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028-078-003
TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance B.H. USE ONL Plot Phan Athched j Moor Plan Attached Seat to B.D. Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Priv e Well Clearance for bedroom mobile home. Other % d N I J 6,X Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 Date r —_Oji -ED -Butte .,ea th Date Signature v 7 r -h rl (4 osi o0 2 r —_Oji -ED -Butte .,ea th Date Signature 7 r -h rl (4 r —_Oji -ED -Butte .,ea th Date Signature 7 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 R IT NO. (Rev. 12/96) 'APPLICATIONAND PERMIT rP� ASSESSOR PARCEL NUMBER 028-078-003 1AT?_1 ZONING BUILDING PERMIT OWNER JACKS MEDIHONE SO. FT. OCC. BUILDING VALUATION 758 U 13 824.00 .OWNERS MAILING ADD ESS - 23 WASHBOARD LN. OROVITIR, CA 0,9966 CONTRACTOR'NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 13 824.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $153.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 99.45 BUILDING ADDRESS 23 WASHBOARD T Energy Plan Checking Fee $ $ PERMIT FEE $ 272,45 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW G?RAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '..A OR LESS 23.00 23..00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �L Date ��' V� nature of Applicant - Owner ❑ Contractor ❑ AggntT n OSHA permit is requir or excavations over 5'0"deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP, 3.5¢FT. R. OR ADONS. ( & ACC. BLDS. 6 , 88 NO" WROESID. T. MULTI -OUTLET 97.50 APPARATUS 8 SINGLE OUTLET CR. E X. Occup. OUTLEr OR FIXTURES 20 @ ''000 BA ( .0 Ex. Occup. oiTTIFrs�R IESIES OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S. 59,88 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TO AL FEE $ '42. 3 ES , co p HD 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. By Aff)a;irqDate//``Z Dz' PERMIT EXPIRES ON 4 eu I 06-t-) Receipt No. 353221 5342.33 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W1 COUNTY OF BUTTE - DEPARTMENT.OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 M No. ;. Rev. t2/96) APPLICATIONANDPERMIT �'0____ ASSES SOR PARCEL NUMBER /� /\ C"' j�C ,...` �� ZONING BUILDING PERMIT OWNER VPI lxJ1- lI 7V` V TES' SO. FT. OCC. BUILDING VALUATION OWNERS WM 00e. ADDRESS CONTRACTOR'S LOtITRACTOR'S MARINO ADDRESS CONSTRUCTION LENDER LENDER S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LAT NO. I SUBDIVISIONS NAME L�roY A 9S9 MEPHONE CENSE NO. PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome\dQ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel 0 Utilities ❑ Installation ❑ Other -A Describe Work: /AQnYQ nig 0 = Ix J 11 SO C., SPA *PERAaIT FEE PAIS SRA • SHERIFF OTM i i AM6VW Rio ��3aa •Recem To re wr sntro cow Fireplace 1, 1 1--, PERMIT FEE $ ELECTRICAL PERMIT Total Valuation Is Main Service 200AORlESS 23.00; Fling Fee Permit Fee $ s 20.00 Plan Checking Fee $ FT. , NEYJ CONS -r: NON REslo. Energy Plan Checking Fee $ ^ PERMIT FEE S OUTLET OR FDRVRES) 20 1.500 BAL . -----_PLUMBING PERMIT o.TT :'(RREs o.oFR.A 1 Filing Fee 20.00 Each Te -P-1– Mobile Home Facilities 7.001 Misc. Wiring Solar or heat um w ter heater 23.001 23.00 Water piping 15.001 Each gas water heater or vent 15.00! Gas piping System 1 - 5 outlets 5.00 Building sewer Mobile Home I S I G I W @20.00! PERMIT FEE $ V ) ' U U MECHANICAL PERMIT Filing Fee 1 20.00 Heating Cooling��'\ Hood 6.50 Ventilation PERMIT FEE I S Mobile Home Installation Fee IS Energy Inspection Fee $ DDG CONST. TYPE TOT4L FEE $ J HAZ. I D. FIE$ 1• P F4DOjJ y X ilr)Zilm I This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date ReceiptNo. PERMIT EXPIRES ON WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•APPLICANT J I PERMIT FEE $ ELECTRICAL PERMIT I Filing Fee: 20.00 Main Service 200AORlESS 23.00; Main Service 200A TO IDOOA 46.001 NEW CONST. OR ADDNS. DWELLING OCCUP.�,5`,SOI ( & ACC. BLDS. FT. , NEYJ CONS -r: NON REslo. MULTI.O UiLET @7.50 POWER APPARATUS 8 SINGLE OVTLET CIR. Ex. Occup. OUTLET OR FDRVRES) 20 1.500 BAL . Ex. Occup. o.TT :'(RREs o.oFR.A 1 1 5.00 Temporary Service _ 1 23.001 Mobile Home Facilities 20.001 Misc. Wiring 23.001 PERMIT FEE $ V ) ' U U MECHANICAL PERMIT Filing Fee 1 20.00 Heating Cooling��'\ Hood 6.50 Ventilation PERMIT FEE I S Mobile Home Installation Fee IS Energy Inspection Fee $ DDG CONST. TYPE TOT4L FEE $ J HAZ. I D. FIE$ 1• P F4DOjJ y X ilr)Zilm I This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date ReceiptNo. PERMIT EXPIRES ON WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•APPLICANT J I y`-"'4..�'. �,.Sk. .114�....gr:..1'.;+1"';.k'� v3t�1.-P+c::. a. t.ea•.'�s::!{Ik'�1.:3'�''r�:atwX',l�;T�'�'.. v., ...v..,-,-,,.►.,v..gy.brr<r..+ ..•.,.�rs�. rie-t err. ' •F ri-$„ f . 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: 0 C ASSESSOR PARCEL NUMBE Proposed Building Use: im Counter Technician: Date: I& Q Items required in order to apply for a permit.AI bo tyUST be checked OR ma d NA in order to apply. ::rCl 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. jd 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. IVAE 4. Engineered truss details and layouts in duplicate. No faxes! C 1% 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have,not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By Itl 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... �D 11. Detached Accessory Building Form filled out by the owner..........:`..... ..................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) /VY 14. Fees as shown on the attached Schedule of Fees Due Sheet ................... f.............:..... 15. Statement of Intent for Non -heated and A/C Buildings, ........................ 16. Sanitation and plot plan approval from the Environmental Health De artment in 7 ity of Chico Plumbing permit ......................................... . *lifornia Department of Forestry plan approval '❑ paid. Sent by: ❑.v............ anning approval for (A) Use: �_(B)Parking: (C) Parcel Check: 0.Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ...... ........:.............. ................ ZO 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement: ................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone F I have bee formed,' o r Applicant: and hold for pickup. the above items and requirements for obtaining a building permit. Date: 7 _ ! 4� -Z- 1. Index p/mit application for the dove items numbered: +14 Plan Check Letter 2. Additional items required ,V�L_ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, . ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: PLO Date: ` -a3'DZ- Plans approved by: iDate: 152 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division y E.H. USE ONLY Plot Plan Attechod Floor Plan Atts had 1 Sana to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �P`rr�5�lpc, �3 I�A��I���,o► cA —b_ —C�� Owner Location AP# Plan Approved for: Sewage Disposals Water Supply: )AA Publ'Private Well Clearance for dwelling. Other Cl�iR(�6LQ ) O 42 WLi1c7n-C Hold final for: Final clearance O.K. for: NOTE: Environments Health Specialist Date 8/96 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES In NO 0 2. I HAVE M HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: 4a.� CI -7-1 SOCIAL SECURITY DATE: -Aal - NOTE. This Owner -Builder Verification is required by Section 19831. and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. IIMrely, el C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner -Builder Info rmaIion is required by Sealon 19810 of the California Health and Safety Coda OVER Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: /� Phone: 3 0-7 Y-7112 Mailing Address Site Address: Assessor's Parcel Number: Off— d 7 F—a 63 Zone: /fig° e�:_ Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes 9 No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes [I No 3. Will items produced in this building be offered for sale? Yes E] No 8 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No 2) SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your font property line? Yes es- 1 No 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No 14. Will this building have a water heater? Yes ❑ No a 15. What type of floor covering will the building have? Chty� 16. What type of wall covering will the building have? q j Xer I)* APA Rali ea S (AiK TI -11 OVER 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. 9 Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is reouired. 3. ❑ Residential Carport — A covered stricture intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed garage, or carport If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop 1 ❑ Home Occupancy 2 ❑ Other — Use = 1. Describe type or Wo&hop 2. Must be approved by the Butte County Planr&4 Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Owner's N Owner's S 2 of 2 NOTE: See the attached - idenwLQQMU9& �Pages t' , L A rA <170 =;PRO the attached Fire mquirGmOft must beamig jm$W as specified and approved by C.D.F. BUTTE COUNTY BU WNG DEPARTMEW. APPROVEQ 112-6 14 A. GENERAL NOTES 1) ALL WORK SHALL CONFORM TO THE CURRENT UBC AND ALL LOCAL CODES/ ORDINANCES. ALL CODES AND STANDARDS SHALL BE THE MOST CURRENT EDITION ON FILE WITH THE LOCAL JURISDICTION. 2) BUILDING IS DESIGNED FOR: ROOF o.) .LIVE LOAD = 30 psf. (u.n.o.) SEE TABLE 1. b.) WIND LOAD = 80 MPH, EXP. C. 3) PROVIDE 6" MIN. SEPARATION BETWEEN EARTH AND WOOD CONSTRUCTION. 4) FROST DEPTH SHALL BE A MINIMUM OF 12" BELOW GRADE, OR PER LOCAL JURISDICTION REQUIREMENT. 5) ANY ATTIC WITH 30" OR MORE HEADROOM REQUIRES A 22" x 30" ACCESS DOOR WITH 30" MINIMUM HEADROOM IN A HALLWAY OR OTHER READILY ACCESSIBLE LOCATION. 6) PROVIDE ATTIC VENTILATION AT 1/150 OF ATTIC AREA, OR 1/300 WHEN PROVIDING 1 PERPENDICULAR VAPOR BARRIER ON WARM SIDE OF INSULATION OR 1/2 OF REQUIREMENT AT LEAST 3' ABOVE EAVE. 7) GFCI PROTECTION IS REQUIRED FOR ALL OUTLETS IN THE GARAGE AND AT ALL EXTERIOR LOCATIONS. 18" MINIMUM HEIGHT ABOVE FLOOR. `B. SI TE WORK 1) BUILDING SITES ARE ASSUMED TO BE FREE DRAINING WITH NO CLAY OR EXPANSIVE SOIL. 2) CALCULATIONS ASSUME STABLE,UNDISTURBED SOIL AND LEVEL OR STEPPED FOOTING. ANY OTHER CONDITIONS SHOULD BE REPORTED TO THE ENGINEER. 3) ALL FOOTINGS SHOULD BEAR ON UNDISTURBED SOIL WITH A MINIMUM FOOTING DEPTH OF 12" BELOW GRADE. AN ALLOWABLE SOIL BEARING PRESSURE OF 1500 PSF IS ASSUMED FOR THIS DESIGN. C. LUMBER/FRAMING 1) ALL LUMBER SHALL BE DOUGLAS FIR LARCH UNLESS NOTED OTHERWISE. 2) GLULAM BEAMS SHALL BE ARCHITECTURAL, STANDARD CAMBER AND FOR SIMPLE SPANS: 24F—V4, AND FOR CONTINUOUS SPANS: 24F—V8. 3) PLYWOOD SHALL CONFORM TO APA PSI -83. SHEAR PLYWOOD SHALL BE C—D (MIN.) OR APPROVED EQUAL. 4) WHERE MULTIPLE TRIMMERS ARE SPECIFIED, THOSE TRIMMERS ARE TO BE STACKED IN ALL WALL FRAMING AND SOLID BLOCKING ® FLOOR LEVEL TO THE FOUNDATION. 5) WHERE A POST WITH A COLUMN CAP OR BEARING PLATE IS SPECIFIED, THE LOAD IS TO BE TRANSFERRED TO THE FOUNDATION BY VERTICAL GRAIN BLOCKING ONLY. 6) FOUNDATION SILLS, NAILERS, AND LEDGERS IN DIRECT CONTACT WITH CONCRETE AND f WITHIN 6" OF GROUND SHALL BE PRESERVATIVE TREATED FOR DFCR X11. 7) ALL 4 x 6 POSTS, COLUMNS, AND HEADERS ARE TO BE DFIf2 OR BETTER, IN ADDITION ALL OTHER 4 x 6 FRAMING MEMBERS TO BE DFf2 OR BETTER. 8) ALL OTHER 2X FRAMING MEMBERS TO BE DF#2 OR BETTER. D. HARDWARE 1) ALL HARDWARE CALLED FOR SHALL BE SIMPSON STRONG -TIE OR EQUAL, INSTALLED PER 4 MANUFACTURER'S SPECIFICATIONS. 2) ALL NAILS SPECIFIED ARE COMMON NAILS. NO SUBSTITUTIONS UNLESS APPROVED IN WRITING BY THE ENGINEER. MINIMUM NAILING MUST CONFORM TO UBC TABLE 25-0. 3) ALL BOLTS SPECIFIED MUST MEET ASTM A307. BOLT HOLES TO BE 1/32" TO 1/16" LARGER THAN SPECIFIED BOLT. WASHERS TO BE USED ® EACH BOLT HEAD & NUT NEXT TO WOOD, NOT LESS THAN STANDARD CUT WASHERS. 12 4 SLOPE_ TOP OF PLA TE i- 1 12 " 0. H. TOP OF SLAB D�QNN-1� SIDE ELEVATION NO SCALE ATTIC VENT �� ♦il•'f /'�lI, I/"t/1 !`I TIl�AI CL/IAI /tel CC' 2 x _ BARGE RAFTER Z- CLIP O.H. 1x4 TRIM (t)'p.) 4' x 8' x 5/8" APA RATED EXT. SIDING T1-11 W/ GROOVES 0 8" o. c. Pre o. c &\- I �'�A wo^- -r n v � ✓/ v — .-. RATED EXT. SIDING TI -11 FRONT ELEVATION w, GROOVES 8" NO SCALE d) .. Q J H � E: W E- L) - U Q N N W (Y x x x x p Qvv4;T a 0ONO cn z w �- W ..WRQ `" Q W Q Q U E- -j z � w � 0 c O Ln Q O W � d z w Q Q a d) .. Q J H � E: W E- L) - U Q N N W (Y x x x x p Qvv4;T a 0ONO cn z �m �- W ..WRQ W � Z w 73 E- -j C7W��Q.. z>Wz a�zq W(YUo A LL CADD NAME: 2432SHTI DRA111NG A 1 OF 4 �m CADD NAME: 2432SHTI DRA111NG A 1 OF 4 TABLE 1 3n lh Snnw I and 40 lb. Snow Load 50 lb. Snow Load C 3 GLULAM BEAM HEADER I: 0 6030 SLIDER WINDOW r- 12" OVERHANG � z *Ceiling Joists 2 x 10 0 24" ox.Dfil 2 x 10 Q 24 " o. c. 2 x 10 0 24" o. c. Nlop ll/" ec, DF ?tZ- *Rofters x 8 (9 24" o. c. 2 x 8 (9 24 " o. c. 2 x 10 0 24" o. c. z z Joist to Rafter nailing 16 °- 16d 21 - 16d-- 26 - 16d H W U 4 N N Ride Board 2" x 10" 2" x 10" 2" x 12" H =3LL � � **Garo e Heoder Size 3-1 8 x 1J-112" GLB 3-1 8 x 1J-112" GLB 5-118 11 x 1J-172" GLB C 3 GLULAM BEAM HEADER I: 0 6030 SLIDER WINDOW r- 12" OVERHANG � 2 x 9'- 0" 2 x 4 FLAT OUTLOOKER RIDGE BEAM @ 4' o. c. 6030 SLIDER WINDOW ROOF PLAN NO SCALE 2 x 4 FLAT BRACING W/ 2-16d 0 EA. CEILING JOIST q X 1 Z a \'`EA'cr S ROOF SHEA THING *All Joists and Rafters to beouwvtl ©._ yI VA, IJ %arace- O.'Al frxm ek . **Goroge Heoder to be Glulom Beam: 24F -V4 y!g„ .r _ I �a,� *� 6" a c• e&�e s RA bJ-o c.2 walk powc Irl 24'- 0 FLOOR/FOUNDATION Pn 4jr4uwm NO SCALE A HPAHD22 (SIMPSON HOLDOWN) 30L T SWUNNG DEPARTMW z B z z J O H W U 4 N N W n� x x x x ti u� QN N N N H =3LL � � 0 N Ll.. Q ao� 4:12 4:12 A LL SLOPE N SLOPE 0 7 Q W N J� W O pi x '� x U_ W N m 3 W O In e N 0 V U_ Q x 2868 N DOOR 2 x 9'- 0" 2 x 4 FLAT OUTLOOKER RIDGE BEAM @ 4' o. c. 6030 SLIDER WINDOW ROOF PLAN NO SCALE 2 x 4 FLAT BRACING W/ 2-16d 0 EA. CEILING JOIST q X 1 Z a \'`EA'cr S ROOF SHEA THING *All Joists and Rafters to beouwvtl ©._ yI VA, IJ %arace- O.'Al frxm ek . **Goroge Heoder to be Glulom Beam: 24F -V4 y!g„ .r _ I �a,� *� 6" a c• e&�e s RA bJ-o c.2 walk powc Irl 24'- 0 FLOOR/FOUNDATION Pn 4jr4uwm NO SCALE A HPAHD22 (SIMPSON HOLDOWN) 30L T SWUNNG DEPARTMW CADD NAME: 2432SHT2 DRAWING A-2 2 OF 4 z B z z J O H W U 4 N N W n� x x x x ti u� QN N N N H =3LL CADD NAME: 2432SHT2 DRAWING A-2 2 OF 4 z Q z z O 1 H =3LL 0 O Ll.. Q ao� co A LL CADD NAME: 2432SHT2 DRAWING A-2 2 OF 4 III�� CADD NAME: 2432SHT2 DRAWING A-2 2 OF 4 2 x EMBEDMEA + 12 REBA Simpson Strong- lie HPAHD HOLDOWN DETAIL — HPAHD _ NO SCALE INSTALLATION 1 #4 REBAR 1/4" PREMOLDED JOINT FILLER 4" CONCRETE SLAB -ON -GRADE W/ FIBERMESH (OPTIONAL)8"1 PLACED OVER MIN. 4" BASE. %\M;�i'��%'�%\�j\� SLOPE SLAB TO DRAIN #4 REBAR @ 32 0. c. - 36"L 3 CLR. 3" ` La. �s4 APA RATED EXT. SIDING 2X4 STUDS @ 16" O.C. 2X4 PT SILL WITH 1/2" DIA. X 10" A.B. � 48 D.C. (UNO) W/MAX. 12" FROM EACH END AND MIN. 2 PER PLATE 6". MIN. 7.1 `—#4 REBAR TYP. FOO TING DETAIL NO SCALE 0 SINGLE POUR CORNER .o INSTALLATION ' o' ONE #4 REBAR IN SHEAR CONE 12" MINIMUM REBAR LENGTH CORNER DI STANCE Y�]FROM EDGE OF STRAP �T0 CO 30" MINIMUM REBAR LENGTH Simpson Strong- Tie HPAHD HOLDO WN DETAIL'— HPAHD NO SCALE INSTALLATION 2 wa w a Q 33 2x4 STUDS E Z O 4x8 APA RA TED @ 16 o. c. (t yp.) Q 0 EXT. SIDING 1/2" x 10" ANCHOR BOLT 0 c5 Q Q Q 48" o.c. (typ.) U.N.O. Z O N A 2x4 P. T. SILL 4 CONCRETE SLAB -ON -GRADE a O = N VARIES W/ FIBERMESH (OPTIONAL) A 6 MIN. PLACED OVER MIN. 4" BASE. FINISHED SLOPE SLAB TO DRAIN GRADE a -,/-Vx - f/ %EBAR �� m CON INUOUS cn \� \�\\ TOP & BOTTOM 2c z G) INTO UNDISTURBED 3 CLEAR (typ.) !� M OR NATURAL SOIL M `� z X12"'MIN. 0 a =--' CADD NAME: T YP. MONOL YTHIC DETAIL �,,, DRAWING 4-3 B NO SCALE © 3 oe 4 .. Q J � � F � g E_ W w ti X X X X o<���� c14 c14� a kD OOND wa w a Q 33 2x4 STUDS E Z O 4x8 APA RA TED @ 16 o. c. (t yp.) Q 0 EXT. SIDING 1/2" x 10" ANCHOR BOLT 0 c5 Q Q Q 48" o.c. (typ.) U.N.O. Z O N A 2x4 P. T. SILL 4 CONCRETE SLAB -ON -GRADE a O = N VARIES W/ FIBERMESH (OPTIONAL) A 6 MIN. PLACED OVER MIN. 4" BASE. FINISHED SLOPE SLAB TO DRAIN GRADE a -,/-Vx - f/ %EBAR �� m CON INUOUS cn \� \�\\ TOP & BOTTOM 2c z G) INTO UNDISTURBED 3 CLEAR (typ.) !� M OR NATURAL SOIL M `� z X12"'MIN. 0 a =--' CADD NAME: T YP. MONOL YTHIC DETAIL �,,, DRAWING 4-3 B NO SCALE © 3 oe 4 ■ E 1m e 2' x 4 GABLE STUDS @ 16" o.c. 2 x ID RIDGE BOARD 2 x _RAFTER @ 24" o: c� DBL. 2x4 TOP PLATE W/ 48" OVERLAP ---- (9 SPLICES. 2x4 STUDS @ 16" o.c. 2x4 P. T. SOLE PLATE 412 12DF HEADER 2x4 CRIPPLE S 20 YR. COMPOSITION SHINGLES OVER #15 BUILDING FELT OVER 7116" O. S.B. SH T'G PLACED PERPENDICULAR TO RAFTERS W/ EDGES ON RAFTERS. USE 8d NAILS, 6" o.c. @ EDGES & 12" o.c. @ FIELD. -2x- EA VE BLOCKING �4'x8'x5/8" APA RATED EXT. SIDING T1-11 W/GROOVES @ 8" o.c. USE 8d BOX NAILS * EDGE NAIL, @ 6" o.c. * FIELD NAIL @ 12" o.c. 6" CONC. STEMWALL FRAMING DETAIL D NO SCALE 2 x 8 RAFTERS @ 24" 0. SEE TABLE 1 20 YEAR COMP SHINGLES, 12 4r — —2x4 FLAT BRACING 2 x n! RIDGE EAVE DETAILS L'-2 x P CEILING JOIST @ 24" o.c.#I OF SEE TABLE 1 or aX 10 cs2 OF @ 16 oL 4" CONC. SLAB -ON -GRADE W/ FIBERMESH (OPTIONAL). PLACED OVER 1 MIN. 4" BASE. FOOTING TYPE OPTIONAL SEE DETAILS. SHEET 3 A TYPICAL SECTION NO SCALE CEILING JOIST TO RAFTER NAILING, SEE TABLE 1 ---2 x _ BLKG. DBL 2X4 TOP PLATE DOUBLE TOP PLATE ------ i SIMPSON /�IST2215 STRAP GARAGE HEADER 2 x 4 TRIMMER 2x4STUD GARAGE HEADER DETAIL NO SCALE 2 x $ RAFTER @ 24" o. c ROOF SHEATHING CEILING JOIST TO RAFTER NAILING, SEE TABLE 1 E.N. 2 x _ BLOCKING EXTERIOR SHEETING A35 DOUBLE TOP PLATE W/ 48 OVERLAP @ ALL SPLICES 2 x to CEILING OFA JOIST @ 24" o.c. or AK/o OFOi Z@ 2x4 STUDS @ 16" o.c. SME COUNTY - BUILDING DP EA VE DETAIL NO SCALE APPROVED CADD NAME: 2432SHT4 DRAWING A — 4 4 of --4 w U ISI .. Q m w O W W O m 8 w 0 F IU CADD NAME: 2432SHT4 DRAWING A — 4 4 of --4 N ISI .. Q Q W W O 8 E- F IU W F" ac�v�c1 cin W ti n� x x x x C> Q v v v v n��� a l'3 BOND CADD NAME: 2432SHT4 DRAWING A — 4 4 of --4 N .. Q W W O F" l'3 cn � Z Q zQ� 1n �+ A 1.L CADD NAME: 2432SHT4 DRAWING A — 4 4 of --4 2 CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart of this permit. These requirements are. minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field .inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued '\ maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards. 1273.02 Surface. All driveway surfaces and structures (bridges, I 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius `r 1. No roadway shall have a horizontal inside radius of 1 curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - l-, o? r- 0 9 0o 1,TA-CKS6 N �% S AP # PERMIT # NAME ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See l/ Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including I chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 3C Y a AP # PERMIT # NAME Other Requirements [ J If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [j If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials o Date Signature Page 3 of 3 ME PERMIT NO. ' , MH) PERMIT EXPIRES U r OWNER JAMES & NANCY JACKSON i CONTR. Owner ASSESSOR PARCEL 28-078-03 3 LOCA ON 23 Washboard Lane v OFFICE COPY Address GAS Meter By Da Temp. Power Pc ELECTRIC �� « Meter By D to i Called PGB1 Temp. Elec. Service Celled PnAF \ Temp. Gas Ser Called PG! JOB FINALED Signature Rm = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date MO -BILE HOME UTILITIES (Plans) OK except #'s : Date DECKS,COVERS,CARPORTSsGARAGES, (Plans)OK except #'s mooning Requirements -Setbacks -Easements , • 1. Zoning Requirements-Setbacks_Easements ils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Sewer; Location -Test -Fall -C/O -Concrete , 4. W ter; Location -Test -Easement Needed (Sketch) 1 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails .� 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing Electricity; Location-Clearances-Grnd mp-Concrete st-Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG i 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures j 6. Carports; Windows -Doors 7. Utilit Clearance 1-7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Dat Card -B1 X3 Date ec 7 10. Roof; Shthg-Roofing Card -B1 Dat Card -B1 Date 11. Ext.; Steps -Doors -Landings Date OB_JlcEH ME INSTALLATION (Plans) OK except #'s WY Zoping Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date $!Footings; Size -Spacing -Marriage LineCard-B1 Date Card -61 Date MH Test -Demand -Valve -Connector . F scdfricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s . D ' ; MH Test -Fall -Flex Connector 1. Setbacks -Easements a , MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability . ater and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining _ 8. G Electricity Tagged Exits; Insp.-Sketch zS 3 j 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy I 5. Elec.; Pool Lighting; 15 volts-GFI 1 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed i 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -131 Dat Card -B1 Date ( 1 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date 1 9. Health Department Approval A�► j 10. Plumb.; Cir. Test -Water Supply Test I i Card -B1 Date Card -81 Date Card -B1 Date Card -81 Date = OK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) - = Not Ready Date UNDERFLOOR (Plans+/ OK except #'s Date_ FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits ' 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -61 Date Card -131 Date Card -61 . Date Card -131 Date Card -B1 Date Card -Bi Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -B1 Date Card -131 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -B1 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -131 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE G - ;�2 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 additlona�xplanation, please contact this office Immediately. Inspector Date �l COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Mdrnorial Way, Chico — Phone: 891-2751 7.County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 - CORRECTION NOTICE OWN ..1-=Z RMIT N 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 imlgediately. In MA I NEW. Inspector._ \ ' V (.t�lV'yrfl Date_ / �' MOBILEHOME INSTALLATION ACCEPTANCE k° COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS —. 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965.— TELEPHONE: (916).536-75411_ PERMIT N0. ''Q°�-�7 Address or location of mobilefiome (� Ac- �-.--` mac'—�- Owner's name, Y Owner's address Insignia or,hud number Manufacturer's name �►'�� ��'T� ./27(v Year Serial number of V:I.N. Yea"r of manufactur e% q`d(Offici8l Ap�rovrngal'nstaflation)• Wate) - IF THE MOBILEHOME"IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID: THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ONLAtFOUNbATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. OWNER PERMIT "It o� o�CS $ -7 NEi I UTIL.CLEARANCE DATE —Ff 7 INSPECTOR ELECTRIC GAS Support Struc. Compactiot Test Re , Service Size Other Load Tvpe Pipe Size Lenjzth YES NO YES1 NO quo A- �-- v 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT 0. ASSES R PARC L MBER ZONIN •^ j BUILDING PERMIT OWN k h C �i TEL Ho S0. FT. OCC. BUILDING V LUATION O ER'S AI LIN DRESS r re ` CO RACY 'SNA TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER LICENSE No. Plan Checking Fee $ /11 100 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS CL3Permit r h fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 - LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeM^ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea. TYPE OF WORK New ❑ Addition ❑ r Jiemod I ❑ tilities ❑ Ins allation ,I Othe Describe work: (/i(/•* /� -� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (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 CONST. DWELLING OCC ACC. OR ACDNS. ACC. BLDGS. /22sgft NEW CONSTR. U TI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) -SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20@50t eALO 30 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )KEA.)2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 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. 211-I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag inst said County in consequence of the granting of this permit. X Date �7'9- J Contractor ❑ Agent ❑ Si ture of Applicant - &�.x�r.�wgti.n. A OSHA permit is required over 5'0" deep and demolition or construct- ion of structures over 3 stories in heig. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ao Occu P. CONST.TYPC I IFLCOOIPARCIL.1 PO HD 9UE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTO OF PUBLIC e ! - T PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORK$ Date �,-7_7k Receipt No. �y YELLOW-ASeC3 R, PINK-INSPECTOR, GOLDENROD -APPLICANT :.�;�yF(f,�,•�Y'•-t�l1.+Y:�+�.r=P1•�'i%y�"�'�•�y�'�r••�M���J���+•'�!`�{"�` '4r'�j�'�'�. f.'��'�, 1'•t��yr*� �.� ctdt�•�r+� .•1A�}^t"+�"��3 � �• COUNTY OF BUTTE - DEPARTMENTiff>•PUBLIC WORKS - BUILDINGfD VI IISION 7 COUNTY CENTER DRIVE - OROVILLE!CALIFORNIA 95965 - TELEPHONE: 916/538-7541 t j PERMIT APPUCATI N DATA SHEET w4 ' � Permit No._Rt 4 OWNER � A. P. No. Proposed Building Use ' '/ Building Inspector Date_2��_,�Zv s At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. . . . . 1.. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . , . . . 13. Contractor's License Information (no., name style, classif.) —14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 10/5. 5. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. w ::"t. . . . . . . X 4 1 Pre-Inspec. request to 1 (Dote) 17. Pre -Inspection for__-__-_- _ _ .... _. _ Required. Building Inspector 18. Recorded copy of Agricultural Acknovv`'ledgment Statement. t 19. Driveway Permit, f - 20. Plot plan approval from city of 21. — —22. -- Whennuu Issue the perit, process as follows: Mail to owner, Mail' to contractor_ Telephone�`�` " �7;-5and hold for pickup at office, Deliver w/inspector. Other Copy of plans sent Applican Health Dept.; Fire Dept Other Date The following data must be submitted prior to permit issuance: (Circle new item not che6Zked,above). 1. Index permit for above items No. 2. Additional items required: w" Contractor, designer, owner, was advised of above required data by_t pYone Contractor, designer, owner, was advised c? above required data by=-tphone n `''s i ' ' Plans checked by Date X "Plans approved by? r .r Copy—DPW Sets of plans on hold in File cabinet AP folder AS . Li .d- y�, ^' 1 o nter by +date 't nter by date , Date COUNTY OF BUTTE - Dep�rtmeat of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will:"be issued until this verification is received. 1. I personally plan to provide the major. labor and materials for construction of the proposed property improvement (yes or no) -^2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: .Name Address City Phone 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 Owne Social Securi umber -' 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 per- mitted to issue the permit. 1. Owner's Name: 3 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE:, 538-7541 MOBILEHOME INSTALLATION SHEET Installer's Name: Is the site current y under permit? Yes F] © No (If yes, furnish permit number 0�J�)S 9 / ) OR 'F_1 Is the site an existing site? Yes No (If yes, furnish,,two plot plans.) 4. Will the mobilehome be -located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify J 5. What is the mobilehome electrical rating? --------------- Amps Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- / Amps 8. Is there any other electric load to be served by the RK No mobilehome site service? -------------------------------- Yes �4 N. P n (If yes, identify the load and size: /"km (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) F] 10. What is the type of gas service? ------------------- Natural El LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 12. What'is the mobilehome gas demand? ---------------------- (BTU) (Th'is,in ormsation not required if pipe length less than 6 ft. on "►� atural'gaor less than 50 ft. on LPG.) t MOBILEROME SUPPORT DATA If other than single wide, 1 5�e Mobilehome Mfr. //,V %% �= furnish.Setup Model No. Year/ h Width/a'Z (ft.) Box Length___`_ _(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structuralsetupsheets (if not on file with the County of Butte). FOOTINGS (check one)•�r/�1. Wood -pressure treated or foundation grade.D 2. Other (specify) SUPPORTS (check one)P1. Concrete block. 1:1 2. Other (specify) Pier Footing Sizes and Locations �S SiNCLE-WIDE MULTI -WIDE HU! Line 1 S' '� t•�-+- — — — — — — — — — i Line 2 Main Beams 2 Line 2 � tine � — -- Main —Be—ams — Line 2 Main Beams -- —'--' ------ — LineLine 2 Line 1 — — — Line Tag .- Tag or Triple Line 4 Line 1 Line I Piers: Line 1 Openings: Size -Min. �x ------------ Size -Min. ------------------ u Spacing -Max. --------- Each Side of Openings Fr,nn rinds -Max. ------- ' " With Width Over--------- E= Linc Z Piers: size -Mill. ------------ , fad/` ,W 41 Spacing -Max.--------- .. From rinds -Max. ------- " I.1ne 3 Roof loads: Size -Min .------------ Line 7 Piers: (Under Bearing Wall Only) Size -Min ------------------- x Spacing -Max---------------- From Ends-Max.------------- "x "x "xIlk "x "x1.1"x "x 4--,.X All Location (From Front) _ I. 1- _ 1._ 1 _ _ '- kine 4 Piers: Line 5 Piers: (Under Bearing Walls Only) SJzr-M1n------------- ,k „ Size -Min .------------------ x SpatJng-Max.--------- Spacing -Max .--------------- From Ends -Max.------- From Ends -Max .------------- " Linc 5 Koof Wads: e IFKaLion (From Front)-- --.- --- - _ —r _� PPQ�O Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT T.)M)ftuoUIIt(:UUHT1' -FOR. RESIDENTIAL DEVELOPMENT W-rlCIA1- RE_CORD S R 67-27088 PAR1V SHOVM Section 26-8.1 of the Butte County Code requires this acknowledgement . be recorded prior to issuance of a building permit. i;ii1 JUL 28^i 09 The property described herein is adjacent to -land or included CANO CL I. 6 R,UB8S� within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE -L) the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on ! adjacent property should be prepared to accept such inconvenience or disconform from normal., necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: All of the.land described in that certain.deed:dated May 30,1889,from Andrew J. Binney to Northern,'Californi.a Railroad Co►npani , recored,June 17 ;1889,in Book 31 of•Deeds,page 702,Butte C ounty Retords and more"particularly described in said . Deed as follows: "Commencing at a point on East line of Railroad Avenue,at,the Southwest corner of lot of land deeded September 2nd,1881,by A.J. BINNEY to John Keitle,running thence with East line of railroad Avenue southwardly two hundred and forty three (243)feet,more or less,to Northwest corner of lot of land deeded January 8th,1880 by A.J. Binney to Jacob Mansfield running thence at right angles Eastwardly on line of lot of land of said Jacob Mansfield,one hundred(100) feet running thence at right angles Northwardley parallel to line of railroad Avenue two hundred and forth three (243) feet, more or less,to the Southeast corner of lot of land of said John Keitle and runnin§ thence at right angles Westwardly one hundre(100) feet to lace of beginning. Date: �7 PROPERTY OWNERS State of CALIFORNIA ) ) SS. County of BUTTE OFFICIAL SEAL BETTY JEAN MIRANDA Y NOTARY PUBLIC • CALIFORNIA BUTTE COUNTY ' . My Comm Expires Nov. 11, 1989 JAMES M. JACKSON OR NANCY A. JACKSON On this the .27 day of JULY , 1987 , before me, the undersigned Notary Public, personally appeared V / Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose hame(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, T. hereunto set my hand and official seal. Cl Notary Public Present A. P. No. ,� o__ () W_ Z15 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville;'Cal'ifor%ia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. i ASSES O PARC L U ER Q ZONI G BUILDING PERMI OWN G ✓I TELEPHON S0. FT. OCC. BUILDING ATl O NER S_M/y LIN DDRESS 4 M Ae ZRACTUM'S NAME TELE HONRACTOR'S MAILING ADDRESS Fireplace CONST CTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1Q�� LENDER'MAILING ADDRESS Permit Fee $ ARCHI ECT OR ENGINEER '09 1114- LICENSE NO. ` Plan Checking Fee $ Energy Plan Checking Fee $ , A CHI EC OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3 ho', r Permit fee $ ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 S v/L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel llities M Installation❑ Other ❑ Describe work: C7 /C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LE 1 V OR 00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP,y+ , OR ADDNS, ACC, BLDGS. /:¢sgft NEW CONSTR. U LET 2,50 ea NON.RESID BRANCNCH. CC'IRC ITS (POWER `POWER APPARATUS e� , OUTLET CIR. X. CCU o O EOccup(OUTLETS OR FIXTURES 2a®s0ceAL030 FIXED S, OR Ex. --Occup. OUTLETS TS (R(RESID,) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyiri g 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Inst said County in consequence of the g nting of this permit. p Date% d 2 Si oture of Applicant — wnerj� Contractor ❑ Agent ❑ An OSHA permit is require for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP, CONST.TYPEJ FLOOD PARCE PD ND Iss This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIREC R OF PUBLIC BY PE IT EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS t— eli Date ` /yam �'�✓ r if Receipt No.—Mil WHITE-D.P.W., YELLOW-ASSCSSOR. PINK -INSPECTOR, GOLD ENROD-APPL I CANT 41 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 959,65 -.TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. .jr OWNER a wteS (Jar- SO k1j" A., P. No. Proposed Building Use 'Building Inspector ao Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been sub i-4ed. . . . . . . . . . . plic. , Plot plans in duplicat?�_risigned by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid'' Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings.. , . , . 8. Fees of $ . . . . . . 9. Letter of signature authorizpetjon.�. . . . . . . Sanitation approval from rove Health -Dept. r11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) ___-.-._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . - 7. BP'-Inrequest to (Date) Pre -Inspection for____ _ . ...- _. _ Required. Building Inspector 1r 1' Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. r . _ 20. Plot plan approval from ci.ty of 21. 22. When you issue the permit, process as follows: Mail to owner; Mail to contractor_ Telephone and hold for pickup at office,,. Deliver w/inspector. Other Applicaq Date- Z2 Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, I ne , was advised of above required data by—phone ail co Contractor, designer,own was advised ct abovee rregquired data by—phone mail Plans checked by Date ;L�- Plans approved by Sets of plans on hold in Copy—DPW File cabinet AP folder 0 by/ 1/1Vdte by date Date L TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance wner Location AP# Plan Approved for: Sewage Disposal — Hold final for: Final clearance O.K. for: Clearance for _ _ bedroom obit home. Other NOTE *** Water Supply Water Supply Water Supply COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. ' Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will'be.issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)_. 2. I (have/have not) �2 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed-, construction: ,Name Address City Phone 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 Securit umber 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 per- mitted to issue the permit. v� ____-•-=----------._-..._. _._....___ --- --. A setbaclkin.o{.. d a se t lines d rope,V the roabr aocf ot�rom anf0be ek Xhen--c--e--V- -ti-j -I-C- LP center tures of eA o�peCha„a.p.�i'1 � 5 strvc 2 ea,4e I e r17 Ear a pF O _ _Utility connections shall be within i 4 ft. of tl?e mobilehonne, either directly 4ehind or within the rear half of th;e roadside (leTh- of.the mo i e ome. { f NI s b Ya This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same with- out written permission from the Department of Public -Works, County of Butte. NOTE:—All Mafericils & WoA nan.Ai S��oll Be in Accordance w th Rccoan;zed Oon,€ i� ac.t ces an of a elur,iy p csrri e � for ;°he Spedlf:ea use in fhe Uniform. Eui;dirrg, Pli!rnbing & Mechanical Codes anal the National Electrical Code. tj BUTTE COU` V BUILDING DEPAIFM`F TENT PF 028-078-903 PERMIT#95-1365 JACKSON, James M. 23 Washboard Ln., 0 roville Gas Line & Ele/MH „pt-• .,P:waw:�!►g'f,.. , .ST"”' i'.' -t . �,�. ;T. ? ;%_;�";`!:,,.y�.., . syr:.;,;.: .�rP-t"amu. {- COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 RMIT NO. APPLICATION AND PERMIT V __ ASSESSOR PARCEL NUMBER 028-078-003 ZONING ARMHl BUILDING PERMIT OWNER JAMES M JACKSON 916 742-8773 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 23 WASHBOARD LN OROVILLE CONTRACTOR'S NAME 044 Vi7t�ER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER w LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 23 WASHBOARD N PERMITFEE $ OROVILLE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump Water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 1� Installation ❑ Other ❑ Describe Work: ADD GAS LINE AND MH PEDESTAL EXIST SITE Mobile Home I S I G W @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service E00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: E9. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) s0. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( SIPOWER APPARATUS ) 8 NGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ I.0 BAL .500 EX. Occup. FIXED ISE ISE .OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20. Misc. Wiring 23.00 PERMITFEE $ 40.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) i I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700' of the Labor Code, I shall forthwith comply with those provisions. % x �X / ��,,�� � _ Date [nom_ Signf Appli�c- ja�Owner ❑Contractor ❑ Age�ItAOSHA permit is requi d for excavations over 5'0" deep ancj�demolition or construction of�structures over 3 stories in height. JJ Mobile Home Installation Fee $ Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 75�00 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for;Lfeesave /'l.J PERMITEXPIRESON / applicable provisions Resolutions to do work been paid. Date "�� (Date) Receipt No. 180225 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .04 COUNTY OF BUTTE - DEPARTM ENT OFDEVELOPMENT SERVICES - BUILDING DIVI 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 RMIT NO. APPLICAT40NAND PERMIT V ASSESSOR PARCEL NUMBER 028-078-003 ZONING ARMI.11 BUILDING PERMIT OWNER JAMES M JACKSON 916 TELEPHONE 742-8773 SO, Fr, OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 23 WASHBOARD OROVILLE CONTRACTOR'S NAME OWNER, TELEPHONE CONTRACTORS MAILING ADDRESS _ Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESs 93 WASHBOARD LN PERMITFEE $ DROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities 1� Installation ❑ Other ❑ Describe Work: ADD GAS LINE AND MH PEDESTAL EXIST SITE Mobile Home IS I GI W1 920.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 9. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. OWELLING OCCUR OR ( a ACC. ) S0. 3.52 Fr. CNS. NEW CONST. MULTI-OUUTLET TLE NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 @ I•50 BAL so Ex. Occup. OUTLEEOTS. AESID.j ERA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.0 Misc. Wiring 23.00 PERMITFEE $ 40.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ta I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith compl with those provisions. %Y Date ��_ nature of:Applican - Owner ❑ Contractor ❑ A OSHA permit is req ' ed for excavations over 5'0" deep a demolition or construction o structures over 3 stories in height.Date Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES I IMP FLOOD CDF I PARCEL PD 1 HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for whic fees have r PERMITEXPIRESON �p applicable provisions Resolutions to do work been paid. �� (D teJ Receipt No. WHITE-D.D.S.-B.D. CANARY- PINK -INSPECTOR GOLDENROD -APPLICANT 00, Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. _ 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ ] NO[ ]. 2. I HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAlME: - ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME. ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: ...,g� ER: DATE: z - C12/ 75 i NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: .. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95811. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerelyy, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER j ag �VDOm 191 w --ox Sit Lpa ILOO -5/(� // A#- NDEX Interpretation 3.21 Depth Requirements 4.26 Conditions 4.13 From Adjacent Parcels 4.19 Guidelines 4.16 Application 9.0 Plastic above Ground 4.21 Requirements 4.20 Butte County Design Criteria 3.3 2eimbursement by Litigant 9.19 slot to be Accepted 4.21 )ngraaed 3.10 .ontact with Ground and Concrete 8.14-8.17 astallation 4.21 'lassification of Electrical 4.6 !nable to Report 9.0 ,ermit Requirements 2.36 & 2.37 Plan Checking 3.21 Requirements 3.22 Rec�ui_'rements 3.14 1 NOTE.—All Materials WorkmansMp Slid If IN Accordance with Recognized Good Practices and "I's set of plans and speciticgtions MUST bk of. a esus -e; y prescribed for the Specifiod use In the i kept on the job at all times and it is unlawful to �tif�+.r. Ru1.Wing, Plurnbing & Mechanical Cashos and make any changes or alterations on same without } initi�nol Eiec4ricc�t Cade. tJ � • written permission from the Department of Puri;• ' Words, County of Butte. .'1C4s"rc;a��;�=i�p�,c:a����siskk�4Eti; ,c :>. - - `�: --� • --.. � - -. '_ - li - �: '•- .. 9 ct Wr 6 D h im x 07-1 v 7.6r X 1 -1026 MODS 1 �....:::..: .:. -XW 4M Butte County f, O Environmental Health �... Date 'v Signature Mobilehome Manufacturer: Manufacture Year: If othii than single wide, furnish Setup Model Number: ; v 5, Width: -Z '/ ft.) Length: Tagalong or Expando On all mobilehomes manufactured after` October 7, 1973, furnish manufacturer's installation manual and Structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradeR] Other: SUPPORTS, Concrete block[.(]: Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes. and Location SINGLE WIDE MULTI -WIDE Line I Lice Line 2 .... .............................................................................................. Main Beam ................................................................................................ Line 2 e 2 Line 3 Line I Pa e,- Line 2 ................................................................................................. Main Beams Line 2 Line 1 .................................................. C 5 Tag or. Triple c 4 ................................................. in Line I Piers: Size minimum: x Spacing maximum: From ends -maximum: Line 2 Piers: -Size minimum: 2-] X [3P] Spacing maximum: x -6 From ends -maximum: x 0 Line 3 Roof Loads: Size minimum Location (from front): Line I Opehings Size minimum: x Each side of openings ele c k a//' 6?o 1-2 with width over: x Line 4 Piers: Size minimum:. x Spacing maximum: x From ends -maximum: x .Lyx Z VX31 I-Z37C'j ?_ 93c'I 2q V J "llil LI. -I, Line 5 Roof Loads: Size minimum: r I I I I I I I I Location (from front): OVER 1. Owner's Name: J A ; �' T, c ArS rx 2.1 Assessor's Parcel Number: �/'/1� .._7 6 % d�p — 3. Installer's Name: re 4... Is the site currently under permit? Yes[ ] No[ ] Permit No. 5. Is the site an existing site? ..Yes [�] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating ofthe mobilehome? J Od"Amperes. 7. What is the electric service rating of the mobilehome site? Z UO Amperes. 8. What is the mobilehome site circuit breaker rating? /,0' ® Amperes. 9. What is the main service breaker rating at this location? /a,4 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[,( I No[ ] If yes, please identify the load and size: (Load) lit e // (Amperes) -7 U 11. Type of gas service at mobilehome site: Natural[ ] Propane[] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: a inches. uo 13. What is the gas pipe length from the meter or tank to the mobilehome?(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION OVER ABESCO ENGINEERED � CROSS DRIVE TIE DOWNS MANUFACTURED HOME TIE DOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES DESIGN LOADS: • WIND--- 15 PSF • SEISMIC — ZONE 4 • SOIL --- 1,000 LBS PSF LOAD BEARING ANCHOR DESIGN PULLOUT: • 1,727 LBS. — MAXIMUM TOTAL LOAD CAPACITY (CALCULATED) ABESCO CROSS DRIVE ANCHOR #607 MAY BE USED FOR BOT=i SIDE AND END TIE DOWNS. STRAP DESIGN TENSION: • 4,750 LBS.—MINIMUM TOTAL LOAD CAPACITY (TESTED 5,900 LBS.) • 3,150 LBS.—WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) GENERAL NOTES: _ 1. SIDE TIE DOWNS ARE LOCATED ALONG THE OUTSIDE CUSS IS -BEAMS "P _LAC EAN ABESCO CROSS—DRIVE AT 2' IN FROM EACH END OF EACH OUTSIDE CHASSIS BEAM. DISTRIBUTE THE REMAINING TIE DOWNS " EVENLY ALONG THE CHASSIS BEAMS..,.-_ 2. END TIE DOWNS ARE LOCATED AT BOTH ENDS OF EACH UNIT(S). THEY ARE TO BE PLACED AT EACH END OF CHASSIS BEAMS, OF EACH TRANSPORTABLE SECTION OF THE BUILDING. 3. THE NUMBER OF TIE DOWNS REQUIRED ON EACH SIDE/END OF UNITS) ARE BASED ON THE LATERAL LOADS DUE TO 85 MPH WIND EXPOSURE "C' OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. ENGINEER APPROVAL wT No. "7918 � Ex �11r l� OF THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3, SUBSECTION (a) STATE APPROVAL ,�,u��,<,EErt-Ep TiEaavv .S�srf✓� APPROVED SUE!ECT TO CORRECTICNS NOTED Approval does not �vlf o•;:e or approve any omission or deviation from requ;rements of applicable State lows and regulations. State of California Depor'ment of Housing and Community Development DIVISI N CODEES AND STANDARDS Date (signature) S!AN 0. _.F�%S= 40�A This Plan Approval Expi Nam CoNsuLTm ENGNEM3 ABESCO, INC. 2150 64 Are, Site 145 iff PERHA)ffK FWOA1101 S15 w Socr=mta. Calif. 9MM Rme: M65b4-GO'19 5851 Flai-Peidm Rood S=wrifnta, CA 95878 Ptz 916-383-W � ,� �:cJ�C1'BVCT.ean;?c.:mt:hiffill.:i' L"elc:sy�'�"""""•"'^'SpYs` .. 5'eCB..:C:, TYPE QS SEE CHART WIND= 15 PSF SEISMIC= ZONE 4 REO'D. NO. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNIT 30' 1 40' 50' S6' 60' 66' 70' 'PE QE TIE DOWN LOCATIONS I E I S I E S E S E I S E S E S E .E SINGLE WIDE UNIT 1 4 12 1 5 12 1 5 2 6 2 16 12 1 7 2 7 2 `IART TOTAL TIE DOWNSI 15 i' 16 1 16 18 18 2'1 EQUAL EQUAL EQUAL EQUAL EQUAL 2' nt LENGTH VARIES SINGLE WIDE TYPE Q SEE CHART i I I I SEISMIC= ZONE 4 TYPE QE REO' D. NO, OF CROSS DRIVE ANC ORS SEE LENGTH OF UNIT 1 I i I I 2'1 EQUAL EQUAL EQUAL EQUAL I EQUAL 2' LENGTH VARIES DOUBLE WIDE TYPE Q SEE CHART 2' EQUAL EQUAL EOUAL EQUAL EQUAL 2' LENGTH VARIES .r TRIPLE WIDE . , EACH SIDE AND EACH END 56' 1 60' 66' 70' 5 E S EISIE SIE 614 1614 17141714 26 20 22 122 PE QE WIND= 15 PSF E SEISMIC= ZONE 4 IART REO'D. NO, OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNE( 30' 1 40' 1 50' 1 56':[60' 1 66' 1 70' TIE DOWN LOCATIONS E S E S E S E S E S E S E TRIPLE WIDE UNIT 4 6 1516151616161 6 6 7 6 1117 6 1 TOTAL 11E DOWNSI 20 1 22 1 22 1 24 1 24 1 26 1 26 WIND= 15 PSF SEISMIC= ZONE 4 TYPE QE REO' D. NO, OF CROSS DRIVE ANC ORS SEE LENGTH OF UNIT 1 30' 40' S0 CHART T1E DOWN LCUTION S I E S S E I DOUBLE WIDE UNIT 414 1 51 5 I TOTAL TIE DOWNSI 16 1 18 F1718 2' EQUAL EQUAL EOUAL EQUAL EQUAL 2' LENGTH VARIES .r TRIPLE WIDE . , EACH SIDE AND EACH END 56' 1 60' 66' 70' 5 E S EISIE SIE 614 1614 17141714 26 20 22 122 PE QE WIND= 15 PSF E SEISMIC= ZONE 4 IART REO'D. NO, OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNE( 30' 1 40' 1 50' 1 56':[60' 1 66' 1 70' TIE DOWN LOCATIONS E S E S E S E S E S E S E TRIPLE WIDE UNIT 4 6 1516151616161 6 6 7 6 1117 6 1 TOTAL 11E DOWNSI 20 1 22 1 22 1 24 1 24 1 26 1 26 #607 CROSS - DRIVE ANCHOR ABESCO TIE DOWNS #606 7' STL. #614 7' STL STRAP- W/BUC STRAP W/HOLE TYPE "S" TYPE "E" ENGINEERING CALCULATIONS WIND=15 PSF -- SEISMIC ZONE 4 WIDTH LENGTH TRANSVERS LOAD�W' TOTAL TRANS. LOAD #,TYPE'5' TE DOWNS �+ TYPE "c TIE DOWNS SINGLE 30 FT. 165 PLF 4,950 LBS. 3 2 40 FT. 165 PLF 6,600 LBS. 4 2 WIDE TO 14' 50 FT. 165 PLF 8,250 LBS. 5 2 ou r . 165 PLF 9,900 LBS. 6 2 70 FT. 165 PLF 111,550 LBS. 7 . 2 DOUBLE WID 30 FT. 165 PLF 4,950 LBS. 3 4 _ _ 165 PLF 6,600 LBS. 4 4 — 50 - . r X165 PLF 8,250 LBS. r 5 4 (TO 2 - 165 PLF 9,900 LBS. 6 70 FT. 1 165 PLF 111.550 LBS. 7 4 30 FT. 165 PLF 4,950 LBS. 3 6 TRIPLE 40 FT. 165 PLF 6,600 LBS. 4 k 6 WIDE TO 42' 50 FT. 165 PLF 8,250 LBS. 5 6 60 FT. 165 PLF 9,900 LBS. 6 6 70 FT. 1 165 PLF 111,550 LBS. 7 6 SOIL CONDITION SPECIFICATIONS i CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH CONCRETE AS SHOWN IN DETAIL "B"." #406 PIER BOLT—ON TOP I -BEAM SHOWN, SE- C k RFC CHASSIS FOR CONNECTIONS 3ESW r #406 PIER BOLT -ON TOP SEE DETAIL -A" - TYPE OTIEDOWN SEE DETAIL 'A' TYPE OS TIEDOWN I BEAM CHASSIS ter_ r - #606 51L STRAP :-�-a514 Si_ Si�AP-9--I I I ------------ DETAIL 'A' INSTALLATION INSTRUCTIONS DRILL 9/16- HOLE AT MID HEIGHT CF BEAM, INSTALL 1/2- A307BOLT - I = i606 S-1- STRAP TLSTRAP DRILL 9/16'_HCL: AT MID HEIGHT OF BEAM, INSTALL 1/2' A307 BOLT - 1808 SPUT DOLT. k NUT - COflCRETE: - 121 z''ODUIE CRCUND UNE --� CONTRAGTDR'8 WARNING : CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES.IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2- ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH -� CONCRETE AS SHOWN IN DETAIL 'B'. 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL ACCORDING TO DETAIL 'B'. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. 4. ASESCO NAME IS STAMPED IN ANCHOR HEAD. y614 STL STRAP SEE I -BEAM CHASSIS FOR T1E DOWN ANCHOR RFC BEAM CHASSIS SEE I -BEAM CHASSIS FOR T1E DOWN ANCHOR C BEAM CHASSIS DETAIL 'B' CONTRACTORS VERIFICATION I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME: y CONTRACTORS UC. 9 / 1 DATE: SIGNATURE #605 STL STRAP F1 -,,RESIDENTIAL 02� 8-07-8-003 �95-1868B JACXSON, James 23 Washboard Ln, Honcut (2 awnings/MH) Sierra Mh Ser JOB FINALED (Date) Signature J=OK O = Not OK =NotReadyable . MOBILE HOMES �� Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P 1t. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 MISCELLANEOUS Date DECK COVERS, CARPORTS, GARAGES, Plans OK except #'s tie -g Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Aw „Posts-Beams-Rftrs.-Connectors Sh fg.-Bracing Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings DatCard - Date Card B-1 Date Card 6-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosu res-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK i O = Not OK -=Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' =- Date UNDERFLOOR (Plans) OK except h's ' 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------------------- --------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---------------------- ------------------ 19. Shower Pan; Test. First Floor -Tub Access - ------ 20. Test -Tub &---Shower,-Second Floor -Tub Access ------------------ ------ ----------- 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 --------------------- ----------------- ------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection ----------- - --------------------- -------------------- 23. Elec. Recept-acles- Spacing -Lights & Switches at Doors - ------------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled --------- ---------------------------- ------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------------26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----------- ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI --------- ----------------------=------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ! ga. Cu or At ------------------------------------- -------- ---------------- ------------- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. ! / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip Clearances Panels-Motors-Mech. Equip. - -------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---------------------------------------------------------------------------- -------- -- ------------- 33. Smoke Detector -------------------------------- ------------------------------------------------- Date Card B-1 Date Card B-1 •------------------------ -------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34. A.C. Ducts Insulation & Support ----------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation --------------------------------------------------- ----------- 36. Condensate Drain & Overflow: Size & Grade -------------------------- ....._. 37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet ---------- ---- - ---------------------------------------------------- 38. Attic -Access-&- Platform if Furnance in Attic --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------- ---------------- -------------------------------- ------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------ ------------------------------------------------------ 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) ------------------------------------------------- ---------------------- ----------- - 43.- Fire -Stops: -- Furred Ceilings -Stairs -Chases -Tub ---- -- ---- --------------------------------------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers __55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------------------- --- 57. Glazing Area -Glass Protection -Skylights -Plastic •------------------------ 58. Shear Walls: Nailing Bolts 59. Insulation -Walls -Ceilings Date Date 60. Infiltration -Walls -Windows Card B-1 _ Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except h's 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------- 62. Smoke Detector ------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection ----------- ------------------ 64. Bedroom Exiting --------------------------- ----- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs & Rails -------------------- 68. Fireplace or Stove: Clearances -Hearth ----...-------- - -------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt & Appliance; Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer -------------------------------------- - 71-A.C.-Duct -in-Garage-Damper ------- ------------------------- -- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection 75. Plb. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7 . Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor - ❑ Yes --- 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish ------------------------------ -- 82. A.C. Unit: Disconnect. Electrical, Plumbing ----- ------- -------------------- - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground ---- - --- - ----------------------------- 86. Ventilation Throughout House - - - --------------------------- ------------------------- 87. Glass Protection ----------- 88. ---88. Corrections from Previous Inspections - -------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric _._.--------- ------------------------------------- --- 90. Water & Sewer Connected -C/O to Grade -HD Approval _91. -Energy Compliance Certificate -Other Certificates - - - - - ------------------------- -- -- 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: I\) _ V IZ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Orovilltb, California 95965 - Telephone (916) 538-7541�� 1ny�NO. APPLICATION AND PERMIT '619TRCET-W3 C/ ARMH 1 BUILDING PERMIT 71'4ES JACKSON TELEPHONE SO. Fr. OCC. BUILDING VALUATION D54AiBdARD LANE, OROVILLE 95966 CO OR'S NAM RRA M6BILEHOME SERVICE TELEPHONE CONiRACTOg'S "IUNG A4p s (/"(/O S Jc-K Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Q . Plan Checking Fee $NG ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 23 WASHBOARD LANE HONCUT PERMITFEE $ 138.80 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome U Other : SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition [�K Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 2 AWNINGS Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service E000A V OR LESS ( 20OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f II force and effect. ���� 8G License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL SO Ex. Occup, OUTLEOTS SAE Is o.)ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 9have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insuCance carrier and policy number are: Carrier STAT E F OV. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number 4(6 9s U P iT (('L r 1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. c' X _��_ Date �- Signature of Applicant - ❑ Owner &l Contract_or ❑ Agent 9 An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 138.80 HA2. D. FEES IMP FLOOD LOO CDF PARCEL PO _ _ D Issu This permit is hereby issued under the of the Butte County Code and/or indicat above fo which fees have c By PERMITEXPIRESON 3 Z I applicable provisions Resolutions to do work been paid. Y' Date�� Cq 7 ate) ReceiptNo. 180780 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i.:"'i�`'r:,:s:r�'w:;v'ff'•'P�t`�^'.-"�`°i,�r7�i�rcii'i ��M11;'�w:y`�tK'�;:�+a7w :'•Y 3ev..,'?,�r'F""''rir4�L.y1".r.n'ia.,t� ehYr.- • %�'^. J TYOF BUTTE - DEPARTMENT OF DELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (91.6)538-75411 O PERMIT APPLICATION DATA SHEET OWNER y C< C- A. P. No. o oO `O /U - Ci(� Proposed Building Use 0", 64 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 4 / DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets; signed by preparer of plans . ........................... 3. Complete plans; -3/4 sets, signed by preparer of plans . .................... ?. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ..........:. . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $........................................ . 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 1 Flood elevation letter (100 year floo by Cali `rnia Engineer. .......... ........ 4 Sanitation and plot plan approval UPOt/r jealth Department. ...... ...... 15. City of Chico plumbing permit . ......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ti.:.1..... . 18. Contact Land Development about (A) Improvements (B) Drainage. ;:r ... . 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for :We t6 exon requ� p required. . . to:Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................... 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. ....... . ............................ 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue thec)err it process as follows: Mail to owner. Mail to contractor. _ Telephone '/%- ��and hold for pickup at ✓ ; office. Deliver with inspector. Other Parcel Creation l.� 3 S S Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Cl Date S -6-615 Plans approved by G 18B 6,JS Date .3 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. USB ONLY, ---- Me P!m A -a -A Pbw PLn Ansched p Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance d 7d Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other -- 10 X2, a 0�uJK'�ti T,1' Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date • 8/92 RESIDENTIAL 028-078-003 PERMIT#95-1462�� JACKSON, James 23 Washboard Ln., Oroville Cont: Al Carl l' MHI Ex Site i . F _ r ' OFFICE COPY Address GAS Meter By Days �` ELECTRf E Date rrj • — f JOB FINALED (Date) Signature J=OK O = Not OK = Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBI HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements Wings; Size -Spacing -Marriage Line C QMH Test-Demand-Valve—Connector 4;C-Elec 'city; MH Test -Crossovers -Breakers -Clearances ra' H Test -Fall -Flex Connector 4e<MH Test -Regulator -Connector W and Sewer Connected -C/O to Grade -HD Approval and Electricity Tagged Ex�s p. -S ke tc h Cert. of Occupancy DatV Carte Date Card B-1 DatV 7 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------- ---- --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------------------- -------------------------- --19.-Shower Pan; Test. First Floor -Tub Access ------- -------------------------- 20. Test Tub & Shower. Second Floor -Tub Access _ _ _ ---------------------------- 21. Gas Pipe; Size & Anchors -------------------------------------------------------------------- - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------- ------------------------- --------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -------- ------------ --------------- ------------- -------------- 24. Size Boxes & No. of Conductors -Stapled ---------------------I------------------------------------------------------- _ 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or Al -------------------------------------- ----------------- --------- --------------- 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- ------------- ------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------- -------------------------------- 31-.-Equi-p.-Clearances Panels-Motors-Mech. Equip. ------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------- ----------------------- 33. Smoke Detector --------------- ----------- ----- - --- - ------- -------------------------------------- Date ------------------------------------ Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except i+'s 34. A.C. Ducts Insulation & Support ------------------------------------------------ 7--------------------------------- 35. Vent Fan: Exhaust above insulation -------------- --------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade --------------------------- --- 37, -37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------- -- --- ---------------------------------------------------- 38. ------------------------------------------------ 38. Attic Access & Platform if Furnance in Attic ----------------------------------------------------------------------------------- ------------------------------------------ ------------------------------------- Date Card B-1 DateCard B-1 -- --------------------------------------------- ---------------------------------------------- -------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors - -------- --- - -------------------------------------- ------- 40. ----- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------- ----------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ------------ - -- ---------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------------------------------------------------------ ------ ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------------------- ------------------------------------------ 44. Headers & Beam -Size & Bearing 'ingle & Duplex) - Date. FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ---------------------- 51. Property Line Firewall & Openings --------------------- - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------------- ------------- - 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers Veneer --55.-Siding-Nailing 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings -- 62. Smoke Detector ------------------------- -- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------- ------------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels --------------- ------------ --- --------------------- 67. Stairs& -R- -ails -------------- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at -Wood -Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing-Landin Closer 73.-.A.C.-Duct in Garage -Damper -- ----- ------ ---------------------- -- - 74. Wtr. Hlr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------------------------------- - -- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection --------------------------------------- 7 . Insulation -Foam -Looked in Attic ❑ Yes -------------------------------- ------------- 78. Guard Rails & Deck Construction -Post Caps ---------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------ -------------------------------- -------- 80.- Following inslld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco. Brow -n -Finish ------- --------------------------- ---- 82 A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings --------- ------------------------ 84. Water Well: Disconnect, Electrical, Plumbing ------ ------------------------------- -- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground --------------------------- - ---- - 86. Ventilation Throughout House . .. ---------------------------------------- 87. Glass Protection _....------------------------------ -------------- 88. Corrections from Previous Inspections - ---- -------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ------- -------------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ---------------- 91. ----------- --91. Energy Compliance Certificate -Other Certificates -------------------------------------------- ------ DCard B-1 Date Card B-1 --- ate ---------------- --------------------- - -- - --- Date Card _B- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ��<::,:: i C �aa••�.aa�. _i ! � � ti �...� r.f,u. � 7 �irr ..y: �a 1+Sr-`_+ft$Y't� �.r� Pr a tr rrt' M1� s ?��T�.,'•w.:t'-=._7p�-, �,F '?- MOBILEHOME INSTALLATION ACCEPTANCE .COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: X - 7 PERMIT NO.: / Owners: Name: / Owners: V Address: 1 Mobilehome %� Year of Manufacturer { //�ty� Manufacture: / Serial number t / Insignia or Y or V.I.N. � HUD number://�� Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall come invalid. This form shall not be used when the mobilehome is installed on a foundation system. rta 5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor J J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9 = �` D � ASSESSOR PARCEL NUMBER 028-078-003 A ZONING NG f . Cl BUILDING PERMIT OWNER JAMES JACKSON 742 $773 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 23 WASHBOARD LN OROVILLE CONTRACTOR'S NAME AL CARL TELEPHONE 589-0758 CONTRACTORS MAILING ADDRESS 50 DEER SPRINGS LN B. CREEK 95916 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 23 WASHBOARD LN PERMITFEE S 43-,00 OROVILLE PLUMBINGPERMIT Filing Fee 1 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Cf Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: 1 BEDROOM / d Mobile Home I S I G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filino Fee 20.00 Main Service OOOV OR LESS ( zooA oR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. !, �/ 1/ License Class G _'7 Lic. No. 7 �� yY OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS: ( & ACC. BLDS. ) . 3.5¢ SOFT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR.) Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 15. BAL SO EX. Occup. OUTLETS (RESID.) FIXED APPLNS. ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S `• Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compen satj'I�Jns nce c er an policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date .761 Signa ure o Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 2(.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ 1 Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HAZ. D. IMP FLOOD COF PARCEL PD IS This permit is hereby issued under the of the Butte County Code and/or Indic d above for which fees have By PERMITEXPIRESON % �o applicable provisions Resolutions to do work been paid. Date (pate) Receipt No. 180336 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .,COU'NTYOFBUTTE - DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE ACALIFORNIA95965 -TELEPHONE (916) 538=7541 PERMIT APPLICATION DATA SHEET OWNER ®^ " A. P. No. Proposed Building Use XS S ilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ....................;.- 8. .8. Engineered truss details and layout in duplicate (required prior to plan check). . 1 9. Mobilehome data and manufacturer's installation instructions, 2 sets. -V 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule.4:C..►.'tv0L .................. 12. California Department of Forestry plan approval/fees. ..................... ' 3. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department. ......... 15. City of Chico plumbing permit . ........................... ........ ......... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: , (B) Parking: . ........ 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... . Pre -Inspection reque-ts 20. Pre -inspection for required. . . to Building Inspector (Date):' 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of,Workmans Compensation Insurance . ........................ . 23. Owner -Builder Verification (Given to owner ,'Mail to owner _) ............ !_ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. ' 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 271 Letter of intent on building use . ....................................... Mobilehome utility clearance . ................................... it. Documentation of legal access . .....................:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ................................. '`...... 32. Plan check list. .............................. 33. 34. Whissue the permit, process as follows: Mail to owner. Mail to contractor. Telephone_„S' ,�-? 4g7.S nand hold for pickup at 0,4-D office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted rior to rmit issuance. -(Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Co�pter by _ Date Plans checked by 'Do 2orlS i!� Date ,2g,!1_5 Plans'approved by K Date 7-I0Rr Sets of plans on hold in File cabinet AP fold'er Copy - Department of Public Works J; _y H.H. USE ONLY i, Plot PIM AthcLed Floor Plan AttwW Smt to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A✓ Owner % Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE:���(n�_ ✓ c L. Envirolimental Health Specialist 8/92 ` 1-2 Date COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ,&? p. ZONING %f►�� ! BUILDINGPERMIT OWNER �Es„ 51� / TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESSyL pTQ�pE./7 CONTRACTOR'S E 6 s' CONT'RACTORY MAILING ADDRESS Fireplace CONSTRUCTION LENDER NKNOW N Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ a sc9 V Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING -ADDRESS PERMITFEE $ , O PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBONLSIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehom Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U61'es ❑ Innssttalllaatior/Other ❑ Describe Work: Mobile Home ISI G1 W1 @20.00 PERMITFEE _ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service EOOV OR ESS ( 2aoA OR ESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class IL No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ • I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLDS. ) sO. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 WER APPARATUS ( 8PSINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL .50 Ex. Occup. ( OUTLEETS RESID.) OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. —�of X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 706/, v Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ A19, do HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PO HD ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I the applicable provisions Resolutions to do work been paid. Date (Dare) Receipt No. 1 WHITE-O.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT T BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) 0 �10 School District a 1e a �� HS _ Building Department No. A.P. Number ..-—O/'E--'aO% 5 Jurisdiction: E---] City County Property Owner_ 9M ESG%� SO�j Property Location/Address Subdivison Residential Development Commercial/Industrial Lot No. 0. [� Sq. Footage /0-5-6 No. of Living HI "Addition (Group Units t New II uil ing Departm nt epresentative 0 Sq. Footage Addition (Including Exterior Roofed Areas) Date . (Floor Plans reviewed by School District Personnel) D' ict:ldentificati No. 9 5 0 1.5 7 Vjfiol District certifieslha�j�� J (AI5 Ii t) (Street ity) has complied with the requirements of Resolution No. representing square feet. hool District Rep Paid by Check # Bank Number Paid by Cash Remarks: e4tt- - (State)) GG f ©S Ao (Phone Number) (Zip Co by payment of $ All 2926 $ PULL MITIGATION $ • fi 6 -,Ze,2 96- F-- '`/57F7,(i If, subsequent to the School District Representative signing this Butte County Schools :Impact Fee Certification Form, the School District is notified by .the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) r feeformmkt (11/94)dmm -BEAM SHOWN, SEE t " C k RFC CHASSIS A FOR CONNECTIONS 3ESC0 #406 PIER BOLT -ON TOP SEE DETAIL "A" - T` PE OTIEDOWN � l SEE DETAIL 'A' TYPE OS TIEDOWN' I BEAM CHASSIS u I n cPt f-06 STL STRAP r II — ?5i4 ST- S-i-RAP— SiO�Lt..11 Etifl�h D ETAJ L 'A' INSTALLATION INSTRUCTIONS DRILL 9/16' HOLE AT MID HEIGHT OF BEAU, INSTALL 1/2" A307 BOLT 1606 STL STRAP x'614 STL STRAP SEE I -BEAM CHASSIS FOR lE DOWN ANCHOR RFC BEAM CHASSIS DRILL 9/16' HCL` AT MID HEIGHT OF BEAM, INSTALL 1/2' A307 BOLT - .BOB SPUT HOLT k NUT CONCRETE: t2 ;OUARE� : 12 DEFP 4 GROUND UNE ' CONTRACMFP9 WARNING : CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL t OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH CONCRETE AS SHOWN IN DETAIL "B'. 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL ACCORDING TO DETAIL 'B'. r }' 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN, 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. 4. ABESCO NAME IS STAMPED IN ANCHOR HEAD. . I \ter J x605 STIL STRAP ,L614 STL STRAP SEE I -BEAM CHASSIS FOR ilE DOWN ANCHOR C BEAM CHASSIS 7 STEL \ STRAP X�8807 CROSS ORIW ANCHOR DETAIL 'B' CONTRACTORS VERIFICATION I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS ITOO THEE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME: //� 6T'� / CONTRACTORS UC. i !�Ie'Gl4Z' � X2 DATE: SIGNATURE