .Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs and expenses which may in any way accrue Inst said County in conseque a of the granting of this per it. �� X Date o Signature of Appli ant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in/height. Mobile Home Installation Fee $ Qa COC) Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST, PARCEL PD H.ti/SUE This permit is hereby issued under sions of the Butte County Code and/or work, indicated above for which DIRECT OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / /23 JVQ //�� r33 Receipt No. --i 3 S, Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK- INSPECTOR, GOLDENROD-APPL I CANT P COUNTY OF BUTTE - Deparim6nt bf Public Works 7 County Cehte"r brive, Oroville,.CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and m terials for construction of the proposed property improvement (yes or no) . 5 2. I (have/have not)- o,fJ` signed an application for a building permit for the proposed work. r 3. I have contracted with the following person (firm) to provide the proposed construction: Name QiaS Addres y _ City. Phone ContractoAs License No. TIIZ 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 Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name . Address. Phone Type of Work S igned : Pro- Soc "Dat NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. MOBILEHOME SUPPbRT DATA ��. if other than single wide, Mobilehome Mfr. �y �i% .. furnish Setup Model No. Ye$r/?7f Width(ft.) Box Length ?1 (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 ,,( 1. Wood either. (ft.)(in; Center support locations* (ft.)(in.•) (ft.).(in.) (ft.)(in.) (ft.)I (in.) I *If center piers are other than drawn above, __draw_ in -locations,_ spacing, and dimensions... pressure treated or foundation grade. [:],2. Other (specify) Supports (check one) Concrete block.' 2; Other (specify) —Tagalong or Expando,' show support details. -- Typical Support .) Footing Size (ft.)(in.) -Max.. Pier Spacing -- Max. Overhang BUTM UR.h. RUILDINO DEPARTMEN • fTA,'1� iae/�'�J� BUTTE COUNTY 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name :�,r L IS 2. Installer's name: S A-M'J�L� 3. Is the site currently under permit? Yes LG/- No (If yes, furnish permit number. 46 �9O 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 / C./-- No ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? <54 e) Amps 6. What is the mobilehome site service rating? ---------------------'-e Amps 7.. r What is'the mobilehome site circuit breaker rating? ------------- 2-® Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ---------------- ------------ Natural 11. What is the gas pipe length from meter or t e mobilehome? 12. What is the mobilehome gas demand?----------------------------- (This information not required if pipe length less than 6/ft. on natural gas . or,less than 50 ft. on LPG.) (BTU) COUNTY OF BUP�'TE - DEPARTMENT OF PUBLIC WORKS 7 County Centel Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT O� 1 ASSESSOR PARCEL NUMBER Z7` Z Z —10 (� ZO ING 3 BUILDING IT OWNER ti cev a cew j6 TELEPHONE SQ. FT. OCC. BUILDING VALUATION rLN R'S MAILI DDRESS . L X Z 7 Z/ C 67^0 CONTRACTOR'S NAME �K k K �Ct/ N TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS �-- Permit Fee $ ARCHITECT OR ENGINEER CCA-,& PL 0- LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD ES Y9eC E v PLUMBING PERMIT Filing Fee LgAM ✓Z S Each Trap �: ,a►0 Repair drainage or vent piping ± earo Water piping — LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.0 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remyel Utili es ❑ Installation❑ Other Describe work: � c ►r,yy c e io — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10,OW Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUR.& OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q. I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my licerrse is in full force and effect. 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 CONSTR. MULTI -CUTLET NO N.RES,., RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR ( POWER APPARATUS &� NON-RESID, SINGLE OUTLET CIR. Ex. Occup(o OUTLETS 50 @ 25,rand OR'FIXTURES BAL@10Q A PP LNSOR Ex. Occup.(FIXED A0UTLETS (RESI.D.) EA.) 2.00 ©Q Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 5 W 6z. �O Permit Fee 1 $ Z Z•�� Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I alsoLA e to save, indemnify and k ep harmless the County of Butte against all lies, judgments, costs, and xpenses which may in any way accrue y in consequence o e granting of this permit. Date Signature of Applican — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolitio or construct-CTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ ZZ QP OCCUP. GROUP TYPE of CONST. PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC By PERMIT•EXPIRE Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works r 7 County'Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your nameand bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor -and m terials for construction of the proposed.property improvement (yes or no) 2. I (have /h of ��signed an application for a building permit for the proposed work. 3. I have contracted wit the following person (firm) to provide the proposed construction: Name Address City Phone Contractors 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 Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following' .persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 1 COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner Location S AB feI/ W o Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width x Box Length 14 x 3 2. 2 Kitchen Appliance Circuits ....... = 3,000 3. 1 Laundry Circuit ....... = 1,500 - 4. Ovens .............................:.......... _ 5. Cook Stove Top ............................... _ 6. Hot Water Heater 7. Dishwasher & Disposal ........................ 8. Clothes Dryer ................................. _ s\ 00D .9. Other (specify, i.e., motors, exhaust fans, etc.) Sub -total - Watts ..... First 10,000 watts @ 100% ................................ = 10,000 Remaining d P�( watts @ 40% ....................... = 10. Air Conditioner watts @100%:. _ Lar es Demand Central Heat System ZL watts @ 65%.. _ ) TOTAL DEMAND WATTS REQUIRED c7� l "Demand Watts Required" - 230 ....... ............ = AMPS De -rate Mobilehome to ............ ..... AMPS of,.fl COUNTY -OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: WILLIAM J.C. BRIND.LEY ADDRESS: 8899 PALERMO HONCUT HWY CITY & STATE: OROVILLE, CA 95966 DATE OF CLAIM: 8/26/98 IMPORTANT.• SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES nnl RFVGPcr- cines DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED NOT TO BUILD. (A.P. #027-360-155, BP #98-55AG, RECEIPT #236932, DAIED 5/19/98 OWNER: WILLiAM BRiNDLEY.) TOTAL AMOUNT PAID.....................................$60.00 RETAIN REFUND PROCESSING FEE .......................-$25'.00 TOTAL AMOUNT TO BE RETAINED .......................... $25.00 TOTAL AMOUNT TO BE REFUNDED...........................$35.00 TOTAL $35.()0 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this 25TH day of AUGUS'B'9--98 at OROVILLE , Calif.- & A2'ev \4 Signature of C mant I, the undersigned, hereby certify that, to the best of my knowledge, the services oicles specified abo ve b en performed or delivered and that there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for e. Dated this 26TH day of AUG., 1g 9$ at OROVILLE Calif. D partment Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE 60M CONSTRUCTION PERMITS FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. y FOR BUILDING DIVISION USE: Receipt Information: ! •+ • ',,Number: Y , 4�� y Date: Issued To: 1 ._LVh h d fee/ Amount: Fees Retained: t� ^ Processing Fee: $ �S�' l Bldg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ .. 3 SRA Fee: $ Total Amount Retained $ TOTAL REFUND DUE $ ��- G c CLAIMANT'S NAME MAILING ADDRESS ' ASSESSOR PARCEL #: RECEIPT NUMBER(S) REFUND CLAIM APPLICATION SS- Request a refund of fees paid on the mreceipt recept number(s) for the following reasons: / \ — - en /_ -- __. A Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) ( ) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees ( ) Please mail plans to me at above address. ( ) . Please dispose of plans. A, _. / SIGNATURE _ Com' t DATE �- � /v PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM. FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. BUILDING DIVISION ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVIL'LE, CALIFORNIA 95965 — TELEPHONE: (916) 538-754' AGRICULTURAL BUILDING EXEMPTION PERMIT / PER NO. 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. ASSESSORP CEL - lS ,5� ZONING OWNER PHONE NO. ` 1 I'✓) OWNE flSS �©� n c ,^ LOC TIONO BUILD G le r r✓ USE OF BUILDING SIZE OF STRUCTURE ' rSQ. X _ _/ /)/�� FT. TYPE OF CONSTRUCTION: WOOD FRAME —X�— STEEL CONCRETE OTHER (Specify) TYPE OF SIDING "v © R I COVERING FLOOR TYP ►^ ESTIMATED COQ F OF C�• OONNZTRUCTION $ C AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows:{ + _ , _ S✓ FRONT 4*44- SIDES _ 'Zd AV4 - REAR "'o 4'''` 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. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above 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. Dat%/(, /�% - �_ Signature of Owner Permit Fee/S60.00 The above described AG Building is exempt from a building permit_ Receipt No. Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date .dEMM". k"s �' . q{ Wil. � +r .. _.a,. s. ,. 1 , - n. �.,., r �* � _. . , s . � •,� ,. � „ COUNTY OF BUTTE'- DEPARTMENT OF DEiELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: �(/ /� Ca ASSESSOR PARCEL NUMBER: _ �S Proposed Building Use: Building Inspector: Date: r At t/All f permit application, I advised t following data must be aubm' ed prior to,permit processing and/or i8864=e: ---------------- Date Received By items have been submitted .-------------------------------------------------------------- ----- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. 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! ------------------ El 6. Energy Design Compliance and supporting documentation. ---- ------------------------------------------------ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. - ----------------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 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. � and plot plan approval (inn . Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑/17. Planning approval for (A) Use: (B) Parking: -------------------------- ®18. Contact Land Development about ❑ Improvements, ❑ Drainage, Nhegal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑ 20. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- -------------- E122. Workers' Compensation carrier and policy number. -----------------------------------------_----------------- ❑23'. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------- 024. ------------------------------------ ❑24. 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 $ .--------------- 030. -------------- ❑30. Other: When you issue the permit, process as follows,AMail to owner, ❑Mail to contractor ❑Telephone and hold for pickup at / office. 11Deliver with inspector. p 1 Applic �• Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution 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: t 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, ❑ 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. LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. " �S A� OWNERS1'��' NUMBER: ()a -I — NAME PRINT LAST NAME FIRST n COUNTY ZONING /� DESIGNATION: A FLOOD ZONE: X FLOOD MAP: � APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: V/OLA?'/o A/ /�/t FA• PARCEL CREATION BY DEEDS OR MAP 27- 2z- DEED INFORMATION: / DATE OF CREATION: 81 �I �} DEED REFERENCE: 2979 Oe /4S LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: 'YES ~"' NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES N0 COMMENTWCONDITIONS: F��`"''�•"`— _ — �•� lU%CT Gv�z�c� � � i7'.c� � 2oi��/(� ��D� i2�'ME�%rs •� .. . MAP INFORMATION: DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: Zc. A. Construct road to B. Meet parcel size required by zone. 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. 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) ,` fl 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-35.5-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the PAwmAng 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 11 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. AIG ine i0,UNNO 66611ZAVW ®3,�1333H LD 7196 C:\WP51 \FORMS. K\BLDGPERM.CLR Envi3Onmt� metal Health LAND DEVnLOPMENT MAY 998 BUILDING /ENVIRONMENTAL HEALTH -PERMIT CLEARANGyk g,pvl Permit%. �� 1 1 O v ::I!Gr i nve Orovi�lle, Ca OWNERS rl NUMBER: �� NAME: MNT LAST NAME FIRST COUNTY ZONING ��\\� ' ' DESIGNATION: - T-T� FLOOD ZONE: FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: V1OCA'r10W A2 r,4 PARCEL CREATION BY DEEDS OR MAP 2 7. 2 z - DEED INFORMATION: DATE OF CREATION: 817,� DEED REFERENCE: Z 9.7 145 LEGAL ACCESS PROVIDED: _� YES NO LEGAL ACCESS REQUIRED: -YES*' NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES N0 COMMENTS/CONDITIONS: �'"''—•` -—P-�•�— %V%Cf Gv>ZJzcM r' 6= L:) Zoi��•,lC� ,��fJti 2 tij��lli"S°°' MAP INFORMATION: DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road toB. Meet parcel size required by zone. Zc. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NO DMS/ON UNLESS OTHERW/SENOTED. 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. 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 916-35.5-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Pl4a m*W Dives 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. 4A 20. If any cultural resources are encountered duringground 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. . A131108dO utlnoo 8661 ` Z AN (13AI333H LD 7/96 c:\wM I \FORMS. K\BLDGPERM.CLR COUNTY OF BUTTE - DEP kRTN ENT OF DEVELOPMENT SERVICES, BUELDING DIVISION 7 County Center Drive, oroville CA 95965 Phone: 916-538-7541 WILLIAM BRINDLEY 8899 PALERMO HONCUT HWY OROVILLE, CA 95966 RE: AG EXEMPT PERMIT #98-55AG A.P. # 027-360-155 with reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: 5/28/98 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: "Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer•of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: MEET THE CURRENT ENVIRONMENTAL HEALTH DEPARTMENT AND ZONING REQUIREMENTS. PLEASE CONTACT PHI T CONCERNING PARCEL SIZE IN THE LAND DEVELOPMEN1 SECITUN OF PTJBt!C WORKS AT 528-796A AND THF ENVIRONMENTAL HEALTH DEPARTMENT AT 538-7281 FOR THEIR REQUIRMbNES. Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office._ / o's� very tai y, /. Mibel C./ Vieira, C.B.O. MCV:ahb Man ger, guilding Inspection PERMIT NO. 227-83B PERMIT EXPIRES -� OWNER ARMOND NEWCOMB Y CONTR. owner ASSESSOR PARCEL 27-22106 r LOCATION 8899 Palermo Honcut Hwy, Oroville 'a i i. 1, x. ix s� is y Temp. Power Pole Called PG&E d ( Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E i r� c JOB FINALED (Dat.<- Signature J = OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Date DECK�VERS, CARPORTS, ETC.. (Plans) OK except N's Zoning Requirements—Setbacks—Easements 2. Soils: Special MH Support—Sketch _ otings; Size—De ih—Spacing—Connectors _ 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Gi and/or Joists—Deckin-Brac'ng—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) grWoO n.; Po ea i —C ne Shthg.—Rracing_ 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 Card -BI Date qAr4BI _ Date ^ --W Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except rs 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Foot i ngs;.S i ze—Spac i ng—Marr i age Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test-Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 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 Y = OK = No(00 = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on.Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel .54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. 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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.: Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection - 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 62. Stairs & Rails _ _19_. 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date - 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Flee. Receptacles Spacing -Lights &Switches at Doors 22_ Size Boxes & No. of Conductors -Stapled 70. 71. 72. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑Yes73. - 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 Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral !]Yes ❑No 75• Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet __- 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - ------ - 79. Water Well; Disconnect, Electrical, Plumbing Card B -I ___ Date_ Card -BI Oate 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date _ MECHANICAL (Perrr,it) OK except #'s 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fait; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain _& Overilow; Size & Grade 34. _Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date -_- D_ate___ Card -BI Date D ate Card -BI Date FRAMING(Plans) OK except #'s Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -81 Date Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing____ - Draft Stop in Walls (rat proof) 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header &_Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-lS rltn-Roof '13rac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. 47. Attic Access: Size &_Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS •' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. "_./A''�-1_� Date Inspector X COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 959E5 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASS ESSO FSP ^CEL _N=MBFS Fj. ZONING BUILDING PERMIT W&OND � �Me =� SO. FT. OCC. BUILDING VALUA �)ON Cil/ OygR'S MAIL IN ADDRESS —h4N ^l/// -/u/ 7— M406 L/=�• CONTRACTOR'S NAME TELEPHONE (' '- CONTRACTOR'S MAILING ADDRES Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING A RESS Permit Fee $ , © c7 ARCHITECT OR ENG( LICENSE NO. Plan Checking Fee $ S�Ob Penalty $ ARCHITECT OR EN INEER'S MAILING ADDRESS Permit fee $ /, JI -/ BUILj11 tJ,G D RESS a7 PLUMBING PERMIT PLUMBING Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE Building sewer 5.00 SF [:]Duplex ❑ Mobi lehome Other Mobi le Home S G I W 10.00 e SPECIFY TYPE OF WORK Permit Fee $ New ❑ Addition Remodel [:1Utilities ❑ Installation❑ Other ❑ Contractor Describe work: �� '� 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 NEW CONST. / DWELLING OCCUP.&) OR ADDNS, l ACC. BLDGS. 2y2QSgft CONTRACTORS LICENSE LAW NEW CONSTR MULTI -OUT NON•RESID BRANCH CIRC ITS 2.50 ea I declare under penalty of perjury (check one): NEW CONSTR. /POWER NON -R ESID. (SINGLE OUTLET CIR. APPARATUS &) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business Ex. Occu TS OR FIXTURES S P�o X30Q and Professions Code and m license is in full force and effect. y FIXEDD APP LNS. OR BAL@L® License No. Classification Ex. OCCUp. OUTLETS (RESID.) EA.1 2.00 I, as the owner, or my employees with wages as their sole compen- Temporary service 10.00 sation, will do the work,and the structure is not intended or offered i Mobile Home Facilities 15.00 for sale. (Sec. 7044) Misc. Wiring 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code f Permit Fee $ for this reason Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Heating ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department Cooling a Certificate of Workmen's Compensation Insurance or a Certificate Hood 3.00 of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Ventilation to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ o I also agree to save, indemnify and keep harmless the County of Butte against liabilities, occuP. GROUP TYPE of C NST. PARC€L PDi HD 5su� all judgments, costs, and expenses which may in any way accrue I ainst sai C unty in conseq nce of the granting of this permit. This permit is hereby issued under the applicable provi- M� Date sions of the Butte County Code and/or resolutions to do Signature of Applic nt — Owner 21 Contractor ❑ Agent work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRE C R OF PUBLIC WORKS ion of structures over3/storiesin height. By Date6 �� Receipt No.��(f/l7 P IT EXPIRES Date WHITE-D.P.W.. YELLOW -ASSESS R, PINK -INSPECTOR. GOLDENROD -APPLICANT 'This set -Of plans and sp e il:ications M�+' r„ kM4, , on ob at a:i ��..�,:• and it is unlawful on same without r ,.ha pepartm2nt of Pu rr�ttc;� crom �. ytc Wort4s, County of Butte. Be in \�`�.r: �, �,,; c;-,;r�•�ens i 1. ractices i E:-- Good 4;i, Rccccs;;�zed c r.,�d use int the k�eci, i.,:_,, Ecr .Code, of quaky pre6cr� .. 6.uild�ng Lode, U.nilom Plumb'ng Un form irical God®•. }� ationo� f<d� 1eg-het-ack .shall be 5 ft. ro the side property line and 50 ft. from the cede; ine of the road, permitting a rn,xirru,rn Of a ? ftfa��Rr1Sa� ..} X Vie:' /f c<;.✓� ua X i i.l c7- 11 -1c a t � BUTTE.000NTY Awner: Armand Ncvcomb BUILDING DEPARTAAE�'- A.P. No 027-22-0-106-0 Adress; Rt. 2, Box 2721-14' APPROVE O 2 IZI X 0 w 0 CL C) C a � s a Q. rb O� O �A 0 w 0 CL BUTTE COUNTY DEPARTMENT OF PUBLIC . SPECIAL INSPECTEON REPORT WORKS ' J :i Owner: A.P. (k� Address':t�`�� Date of Inspec Tenant: Inspector— nspectorBuilding Buil d ingLocation: p , Type of Inspection requested: z - . T% 1. Housing. /7'2. Financing L,1 3. Change of Occupancy to Zr'4. Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: ` 2. Lavatory: 3. Bathtub or shower: ' 4. Kitchen sink: 5. Hot and cold water to fixtures: . 6. Heating' facilities:.. 7. Natural light and ventilation: 8. Room and space requirements: 9.. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: .11. Connectior,to sewage disposal: 12. Connection to water' •supply: ' 13. Rubbish and garbage facilities: 14. .Cc= ents: B. Structural 1. Piers and footings: 2. Floor construction: 30Wall construction: 4. Ceiling and'roof construction: 5. Fireplaces:: 6. Comments: C. Electrical. 1. Service a -id ground:w 2. Receptac' es: ' 3. Fusing: 4. Comments: D. Plumbing , 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments E. Other 1 . Maintenance and repair: 2.' Fire hazards:.' 3. Safety hazards: Weatl!er protection, 5. Underfloor and attic ventilation: 6, "'Coi,wents- F. Connercial Buildings 1. Roof covering:_ -:2 -."' DistanceDistanceto property lines: 3. Physically -handicapped: 4. Rest-dom floors and walls: 5. Exits: 7. Zoning:* 8. Comment G. Field Problezi� or Violatiorxs 1. Pr 'Alcm or .riolation(giv complete description): What.action taken (Sive c�nipiete -Jescriptioij): -3.1- What action recommended: A.-'-Inf on.-,iat ion only Hold for tco (10) days, then wri-e Letter. C. Write letter. 77 D. Other: -r "'PERMIT NO. 1798-74B P E M !MH UTIL. PERMIT NO. ( PERMIT EXPIRES %r OWNER Armand Newcomb CONTR. Acro—Lume, Oro. LOCATION (A.P. 27-22-106 ) 'E/S Palermo-Honcut Rd., 3/4 mi. S. of Cox Lane ti I Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E JOBS 02�� FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback 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 & Test Temp. Gas Slab Final — Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing �z, — 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 DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 0 S 7 County e - Center Driv,, OroviIIe, California 95965 r Telephony.: 534-4541 APPLICATION AND PERMIT authorlce representatives of the County or Butte to enter upon the above mentioned pr erty for inspection purposes. Date Signature ermitee or 19ent Receipt No. — /ZI-2_ ! _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Gofdenrod-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. DIRECTOR 0 PUBLIC WORKS BY Date : 17# N CbUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOFMS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION Ak7D PERMIT Signature of Permitee or Agent , Receipt No. /11/-2 Cl i White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant i e By 1 Date 1 7 7 " BUILDING Owner /� J J. SQ. FT. OCC. BUILDING VALUATION Mailing Address ;,� 7 17 Telephone No. Fireplace Contractor V,�+� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address , w `!/"" r PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ` X . l .e", ,+ C .,T G� it .� .c i �J Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 t y A. P. No. — ./��/ /4 Zo7ning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees' W:C. `Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 �. EQA Parkingy Plans Parcel Declaration Parcel Ma p 60' R/W rovements Improvements p Lawn sprinkler system 2.00 �::::1 L Bldg; -Plans Recd i Parcel Approval Plans Approval Permit Fee $ /?. �' $ NEW ❑ ADDITION ❑ UTILITIES 0' OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Q" Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2U aio Receps., switches & fix outlets 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. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp.or D.W. 1.00 Air conditioner or heat pump Water pump 17 X/, - / Mobil 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 $ 7 ;� $ , 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. 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. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ �� S ` This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Signature of Permitee or Agent , Receipt No. /11/-2 Cl i White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant i e By 1 Date 1 7 7 " COUNTY OF BUTTE --DEPARTMENT OF PUBLIC WOR `Ate / ` 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 Q APpOCATION AND PERMIT I !� Receipt No. � , -IV White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Dafe/z - 7— 7 BUILDING Owner G®�� SQ. FT. OCC. BUILDING VALUATION Mailing Address 13V IV/celeST Telephone No. 20 07 Fireplace Contractor r Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 !v 1( O LEach Trap 1.50 Pat C Repair drainage or vent piping 1.50 Water piping 1.50 v Each gas water heater or vent 1.50 A. P. No. — — 3 A Zon g ^g Gas piping system 1 - 5 outlets 1.50 S� Each additional outlet .30 Fe a Fire Dept. FireZone Use Permit Building sewer 5.00 �,40 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 9+41; Plans Recd Parcel Approval Plans Appro4+ Permit Fee $Alz,4,Cd D G NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter o0 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2' Flo Receps., switches & fix outlets b 1010 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. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump j O 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 $ G 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 WI�orkmen's Compensation Insurance. 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 @ FEEPERMIT 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. q X Date ;1 Signature of Permitee or Agent TOTAL PERMIT FEE $ S 2 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By I !� Receipt No. � , -IV White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Dafe/z - 7— 7 S _.....,....._.v.,..,._. ..__......... _ . _-_ ......�_.... _ � .. _....�.�,. _.. �_...._. .... ..... _._.. O'd L { r�� 40- gA ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION NOT PLAN CHECKED ) 8 H A L- 6 G 9 'Y 11 7: 14 1,°+`0 -Cgnlf��N OF NEC, UIVIC AND UPC. NOTE: See the attached 1 --onstructiot Epquirements 2 Pages Zoq3 r4 BU17E COUNF, NUILDING DEPARTA, A P.P R 0 V ff � �-� � � - �s�� _^. ��t_ ...