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030-500-001
03-1597 030-500-001 ORCHARD i REST, Cont: SERENITY HOMES NEW MH PERM FND NEW Sol 1 t, 1' I {.moi• _ T,, 3-1726 030-500-001 uw ADD GARAGE io •� ! J.s,. . ti: ; . ,.1 , ,11.r ,�t •r ..�..n, r� s.+rzi L FGt". X � �t - ,�. ,3 � X�•ife � r„+`•.` 'c-�t” 1'.^...^.11j!.. r� x iIr s +Y - 3-1726 OMES s s * r J. .. .L.. 7 t;t t.�s r q i.. J c. t c• s a� ' c f t rM 9J� 5wo itu=i�ircral NOTES _ _RESIDENTIAL 030-500-001, -r 034597 1 JACKSON, WES PERMIT NO. �!ORCHARD CREST, OROVILLE I ZN—ERENITY HOMES ' ENEW MH PERM FND NEW SITE l THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATES) OR DECAL (THE INSPECTOR MUST RETREIVE). — - (2) STATEMENT OF FACTS (ONLY ON NEW f i MH' S). w II�TSPECTOR TO VERIFY SERIAL & LABEL #'S. 4. , qr � JOB_FINALED (E Signature SPECIAL CONDITIONS t s CHECKED - BY SRA ` FLOOD CERTIFICATE REQ: --..T- s. ;. FIRE SPRINKLERS REQ.., SPECIAL INSPECTION ITE_ MS VERIFY USE PERMI_T_GOOND- OFFICE COPY Address c Li i /n J `'�` ( GAS Date Meter By ELECTRIC pate Meter Address GAS { Meter By at c ' ELECTRIC Meter By Date � JOB_FINALED (E Signature { J=OK 0 = Nnt OK , . = No Readyable, MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements ` 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete + + 4. Water; Location -Test -Easement Needed (Sketch) . 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ . P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date. Card B-1 Date .� Card B-1 Date ; Card B-1 Date Card B-1 Date. ' MOBILE: HOME INSTALLATION (Plans) OK except ft 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 515r4ig; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water a: d Sewer Connected-C/O°to Grade -HD Approval, .8. Gas and EINUicity Tagged '9.. Tie Downb-Type-Installation Cert.' 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B=1 --Date Card B-1 Date PERMANENT END SYSTEM (ONLY):- oning Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line Blocking 4. Gam; MH Test -Demand -Valve Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3/EIe6frMitrNlHTest _.,-._ 3. 6.- Water H Test`-- � g �0. ater and Sewer Connected 8. Gas and ElectricityTagged Wood 'Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 9. Exits 5. .10. License Decals 11. 'Verify #'s with Office Carports; Windows -Doors Date Date PVVI Card B-1 Date Card'B=1 . Card B-1 Date Card B-1 �1�G� V IVI OM/' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except ft 1. Zoning Requirements -Setbacks -Easements . 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood 'Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh C 10. _Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting,-Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elect; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- Ins.'to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms t''Date Card B-1 Date Card B-1 Date Card B-1 . Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Pennit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes 0 No/Walks O Yes O No/Planters Cl Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: .....COUNTY OF BUTTE . . . . BUILDING DIVISION ` DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Si/A OWNER PERMIT NO A routine inspection indicates that the following violations of butte county Ordinances exist at the aid above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street Chico, CA - (530) 891-2751 7 County C6ntbr'Drive • Oroville, CA - (530) 538-7541 /W CORRECTION NOTICE 7 OWNEW'- PERMIT NO. A rofjline'inspection indicates that the following violations of butte county Ordinances exist at the -,a bove,address and should be corrected. Please notice this office when correction of work is corr44I4&d..jf you have any questions pertaining to this matter, or need additional explanation, pleaseLcontict this office immediately. k' I Date J 7 Z Z-6 7 Inspector REV 10/92 kr Date J 7 Z Z-6 7 Inspector REV 10/92 ( ` COUNTY OF BUTTE - DEPARTMENT OF C)EVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, Ca`iifo�nia14 95965 • Telephone (530) 538-7541 PERMIT NO. (f�ev.12�96) APPLICATION AND PERMIT 03 -ISI ASSESSOR PARCEL NUMBER_ 030-500-001AR ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION 1303 R 70 365.00 . OWNERS MAILING ADDRESS CONTRACTOR'S NAME (SerenityBill Kir'hv TELEPHONE CONTRACTORS MAILING ADDRESS PO Rnx 49-3 Altavillp CA 95991 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 70.365 .00 ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ 254.5 - ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $165.40 BUILDIADD +r Energy Plan Checking Fee $ $ PERMIT FEE $ 439.90 LAT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehompd Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 5.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: new MH on perm fnd Gas piping system 1 - 5 outlets 15.00h 5.00 Building sewer 15.001 9_00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 1 20.00 Main Service 200AORLESS 23.00 2 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.�jf� License Class .R Lic. No. b$i6 -/ v � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. S.3.50FT. 1N1ON}RESID T.MULTI-OUTLET 97,50 POWER APPARATUS a SINGLE o,TLET CIR. 20 EX. Occup. OUTLET OR FIXTURES SAL @ 1. 0 Ex. Occup. OFlxuri R= ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 permitis issued. My workers', cgmpensation insurance arrier and policy number arer n Carrier �'.`� co+-.../au.,SY �%►,LSL.L..-c...-.CtL �-w�.d[ Policy Number --111 —101 uiyrT- L') 0 10 11 I (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X V(Tv+-a e Signature of Applicant - ❑ Owner ❑ ContractorXeAgent An OSHA permit is required for excavations over 5'0" dand demolition or construction of structures over 3 stories in height.1�1s�4) MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TPfAL FEE $ 547.90 HAZ. I COF PARCEL HD IS E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indi abov for w 'ch fees have been paid. Date Z4 n3 PERMIT EXPIRES ONI04' Palo) Receipt No. 3 %0o WHITE-D.D.S.-E.D. CANARY -ASSES R PIN-INSPECTO GOLDENROD -APPLICANT OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BPILDING DIVISION 7 County Center Drive - Oroville, California 9,5965 - Telephone 30) 538-7541 PERMIT NO 6) APPLICATION AND PERMIT 03 BUILDING PERMIT ownEq \ W25 y �%IK4iii/d- 3 �GuSa� TEL�oNE SQ. FT. OCC. BUILDING VALUATION 1303 A oWWEAS NABJw ADDREs6 , CD -1" HARE 7 �s s � TELEPHONE -aa- o s AD commuCnON LENDER Fireplace u:NDERs LWLM ADDREss Total Valuation s' O 62 ARCMrrEcT OR EMMUM L�E►sE NO. Filing Fee S 2D.00 q Permit Feb ARMWECT 'OR EHDDIEMS www ADDRESS Plan Checkin Fee S' �/► IN l(N " � Y Energy Pian Checking Fee S S C- sl- PERMIT FEE �pT ND. SUODt✓61DNS NONE 'PARCEL NAP Firing PLUMBING PERMIT Fee 20.Do Each Tr 7:00 — USEOFSTRUCTURE 117 �� ' ❑ Duplex O Mobilahome Other sFEz�v Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.D0 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 2� ^ Describe Work: ✓ �r� Gas piping rystem' t - 5 outlets 15.00 BuilTing sewer 15.OD /rr Mobile Home. I S G W @20.00 PERMIT FEE t: ELECTRICAL PERMIT Firing Fee 20.00 Main Service py, ca L 23.OD 'Z / /t rl Csrl '�� A Ll T' p — i 'FZ. A� 1 C_� V R L �riif�t d SRA to © �N Siler bo f6fit O 44Kte- ro Nonce a �u AWWA4 i(ed a .j) IYV1l) �� a ��� AtI40 ca 1 Main service zo ro ,oval 46.00 ORR ADDOML �i L ACI. BZD.DCB�• SD O 3.5CF r. uuuwuntT �+DRatESm. ' @7.50 . PorVQ► APPAaN1JS Ex Occup. ovnEr DR FKTUP SeAL ® a .'Soo . Ez. Oecu FIXEDAFR"S• DR 5.00 ounces rD. EA Temporary Service 23.00 Mobile Home Facilities 20.OD MLsc Wring23.00 PERMIT FEE s 2I MECHANICAL PERMIT Firing Fee 20.00 Heating Cooling Hood 6.5c) Ventilation PERMIT FEt S Mobile Home Installation Fee Energy Inspection Fee S Dcc CONST. 11 TO AL FE KQ. CDF I YrEL ,-IYID� 65UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have bean paid. BY Date PERMIT EXPIRES ON /Delo) t _. 5t �k :-"r't:'wt`F� ry �,w `•.• �`f-'iy'wp'lT'�-r-. :J�.i,,i.`'w+r-'�+•^.v?r•'i'�i`�'iP;j�.'t.^/`N`*'�h":..: 'may+, .�n �i1:=-,r -•'�"��".. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �7t S UI491^j,!n ,' 4r_kS---�,)ASSESSOR PARCEL NUMBER O 3O ^ s-0 — 0O 1 Proposed Building Use: 1 v Q -J / A Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be check OR marked NA in order to apply. �ET' L . Plot plans, 3 or 4 sets, signed,ity the preparer of the plans. ( Complete plans, 3 or 4 sets, signed by the preparer of the plans. "31� 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. INV 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. mes: (A) Data sheets and installation ins uctions, (B) is a ling information, (C) Floor Plan, (D) Tie down r foundation pl , a m ua r� IUGI�/�l.Q�, 7. mgs: (A) Metal Building Plans, (B) Foundation plans and la ions in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet- si ned b t ngineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remain' g itetns needed to issue the permit. (May require additional plan review upon receipt of the following items.) F as shown on the attached Schedule of Fees D e Sheet ....................................... ❑ 15. Stateme I t for Non -he ed 1 ' tfj 6. Sanita ion p of an ap r from a iro mecfEai Hea Department in i __❑ 17. City of Chfcb Plumbing permit ............................... ............................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: ©1C (B)Parking: (C) Parcel Check: 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ocl Letter of Signature authorization.................................................................... Ly'27. Recorded copy of Agricultural Acknowledgment Statement .................................... Z ❑ 28. Manufactured home utility clearance............................................................... , ❑ 29. E ' ting violations gnd/or a fired permits........ ............... I ............... 30. rant Deed, ❑�M i 1 atement of Facts, tter from Legal Own , R heck to H.C.D. $ ❑ 3 . Other: 0 �� eA2: /`r /J r/i..if �4 �-trS - P When issued Telephone S G(., — 9 `% (50 and hold for pickup. I have been informed of the above items and requirements for obtaining a building peit. Applicant: Date: 6-1)_ 03 1. Index permit application for the above items numbered: I Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by V phone, ❑ mail, ❑/,co er, by Date: on�, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ count , by Date: Plans reviewed by: (/ Date: I Plans approved by: Date: Structural reviewed by: Date: :11 Li 103 Structural approved by: Date: Z Z v Note transfer by: Date:/, Yellow: Buildin¢ Division r COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT, SERVICES' - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 (1 SCHEDULE OF FEES DUE OWNER �2S ¢ VIxc '." clseC�ZS��✓ A.P.#. 03O— J000 = obi IJ eJ _ 1 PROPOSED BUILDING USE DATE L/— �, RECEIPT#. DATE REC. J 1. BUILDING PERMIT FEES _ Balance Due ........................ $ Additional Fees Due ................ $ Additional Fees Due ..........:..... `. $ ' Revised Plan Checking Fee ..............$ CHOOL DISTRICT FEES ogo-. UJI O.J. S �' / (paid at District Office) (Available after Plan Check) �✓ 3. SHERIFF FEES (paid at Building Division) Residential ...................... I x $360.00 = $ 3 Q' 16 5�� G 1 - Units Commercial (sq. ft.) :.............. ' x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential .................. :—x—=$ # Units Amt. Commercial (sq. ft.) ............ x - _ $ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES V(paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE 00 (paid at Building Division) mo L *_Lro At time permit application, -I was advised the above fees are required to be paid prior to issuance of the building may be changed during the plan checking process. APPLICANT l DATE 6 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of tlie project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are.specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) School District A.P. Number Property Owner Property Location/Ac Subdivision BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. Jurisdiction: City County /04- o5-1 0: /,S- T? ( )Ch a%fj (If ps- Lot No. Al ................................................................................................................... 1�0� Residential Development I v 1 Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): Commercial/Industrial ` ew Addition -- Building Department Representative Plans reviewed by School District District Identification No. looo ®1 r t Un i-b—n- &chool District certifies that 5 (Street Address) Davi 11 (City) has complied with the requirements of Resolution No. representing I J �iJ3 square feet. I School District Representative Paid by Check # Remarks: /7 !) /) Sq. Footage (Including Exterior Roofed Areas) -15 Date .4%_0 u • — (Applicant) U SCoto -- 9 9-8� (Phone Number) q �;9 (9( (State) (Zip Code) by payment of $ �0.4?' AB 2926 S FULL MIT CATION S Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/98)dmm COPY of Document -Recorded r r , i _ ,24 -Jul -2003 2003-0048861 ANi) WHEN RECORDED MAIL TO: Hae not been compared with f.. - •. original } BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE BUTTE COUNTY RECORDER OROVILLE, CA 95965 ; 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT ' FOR RESIDENTIAL DEVELOPMENT Section 26-8 of ttie, Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The -property described herein is adjacent to land oufficluded within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of.agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning,.and harvesting which occasionally generate dust, smoke, noise, and'odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience ..or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 7 �' PROPERTY OWNERS:' r, Date may.---._. r . ' • . 'K / t State of California ) County of ' -,c- .- On. &?>6L beibre me, } personally appeared L C, • personally know*4e-me-("roved tom n the basis`of satisfactory evidence) to be the person(eyCvCiose name(sj-is/are-surbscribed to the within instrument and acknowledged to me that-heAlie/t!ey executed the same in-hfs ier/their-authorized ' capacity(j,eW , and that by -1 +her/their signature(" the instrument, the person{.sj-or the entity upon behalf of which . the persot4sjlacted, executed the instrument. s. ' WITNESS my hand and official seal. * = TWILA DELMAR Signature y ' ,Seal:. V COMM. # 1369973 Q NOTARY PUBLIC -CALIFORNIA BUTTE COUNTY • A A.P. OW e � � COMM. EXP. AUG. 13, 2006' ` 1• All that cortaln coal property eltuato In the County of Butte, State of -California, do3cribed as followei Commencing at the Southeast corner of Lot 14 of the Topham Tract, at shown on that certain Map (Bed In the office of the Retarder of tho County )f Butte, State of California, November 14, 100%,In Book 8' of Maps, of page 651 thenco South 1 20' Went, 1320 feet; thenal South 1 20' East, 328.6 foot to the point of 'beginning of thl3.parcel of land, In the Baslorly )Ins of County Road, tunes along Easterly line of County Road, South '1° 20' Salt, 1010 f00t, thanes Bout 5 58' Went, 121.14 foot,. thence South 58° 33' West, 153.24 feet) thence South '25 33' West, 47.23 fact tore point In the Northerly line of lands heretofore conveyod to Southern Pacific Company, a corporation by Deed of record in Book 100 of Deeds, at'pa� 88, rocords of Butte County, California, thence along said Northerly lino, North A0 57' Bast, 985.40 feet to the Southwest corner of land heretofore conveyed- to Margaret J. Wastwood, by Deed of record In Book 218 of Deeds, at page 338, rocords of Butte County, Callforniat thence North along the West. line of said parc4 244.50 (set- to the. south 'Una of tl.: old Bird Ranch, thence along said Una, North 08 41' East, 554.50 feet, to the Ilorthwast corner of land herotofore conveyed to Hannah G: Middlohoff, by Deed of rocord In. Book' 4 of Official Records, at page 70, records of Butte County, CaliforWat thonan- el erg the Northeasterly Una of seigparcel the lollowing.eoursespd dlntancesi Bouch 63 04' last, 64.20 foot; south 21 48' East, 21.6 feet; South 5 40' East, 59.3 logo South '16 13' West, 51.8 feet Ac a point in the .Westerly Una of land hamtofcee '• . conveyed to G. E. Middlehblf, `by Deed of record In Book 4 of Official Raaocdi at page 150, records of Butte county, CaUfania,.thence along the Northtaosterly line •o1 said parcel, the following aoumes and dlttanow North-33 30' Earl, 69,0 feet, North 88 10' East, 63.7 feet; Narth 410 18' East, 84.5 feet t% a point In the south Una of the old BIM Ranch; thence along said line, North 88 41' .East, 7.06 teat to the Southwestcorner of land heretofore conveyed' to H. J. Webber and Lucone A. Webber, husband and wife, by Deed of record In Book 1 of Official Records, at page 50, re_ of Butte County, Caulornial.oras aloha the Westerly line of sald parcel, North 44 41' East, 110.3 feet; North, 00•'18' West, 238.0 feet'to the ' uthwest corner of IoM heretofore conveyed to. Marguerite F. Ramey, by Deed of record In Book 220 of Deeds, at page 425, re%ords of Butte County, CRI110MI01 thence along the West Una of said parcel, North-0 1�' West, 220 feet to the Northwest corner of rAId parmla thence continuing North 00 19' West, 480 feet to a polntl thence south 88 41' West, 1247.2 feet, more or lose, to the point of beginning: EXCEPTING THEREFROM . ell that portion lying Southerly of the Old Bird Rench. ALSO EXCEPTING THEREFROM that portion thereof lying within the property deserlbed In Deed to the County of Butte, by Deed from Eugene MacLean and Za,ollne S. MacLean, husband and wife, recorded AprR 3, 1037 In Book $6. of Official Records6 at page 313, records of Butte "County, California. r ' - SITE PLAN REVIEW APPLICATION .Date: AP# Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: • 1 C) O JJ I� L� S Vl 2 C-1 JJ 1 q r Owners Address: Telephone No:: S erZ'1) ► T�'� Situs Address: D2 C -H la 21� c–ees— ' Proposed Use: Residential - ❑ New Single Family Residential Single Family Addition ❑ Single Family Remodel Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling E , F-1. Temporary Mobile Home (Aunt Minnie) , ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial , ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ` 0 Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE. -DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally ~Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By �;pDate 7 b r Page 1 of 5 i. ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: Xp • Flood Panel No.: O a i✓ Index Date: 6— 8-9 8 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: " Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways 'Fire Prevention Subdivision Map Front ® OIL - LSide Side Side Street L Rear 5 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 J - Applicable Development Fees: Standard Fees 'Amount Formula t ❑ Fire ❑ ❑ Parks/Recreation ❑ Roads ® Sheriff ❑ Drainage , ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road - Thermalito Drainage Area Thermalito Urban Area ❑ Other „ Subdivision Map Special Fees ❑ Water Tender Road Improvement ❑ North Oroville Area Other (per map) * Check with school district to verify actual fee if pre -application review: A final determination will be made at the time of the building permit. , Parcel Created By ❑ Deeds: ' Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No' ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes 'Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 IR Subdivision Map/Parcel Map: p 1z.CHia ice?) Map Date of Recording: !�,) — 16 —C) 3 Lot: J ❑n Use Permit/Minor Use Permit Permit Number: Book: Page: t4 -2— Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. EJ u Page 4 of 5 This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 . . • t • a 1 ` FOUNDATION HOLDDOWN; CONNECTION DESIGN r , FOR ' SERENITY HOMES MODEL 4485 ' FOR W JACKSON RESIDENCE°IN OROVILLE, BUTTE CO., CA d BUTTE COUNTY. y x e• r i y r i 3 BUILDING DEPARTMENT; 't �� C!•Q` V D s cc i Css!779 u ��� Z��� �' ` ' • ' . � `. �. ' exp. 10��. a�° � � " OF C 1.l� Tim Wood, P.E. The Engineering Group, Inc. ' • ' ' 1250 East Ave. Suite 10 t Chico, CA 95926 PH:530-899-0409 FX:530-8997.09430 ' a r s s * ' t Line PROJECT NAME: SERENITY HOMES 4 PLAN NO: 4485DBCP4 - • 1 PROJECT NUMBER: 1092 OWNER:" JACKSON _ '` ^• ' • 2 DATE: 7/182003 8:49 ' 5 LATERAL DESIGN FOR FLOOR DIAPHRAM CONNECTION TO FOUNDATION - 6 7 LENGTH 52 FEET ,• • % s - 9 10 • 11 12 ' k • 13 • 14 15 _ 16 17 ` WIDTH ' r 25.75 FEET .. ! +.�. .. 18 19 20 _ 21Rise Run • 22 4. a .S •' Roof Pitch 4 12 . s 23 - Wind Analysis P = C.Cggsrw Overhang o foot • 24 • - �- Height • - • 25 ' '. ? Mudsilltofloor . 0.56 w . 26 Exposure Urk Use Exposure `C• 4 Floor to eave 6.00 ' 27 , • C, 1.06 Up to 15 feet S `' Eave to Peak 28 1.13 Up to 20 feet' 'r • 30 Cq - Pressure Coefficients (Table 16-H) 31 1.30 #1 Primary Frames, Method #2 Projected Area) Structures < 40' 32 0.7 Upwrard(Lift) • , 33 ' 34 q S 14.50 psf • 76 mph . • 35 1. (Table 16-K) • 1.00 . - 1 r . 36 37 Pressure/Force Analysis (transverse) - Number of Load per Shear per - 36 Height Pressure Area at Force Wag Lines Wall Lines LF 39 0 to 15 Feet 20.0 639 '' 12800 ms ' 40 16 41 . ' '1 12800 2 6400 249 , t 42 • - - ' r 43 44 • •45+ r Anchor Sig Plate with 12" Anchor Bolts Per 9T NDS Table 11 E : 33 + • ✓ '48 Nominal Adj. Factor WEA. • Spacing: `. • 47. 'Check Allowable Load 620 1.33, 8225, @ 2.75 O.0 300 > 249 ' • 48 49- 12• (15/32) OSB Sheer Transfer Coach to Mudsill CBC Table 23-ILI-1 5o • • . Allowable Load 380 ' 8d Nails @ 4• D.C.. 12• Intannedate OK r • 51 Note: This piece of wood is very short so 12• o.c. doesn't make sense for intermediate. 4* O.C. edges W min. top and bottom nailing @ 18• o.c for intermediate 53 " Fressure/Foroe Analysis (longitudinal) _ Number of Load per Shear per 54 Height Pressure - •'Area sf Force Wag Lines Wag Lines LF ' w 55 0 to 15 Feet 20.0 •. 317 63W Ibs 56 57 total , 6300 2 3150 61 , 5659 ' { •l 60 • , 61 • Anchor Sig Plate with 72• Anchor Botts Per 97' N DS Table 11E "� - 62 Nominal Ado. Factor #/EA. Spacing / .. 63, Check Allowable Load , - 620 11.33 ' $L5 . + @ 6 . O.0 138 > 61 s • 64 - ., 65 •J• bolt inatablion per 1806.6. 6' O.C. minimum, within 12' of all ends and end of board. `Min. 2 bogs per piece of wood. • 66 Unless shown .. �' �.. j • 67 • ! . ' 68 10 (15/32) OSB Sheer Transfer Coach to Midsig CBC Table 23 -II -1-1. 69 1 - Allowable Load w: 260 - 8d Nails 0 6' O.C. 12• Intermediate >61 OK. 70 r Note: This piece of wood is very short so 12• o.c. doesn't make sense for irdenrrwdiate. 6.O.C. edges W rtdn top and bottom mailing @ 16• o.c for intermediate 71 ' t 72 CHECK FOR OVERTURNING MOMENT - 73 TRANSVERSE ° -• 74 - FORCE • MOMENTARM i t MOMENT 75 LATERAL WIND 12800 6.145833 (12 HEIGHT) 78666.67 -.'76 - UPLIFT WIND/ 17924.494 12.875 -1, 230777.9 77 BUILDING Wi'. PART A (2/3r / -16155.33333 , - .t. 19.2 -348582, - 78 .BUILDING WT. PART B (2/3)✓✓✓ -19000 S f 6.4 .. -121600 .t - ` 79 -160738 OK No special hold down req w . 80 ° LONGITUDINAL • - 81• FORCE MOMENTARM MOMENT ' i / 82 _ r LATERAL WIND , 6300 6.145833 (12 HEIGHT) 36718.75 83 • UPLIFT WIND�� 17924.494 26 488036.8 - 84' r BUILDING WT. PART A (213) / -18155.33333 26 , . 472039 ' A 85 BUILDING WT. PART B (213)✓ -19000 28 494000 ' 86 , -461283 OK No special hop down req .. • , + FOUNDATION HOLDDOWN CONNECTION DESIGN, FOR SERENITY HOMES MODEL 4485 • FOR JACKSON RESIDENCE, IN OROVILLE, BUTTE CO., CA- ♦' ' ♦ 5'b r 03 / s(�9}�.7 RO_ `tea, e � d ziy r UT ) 'tTAU ti i ` • dF. v'••t •JyJf 1) �.� I , " BUILDING DEPARTMENT + C 6177- APPROVED.: Tim Wood, P.E. i The Engineering Group; Inc. l ,1250 East Ave. Suite 10 , Chico; CA 95926 'PH:530-899-0409 FX:530-899-0943 " t / Y� F, f Lire PROJECT NAME: SERENITY HOMES PLAN NO: 4485DBCP4 1 PROJECTNUMBER: 1092 OWNER: JACKSON 2 DATE: 7/182003 8:49 4 ♦ ' 5 LATERAL DESIGN FOR FLOOR DIAPHRAM CONNECTION TO FOUNDATION .. 6 7 LENGTH 52 FEET 8 9 10 11 12 13 14 15 18 17 18 19 r • r WIDTH - 25.75 FEET 20 ... 21 - Rise Run , 22 ' Roof Pitch 4 12 - 23 Wind Analysis P = C,CQgSI„, Overhang' 0 foot 24 - - Heigh 25 ' Mudsill to floor 0.56 _ 26 Exposure Unk. Use Exposure "C" Floor to save 8.00 27 ' C. 1.08. Up to 15 feet Eave to Peak 1229 28 1.13 Up to 20 feet 29 30 Cq - Pressure Coefficients (Table 16-H) ' 31 1.30 #1 Primary Frames, Method #2 Projected Area) Structures < 40' 32 0.7 Upward (Lift) 33 .34 q S .14.50 psf 75 mph - - 35 r 1. (Table 16-K) 1.00 36 37 Pressure/Force Analysis (transverse) Number of Load per Shear per 38 Height Pressure Area sf Force Wag Lines- Wag Lines LF 39 0 to 15 Feer 20.0 639 12800 ms , 40 41 12800 2 6400 249 42 43 44 ' 45 Anchor Sig Plate with 12' Ardor Bods Per 9T NDS Table 11 E 48 Nominal Ad. Factor #/EA. Spacing 47 - Check Allowable Load • 620 1.33. 825 @ 2.75 O.0 ,300 > 249 48 49 12" (15/32) OSB Steer Transfer Coach to Mudsill CBC Table 23-11.1-1 • 50 Allowable Load 380 , 8d Nails @4" O.C. 12" Intermediate OK 51 Note: This piece of mood is very short so 12" o.c. doesn't make serse for intermediate. 4' O.C. edges w/ min. top and bottom raging @ 16" o.c for intermediate 52 53 PressurefForce Analysis (longitudinal) Number of Load per Shear per 54 Height Pressure Area sf Force Wag Lines Wag Lines LF 55 0 to 15 Feer 20.0 317 6300 bs 56 57 . total 6300 2 3150 61 58 59 80 61 Anchor Sig Plate with 12' Anchor Bods Per 9T NDS Tattle 11 E 62 Nominal Adj. Factor #/EA. Spacing t 63 Check Allowable Load 620 1.33 825 @ 6 O.0 138 > 61 64 65 "J" bod instagation per 1806.6. 6' O.C. minimum, within 12" of all ends and eM of board Min. 2 bods per piece of wood. ; 66 Unless shown 67 68 12" (15/32) OSB Sheer Transfer Coach to Mudsig CBC Table 23-11-1-1 ' 69 Allowable Load 260 8d Nails 0 6" O.C. 12" Inter adate >61 OK 70 Note: This piece of wood is very short so 12" o.c. doesn't make sense for intermediate.' 6" O.C. edges w1 min. top and bottom nailing @ 16" o.c for intermediate 71 v 72 CHECK FOR OVERTURNING MOMENT • 73 TRANSVERSE ^ 74 FORCE MOMENTARM MOMENT 75 LATERAL WIND 12800 .. 6.145833 (12 HEIGHT) 78666.67 76 UPLIFT WIND 17924.494 12.875 230777.9 77 BUILDING WT. PART A(2/3) -18155.33333 19.2 _ -348582 .., 78 BUILDING WT. PART B (2/3) -19000 6.4 -121600 . 79 -160738 OK No spedal hold down req 80 LONGITUDINAL - ' 81 FORCE MOMENT ARM MOMENT 82 LATERAL WIND 8300 8.145833 (12 HEIGHT) 38718.75 • 83 UPLIFT WIND 17924.494 26 488038.8 - 84 BUILDING WT. PART A (2/3) -18155.33333 26 -472039 - 85 . BUILDING WT. PART B (213) -19000 26 494000 86 -461283 OK No special hold down req , 5 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Orov,ille, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/fomis.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone (530) 538-7157 Ext. 2016 Permit Number - District APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: 1 a. Company Name: 2. Address: P.O. .O. 18 55tit t-�a�•: C—k 937e% 3 -9 3. Phone: &3D) . ',3 S —161 /61 fl 4. Assessor's Parcel Number: 5. Location of Work to be Done A-V J r / r GA Q S� ` S ~tom* �J l C� 6. Ap licant's Si atur ; 7. Date: . CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address �• D ;� Y93A-1-4-V i(1,t- CA Q Svc• 10. Phone:i $—SJLcl9 1. Fax: GAJ X66c ysa 12. Contractor's License Number: / GSb t� 13. Certificate of Insurance: Yes NO: ❑ ./ 14. Contractor's Signature: 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑ Drivewamst e : S— 18. Other: PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby granted. 19. Conditions ` C111— 11Under Underground and Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. ❑ All work shall conform to accompanying: Detail O Plans O Special Conditions O 21. Date Issued 22. Expiration Date: 23 Surety: Mike Crump, Director of Public Works By: ** Note: If permits are faxed to any number besides (530) 53.84356, they can be delayed up to one week. Page 1 of 2 General Conditions - See Page 2 GENERAL. CONDITIONS 1. It is understood and agreed that the County has prior right to the use of Its rights of way. It is further understood and agreed by the Permittee that the doing of any work under this permit shall constitute an acceptance of all the provisions contained herein and failure on the Permittee's part to comply with any provision will be cause for revocation of this permit Except as otherwise provided for public agencies and franchise holders, this permit is revocable at any time. This permit is to be on job at all times while the work is being done. 2. All work shall be done subject to the supervision of and to the satisfaction of the Public Works Department of the County of Butte. The Permittee shall, at all times, during the progress of the work, keep the County Highway in as neat and dean a condition as is possible and upon completion of the work granted herein, shall leave the County Highway in a thoroughly neat, dean, and usable condition. 3. The Permittee agrees by the acceptance of this permit to properly maintain any encroachment placed by the Permittee on any pad of the County Highway and to immediately repair any injury to any portion of the highway, which occurs as a result of the encroachment, until such time as the Permittee may be relieved of the responsibility of such encroachment by the County Department of Public Works. 4. It is further agreed by the Permittee that whenever construction, reconstruction, or maintenance work upon the highway may require the installation provided herein shall, upon request of the County Department of Public Works, be immediately moved by and at the sole expense of the Permittee. 5. No material used for fill or backfill in the construction of the encroachment shall be borrowed or taken from within the County right of way 6. At least one lane of any public road, under the jurisdiction of the Board of Supervisors'of Butte County, and other public roads Junctioning or intersecting therewith, shall be kept open for travel by the general public at all times. No public road under the jurisdiction of the Board shall be dosed to travel by the general public without special permission, in writing, from the Board of Supervisors. . 7. The Permittee, by the acceptance of this permit, shall assume full responsibility for all liability for personal injury or damage to property which may arise out of the work herein permitted or which may arise out of the failure on the part of the Permittee to do the work provided for under this permit In the event any claim of such liability is made against the County of Butte or any department, official, or employee thereof, the Permittee shall defend, indemnify, and hold them and each of them harmless for such claim, 8. All excavations shall be backfilled and compacted immediately after work therein has been completed. Trenches shall not be left open farther than 300 feet in advance of pipe laying operations or 200 feet to the rear thereof, unless otherwise permitted by the Engineer. Unless otherwise permitted under the Special Conditions, backfill shall be place and mechanically compacted in such a manner that the relative compaction throughout the entire fill within the County road right of way shall conform to the percentage of compaction as stated below. Permittee shall notify foreman 24 hours before backfilling and/or paving. a. The relative compaction from the bottom of excavation to a plane five feet (6) below finish surface grades shall be no less than ninety percent (90%) as determined by Test Method No. Calif. 216-0 of the Materials and Research department, State of California, Transportation Department, Division of Highways, or other approved test method. b. The relative compaction from a plane five feet (5') below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. a The relative compaction from a plane five feet (5) below the finish surface grade to said finish surface grad shall be no less than ninety-five percent (95%) as determined by the above testing method. Permittee shall bear all costs and responsibility for compaction tests. Material for use as trench backfill in any existing or proposed roadway section shall be sand, shall be place in 8" lifts, and be compacted to a relative compaction of not less than 95%. Material for use as backfill in roadside gutter excavations shall be the native material and be compacted to a relative compaction of not less than 90%. Any pavement cutting shall be scored, or saw cut before trenching. Minimum depth of cover over all underground facilities shall be 30 inches, except drainage culverts. All installationsr parallel with roadway, shall be placed as Gose to the right-of-way line as possible. No portion of the backfill(s) shall be compacted by ponding or jetting. All pavements, curbs, gutters, sidewalks, borrow ditches, pipes, headwalls, road signs, trees, shrubbery, and/or other permanent road facilities impaired by or as a result of construction operations at the construction site(s), or at other grounds) occupied by materials and/or equipment, shall be restored immediately upon backfilling or the excavation to the original grades and cross sections, and to a condition as good as, or better than, existed prior to the construction. All surfacing materials of roadways and driveway appiibaches cut or damaged by or as a result of construction operations, shall be replaced within ONE WEEK following the backfilling of excavation, weather permitting, with compacted layers of surfacing materials at least as thick as the existing, and no less than two Inches (2') of asphalt concrete over eight inches (8") of aggregate base, according to current California State Specifications. 9. Whenever necessary to secure permission from abutting property owners, such authority must be secured by the Permittee prior to starting work. 10. The future safety and convenience of the traveling public shall be given every consideration in the location and type of construction. Permittee shall cause to be placed, erected, and maintained all warning signals, lights, barricades, signs, and other devices or measures essential to safeguard travel by the general public over and at the site of work authorized herein. 11. If the construction work covered by this permit is to be done by a private contractor hired by the applicant, applicant shall notify contractor as to the special conditions and requirements contained herein. Page 2 of 2 Thermalito irrigati®n District 410 Grand Ave. Oroville, CA 95965 Ph: 530-533-0740 Fax: 530-533-9243 June 16, 2003 Butte County Building Division Department of Development Services 7 County Center Dr. Oroville CA 95965 ATT: Paula Atterberry RE: Orchard Crest Estates: Dear Paula, , At Orchardcrest Estates, all the lots 1 through 29 on Orchardcrest Drive will be served.water and sewer utilities by Thermalito Irrigation District. At the time.of hook up to TID's system the fee payment will be required. Please file a copy of this letter with each lot you have on file. If you should have any questions on this matter please call the office. Best Regards, Michael L. Edwards Compliance Supervisor lb ?e/kV- k (Nc, �P'cN> s14au� AV; s dk%-, ol um tl r° w� t9 �Nc�vQ-s A � [`� OM *3(0 O.C. wry1$1� y �� s � P- LcO t -v 4--y" M bv1 CC 2E- c 4(- C- D t s C - u s sC--o \A/, Vli�o ►� � t �i �� 3 LC 1 -rte 5 ___ ,}; • PL4t REVIEW RESPONSE FIRM In order to expedite the review of your plant► pkm amps to the Wowing mon and renin this form with your re -subnasal. this form is not complete, as to all condo bm we will not be We to aooept your resubmittal for review. There must be a v. rmpom to every item requested in our plan correction lens oft othefsf' k sot comidered a valid "Spoum Pkaw indicate y response to each item and the location where the WhrImidon an be &and on the plodalcs. ATTACH THIS FORM TO A COPY OF YOUR KM UVZW LETTER AND RETtJRM Wrm REVISED AND ORLG XALL PUINS OWNERS NAME DATE: Wes and.Virginia Jacks6n 7/14/03 030-500-001 03-1597 PLAN CHECK ITEM 0 RESPONSE Sr. LOCATION ON PLANS.ICALCS: Structural 1 Tim Wood Lines 50 & 69 COMMENTS:- Shear Transfer to OSB has been determined from Table 23-11-1-1 Nailinq sche.dule added to detail on plans and in the notes PLAN CHECK ITEM t Kt:brvnaa 0T: --- - - - - - Structural 2 1 Tim. Wood. Lin 47 and 63 GOM"""' NDS tabl e changed as required. LAN CHECK REM 0 RESPONSE BY: LOCATION ON PLANS/CALCS: Structural 3 Tim Wood Line 72.through 86 :OMMENTS: d-ue---to--ri-q-ht-i=n-q-momen-t of -manufactured coach weight 0 El re ON PLANS/CALCS: f e' 03 02:41P • �V TtE July 8, 2003 • • P. 1 Department of Development Services Building Division 7 Corutty Center Drive Orovitle, CA 95965 (530) 538-7541 (530)538-2 . 140 F,-\ Wes'and Virginia Ja::kson. C/o dill Kirby P.O. Box 423 Altaville, CA. 95221 Assessor, Parcel Number: 030-500-_001 • Building Permit 1\urnber: 03-1597 Thank you for subrrritting the plans for your building project. Tl,e pians hay e been revieNc.d. the plan exa;r:mer's comments are listed below. Please. respond in �writin.� to each item bV comlactmg and returning the enclo.icd PLAN RFV1EW 12E5POiYSE.F0klhi: 1'our-coml,lete _.._....r� _ —and -clear response «ih expediic trio re-c(cci: rriJ approval• of this project. , NON-STRUCTUl- AL COMmpNTS: None ---- STRUCTURAL, COMME'Li's. 1. Provide supporting calculations for nailing of thY '/z" USB required to transfer lateral forces � Crum the coach to the mudsill. 4 Provide overturning calcuiations to support the niud ill anchors specified on die plans. 3 , Allowable load for a ii" anchor bait installcd. ,n a_2x_pressure..reared-nougias-Fir sill plc_te is ._ `-'x310 X`':33-= B�Slti per '97 1\rDS Table 8.ZE. Tl;e calculatiMI.. use L�0 lo. - per anchor bill-. Please revise calculat:uns to shm� correct value. If you wish to discuss any ofthese requi"rcrrerits lilcase call (530 538-7541 beta een the hnurs of 1.00 p.m, and 4:00 p.m.;, Monday throlrgh Friday. To discuss non-structural iterns. ds'k for 1%4artha. Philo will answer your structural questions. Y-- --- Please refer to y_our_C�ata_Sheet-l'ur-retiiQit�inb-non=plan-che�k��tems—(T'ou received this farm Data Sheet. r when you applied for your permit.) The counter staff will answer any questionco s ncerning the � % � tilartha Christy ilo Hunt, p .Plans Examiner E Plap. Check Engineer . cc: Timothy Wood, F.F. i Z Department of Development Services Building Division 7 Cowity Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX i July 8, 2003 Wes and Virginia Jackson , do Bill Kirby P.O. Box 423 Altaville, CA 95221 f Assessor Parcel Number: 030-500-001 Building Permit Number: 03-1597 Thank you for submitting the plans for your building project. The plans have been reviewed,,and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: None STRUCTURAL COMMENTS: , L Provide supporting calculations for nailing of the '/i" OSB required, to transfer lateral forces from the coach to the mudsill. 2.'. Provide overturning calculations to support the mudsill anchors specified on.the plans: 3.. Allowable load for a'/2" anchor bolt installed. in a 2x pressure treated Douglas Fir sill plate is 620 x 1.33 = 825 lb. per '97 NDS Table 8 2E. The calculations use 12501b. per anchor bolt. Please revise calculations to show correct value. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Martha Christy ilo Hunt, P.E. Plans Examiner Plan Check Engineer _ cc: Timothy Wood, P.E. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oro'Ville, CAlifornia 95965 • Telephone (530) 538-7541 An,ffjR IT O. (Rev.;2/96) .. APPLICATION AND PERMIT U -C7" Lf— ASSESSOR PARCEL NUMBER 030-900-001 ZONING 1 BUILDING PERMIT OWNER , TELEPHONE SO. FT. OCC. BUILDING VALUATION 1353 R 73 062.00 .OWNERS MAILING ADDRESS 9490 BRUCE RD- CHIC05 CA 95928 184 2.392.00 CONTRACTOR'S NAME , MIDKIEF TELEPHONE,';MTF ' CONTRACTORS MAILING ADDRESS 2490 BRIJa -RD. CHiG9GA 95928 I I CONSTRUCTION LENDER 9 Fireplace LENDER'S MAILING ADDRESS Total Valuatio $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $265.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Ch cking Fee $172-74 BUILDINGADDRESS 5 ORCHARD CREST DR.. OROVILLE Ener Plan Checking Fee $ $ PERMIT FEE $458.49 IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 ach rap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPEcl lar r heat um water heater 23.00 Water piping 15.0015-00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MH PERM FND NEW SI Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.005-00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.0600V0 Main Service A OR LESS 23.00 LICENSED CONT C S D CLARATI N 1 hereby affirm under penalty of perjury t t m I' ensed under r visions of Chapter 9 (commencing with Section 7000) of Di i on the Business an Professions Code, and my license ' in full f • rce and effect. License Class Li WNER-BU DECLARATION I hereby affirm under penalty of p i t I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the prope y p ees with wages as their sole compensation, will do the work, and th stru ure is not intended or offered for sale. ❑ I, as owner of the prop , m exclusively contracting with licensed contractors to construct the projec . ❑ 1 am exempt under Se Business and Professions Code for this reason Main Service TO fOooA 46.00so WEE200A NEW CONST. DWELLING C. OCCUP. SO OR ADDNS. ( a Acc. BLDs. 3.5QFT; NEW CONST. MULTI -OUTLET NGN RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FORURES Ex. Occup. BAL o 1.500 Ex. Occu . oFMUT tis AaID.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S COMPENSATION DECLARATION I hereby affirm uty of perjury one of the following declarations: ❑ 1 have antain a certificate of consent to self -insure for workers' for by section 3700 of the Labor Code, for the performanork for which this permit is issued. /ee ❑ 1 have andin workers' compensation insurance, as required by Section 3700 of the, for the performance of work for which this permit is issued. MyworkeatiQn insurance carrier and policy number are: Carrier VV 6 Policy N mber Z. I (The ab a sectionis need not be completedrf fhe permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo h 'th comply with Qse visions. _ ®� X �s4.—Date Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Coolincompensarovided Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOT L FEE $ HAZ. D. FEES IMP 60E P L I VI ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Date) Receipt No. 309 $83.0077 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :P�e'�`�y',�^�"r�v`"..._. j.'„37+F�;-r-t+.,�,yj; �,;..r.. r{v'..*nc..ti+`'.:•'�{ jam-,.r's„I"��+'.+.s..r..w-tytq�rir..•rayrY+»,-...'F}'79wW�4r�7i+ra'`jtia'�"'4ih,�{^ ..r-r..'.rr �.,'�..J,'�{,,,,�.�sv"�-... �.. x COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER. e r ASSESSOR PARCEL NUMBER Proposed Building Use: t(%M VY(y)S' Technician: Date: Items required in order to appl for a permit. All boxes MUST be checked OR marked NA in order to apply. `0.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! Zformation, ❑ \5, Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) MarriageKline' (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. — � N 1" A1C J,% 0-F SA a uC+U t ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculatioiplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b e en ineer. ^Items required for initial plan review. If checked items have not been rec ved, pl n review cannot proceed. The -permit will be dindexed and returned to the plan review line-up when required items ap e g /ed. ❑ 8. Flood Elevation Certificate, wet -stamped and Signe' , in ❑ 9. Plot plan and business license approval from the Cit ❑ 10. Letter of intent for non-residential buildings .............. 11. Detached Accessory Building Form filled Out by /he❑ 12. Hazardous Material Form....:.................I ...... ❑ 13. Other Remaining items needed to issue the perm i���ees as shown on the attac eed 9 5. Statement of Intent for Non hea at l%1 anitation and plot plan apps va fri ❑ 17 City of Chico PI X Date Received By J...................... ......................... \ c; additional plan review upon receipt of the following items.) 9 �6f Fees D e .lieet....................................... A/C Buildi _ the Environmental Health Department in CJ/�),/i Te, 0. 18. California Department of %?c Y plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for Z` O'W— (B)Parking: (C) Parcel Check: )') _I 0-�A-Z❑ 20. Contact Land D/eenn ut ❑Improvements, ❑Drainage ............................... ❑ 21. Encroachment drive`way from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection required ................ 2. ❑ 2.. Contractor's lication. (Number, Name Style, Classification) ...................... ❑ 24 Worker's Comarrier and Policy Number .........❑ 25:, Ownei--Buildern (❑ Given to owner, ❑ Mailed to owner) ..................... ❑�2 Aette� of Signaization.................................................................... ecorded co of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactur d home utility clearance. ........ . ❑ 29. -Existing ��0. VG.41 rZe ❑ 31. Othe When issued ..................................................... lationsa d/or expired permits......................................................... ed, CYMH. Title/Statement of Facts, LI"Letter from Legal Owner, tl<heck to H.C.D. $ lephone and hold for pickup. I have been inform d of the above items and requirements for obtaining a building permit. Applicant. Date: /V -7--o 1. Index permit application for the o 2. Additional items required ( 014s Cr Cont c esigner, owner, was a ised the Contractor, designer, owner, was advised of the Plans reviewed by: %j, Date: Structural reviewed by: Date Note transfer by: Date: Plan Check Letter data by phone, ❑ mail, ❑ counter, by JW Date: ❑ phone, ❑ mail, ❑ cou ter, by Date: b -I-,, Plans approved by: 2 Z Date: AL1 Oz Structural approved by: Date: z o Z Yellow: Buildine Division COUNTY OF, BUTTE i DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING, DIVISION , 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER Jaca e C A. P. # tn' PRP D BUILDING USE �/ e(� A H �m � /tel �l � , DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES , `;�`� , Balance Due .......... .............. $ 3 �� Additional Fees Due ...........:..... $ ( r Additional Fees Due .......... :....... $ Revised Plan Checking Fee .............$ + ' SCHOOL DISTRICT FEES f - _153 (paid at District Office) (Available after Plan Ctieck) y 3. HERIFF FEES (paid at Building Division) Residential ' x $360.00 = Units (sq. ft:) ............... x $0.03 = $ Sq. ft. ,REA FEES (paid at Building Division) . ................... -X-=$ # Units Amt. Commercial (sq. ft.) .......... x =$_ Sq. ft. Amt. F 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 1 _2�� 6. THERMALITO DRAINAGE DISTRICT FEES �X $510.00 (paid at Building Division) . SRA FIRE INSPECTION AND PLAN,- CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. Pursuant to Government Code Section 66020, you are hereby notified thatitems 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned - items during which you may protest. The requirements, fora protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00), i SITE PLAN REVIEW APPLICATION _. ...Date AP# Permit Number (if.applicable) APPLICANT INFORMATION Parcel Size: • Owners Name:, Owners Address: rZ' l 6 0 rsRUe,G, -e-b 6) S9.`�j'' Telephone No:: %"h C) l-} 1 Situs Address: ©12 e:}a "_Q,> GQcS , Proposed `Use: Residential ❑ New Single Family Residential • Single Family Addition r ❑ ; Single Family Remodel, Mobile Home `* ❑ ` Residential Accessory' ❑ Permanent Second. Dwelling ❑ TemporaryMobile.Home (Aunt Minnie) ' ❑ Temporary Travel Trailer, Multi`fam'ily E Non-residential ❑ New Commercial . f ❑ *Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic. Agricultural Exempt Building. ❑ Other: Brief Explanation (if necessary):_ ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE y • DEVELOPMENT SERVICES INFORMATION (For Staff Use) •❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By • Date .11-/ 4- OQ_ ` Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY 1. Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See atty hied) Flood Zone: I X • Flood Panel No.: Dc1 19 Dc- Index Date: L--- ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -----------------------------------------------------------------------7------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A— R Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Zoning Code Streets & Highways Fire Prevention Subdivision Map Front © r✓ Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. P Applicable Development Fees: a Standard Fees Amount .Y ' • Formula ❑ Fire ❑ School* ' z- ❑ Parks/Recreation v ❑ Roads ❑ Sheriff ❑ Drainage ❑. NCSP%CSA 87. `❑ Chico Urban Area -Road ® Thernialito Impact ' ❑ Other.' n , Y ,- --------------------------------------------- SuMap Special; ❑ ' Water Tender r ❑'. Road Improvement x - ❑ North Oroville Area , ❑ Other, (per map) * Check with school district tc'verify actual fee'if pre-application review' :=A final determination will be made at the time of the building permit. ,Parcel Created By, ,, Q Deeds: . f Date of Creation: Legal: Access Provided: ❑ No, - ❑ Yes Deed of Reference: x' , Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑, Yes , Road Name:. Complies with County Standards for Deed Creation: E] No ❑'Yes Comments: , ❑ Parcel'Deemed to be legal. ' ❑ Verify Legal Parcel ❑Verify Legal Access ❑Provide Deed of Creation ❑ .Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ .Comply with "Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: `❑ Meeh Parcel size required by zone ' - ❑ Meet current Environmental Health Department requirements -------------------------------- --- ---------- ------ - ---- ------ ---- ------ -- ------ Page -- Page 3 of 5 ; r Subdivision Map/Parcel Map: p2 cNp,2D Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: ) )4 `Z Date of Approval: Page: ) ® Comply with the following Conditions of Approval: A—TITAC 1-A 12&__t> ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) ideritified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 RESIDENTIAL 030-500-001 03-1726 1,,PERMIT NO. _.. JACKSON,- +5 0RCHARDCREST,_ OROV ILLE Cont: SERENITY HOMES ADD GARAGE ,z SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER J = ©K T ' 0 = Not OK . = otReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line : 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water arid Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged . 9. Tie Downs -Type -Installation Cert. • 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking r 4. Gas; MH.Test-Demand-Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS 'Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zo • Requirements -Setbacks -Easements 1'bth;Z botings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails t 4. Wood Awn.; Posts- Beams-Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors f 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing t 11. Ext.; Steps -Doors -Landings 12_AracedAVall Panels oh bDate;!Card-B-1,,& Date • Date ly Card B-1 Card B 1 Date Card B-1 r Date POOLS (Plans) OK except #'s 1. Setbacks -Easements l 2. Soils; Compaction -Structure Stability E 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI , 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit r 9. Health Department Approval I 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not - p =NotAApplicable . = Not Ready RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Garage Fire Protection Framing -RC Channel 5. Stemwalls, Main; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 6a. Hold Downs and Special Anchors Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 7. Slab, Steel -Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 8. Piers -Fireplace Ftg.-Steel Siding -Nailing Veneer 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Brace Interior/Exterior Wall Panels 13. Plenums & Ducts; Clearance -Material -Support -Ins. Insulation -Walls -Ceilings 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Infiltration -Walls -Windows 15. Access & Ventilation Card B-1 Date Card B-1 16. Insulation (Single & Duplex) Date FRAMING (Continued) 47. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 17. Water Htr.; Vent -Access -Combustion Air Baffle Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 18. Water Pipe; Test & Anchor -Nail Protection Garage Fire Protection Framing -RC Channel 19. D.W.V.; Test Fittings & Anchor -Nail Protection Property Line Firewall & Openings 20. Shower Pan; Test, First Floor -Tub Access Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 21. Test Tub & Shower, Second Floor -Tub Access Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 22. Gas Pipe; Sixe & Anchors Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 23. Fire Sprinkler; Test Siding -Nailing Veneer 58. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Brace Interior/Exterior Wall Panels 24. Fixture & Transformer Clearance -Ins. Protection Insulation -Walls -Ceilings 25. Elec. Receptacles Spacing -Lights & Switches at Doors Infiltration -Walls -Windows 26. Size Boxes & No. of Conductors Stapled Card B-1 Date Card B-1 27. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 64. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 65. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 68. 32. Service -Riser Conductors & Ground Main Disconnect 69. 33. Equip. Clearances Panels-Motors-Mech. Equip. 70. Stairs & Rails 34. Clothes Closet Light -Shower Light -Spa Light 72. Elec. Outlets at Wood Panel, Int. & Ext. 35. Smoke Detector Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 36. A.C. Ducts Insulation & Support Plb.; Elec. & Mech. Equip. Listed for Location 37. Vent Fan, Exhaust above insulation Elec. Receptacles in Garage (F.F.I.)-Romex Protection 38. Condensate Drain & Overflow, Size & Grade Insulation -Foam -Looked in Attic 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Guard Rails & Deck Construction -Post Caps 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive O Yes O No/Walks O Yes 0 No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -"" BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES - - v 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538=7541 } CORRECTION NOTICE' OWNER -/ LS. PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the r above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, y please contact this office immediatelv. r Fryy' 1 REV 10/92 ` - COUNTY OF BUTTE --- "'° E BUILDING DIVISION - -- DEPARTMENT OF DEVEkOPMENT SERVICES ` 41.1 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CSA • (530) 538-7541 CORRECTION NOTICE 7. OWNERL� s PERMIT NO. t: . A routine inspection indicates that the following violations of butte county Ordinances exist at the cry above address and should be corrected. Please notice this .office when correction of work is = completed. have an you It p y y questions pertaining to this matter, or need additional explanation, tactthis immediately. Please co, office '' a tY L F Date 1 —v Inspecto.'� -: REV 10/92 �1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541y - (Rev. 12/96) APPLICATION AND PERMIT LI ASSESSOR PARCEj NUMBER ZONING BUILDING PERMIT 030-500-0011 AR OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 5-1619 .OWNERS MAI. ADDRESS WRTIAM, CA 95918 484 U 8,712- , CONrRACTOR'S NAME TELEPHONE y 66-9480 1 CONTRACTORS MAILING ADDRESS 2490 U110E ROAD, CHICO, CA 99929 CONSTRUCTIONLENDER LENDER'S MAIUNG ADDRESS F Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. I Filing Fee $ 20.00 Y ARCHITECT OR ENGINEERS MAILING ADDRESS I Permit Fee $ 108-00 I Plan Checking Fee $ 70-20 BUILDING ADORES ORCHARD CREST DR. OROVILLE Energy Plan Checking Fee $ a $ PERMIT FEE $ 198.20 LAT NO. SUBDNISX)NS NAME PARCEL MAP I PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other PRI. DET GARAGE +. Water piping 15.00 SPECIFY Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New)& Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 Describe Work: Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service2p0q OOV R LESS 23.00 LICENSED CONTRACTOR'S DECLARATION Main Service 200A TO 1000A 46,00NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLAS. 3.5¢sSO; I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter NOµR SIOT MULTI.OUTLET 97,50 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.q License Class S Lic. No. b �� { POWER APPARATUS 8 SINGLE Our. CIR. Ex. Occup. OUTLET OR FIXTURES e� Q .50 OWNER -BUILDER DECLARATION Ex. Occup. OUTFIXLETS AP NS °E. 5.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Temporary Service 23.00 ❑ 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. Mobile Home Facilities 20.00 Misc. Wiring 23.00 t_ ❑ 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 PERMIT FEE $ 36.95 WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 I hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the Hood 6.50 performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co pensation insurance came and policy number are: PERMIT FEE $ Carrier S (�-+-�.-/atter-.&AXJ'b-" Policy Number '-7/'3 —01 1 U O ® 1 1 Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) occ CONST. TYPE TOTAL FEE $ 23 5.15 ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' HAZ. D. FEES IMP - _- CDF pqR HD ISSUE compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall This permit is hereby issued under the applicable provisions forthwith comply with those provisions. of the utte Coun Code and/or Resolutions to do work X _ 6 V indic e b fo hich fees have been paid. Zaa Signature of Applicant -❑ Owner ❑ContractorAgentAn OSHA permit is required for excavations over 5'0"dand demolition or construction �f of structures over 3 stories in height. By PERMIT EXPIRES ON Date ` d3 D to ReceiptNo. 382023 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I W- � Sry f L .:. •..tet _tri .•. ry " } COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 'c* .;#><, PERMIT APPLICATION DATA SHEET OWNER: , JA e2 6�RIO ASSESSOR PARCEL NUMBER . J30 �(19/ Proposed Building Use, &t/ 40e Counter Technician: Date: IV -197a3 Items required in order to apply fdr'Wlpiermit. All boxes MUST be checked OR marked NA in order to apply. t Plot plans, 3 or 4 sets, signedAy the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. r�C1 k Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A} Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. tr ' Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑, 9. Plot plan and business license approval from the City of Biggs .................................... 0 10. Letter of intent for non-residential buildings......................................................:.. ❑ ,11. Detached Accessory Building Form filled out by the owner ..................................... 12. Hazardous Material Form............................................................................... 0;13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) If 14. Fees as shown on the attached Schedule of Fees Due Sheet ...................................... 5. Statement of Intent for Non -heated and A/C Buildings ................................ - . 16. Sanitation and plot plan approval from the Environmental Health Department in b3 ❑ '17. City of Chico Plumbing permit........................................................................ ❑ .18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ `19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 2'1:. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22:'Pre-Inspection for required ................ .tet... ❑ 2311 Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24 Worke 's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. •.Owner.Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. 'Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30µ D;Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31;' Other::` _ When issued Telephone . - Gi'I and hold for pickup. I have been informed of the above ite s and requirements for obtaining a building permit. Applicant: "! Date: 1. Index permit application for the above items numbered: �� 1 Q� hd .i' (C Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ -phone, ❑ mail, ❑ co ternby' Date- Plans reviewed by: Date: Plans approved by: �/ Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow Ruildinv Divkinn COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - SUILDI DIVISION 7 County Center Drive • Oroville, California 95965 a Telephone (530) 5 8-7541 (49 NAI APPLICATION AND PERMIT � ZO1 BUILDING PERMIT �'�""'E SO. FT. OCC. BUILDING VALUATION g0J"bE'1,,L' jR ` Fireplace _NDER'S MNLMG ADDRESS ' Total valuation S RCMarECT OR EHMMM UCENSE NO. Filing Fee $ 2D.00 Permit Foe parE= OR ENONEMS MALM ARESS - RDD Plan Checking Fee S' wn.CMr.AWRETsll Energy Plan Checking Fee b S ' t3�L'I-{fa-2. C �2.— -r -* i �S PERMIT FEE s '� -- suaDmsuNSNAME PARCEL MAP PLUMBING PERMIT FilingFeel 20.00 Ea Tra -- ---7:00 --- USEOFSTRUCTURE >F 0 Duplex 0 Moblehome O Other car Solar t pump water heater 23.00 Water oloina 15.00 Each oat water heater vent 15.00 TYPE OF WORK N -'w 0 Addition O Remodel 0 U666es 0 Instalaliion 0 Other 0 Describe Work- l �j -X Gas piping systerrh* 1 - 5 outfe t 5.00 Building sewer 15.00 Moble Home Is G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Firing Fee 20.00 Main Service =oR Lass 23.OD C. � > �> C3 ' mtt'} S'k X � S$tav- S O � ,,`` Aftuwo.4 T=4;� i on None -�� ZOZ •� Main Service 20" To IOWA 46.00 KWFDD1 2. 'a�x. D"' OR mons 3.5t NONA6ID. MULrwLmFr @7,50 PDWFA APPAAATJS i S°JOLE CI0. Ex. O=u ounzT oR Fwm ae;'L 9 •oo EAL P .SD . FD= S. Ex. Occu 5.01) Temporary Service 23.00 Moble Home Facilities 20.00 Wsc. Wring 23.00 PERMIT FEE s MECHANICAL PERMIT Firing Fee 20.D0 Hea ' g Hooling d Hood � 6.5D ventilation PERMIT FEt S Moble Home Installation Fee S Energy Inspection Fee S D--c CONST. TYPE TOTAL FEES S �S Nom• D. FEES IMP D CDF PM PD �� Ntaw►bt-r coyT whW This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 8y Date PERMIT EXPIRES ON Pa 10)