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028-180-049
028-180-049' 94-099OP,E(MH) GOLDEN, MONA q lLvh es 585 UPHAiMI RD., BANGOR MOBILEHO14E UTILITIES LE(:'1'K1C Zo O ^ Zo w-� GAS LINE 3%�f- t-f �f L P G, COMPACTION TEST REQ SUPPORT STRUCT-'REQ N' 028-180-049 PERMIT#950604. nn GOLDEN, Mona & James V 585 'Upham• Rd . , Bangor Mobilehome Installation p 028-180-049, PERMIT#95-2412,' GOLDEN, Mona &} James 585 Upham Rd.angor Open Deck/MH d 4 0 Y 0 Y Butte County Deparanent ofDevelopment Services Tim Snellings, Director I Pete Calarco, Assistant Director 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buftecounty.net/dds ADMINISTRATION * BUILDING * PLANNING September 18, 2006 James and Mona Golden 585 Upham Road Bangor, CA 95914 Re: Application for Lot Line Adjustment, LLA 06-17 A.P.-Number(s) 028-180-049, 054 Dear Applicant: On September 18, 2006, the Department of Development Services made the finding that the Lot Line Adjustment on the above referenced property is exempt from environmental review, and approved the project subject to the conditions on the attached page. Should you appeal the decision of the Dept. of Development Services, please submit your appeal, in writing, with the appeal fee of $50.00, to the Clerk of the Board of Supervisors, 25 County Center Drive, Oroville, California 95965, prior to 4:00 p.m., September 28, 2006. The conditions of approval must be met within thirty-six (36) months from the date of approval by the Department of Development Services or the approval will be considered null and void. If you have any questions concerning this matter, please contact this office at (530) 538- 7601, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sinc Charles Thistlethw to Planning Manager JH/ cc: Richard F. Sannar, P.L.S., 556 Little Avenue, Gridley, CA 95948 Environmental Health Department Building Division EXHIBIT A CONDITIONS OF APPROVAL James and Mona Golden, APNs 028-180-049, 054, Project # LLA 06-17: Adjust lot lines between two parcels by 5.0 acres to result in parcels of 9.73 acres (028-180- 049) and 14.73 (028-180-054) acres. New lot or parcel lines shall comply with setback requirements of applicable zoning and building ordinances. 2. Deeds and plats (if required) shall be submitted to the Department of Public Works, Land Development Division, for checking and approval prior to recordation and shall contain the notes specified below. Include a legal description signed by a registered civil engineer licensed prior to 1982 or a professional land surveyor. 3. Provide documentation from a title company on the applicant's choice verifying any deed of trust affected has been partially re -conveyed or modified to reflect the lot line adjustment and to prevent the creation of any additional lot or parcel. 4. Prior to recordation of deeds, provide documentation verifying payment of taxes as required by Subsection (b) of Section 20-95 of'the Butte County Code and as specified in Article 8 of Chapter 4 of Division 2 of Title 7 of the Government Code, commencing with Section 66492. 5• Prepare a plat showing approved Lot Line Adjustment. 6. Record plat with deeds if one or more of original lots or parcels was created by map. If a record of survey is prepared to show the lot line adjustment, recording of a plat is not required. LLA 06-17 ■ Butte County Department of Development Services ■ 3 Butte County Department ofDevelopment Services Tim Snellinp, Director I Pete Calarco, Assistant Director 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds ADMINISTRATION*BUILDING *PLANNING September 18, 2006 James and Mona Golden 585 Upham Road Bangor, CA 95914 Re: Application for Lot Line d}ustment, LLA 06-17 A.P. Number(s) 028-180, 28-18 -049 054 Dear Applicant: On September 18, 2006, the Department of Development Services made the finding that the Lot Line Adjustment on the above referenced property is exempt from environmental review, and approved the project subject to the conditions on the attached page. Should you appeal the decision of the Dept. of Development Services, please submit your appeal, in writing, with the appeal fee of $50.00, to the Clerk of the Board of Supervisors, 25 County Center Drive,. Oroville, California 95965, prior to 4:00 p.m., September 28, 2006. The conditions of approval must be met within thirty-six (36) months from the date of approval by the Department of Development Services or the approval will be considered null.and void. If you have any questions concerning this matter, please contact this office at (530) 538- 7601, Monday through Friday, 8:00 a.m. to 4:00 p.m. WSinc , Charles Thistlethw te. Planning Manager JH/ cc:' Richard F. Sannar, P.L.S., 556 Little Avenue,. Gridley, CA 95948 Environmental Health Department Building Division EXHIBIT A CONDITIONS OF APPROVAL James and Mona Golden, APNs 028-180-049, 054, Project # LLA 06-17: Adjust lot lines between two parcels by 5.0 acres to result in parcels of 9.73 acres (028-180- 049) and 14.73 (028-180-054) acres. 1. New lot or parcel lines shall comply with setback requirements of applicable zoning and building ordinances. 2. Deeds and plats (if required) shall be submitted to the Department of Public Works, Land Development Division, for checking and approval prior to recordation and shall contain the notes specified below. Include a legal description signed by a registered civil engineer licensed prior to 1982 or a professional land surveyor. 3.: Provide documentation from a title company on the applicant's choice verifying any deed of trust affected has been partially re -conveyed or modified to reflect the lot line adjustment and to prevent the creation of any additional lot or parcel. 4. Prior to recordation of deeds, provide documentation verifying payment of taxes as required by Subsection (b) of Section 20-95 of the Butte County Code and as specified in Article 8 of Chapter 4 of Division 2 of Title 7 of the Government Code, commencing with Section 66492. 5• Prepare a plat showing approved Lot Line Adjustment. 6. Record plat with deeds if one or more of original lots or parcels was created by map. If a record of survey is prepared to show the lot line adjustment, recording of a plat is not required. LLA 06-17 ■ Butte County Department of Development Services ■ 3 MOBILEHOME INSTALLATION ACCEPTANCE, COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: 0c, Owners: Name: Owners: Address: Mobilehome Year of Manufacturer Manufacture:* Serial numberInsignia -7, or or V.I.N. o_4oU HUD number: Official a roving installa Al. Date: If the mobileho;e i.tmjoved or relocated, the mobilehome' installation acceptance shall become invalid. This form shall not be used when the/mobilehome is installed on a foundation system. 5136-, White -Owner -Yellow - installer, Pink -Bldg., Gold=Xsse'ssor if, lop COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION CEM2T N6. 7 County Center Drive - Oroville, Italifornia 95965 - Telephone (916) 538-75 PERMIT APPLICATION AND PERMIT ,4Q Ass sso PARCEL NUMBER 02i -180-049 ZONING A5 BUILDINGPERMIT OwMONA & JAllES GOLDEN T 3E 03 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1750 FT WAYNE ST., OROVILLE, CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 585 UPHAM RD. BANGOR PERMITTEE $ 43.00 PLUMBINGPERMIT 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 XX 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 [XXOther ❑ Describe Work: FOR TTTTT, PFRMTT#94-0990 Mobile Home I S I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 ' a v OR LESS Main Service ( 200A 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. 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: 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 ADONS. ( & ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 6AL Q .30 Ex. Occup. ( OUTLETS (RES D.FIXED APPUNS OR 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. ' ❑ 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 20,90 Heating Cooling Hood 6.50 Ventilation PERMITFEE S 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 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. Date d -,2 - ign tura f Applicah - Owner O 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 $ 100.00 Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. IMP FLOOD / CDF PARCEL PD HD IS E This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By'atQ PERMITEXPIRESON I (&w provisions to do work paid. /+ / 6 Receipt No. 175654 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 BOTH 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 . CHASSIS BEAMS. PLACE AN 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 CHASS S BEAMS. OF EACH TRANSPORTABLE SECTION OF THE BUILDING. 3. ,. THE NUMBER OF TIE DOWNS REQUIRED ON EACH SIDE/END OF UNIT(S) ARE BASED ON THE LATERAL LOADS DUE TO 85 MPH WIND EXPOSURE "C" OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. ENGINEER APPROVAL LW No 17918 m Exp/ ' i% L �i• ,4 THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3. SUBSECTION (a) VAL. v APPR ED SU3JECT TO CORRECTIONS NOTED Approval does not authorize or approve any omission of deviotio„ from requirements of applicable State laws and regulations. State of California Department of Housing and Community Development DIVISION CODES AND STANDARDS By -- Date D (signature) SPA NO. � This Plan Approval F jol-a P-ji -1 �ctFlc CoTux� ENaNEJ:R8 ® ABESCO, INC` 1150 Bell Ara, Site 115 PETOWrgNT FaMATO SYSM Soawmtq WX 95838 Phare 916-561-6019 5851 Fkrn-PM= Rood Swwwrta. CA WM Ph: 916-M-8!!31 0 U AS= TYPE QS SEE CHART PE QE ;E TART 2' EOUAL EOUAL EOUAL EOUAL EOUAL 2' LENGTH VARIES (SINGLE WIDE TYPE Q SEE CHART 4 4 4 4 4 4 i I I I I 2'1 EOUAL I EOUAL EQUAL EOUAL EQUAL 2' LENGTH VARIES DOUBLE WIDE TYPE Q SEE CHART WIND= 15 PSF SEISMIC= ZONE 4 REQ'D. N0, OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNIT 30' 1 40' 1 50' 1 56' 1 60' 1 66' 1 70' TIE DOWN LOCATIONS I E I S I E I S I E I S I E I S I E I S I E IS E SINGLE WIDE UNIT 4 2 1512 1512 1 612 16121,7121'7721 TOTAL TIE DOWNS 1 12 1 14 1 15 1 16 1 16 .11 18 18 WIND= 15 PSF ,► SEISMIC= ZONE 4 TYPE QE REQ'D. NO. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END SEE LENGTH OF UNIT 30' 1 40' 1 50' 1 56' 1 60' 1 6E' 1 70' CHART TIE DOWN LOCATIONS I E I S I E I S I E I S I E I S I E S I E S E "� I DOUBLE WIDE UNrT4 1 4 1 514 1 5 1 4 1 6 14 1614 1714 FT47 'wl TOTAL TIE DOWNS 1 16 1 18 1 18 1 20 1 20 1 22-T-2-2 2' EQUAL EOUAL EOUAL EOUAL EOUAL 2' LENGTH VARIES TRIPLE WIDE 'PE QE 'HIND= 15 PSF ;E SEISMIC= ZONE 4 TART REO'D. NO. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNITI 30' 1 40' 1 50' 1 56' 1 60' 1 66' 70' TIE DOWN 110TION1 S I E I S I E I S I E I S I E I S I E I S I E S E TRIPLE WIDE UNIT 4 6 1516 15161616 1616 17 16 17 6 TOTAL TIE DOWNSI 20 1 22 1 22 24 1 24 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 #608 SPLIT BOLT & NUT WIDTH LENGTH TRANSVERS LOAD'W TOTAL TRANS. LOAD # TYPE'S' TIE DOWNS TYPE -E" TIE DOWNS SINGLE WIDE TO 14' . 30 FT. 165 PLF 4,950 LBS. 3 2 40 FT. 165 PLF 6,600 LBS. 4 2 50 FT. 165 PLF 8,250 LBS. 5 2 60 7. 165 PLF 9,900 LBS. 6 2 70 FT. 165 PLF 111,550 LBS. 7 2 DOUBLE WIDE TO 28' 30 FT. 165 PLF 4,950 LBS. 3 4 40 FT. 165 PLF 6,600 LBS. 4 4 50 FT. 165 PLF 8,250 LBS. 5 4 60 FT. 165 PLF 9,900 LBS. 6 4 70 FT. 165 PLF 11,55G LBS. 7 4 TRIPLE WIDE TO 42' 30 FT. 165 PLF 4,950 LBS. 3 6 40 FT. 165 PLF 6,600 LBS. 4 6 50 FT. 165 PLF 8,250 LBS. 5 6 60 FT. 165 PLF 9,900 LBS. 6 6 70 FT. 1 165 PLF 11,550 LBS. 7 6 SOIL CONDITION SPECIFICATIONS 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". tY/ i 1 • 1 m #406 PIER BOLT -ON TOP I—SE ORFCCONCHASSIS SSEE ABE= _ - #406 PIER BOLT—ON TOP SEE DETAIL 'A' TYPEOE TIEDOWN =sss$ss�a4 �— SEE DETAIL 'A' TYPEQS TIEDOWN `• � _ tet. I BEAM CHASSIS yip u n u #606 STL STRAP X614 STL STRAP t SIDE VIEW END _MEN DETAIL 'A' GRDUND INSTALLATION INSTRUCTIONS C0NTRACT0R8 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 V. 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. ABESCO NAME IS STAMPED IN ANCHOR HEAD. DRILL 9/16' HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2' A307 BOLT - #606 STL. STRAP #614 STL STRAP SEE I—BEAM CHASSIS FOR TIE DOWN ANCHOR RFC BEAM CHASSIS DRILL 9/16' HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2' A307 BOLT —1 #606 STL STRAP ' `#614 STL. STRAP SEE I—BEAM CHASSIS FOR TIE DOWN ANCHOR C BEAM CHASSIS DETAIL 'B' CONTRACTORS VERIFICATION I CERTIFY THAT I HAVE INSTALLED THE ASESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE COMPANY NAME: CONTRACTORS LIC. # DATE — SIGNATURE I ;K �.. .,,., i � �.. '�rZµ�rZ4;� '+il \yl7!"'i'itl(•^+S�i1T'ii:l+rr ,.7 COUNTYOFBUTTEP` E-P�ARTMENTOFDEVELOPMENTSERVICES-BUILDING DIVISION 7COUNTYCENTE.dDRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMITAPPLICATION DATA SHEET OWNER Proposed Building Use A. P. No. �g- InsoectorQl� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: M DATE RECEIVED r 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: Mobil ehome data and manufacturer's installation instructions, 2 sets. ........... Fe mpact fees as shown on attached schedule.-.5CYW.. ............... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ........ 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. , .. .. . Pre -Inspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _)............. T 24. Recorded copy of Agricultural Acknowledgement Statement . .................. "k, 25. Letter of signature authorization . ....................................... Y 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 7. L "f 'of intent on building use ......................................... . Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............. 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, rocess as follows: Mail to owner. Mail to/contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Y L / G�� �(�%'�- Acreage Applicant i 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 to i)erp*tipai<e: it ew 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 gr b�_ Plans by Date _ Date checked Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER b��cCl�" , A. P. #_L`� IUCD_ PROPOSED BUILDING USE %� i�1 DATE REC. # DATE REC 1. SCHOOL DISTRICT FEES v -n I (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Departmenti" //-- Residential...... t x -5(� U =$ unit amt. Commercial (sgft) z =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial -(per sq.ft) x _$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 1 WIN At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE O.B.- I ,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[ ]. �. I HAVE] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: v PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: 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 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 $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 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. 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. Sincrel Michail C. Vieiia/ C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER RESIQENTIAL z + 028-180-049 94-0990P,E(MH) GOLDEN, MONA 585 UPHAM RD., BANGOR MOBILEHOME UTILITIES i i OFFICE COPY Address ' jk `+ GAS + ' Meter By ELECTRI Date �` t Meter By JOp FINALED (Oats) Z/ ., q 1 Signature V=OK 0 = Not OK •=N tAReady ble MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a oils; Special MH Support Sketch ewer, Location -Teat -Fall -C/0 Concrete rences-Grnd-/ earance & DI onnact Utility Clearance Date/Initials MOBILE HOME INSTALLATION Plana OK except #'s R-Z?,eLng Requirements -Setbacks Easements otinps; Size-Spacing-Marriaoe Line MH Test-Demand-Valve—Connector I tricity; MH Test -Crossovers -Breakers -Clearances a ; MH Test -Fall -Flex Connector er; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 6gtkits; Insp.-Sketch 10. Cart. of Occupancy I MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soila-Size-Depth-Spacing-Connectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6s. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Teat -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. 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. Battles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wal Is -Cel II ngs 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -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. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: S�. 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 94-- 09 90 ASSESSOR PARCEL NUMBER 028-180-049 ZONING A5 BUILDING PERMIT OWNER MON,A GOLDEN PHONE 53 SO' FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 17504T WAYNE ST OROVILLE 95965 CONTRACTOR'S NAME OWENR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDEMS 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 - UPHAM RD PERMIT FEE $ 23.00 BANGOR PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 r/ rt _co J Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. 3 SUBDIVISION'S NAME PARCEL MAP % Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome qJ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 0 Installation ❑ Other ❑ Describe Work: MU PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS 200A OR LESS 23.00 Main Service 1 200A TO 1000A , 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( a ACC. BLOS. / g 3.50 FTO,, NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification >!� I, as the owner, or my employees with wages as their sale compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ' & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES , 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IflESID.I . 1 EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring . 2300 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 5� I shall not employ any person in any manner so as to become subject to the Worker's Compensation, laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X � 1a, ' JA , Date —/ �� Signat�of Applicant - M Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 166.00 HAZ. I D. FEES IMP -- I FLOOD XX I CM PARCEL I PD HDA ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indi a bo or w ich fees have been paid. .� yy Date PERMIT EXPIRES ON O • 1�5 (Date) Receipt No. 162453 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION _ DEPARTMENT OF DEVELOPMENT SERVICES - x - 1469 Humboldt Road;I Chico, C&-...(9.1.0 91-2751• 7 County Center Drive, Oroville, CA - (916) 538=7541 + 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. `I A routine inspection indicates that the following violations of Butte County Ordinances exist at ` the above address and should be corrected. Please notify this office when correction of work �. is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. :€ Date W l J Inspector REV 10/92 ' w'i 'COUNTY OF BUTTE BUILDING DIVISION A DEPARTMENT OF DEVELOPMENT SERVICES: 1469 Humboldt Road, Chico,.CA - (916) 891-2751` 7 County Center Drive, Oroville, CA.- (916) 538-7541 ; _ 747 Elliott Road f Paradise, CA - (916) 872-6307 s . s CORRECTION NOTICE ,x 1wiffirl OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work fi is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r s dei Date ` v / Inspector REV 10/ 2 COUNTY OF BUTTE BUILDING DIVISION' DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, `CA - (916) 891-2751 - -- 7 County Center Drive, Oroville, CA - (916) 538-7541ti 747 Elliott Road, Paradise, CA - (916) 872-6307 k CORRECTION NOTICE OWNER PERMIT NO. A routine rection indicates that the following violations of Butte County Ordinances exist at ' =� the above address and should be corrected. Please notify this office when correction of work is completed. lfyou have any questions pertaining to this matter, or -need additional explanation, plem a contact this office immediat y. 42 1 �1 r: Date S('���� Inspector REV 10192 V ��k —:'• ti-n..�i.r/i��,�.Jr"3rY+•S, ;!�.+`.1r'^","' .'I'�"" 'l—'rl( '�"1•.."^l►r-v..•l i � Tk � 'r "ire--� �. f,, : n.cyk�-7Y»....`-^1,.r..yN`�,�.+'�C.'r^._',`, y -....'.i+,! t.`'tii7-r��� r,---, - � . ....-- 3�4C4�i'NT F BUTTE - DEPARTMENT.O D€i/ELOPME T SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 •1 PERMIT APPLICATION DATA SHEET OWNER A. P. UcL _ / -047 Proposed Building Use Building Inspector ��,,(% Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ij DATE RECENED 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 . .................. T 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. Mobilehorne-data_and ma ufacturer'r's*installation instructions,,, 2 sets. ........... 10. Fees of $ ..................................... �1. Impact fees-AS—Shown on attached schedule . ............... 2. California Department of Forestry plan approval ees >w�/. _�3. Flood elevation letter (100 year flood) b California Engineer........... 14. Sanitation and plot plan approval 'D Health Department. 15. City of Chico plumbing permit . ........................................ l 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ ontact Land Development.about (A) Improvements (B) Drainage. ... !...... . DA-ni Driveway permit (construction approval required prior to occupancy). ........... 20. Pre -inspection for required. .. ;s�°�e�eda�— (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. a 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. .... . 9 Letter of intent on building use . ...:.:::::::::::::........ : ........... . a'lg7 Mobilehome utility clearance. .. 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation L n Acreage Applicant Date / a ( 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 to permit issu e: (C' ew item not checked above). 1. Index permit'for above items No. i 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 Counter by _ Date Plans checked by Date Plans approved by Date — a Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ' COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) C, 2. I (have/have not) Qftg,4rg, _signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. H.H. USE ONI Plot Plan Att-cLed Z/ ' Flo" Phn.AttOW Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for:. Sewage Disposal Water Supply: bli Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: j zo� z' / - 7 V Environmental Health Specialist Date 8/92 " i `I` _ i I 1 Jr r -"". I JO✓. � � � .1.a--' y1�� � � � ' �f `� _' �� �1 1 YT Y I t I Y" - ��-'!" .r -i'' `' i '' - � •,-v1 �� _Ljr I' .,...iwa''^`r"e+,.,. .c. �y.Y�-Y;�rw,.l .._ - tY.,- .--� J.y"+ l ti �: _ •', i �.. -''' - ..' ; { �"' •ice /j\�'r n y..ki ✓I tom. ' } X � ` j� .... .- �� (74(u• 17' E 1324.27' ( Q L 1d) ` 614 Q _ 10 F p A� m l o r m A :('0 r f' 1� ._�.14-¢4 / / �z ,`', ��• , zza C2? 4'ft i204�7 �• 1_� 86:-�I q 40~ %O*c a 5/yj-��� �3 2-5- &/rTE 47'(12) (12 A io m ry ZIA � -4 Trapp `P��\� �(Ag� W 0el 1 m - p ^� J v tij Ali �' �` (p � A -WM APPROVED PButte County �� �08 v � r 1 o z Environmental H alth 0. -.` 05 y N�o D e ^�---=------------------- - /-t» � w p`4rj Signature Si wi 9 z s=2 ago r (Qaµ) w vL NPr v N = �1 r9 aC 5 rs 4,c�1 W " 3 ��oe��--"— FovNv llv4' Ptrf, ALL STRUCTURES AND EQUIPMENT INCLUDING L.s 2c-x'-ZO (g 10* OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. C•o=- s %2 CQ% A SET BACK OF FT. FROM THE SIDE AND 3 b FT. FROM THE REAR PROPERTY LINES AND FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. ti r Of Pn W� N d b� z� J REVIEWED BY TTE CO. FIRE DEPT. -'�T. of FORESTRY ❑ approv'ed ass ' rnil [ approved with coed per aftaChed sheen ;_11 Signature Iq i'I va�il4�e Date toT tvM 11-00' NOZ'E:.7lorkmwWbJP m mn Be In Accor:nco,�rit z ate^,o�''•ititd 3ood YrRaLi s 16"d of - :ti-i� specified Uso Ells .' ?� , 2Ui3ig & DG6ahAniOale" Codes and the National F,lsctrical 000,1 N ate' oct 51• a 2041.5-r 0213-51.2 To IV Tb" set of Plans awl speo38oa. one MVBT be kept on tha job at all times ani it unlamful to In I , changes or alteration PI) a without IZ I, ��► iMari t permission from the nepartme PWAW p js ac - -.14-73 b►� :�' ccunm �,�tte: �9� 0 10. 0s—_ �• ---..�..��.��••. Lr�►cu -Fere 4S •0.l. Ar -ac yr- 11C --------_ �. � � ScT edc•� L�.ats �V l�i�v�a4 y 57 57W&AA4 '500 SQ.L MINIM FOR e* 1 d' 19 FOR MOBfIES M t.• 25 N 78•p ' `S�c1 17•Gv. L_INre 147 must 61 sn.v"" STacIM5 If L 1 I A. r AP # 'C F F RE' ,SAFE rREQUIREMENTS PERMIT # NAME Under authority of PRC 4290, the following by the Butte County Fire Department and permit. These requirements are minimums Butte County local regulations which equal Field inspections will be made by the Butte for compliance. M dA - checked items are required are made a part of this and will be superseded by or exceed these standards. County Building Department [AJ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [ ] 1273.02 Surface. All driveway surfaces and structures (bridges, 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. �Q 1273.03 Grade. Not to exceed.16..percent.unless paved. 1273.04 Driveway Rad?.us,... 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [ 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 0 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from center of the road. [ 1273.06 Turnouts. S'L:a11 bea minimum of 10 feet wide and 30 feet long with a .mini.nu,n 25 foot taper on each end. ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 04 -1 — L�9 � oL.DAnl Mon/4 _ AP # PERMIT # NAME (] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. ] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and .shall be within 50.feet of the building. 1273.11 Gates �] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [� 2., The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for.buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction .)r fi:ial inspection, of a building permit. Page 2 of 3 9 C(_0 949D roL_yZ_,16 , m O 14 AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any.3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic spri.ikler.system per NFPA 13D Glass area not to exceed 1-0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 AP OWNER PERMIT'* 9�1 Iii i UTIL.CLEARANCE DATE. INSPECTOR ELECTRIC GAS Support Compaction Service Other Pipe Struc. Test Re . Size Load T e Size Length YES NO YES NO c/ 0 ABESCO ENGINEERED CROSS DRIVE TIE DOWNS MANUFACTURED HOME TIE DOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES DESIGN LOADS: 1 • 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 BOTH 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 NOTE& 1. SIDE TIE DOWNS ARE LOCATED ALONG THE OUTSIDE - CHASSIS BEAMS. PLACE Air' ArIESCO 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 UNIT(S) ARE BASED ON THE LATERAL LOADS DUE TO 85 MPH WIND EXPOSURE 'C' OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. ENGINEER APPROVAL c No. 17918 so E7Lp.�L.L1J OF 0 THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3. SUBSECTION (a) STATE APPROVAL 0AV1,,A104aa T�oc�d�v ,Sysr APPROVED SU.IJECT TO CORRECTIONS NOTED Approval does not authorize or approve any omission or deviation from requirements of applicable regulations State laws and _. Department of Hog a �C}�mmuni DIVISION:14" ?aoe (signature) _y SPA NO, � .. , This Plan Approval Expire Wr PACIM CorauLTulc3 ENGINABESCO, INC; ' 2150 Bdl Art, Site 145 FU MM F011Oi111011 SYSMIS Soemlmi4 Ca MM RML: 916-564-6029 5851 %"-Psi= Raw So UMIt4 G 95878 Pk 91rr3B}-8811 0 TYPE OS SEE CHART ! ! ! ! I I t I TYP l lI 1 1 2' EOUAL EOUAL EOUAL EQUAL EOUAL 2' SEE CHI+ LENGTH VARIES SINGLE WIDE, TYPE QS SEE CHART I I I I I i I I I I I i i i r 2' EOUAL I EOUAL EOUAL EOUAL i i EOUAL T' LENGTH VARIES DOUBLE WIDE TYPE Q SEE CHART i 0 RT 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' 56' 1 60' 66' 70' TIE DOWN LOCATIONS I E I S I E I S I E S I E I S I E S E S E SINGLE WIDE UNrrl 4 12 15 12 15 12 16 12 16 12 7 12 IT27 TOTAL TIE DOWNSI 12 1 14 1 15 1 16 1 16 i 18 18 WIND= 15 PSF SEISMIC= ZONE 4 TYPE OE REO'D, NO. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END SEE LENGTH OF UNITI 30' 40 1 50' 1 56' 1 60' 1 6E' I70' CHART TIE DOWN LOCATION I S I E I S I E I S I E IS 1 E IS I E IS I E I SIE DOUBLE WIDE UNIT 1 4 14 15 14 1 5 14 1 6 14 6 14 7 14 17 14 TOTAL TIE DOWNS i 16 1 18 1 18 1 20 20 22 1 22 T' EOUAL I EQUAL EOUAL EOUAL EOUAL 2' LENGTH VARIES TRIPLE W©E PE QE WIND= 15 PSF E SEISMIC= ZONE 4 TART REO -D. NO. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNITI 30' 1 40' 1 50' 1 56' 1 60' 1 66' 70' TIE DOWN LOCATIONS I E I S I E I S I E I S I E I S I E I S I E I S I E TRIPLE WIDE UNIT 4 1 6 1516 1516 1616 1616 1716 -1716 TOTAL TIE DOWNS 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 "So TYPE "E" ENGINEERING CALCULATIONS WIND=15 PSF -- SEISMIC ZONE 4 #608 SPLIT BOLT do NUT WIDTH LENGTH TRANSVERS LOAD'Wr TOTAL TRANS. LOAD # TYPE'r I TIE DOWNS # TYPE'1- TIE DOWNS SINGLE WIDE TO 14' 30 FT. 165 PLF 4,950 LBS. 3 2 40 FT. 165 PLF 6,600 LBS. 4 2 50 FT. 165 PLF 8,250 LBS. 5 2 60 71 . 165 PLF 9,900 LBS. 6 2 �70 FT. 165 PLF 111,550 LBS. 1 7 2 DOUBLE WIDE TO 28' 30 FT. 165 PLF 4,950 LBS. 1 3 4 40 FT. 165 PLF 6,600 LBS. 4 4 50 FT. 165 PLF 8,250 LBS. 5 4 60 FT. 165 PLF 9,900 LBS. 6 4 70 FT. 165 PLF 111,550 LBS. 1 7 4 TRIPLE WIDE TO 42' 30 FT. 165 PLF 4,950 LBS.1 3 6 40 FT. 165 PLF 6,600 LBS. 4 6 50 FT. 165 PLF 8,250 LBS. 5 6 60 FT. 165 PLF 1 9,900 LBS. 6 6 70 FT. 1 165 PLF 111,550 LBS.1 7 6 SOIL CONDITION SPECIFICATIONS 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". IR #406 PIER BOLT—ON TOP I—BEAM SHOWN, SEE C do RFC CHASSIS FOR CONNECTIONS 406 PIER OLT-ON TOP SEE DETAIL "A" - TYPEOE TIEDOWN SEE DETAIL "A" TYPEOS TIEDOWN I BEAM CHASSIS 14 II II II n #606 STL STRAP ( #614 STL STRAP 1 s1oF vl�v DETAIL W DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2" A307 BOLT x #606 STL STRAP #614 STL. STRAP SEE I—BEAM CHASSIS FOR TIE DOWN ANCHOR RFC BEAM CHASSIS DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2" A307 BOLT _ I� « I I ` - — #614 STL S i RAP SEE I—BEAM CHASSIS FOR TIE DOWN ANCHOR C BEAM CHASSIS T STEEL CONTRAGTOR'8 WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. STRAP X808 SPUT BOLT �•,•;; ,; �,, , . t NUT ANCHOR GoCRETE- ,,.`= -; :i,� �..'.;;t •`': > :�� ; ^, • IZ'G a� 12' �., GROUND UNE lJ.s �;,++,�!y;�� 2 ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND ^f;, THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. I BEAM CHASSIS 14 II II II n #606 STL STRAP ( #614 STL STRAP 1 s1oF vl�v DETAIL W DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2" A307 BOLT x #606 STL STRAP #614 STL. STRAP SEE I—BEAM CHASSIS FOR TIE DOWN ANCHOR RFC BEAM CHASSIS DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2" A307 BOLT _ I� « I I ` - — #614 STL S i RAP SEE I—BEAM CHASSIS FOR TIE DOWN ANCHOR C BEAM CHASSIS INSTALLATION INSTRUCTIONS T STEEL CONTRAGTOR'8 WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. STRAP X808 SPUT BOLT �•,•;; ,; �,, , . t NUT ANCHOR GoCRETE- ,,.`= -; :i,� �..'.;;t •`': > :�� ; ^, • IZ'G • 12' �., GROUND UNE lJ.s �;,++,�!y;�� INSTALLATION INSTRUCTIONS CONTRAGTOR'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 �;:�..".�� `i:�.'•� ,.-:�: �+.�;%.? MINIMUM 2" ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH ,,.`= -; :i,� �..'.;;t •`': > :�� ; ^, • CONCRETE AS SHOWN IN DETAIL "B". -:�: 4'•: ,�: : , " �: �. ; c-- �. ..... �:.t j �•• •r.� ,tf ��':���:.�_•�' 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL ACCORDING TO DETAIL "B". lJ.s �;,++,�!y;�� 2 ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND ^f;, THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. DETAIL ■B• 4. ABESCO NAME IS STAMPED IN ANCHOR HEAD. CONTRACTORS VERIFICATION I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. 1 HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE COMPANY NAME: DATE: CONTRACTORS LIC. # SIGNATURE 06 STL Mobilehome Manufacturer: ( j l.'l.,C2Es`1� ;. -Manufacture Year: If other than single wide,. furnish Setup Model Number: SPD— A31 Width: (ft.) Length: ' , (ft.)Tagalong or,Ezpando Size(ft.) x_a(ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block Other: Provide Tie Down Specifications for all Mobilehomes: 0 CRogS DR►yf downs Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................................................ Main Beams Line2 ............................................................................................... ine 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ....:........................................................................................... Line 2 Line 1 ....................................... ine 5 . . Tag or Triple ;ne 4 ine 1 Line 1 Piers: Size minimum: [ ] x [ ]. Spacing maximum: [ ] x [ ]. From ends -maximum: [ ] x [ ]. Line 2 Piers: Size minimum: v[� x [,3o I Spacing maximum :5- � J From ends -maximum: Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum:: [. ] x [ ] Each side of openings with width over: [ ] x [ ] Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: [ J x [ ]. From ends -maximum: [ ] x [ ]. [oil V3 0 L' Owner's Name: Y V u) vw— I( -ein 2. Assessor's Parcel Number: (-) v) F — I TO — 014 q 3. Installer's Name: 4fneQ O �,bElI 4. Is the site currently under permit? Yes[)(] No[ ] Permit No. --0 0 5. Is the site an existing site? Yes[ ] No (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? Amperes. 7. What is the electric service rating of the mobilehome site? b0 Amperes. 8. What is the mobilehome site circuit breaker rating? -,p'&PV;7/d0 Amperes. 9. What is the main service breaker rating at this location? oW 0 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[x] No[ ] If yes, please identify the load and size: (Load) V9 vol.T (Amperes) 16.3 — 11. Type of gas service at mobilehome site: Natural[ ] PropanepQ None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 31`r inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?-�(9 (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 ori 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 r . OVER 3�;•r•�h.��,tar.�-....a.�.�...;�,-�f'%ht'"�'7f:3Lo4MM3'L�'y"'P:L'���p�4"�.�,ie'.�'+','�""•��-��`f.�'bait`'Rt�9,"�"}.'xg'.`+y�':..��^a{'r��'��'.iq�i�'��'NT���. r.:y�.�inr;?k'��yy�3�,.,::4;�.�t'7r'`0�"rtn�„r� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form _Per Building) 6 5 �© School District—OV V1 (lam l '_ Building Department No. A.P. Number (��� —� OD— C�i Jurisdiction 17 City F7 County Property Owner Property Locatic Subdivison Residential Development 0 No. of Living Units Lot No. EE] Sq. Footage MHI Addition (Group R) Commercial/Industrial Sq. Footage ,y New Addition (Including Exterior Roofed Areas) OL -_3/30/g? Building Departme t Rlepresentativ6 Date V+ • L C (Floor Plans reviewed by School District Personnel) - t DP Identificafion ` — C� 5 0 0 (� ll Dt 7 � /dCeXl !-School istric certifies that d(Applicank ” (Street APIress) , I-.,. (City) has complied with the requirements of Resolution No. representing 7902 'square feet.. (Phone Number) (State) (Zip Code).. by paymentof$�,.360�,°2`� Check here if fee received represents "Full Mitigation". y -,3/- f6 School District Representative Date Paid by Check # '� Remarks: Bank Number Paid by Cash14 If, subsequent to the School District Repres ntative signing this Butte Coulfity Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project ;,is being reviewed under. the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wk, (4/94) •i TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner tion Plan Approved for: Sewage Disposal Water Supply: Public Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 R.H. USE ONLY Fla Pion AMwW 1+00, Floor Plan Aftched Scat to B.D. ,3 AP# w Private Well v Y -C? 6 _ 7 If Date tt+ • ;L�- (P- � 7 N GU 510 E ^- 21o41.'ST tQ L Nle 231.27• , 1214.27' . leperTv--- Faea SeTw&cx Limas --14.73 ac,_4' Po.¢GEL L 10.13 4a. ----- ---------� � Sczt�aC=c L�.a6g -Y I��13/N3GiV5 RAvlve3' �EPf/EMGRAL tom/ zX�` LAG,. • `�� � ,� �y/��°'�4�`��' L • 25.00 �a • -7 V 7e3tt_otNcy •02 W Ez tic Lire 14-7� - ................... NI ?i r --L 4 EPtJ�MEItAL $r �� ST¢eAA45 5'4-7' l l' E ~ 1420.15 CLU - 1420.74 CO) PtP�, L.S. 3!01L C,iz� s2? -3C + H 66 2= 11O.G0• " Ia og�o5- S = 75.82' ca * M7 e • 3� •44' 25" L= 4!0.11' Ce a.M) APPR coD unt`I gate ta, Nea�th En�iranrt`en a- i sat ,_ D e JOB FINALED (Date) Signature ` C RESIDENTIAL ' 028-180-049 PERMIT#95-2412 GOLDEN, Mona & James 585 Upham Rd., Bangor .. Open Deck/MH C14-00t 9S 0(lP F ••i_ �7rr. 'f r•. (t JOB FINALED (Date) Signature ` C � < . \ \ © % \y \/\ � \ > � y .. . .\�� � �:\\\. �\ � \ 3 ^\�� �� f J=OK O = Not OK , - = Not Applicable t; •=Nat Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements ^4- 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. - / /'Nat. or/ /"L"ft./ ./"LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date Card B-1 Date Card 8-1 Date ' Card 8-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except u'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-Clearences 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 8-1 Date Card B-1 MISCELLANEOUS_ 1. Zoning Requirements -Setbacks -Easements '- 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks: Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing - 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric '.�.,_ c 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 n's 1. Setbacks -Easements 2. Soils: Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GF1 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 (; • = Data UNDERFLOOR (Plans) OK except a's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. 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 a's 16. _Water Htr.; Vent -Access -Combustion Air-Baffie 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 --------•---------------------•---- ------------------------------ - 25. Romex InstalledClose to Edge of Studs & C.J. - --------------------------------------------•---- --------------------------------- 26. Equip. Groundmade up w,Mech. Fastners-Bond Gas & Water ---- ------------------ ---------- 27 ------ ----------------------------------------- 2 Appliance Circuts n Kitchen & Conductor SizeiGFI -----------------------------•---------------------------•- --------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ' ga. 64. Cu or At - -•--._-----------------------------••--- ---------•----------•-------•--•------- 29. Range Circ. ' ' ga. Cu or AI -Oven Circ. r r 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 -I Date Card B-1 -------------- --- - -- -- - --------- -. - -- - -------------------- -- ---- ---------- Date Card B -I Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ._-._ ........-----•--- --------------------------------------------------- 35. Vent Fan: Exhaust above insulation ---------------- ----- --------------------- ----------------- --- .--- .--------- ---- 36. Condem:ate Dram & 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- I Date Card B- I Date Card B -I Date Card S -I Dale FRAMING iPlansi OK except .i % 39 Sit, Proper Material & Anchors 40 Wails Stalls -Nailing. 9p,icinq d Gracwq-Plates-Sound ... .. - 11 Goauinq Wails over Gitfi!rs & Fluor N.uluul . 42 Diall Slip m Wall,, !rat pioull .. -.. _ .. 43 Fiw ;lu{A Furni(! Cudrnil5•ti1:ur ; (;ha,,es- (tib . .. ... 44 Hr,,udm; . Gram- ii[r. : ILtitnnn .. "Ingle & Duplex) Date, FRAMING (Continued) , r„ 45. Hangers -Post Caps -Anchors -Connectors - 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss•Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits - 53. Stairs: Width -Headroom -Rise -Run -landing -Fire Protection _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Vents-UndeAlr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except If'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. 67. Stairs & Rails ------- ----------- - - -- --- --' 68. Fireplace or Stove: Clearances -Hearth - ------'------------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. -- ------ -------------------------- 70. Kit_Fixt_& Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door Swing -Landing -Closer ------- ------------- --------------------- 73. A.C. Duct in Garage -Damper 74. ___ Wir. Htr Vents -Clearance -Comb Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ----------------------- ------------ 75. Plb.. Elec. & Mech. Equip. Listed for Location --- --------•-----------------p---------- 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: 80. Planters ❑ Yes ❑ No --- --------•---------------------------------- 81. Stucco: Brown -Finish ---------------------- ------ 82. A.C. Unit: Disconnect. Electrical. Plumbing - --- ..._-. --------------------- 83. -----9-_------------ Vents Above Roof; Plb Appl ante -Fire p lace. -Clearance to Openings --------------------------- --------------------------84 84 Water Well: Disconnect. Electrical. Plumbing ----- - ----- ------ --- --- ------ 85 --------------------- Exterior Elec. Trim; G.F.I. Receptacle -Under round ri9 - ----------------------- 86 Ventilation Throughout House -._. -------------------------- ------------------------d7 87 Glass Protection 88 Corrections from Previous Inspections - - - ------------------ - 89 Gas Test -Meters Tagged: Gas -Electric - ------------------------ .. 90. - - roval Water & Sewer Connected -C O to Grade -HD App - ----- _ - -------T-p- - 91 - - ---------..._.. Energy r;ompfiance Certificate -Other Certificates Date - -- ----- . _.. ------------------- ---- Card 13-1 Data _ Card B_1 -- Date Caro 13-1 Date - - - --- Card B-1 - ---- Date Card 8-1 Dale Card B-1 Comments at Final COUNTY,OF BUTTE- DEPARTMENT OF DEVELOPMENTSERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75y�IT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-180-049 ZONING -A5 BUILDING PERMIT OWNER MONA &JAMES GOLDEN 5T 33 4503 SO. Fr. OCC. BUILDING -VALUATION OWNER'S MAILING ADDRESS 1750 FT WAYNE ST OROVILLE, 95965 42 1 CONTRACTOR'S NAME OTNWER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS - - Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS 585 UPHAM RD PERMITFEE $ 58.00 BANGOR PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIOWS NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome CK 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: OPEN DECK Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LEsLESS ( 2ooA oR s ) 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 on ) 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) 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 0 .SOEx. Occup FIXED APPLNS. OR ( OUTLETS (RESID.) 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. ❑ 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.) 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 tho a provisions. X C!�Y►192 Date _/0 _�' /� -- — g ture of Applicant - ❑ Owner ❑ Contractor ❑ Agent A SHA permit is required for excavations over 60" deep and demolition or construction//-� of structures over 3 stories in height. Mobile Home Installation Fee $ n Energy Inspection Fee $ oer CONST. YPE TOTAL FEE $ 58.00 HAZ. FEES ✓/ IMP FLOOD ✓ COF PARCEL PD HD ISSUE �_ This permit is hereby issued under the applicable in the Butte County Code and/or Resolutions indicated above for which fees have been By 6� D (p provisions to do work paid. tReceipt ) No. 185586. 'PERMITEXPIRESON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n i. iy�S+ y V MsA IVZ2ti;: .� r. Y. rv�q ryH%1fFA Syo j��11uWiY 6Mo4fi?d�S �h :`•7r. COUNTYOF BUTTE - DEPARTMENfOF DEVELOPMENT SERVICES -BUILDING DIVISId 7 COUNTY CENTER DRIVE - OROVILLE, CALIFQ.RNIA95965 - TELEPHONE (916) 538-7541 f - " $` PERMIT APPLICATION DATA SHEET OWNER -'� No. &- / eo Proposed Building Use f Building Inspect Date o� 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 prepareri'd plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. •............ . 5. Hazardous Material Form. ..............._r ............................. . 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 $ .i .......................................... �. 11. Impact fees as shown of attached schedule. .' :............................ � 12. California Department of Forestry plan approval/fees....................... . 13. Flood elevation letter 0100 year flggd) by.� lifomia Engineer . ................'. . 14. Sanitation and plot plan approval rVV 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. ContactLand Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . st 20. Pre -inspection for to Building Inspector p required. . to Building Inspector (Date) 21. ContractoCs-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.....I...................................... 29. Documentation of legal access. .. !t .................. :.................. 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..................................:...........:t....... . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for. pickup at office. 41Deliver with inspector. Other Parcel Creation }� Acreage Applicant gzcw 1 7/ -C/ Date /d i Copy of Haz-Mat form sent Health Dept. Fire Dept.` Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted,prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. `� 2. Additional items required: 1a#1S i vry(e+e P vpviege4An on "Cca( e -dl l c� `� -fir lilSc. -� r cl�GK S�ttt l'r5 Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by `2119 -k -A 7 Date 1O-`1 Sets of plans on hold in File cabinet AP folder ' Copy - Department of Public Works 1 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[xj NO[ J. 2. I HAVE[Y] HAVE NOT[ ] signed an application for a building permit for the proposed work. .3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR' S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY' PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY 1: 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. rs- V VA- 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 pecifiedFor 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 S300 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 `bwnerbuilder" 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. Sincerely,r. 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. 5 '� :lk TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance B.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. ^" / Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Public Private Well Clearance. for b ther -/7 X 8 --*-- D ec-1l NOTE: Environmental Health Date 'vNv se4' (qtr, ALL STRUCTURES AND EQUIPMENT INCLUDING 2c-1<70 (4 VA 10* OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. na: IEMbr, 12 CQ% A SET BACK OF �o FT. FROM THE SIDE AND 3 o FT. FROM 'THE REAR PROPERTY LINES AND n FT. FROM THE ROAD CENTERLINE SHALL BE � CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT ' FOR A 2 FT. EAVE OVERHANG. REVIEWED BY TTE CO. FIRE DEPT. CALI T. of FORESTRY [] approved asl approved with per attached q IA @tMl} W 11 bt' wa%jaxfton - A Date tolt t"* NOTE: ,A.0 Mstet-l.a1e & `florkmaneh.Ip Shall Be In EiCC�?r��?.i10E� tniuil .c"00 ,i%:gid Good 1'ract�,loe9 and of '�� ^' i}- ?`:t':. ;c:';.l:��:, : ai;r t.u� :3peciII9d yB� - •J. J� ln 6�:s ii.[l'iA;�L'1:l L%' s��. illALbiI1� & rG60hwal0a� Codon and Uie Naticn3.1 M43CtrlWl Code. N >�o OCI St' E ZL41. yr c • r23�1.2?• �' 1t1"1:00, � Tblg set of plans and spoGJAG M>7B'1' be kept on thajob St aL11:=moa=t unlaavftil to Mg changes o1' cJ.l:aralJoc;.;k oil me without pb,Q r.6rii>Ws� pormieslon from the 1Japa tme 9`rw� rke Couut& of Butte. )� r - .:14.73 �► �.:�9, o 10.13 . --..,..._,,,...,... l...eAcu -Irene '4$,�.l. Arr-acr- ,. Seiea.e� 1..�•a`S �V i�i�v�e�v Q4 WAIN °Ja �( 1 JI Armor. � �i ♦ 5%xit4Al /(� t'-Wall A.-7 500 SQ. Ft. Ml e= r, d• �9 Z6' 0 FOR M08 NUVtV >+- 25.00' ^J� • '' V �' �o• 3• ltEs Z r ..,y L• 40.8-r. no00�- ar •oad �_... CZ A dn EPs/�M�1QAt 1 A- IA ST�t�.1tit5 cCpf J:7 �'2mQ F kAv��N9 FoR Sr 1--�----- ? 9 " 1 n' n .N aXCo Rea Gwv 0 7= l J:7 �'2mQ F kAv��N9 FoR Sr 1--�----- ? 9 " 1 n' n .N ovwv �%' P1rf. ALL STRUCTURES AND EQUIPMENT INCLUDING pOTE: ,All Ma+,artaln � 7lorkmattehilp t3hall Be In ,.S 2� Q N V* OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. ,[[1cc��r�a tr,E� �+�:�;� �c4^o ^,i;;ed Good. PAItic� and . 12 �Q� A SET BACK OF 3p FT. FROM THE SIDE AND of Iity cr tha .-pecifled tise -�-�-- i.12 tti:`l On _il?L'�Si .:i'''J.i "-?� vii211ti11Is & N16CilA�Q� 3 o FT. FROM THE REAR PROPERTY LINES AND Godes and the 1jaticn3.i Filactrical Code. ,Sn FT. FROM THE ROAD CENTERLINE SHALL BE r CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT 12,5!1-11 .27' FOR A 2 FT. EAVE OVERHANG. • 1111: 00 \ 121 dr; � '1'x!8 BeL of Plans and speo}E,o Mu be kept on thajob y4 all uIM813 all it (ZIL1alvvf11l to REVIEWED BY Q ma cbanges or edti3ratio��.� 011 a Without TTE CO. FIRE DEPT. • A►��r.�'i;&ormission from the Debartme QPUMN ' i 4•?3• count& of Butte. ) o r CALL T. of FORESTRY — ,9� 1 1 [] approved as itted ' approved with conditio —`�•' - ''• Le -.cu -Feae 4S,�.!'. Ar -acyr- perattached heeY��------- Sezeac•� l •.ams �Viv3csV RA Vlve n Signatwe Date �'O7 rx7or. d 0% At v jD ^• r. or t'w" 23 w .P+vE,��erzat R N •�} vi�1 tae nm4®'le�!„ ';`` T�Rtu�1 PA }n11a}►O" Q .t: �. �►i%+• SQ -500 �. `� 41 MIN AV FOR MoBltE L• 25.00' ^J' /�Q . u W t 1 o-bN°AW o- Z3 2a 9r r L 40.8- 36. Pb � 8must as 3• r 1 in lip t.iEPsJ�Mc'RAL ra ^45 n )-Uma, %%, PW 8, ALL STRUCTURES AND EQUIPMENT INCLUDING sp 2call� (q K W* OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. Pa., Sec. 12 CQ%A SET BACK OF FT. FROM THE SIDE AND 3 o FT. FROM THE'REAR PROPERTY LINES AND 5n FT. FROM THE ROAD CENTERLINE SHALL BE do CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. REVIEWED BY TTE CO. FIRE DEPT. -'154-T. of FORESTRY 0 approved asl approved with vu . per attached I ,-.. ;- Signature r ;n %�ID y„o...- t end as D Data toy to► 1111.00 NOTE: All Materials 49 *florkmatnehip Gliall B9 In .Acca?r,Janccl -in. i i:l 3ood 2'rsatic" old Cl. �' ' * ' -.�-•�:��:... G?' the L"pecifled use & Ni6C21 � Codog aaid tie .11atioll.3,i Electrical Coda, N 8P�' OCy Sl' E ^- 2041.3T C t K Tb" esti of plans and sp©of8o MUST be kept on tha j ob et r ll :=moo ani .S unlawflii to me. changes or eadl- �:rat;iot?.; oil me without. P�► i=urii�ermisslon from the Departsne PW1 �rlte. Count& of Butte. 4j� { 4.73 �► �.. _ _ _ '9, o 10.13 1 RAVI"Je A�rxtor. 9C �v/ � 23• w . � ` �%`E�/EMeFra� �/ R I' LyV,,,' 4.1 .50 ` , C� �?' L4, I Fes• MIIVIM U e• ► d' 19 OR MOBILES L• 25.00' cl<. • •.. /: w ` ".'; � •40.87. ,� 7g OW.: �aE o•G�c LtNC -� - - . 30• yin l, —.. EPIV�MCRAL cL� ),umur laeA, Pw-*. ALL STRUCTURES AND EQUIPMENT INCLUDING lion: All Mate-lial-'07 'lfforkm&nsblP Ghall Bo In SP. 2c-x:o (9 VA b* OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. Accorlanoc, inItn", Good.PrENW09-9 and of -01rj -vrr tilki Speciff9d w(f 12 CIP A SET BACK OF FT. FROM 'THE SIDE AND Fr. FROM THE REAR PROPERTY LINES AND 111 th tj B-, ull. & Msobaxklw C-odos said Uae llaticnai Zidctric41000f 5n FT. FROM THE ROAD CENTERLINE SHALL BE V4 8C30 Oct 510 a Z(041.5 r C I CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT *2 3'-x,1.2-74 FOR A 2 FT. EAVE OVERHANG. 1111:00 121d This on of plans and spoGJA0 MUST be kept onthadob st mUl.-ImOg ani i" ur"v7ftltO malrvuv changes or adhi3ratioa;j oil a without REVIEWED BY P4&.Q 6rii& pormLssion from the Debartme Pubus E CO. FIRE DEPT rks, Count Of ButtG- CALI . T. of FORESTRY N)�qtwo sh. 10.13 approved as it It e d ................. F%Z approved with conditio L eAcu -V7z" A Porwcyc i per attached he'eM. k3pow-lew RA VI",e = IL e% signiture Date %J ID IV or Sngr&A" CIS e % PA A.#7 5ooSQ % 101 L wf 1FOR 41081LES L- Z'5.00* Z30 ?A ���!:!Illllllljjjj - -7, f5 C) Cap - Lime mel N 7 -30- Pn tequ—" C% and U. A --eAro�. cli .4 -C , --"eAW&JZAL GI tits STsz0 GLr. A-14 ov�/ . . . . . . . . . . C T( G PLYWOOD CC EXT, 6' T Y P. -� 4 �� � II f o quality niform Buil �iic�t®riesls �C W - ,. prescril-k- d for tie ling, PI rrnbing & r , -e vCCIVAMI i blmc d i' P i ...11 tt u .. _ . I - Pve i , e in file des and e Nationol Elect mal Mode. 12"x 12' PIF S r,/(on 11"xit" ro�,n. �Ceifs � ? p FCLIP = 2' x 12" STAIR RINGER. 48'0.x. MAX. 7DP VIEW HAUDRAIL NOT SHOWN FOP, CLARITY. �2 2 X DECKING (ALT) 3/g'� 80LT 4� ( v" DF GIRDERS 1'!s" TIG PLYWOOD CC EXT. w MOBILE- NDME OR 91--C m C®mw . fhis set o ptaras anet s „cs,`ict�,.i MTL. FRMU--- — —G �P�RJT .k pt on the lob of cal. �' :es Nnd ' •� , 48'.' : MAX. CLIP (EA. DE 9'M C11Ce C9!1y Gh 'YlgeS Qi' Gly r`iTii3 r P O 5 ::P, p OVED iffen �iTi11 SSior lYO, i s 1 r r 4.x G. ou 4'x4' POST 20X 12" x z CTUARDRAIL •' ' #2DF.3Z 214' PRESSURE C! 1 17-RfA TCP -R W. DOLTS WOOD PSA irF Wpm tal. 4 MAX. DECKIIJG GIRDER _ W PRECAST '4'X4" POST PIER ADFQUATE' DIAGONAL ,, �.��. �o r, MHS W x I4" MIN. FOOT r NG 5 - <7--3511 - �+�35� 4e 'Y., N\ -7 c? -- ----------------------------- ,I, ;z x (a I?eo w 10 4e 'Y., N\ -7 c? -- ----------------------------- ,I, T t _-4—_�._... _�_._....�--•......—�+ ..r._r_sarr.wYC�vM.' -..:iYY'Jl4�i"JlallYTwl?Y1�0.94�arK'vnad'__..��._.�.......----_---_--_..—...- _.. CC DATE PiMPLETED (_.--] 3 �.T r c GHEE:NF.'5RE.FfihFNC::CALENDARS t. ieisionoll'ugrePubl;ll,crs.Ina•. 1•L!�1s_cn,'.5gli�ia I10 FORM}?0.31 '.:85rlE.:7., �. 10. -_ L --j -------- _--_._.__.___ . �.T r c GHEE:NF.'5RE.FfihFNC::CALENDARS t. ieisionoll'ugrePubl;ll,crs.Ina•. 1•L!�1s_cn,'.5gli�ia I10 FORM}?0.31 '.:85rlE.:7., �. I, E MAKE — H i LLCKE�;T� w ►Tib E x PIAN Qo SE IRI.. No. — 00274104.Z7m /}L� FLoo 2 PI�Ary /►'1 ERSuRr Mc nits T�9KFJJ F Rot, ZN � eaR,v2 W r�L�S APPROVED Butte County Environmental Health V j1. ----------- Sighature t i ENrR y pooa, 11`