HomeMy WebLinkAbout033-010-006M
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BUILDING DIVISION
COUNTY OF BUTTE = DEPARTMENT OF DEVELOPMENT SERVICES
7 COU Y CENTER DRIVS,– OROVILLE, CALIFORNIA 95965 – TELEPHONE: (530) 538-7541
AGRICULT L BU�R.�NG, EXEMPTION PERMIT
COUNTY PERMIT NO.
MAY 2 0 2005
DEVELOPMENT
Agricultural buil is defined as follows: griculturalrbU is a structure designed and coacted to house farm
implements, hay, gr poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, 6or shall it be a
place used by the public.
ASSESSOR PARCEL NO.O 2)� n1 � �00 (0
ZONING
OWNER
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OWNER'S ADDRESS
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LOCATION OF BUILDING
P
USE OF BUILDING
SIZE OF STRUCTURE 30
X'_ SO.
FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERINGl � �
FLOOR TYPE
Ae
ESTIM TED COST OF CONSTRUCTION
M
$ oo .
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
FRONT SIDES S,2n REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy. . n it
Date / '- o Signature of Owner
Permit Fee -$109.98
Receipt No. V
The above described AT Building is exempt from a
Manager Buildin#Division
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant
rmit.
Date _11,5–All
June 7, 2005
Norman Schatz
290 Incline Ave
Oroville, Ca 95966
570-8051
County of Butte
Building Division
7 County Center Dr
Oroville, CA 95965
RE: Building Permit 4051341
Dear Tammy:
BUTTE
COUNTY
JUN - 14 2005
DEVELOPMENT
SERVICES
This is in response to the request for additional information concerning the construction
of an agricultural building at 740 Longbar Road. The building will be used for supplies
and tools related to the growing of olives, as well as storage for the raising of various
animals including horses, sheep, goats and cattle. The building is not for commercial use,
only for personal use. If you have any questions or additional requirements please feel
free to call me for confirmation.
Thank you for your time and consideration in this matter.
Norman Schatz
Q 33 - 610 -0�2
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIWION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965
Phone: (530) 538-7541
NAME: NORMAN E. SCHATZ DATE: 5-24-05
ADDRESS: 740 LONG BAR RD RE: PERMIT BP # 05-1341 BUTTE
CITY/ZIP: OROVILLE CA 95966 APN # 033-010-006 COUNTY
With reference to the above subject:
.MAY 3 12005
DEVELOPMENT
We need the following information prior to permit processing and/or issuance: SERVICES
Permit application signed and completed where indicated with all copies returned.
Plot plans, 3/4 sets, signed by preparer of plans.
Complete plans and calcs, % sets, signed by preparer of plans.
Engineered plans and calcs, 3/4 sets, with wet signature on plans.
Hazardous Material Form
Statement of Intent for Non -Heated and A/C Buildings.
Engineered truss details and layout in duplicate.
Mobilehome data and manufacturer's installation instructions, 2 sets.
Fees of $ , payable to Butte County Treasurer.
Impact fees paid.
California Department of Forestry plan approval/fees.
FEMA National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor,
architect or engineer.
Sanitation and plot plan approval Health Department.
City of Chico plumbing permit.
Plot plan and business license approval from City of Biggs/Gridley.
Planning -approval for
Land Development (a) Improvements (b) Drainage.
Contractor's license information (No. Name Style,Class) or exemption statement.
Owner -Builder Verification Form
Recorded copy of Agricultural Acknowledgment Statement
Letter of signature authorization
Copy of recorded deed of parcel creation and 60' right of way to a public road
Letter of intent on building use.
Mobilehome utility clearance
Documentation of legal access.
Documentation of 50% subdivision developed of a) Road improvements completed and (b) Parcel meets
zoning area and frontage requirements
Existing violations/expired. permits resolved.
Plan check list data and revisions
sets of plans in accordance with changes marked in red
Copy of recorded 60" right of way to a public road
X Other: A more specific description of the usage of your proposed agricultural building.
Should you have any questions concerning the above, please contact the Oroville office at (530) 538-7541.
Yours truly,
l
Tammie Powell, Building Division
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Butte County o M 012H16205578
Department of Development Services UJ rA
" 7 County Center Dr. F .c S.
d • 0®.��J2
Oroville, CA 95965-3397 V or -
W y M 05/25/2005
RETURN SERVICE REQUESTED _ w p: _ Mailed From 95965
410 a "' US POSTAGE
C9
NORMAN E. SCHATZ R
740 LONG BAR RD,",.,,.-
OROVILLE CA 95966
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DIUSTMP 95968 II►i►►►I►I►I►I►1►II►►►iI►►I►I►►►►I►III►r►►il►I►I►►III►uI►►I►I
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965
Phone: (530) 538-7541
C60py
NAME: NORMAN E. SCHATZ DATE: 5-24-05
ADDRESS: 740 LONG BAR RD RE: PERMIT BP # 05-1341
CITY/ZIP: OROVILLE CA 95966 APN # 033-010-006
With reference to the above subject:
We need the following information prior to permit processing and/or issuance:
Permit application signed and completed where indicated with all copies returned.
Plot plans, '/o sets, signed by preparer of plans.
Complete plans and calcs, % sets, signed by preparer of plans.
Engineered plans and calcs, 3/< sets, with wet signature on plans.
Hazardous Material Form
Statement of Intent for Non -Heated and A/C Buildings.
Engineered truss details and layout in duplicate.
Mobilehome data and manufacturer's installation instructions, 2 sets.
Fees of $ , payable to Butte County Treasurer.
Impact fees paid.
California Department of Forestry plan approval/fees.
FEMA National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor,
architect or engineer.
Sanitation and plot plan approval Health Department.
City of Chico plumbing permit.
Plot plan and business license approval from City of Biggs/Gridley.
Planning approval for
Land Development (a) Improvements (b) Drainage.
Contractor's license information (No. Name Style,Class) or exemption statement.
Owner -Builder Verification Form
Recorded copy of Agricultural Acknowledgment Statement
Letter of signature authorization
Copy of recorded deed of parcel creation and 60' right of way to a public road
Letter of intent on building use.
Mobilehome utility clearance
Documentation of legal access.
Documentation of 50% subdivision developed of a) Road improvements completed and (b) Parcel meets
zoning area and frontage requirements
Existing violations/expired permits resolved.
Plan check list data and revisions
sets of plans in accordance with changes marked in red
Copy of recorded 60" right of way to a public road
X Other: A more specific description of the usage of your proposed agricultural building.
Should you have any questions concerning the above, please contact the Oroville office at (530) 538-7541.
Yours truly,
Tammie Powell, Building Division
sr
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4. . i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 " PERMIT 0.
(Rev. 12/96) APPLICATION AND PERMIT2
ASSESSOR PARCEL NUMBER
ZONING
.S
BUILDING PERMIT
OWNER
TELEPHONE
R33-8572
SO. FT. OCC. BUILDING VALUATION
'
. OWNER'S MAIUNG ADD SS
WMIM. AWI ORMLLE,95966
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
✓i�
Energy Plan Checking Fee
$
PERMIT FEE
$ 43.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ _
Describe Work: MHI
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
600V OR LESS
Main Service zoOA OR IES.
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
-OI 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.
t , C) �
Date i
Signaty re of Applicant :-0 Owner ❑ Cbtractor 13 Agent
An OSHA permit is required for excavations sooser 60" deep and demolition or construction/LO��
of structures over 3 stories in height.
Main Service TO
46.00
WEE200A
gCU000A
NEW CONST. DWELLING OCS. SO
OR ADDNS. ( a Acc. stns. 3.5QFT;
NNOONFREOSID. MULTI.OUTLCIRCETTS @7.50
POWER APPARATUS
8 SINGLE OunFr CIR.
20 @ 100
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
FI APPLNS. OR
Ex. Occup. S.00
ourLETs RESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $ 100.010
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 143 -00
HAZ.
D. FEES IMP
FLOOD CDF
--
PARCEL'
PD HD ISSU
This permit is hereby issued under the
in the Butte County Code and/or
indicated above for which fees have
By, A`
PERMIT EXPIRES ON �
applicable provisions
Resolute to do work
been paid. .
D,ate �7
// 'Oki
Dafe
ReceiptNo. 361291 $141.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754b
ti-Ao.
(Rev.12/96) • APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
033-010-006
ZONING
AR5
BUILDING PERMIT
OWNER
TELEPHONE '
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADD ESS
290 INMINE AVE., OROVILLE, CA 95966
CONTRACTORS NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Film Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 0
BUILDING ADORESOROWT -
I+l�
Energy Plan Checking Fee
-
$
PERMIT FEE
$ 43.00
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other ❑
Describe Work: ILII
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
L w for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comp with those pro ions.
X Date � 4 .-. 0 Z
Signa a of Applic nt - ❑ Ow r ❑ ntractor ❑Agent
An OS A permit is required for exca ' ns o er 5'0" deep and demolition or construction
of struc res over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( a ACC. BLDS. 3.50E -r.
NEWCONST. MULTI -OUTLET
97,50
POWGLEER APPARATUS
8 SIN OAP=
CIR.
oLmFr OR FIXTURES zo p ,.00
Ex. Occup.BAL @ .so
Ex. Occup. GFlxur ED PEWS D OFR.A
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $ 100, OQ
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 141-00
NA2. D. FEES IMP FLOOD
This permit is hereby issued under the
ofthe tte Coun Code and/or
indi to e fol► hich fees have
J^^' �-.
PERMIT EXPIRES ON
I
COF PARCEL PO HD ISSU
applicable provisions
Resolutions to do work
been paid.
�j�
/v �� P/
ate#/O _
y/
IDe
ReceiptNo. 361291 $14.3 -nn
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
F,
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: (J�' ' �1� t ASSESSOR PARCEi UMBER
Proposed Building Use: Counter Technician: Date:
Items required in order to apply for a perm t. All boxes MUST be checked OR eked NA in order to apply.
1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
• ❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, ie down or
foundation plans, all in duplicate.
❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and -wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 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
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: Dk, (B)Parking: . (C) Parcel Check: . (1_•Z,p_6>c2„
❑ 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 ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
ecorded cop' Agricultural Acknowledgment Statement ....................................
anufactured home utility clearance..:..............................'.............................isting violations and/or expired permits ............................ '..............................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been informed of the above'i't'ms 1�d_reqaem`ents for obtaining abuildng-per mit.
• -T-2mm,�« ill�dl
,f
1. Index permit ap,01ication for the above items numb, red: �a
2. Additional items required i
Contractor, designer, owner, was advised cf the above data by phone, P mail, ❑ counter, by
Contractor, designer, o n r, was advised of the abo alata by ❑ phone, ❑ mail, ❑ counter, by
Plans reviewed by- Date: b Z Plans approved by:
Structural reviewed by: Date -.7 Structural approved by:
Note transfer by: Date:
Yellow: Buildine Division
Plan Check Letter
_Date:
_Date:
Date:
Date_
Yr'�FtrRr��.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
Rot Ran attached
Float Man Attached
Sam to G.D.
Sc% 033—C) 10-00
Owner Location AP#
Plan Approved for: Sewage Disposal y Water Supply: Public Private Well
Clearance for 1, -dwelling. Other
Hold final for:
2d
Environmental Health SpeciaTj
8/96 (a,����
. . ................
—07-0 �
Date
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your 96MMUM
Please complete and return this information at your earliest opportunity to avoidnoneoe:sa:yd a
in processing and issuing your building permit. No building permit will be issued natil 8tis
verification is received.
82�
I personally plan toproid a major labor and materials for construction of the.proposed
property-'provement:YES NO 13I HAVE HAVE NO signed an application for a building permit for the proposed wotic.
I have contracted with the following person (firm) to provide the proposed eonstruetia�:
NAME:
DRESS:
PHb�fE: CONTRACTOR'S LICENSE NO.
4. I plan to ro
supervise,
ide portions of this work, but I have hired the following person to coordioaae
provide the major work: '
ADDRESS: \ __ 11y:
PHONE: � CONTRACTOR'S LICENSE NO.
5. I will provide some
the work * . eared
NNIM E
work�but I have contracted (hired) the following persons to provide
ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNE�
SOCIAL SECURITY NII�IBEA:
DATE:
,--- / \l r
X0TE:. This Owner -Builder Verification is required by Section 19831 and 19831 OAt
California Health and Safety Code. This verification must be eoMpleW std
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION
Ceti.- ?-ot:e^,
A.i application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified
For your protection, you should be aware that as "owner -builder' you are the responsible party oftetond onswh
a permit. Building permits are not required to be signed by property owners unless they are personally pafocmiog ibair
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family and the work (including mstaials
and other toss) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcorc actors. then you may be an employer.
♦ I f you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For mere specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
ii You wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact rhe Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or throu&h their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
pernic, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N SQeet, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely,
Mie el C. Vi ira, C.B.O.
ht ger, Building Inspection
NOTE: T/i:r 0wner-Builder Information is required by Section 19330 of the Calljornla Health and safety CO&
OVER
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
G(WDepartment
(One form per Building)
School DistrictNo.
A.P. Number Q� r G 1`�`�\:V Jurisdiction:
y city County
' r
Property Owner
Property Location/Address
Subdivision
le- e- J G -v- 6
Lot No.
J
_......................................................................................................
Residential Development S Footage
*1eHome q 9No of Living MoAddition/ *Supplemental to (Group R)
Units' Installation Conversion Permit #
'(No foundation inspection):
...................................................................................................................
Commercial/Industrial
New Addition
CA
f '.Building Depqrtmpht Representative
oor Plans reviewed by School District
District Identification No.
School District certifies that
6'cc le
Sq. Footage
(Including Exterior
• � Roofed Areas)
Date
..............
(Applicant)
(Street. Address) U
(Phone Number)
(City) (State).
(Zip Code)
•i
_......................................................................................................
Residential Development S Footage
*1eHome q 9No of Living MoAddition/ *Supplemental to (Group R)
Units' Installation Conversion Permit #
'(No foundation inspection):
...................................................................................................................
Commercial/Industrial
New Addition
CA
f '.Building Depqrtmpht Representative
oor Plans reviewed by School District
District Identification No.
School District certifies that
6'cc le
Sq. Footage
(Including Exterior
• � Roofed Areas)
Date
..............
(Applicant)
(Street. Address) U
(Phone Number)
(City) (State).
(Zip Code)
has complied with the requirements of Resolution No
representing �� t� square feet.
School Di
Representative
Paid by Check # Remarks:
01 _,0 a' `/ 0 by payment of $ � 9,9 7� &a
AB 2926 $
FULL MITIGATION s
Ell
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, incompliance with ti
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 (budding department), Pink (school district) feeform.xls (10/98)dmm
a
APR � 5 2402.
l j SITE PLAN REVIEW APPLICATION
• Date: �I �— C) ZAP# 3 _ y CD
1
Permit Number (if applicable) iL7 rl t)
00__2588
APPLICANT &FORMATl N C Parcel Size:
Owners Name: 2 5
Owners Address:
Telephone No.:
Situs Address: �
Proposed Use:
Residential
New Single Family Residential
❑ Single Family Addition ❑ Single Family Remodel
❑ Mobile Home
! ❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
• tion -residential
❑ New Commercial
❑ Commercial Addition ❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition ❑ Industrial Remodel
Other
❑ Septic Well
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
DEVEL OAV&VT SERVICES INFORMATION (For Staff Use)
Conditionally Approved ❑ Resolve Problems Prior to Approval
❑ Site Plan Stamped Approved
ey � Date
7��i Page 1 of 5
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)
❑ I00 -Year Flood Plain: (See atta ed)
• FIood Zone: II
• Flood Panel No.: 3919 lt�7 0— Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamatios0oard)
❑ 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)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
-----------------------------
Detached
-------------------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.
•
Pa2! 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
�O C,/1—
,1Side
Side
Side Street
Rear
Height
Waterwav
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
•
Pa2! 2 of 5
ti
Applicable Development Fees:
" Standard Fees Amount
Formula
❑ Fire
,
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
-
❑ NCSP/CSA 87
❑ Chico Urban Area – Road
❑ Thermalito Impact
❑ 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 Z
•
Deeds:
Date of Creation:
Legal Access Provided: ❑ No Yes
Deed of Reference:
Legal Access Required ® No ❑ Yes
Parcel Frontage on Publicly Maintained Road:
❑ No IN Yes, Road Name: Lo0rj-G4=%rZ
Complies with CountyStandards 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
❑ 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
❑ Nfeet current Environmental Health Department requirements
------------------------------------------------------------------------------------------------------------------------
Page 3 of 5
❑ Subdivision Map2arcel Map:
Map Date of Recording:
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
:..
Date of Approval:
❑ Comply with the following Conditions of Approval:
❑ ivfeet the Fire Safe Regulations of Butte County and P.R.C. 4290
Page:
•
❑ 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 Pu
Works. 16
❑ 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) identified by an orange fence during construction
activities. No vegetation removal, soil disturbance, or other development activities shall
occur within the fenced area.
❑ %leasures 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
•
Summary of Specific Requirements:
•
This information provided in this summary is based on the application information and on the best available data at the time
of review.
• CANly tocuments`Bwlding Permit Site Plan Reviewl.doc
Pace 5 of 5
SG1��T'2
GRANT DEED
.�. For value received aMORCL A. ZUNDEL and IRENE ZUNDEL, husband end wife, and ROY D. LOOMIS e
ILILL1,LI LOOMIS, husband and wife,
/
GRANT
MARY ZI)51ER, widow,
all that nal property fitoare in the._.__.-._._: .......... ..... . ............. ... County of X
alifornia, d 4 d u follows:
Being a portion of Lot Two (2), according to that certaiCa Itle "Official Mepp
of the Humboldt Addition to the City of Chico, Butte County, Cal " which map was 1900d
,•� in Volumehe "ice I" of the Recorder
satee4iegeo�gthe al4uportion8beitlg IaoraState
ps4eecribe4 abrun.e ftillowo,
to -wit:
Beginning at a point an the southerly line of Rumboldt Ai point being 16gj rwrc
hCi westerly from the northeast corner of aeSd lot 2, thence portalong Che southerly lints
TT of Humboldt Avenue, 561 feet; thence at a right an
south ly to the Derek of LSttlw Chtoo
Crnuk; thence westerly following aeSd bank, 561 feet; the a north to the place of beginning.
..t A')k
l
J I WITNESS our hands this Twenty -Ft Berl of July, 101.1.
i IGEORGE A.,,ZIT;DEL
Stamps .....1RFt1F ZUNDEL
•.._LnOi.lI:
.......... i
STATE OF CALIFORNIA. ) ss. LILLIAN LOOMIS
IB j
county of utte
On :!%y. ... 0f...J ...............19.41.... before me.......01..??t...T.?L1CY......... ................. ..TRENE
' a Nntary Public in and for said . ].LCounty and Statc.pc rsonally a itaecd E:...,LL1ti............. .. U..
Z _
exis... ............. ....... ..
._htasban:l..n:d..wifa,..au.isDY.._.y00L1IS..and..LLIA.`t. .'vtj�.....nu.du5.nd.., n.4... R
I knnwn to me to be ta he person ..whoname.s.... are . subscribed to the within instrument And acknowledged to me that. the y
executed the same.TRACY„-..-.-- .•,.... .
(SEAL) ...... �•...�r.... ... ....
Notary Public in and for the ... County of Butte.
,,ly commission expire ...April „2 4,..19.44, ... :.. .......... sea of C.lifufnia.
Jul 2.1.,.-• 1941 ... •
Recorded at request of .WJrTE. COUNTY TITLF. CO. , --•• -
at ....... 52....... min. past .............( o'cl«k. p• �I. its V.I. 200.0E Jfflejel Records, page 220
, P,ttte County
Record,. �' der
Compared.
) BnnkeQ .. .. � � R aur
No...b.4
poe,ysw - Oeputy Recorder
GRANT DEED (JOINT T:24ANCY)
For value reai,•ed I, I:A�RIET Y:. PAUL, a single women,
GRANT.—to VEF;.NON WALDRON and H',RJORI= %V LDPON O'BRIEN as J01, I' TS`FAPiiS
all that mat property situate in the .................................................... ..... . County of Butte. State of California. d,•scriNd as follows:
portion )f the Souttes3t one quarter of Lection c, Tcrr.s`.Ip 19 North, /. East,
u.D.9. b U., Hutt- County, California, -arc p=rticularly .J-scrl5ed as follows:
Be;inning r.t. an iron ;In in the northerly fence line of '.•hate Rock County road ri.r:..t of
way,f:•um which Iron to the soutteaZt corner or :;ecti:n /., T. 19 t;. R- 4 E., bear!. S. 50'
'.5' ? !'?p ?5 fP• pin
North 17:•50 feat to ar, Iron pin; thence H. 89' 54' Y.. 5%,5.15
Wect to ar. Iron pia thence :i 00' 11' E. -73.'i'1 :sat i:oa '•1- `^” N• �. ('
1?1.59 f. t; thence N. 46' j)' E. 258.7a1 t'eet.; thence VN. 49' 55' F. 1nO.01 fe,�t; '!'''nc^
59' 57' - 225.43 foot to tin tr-in n1n, tho polnt of b•:Zinr.tn of thet•i•• �tntlnn car.ts!nl^.o
ca ..res of 5.55 ocreo, -or^ or 1,t:.3.
Uiitlivfii
APIA 3 0 2002
WITNESS cry hand thlu 71st dcy f July, '.9f,1 • ..7 County- Center Drive
NAlirl e , y, PA01 Crovllle, Ca
t1.:5 T._•I.°. £tn•-(.s CvocnilnC.
STATE OF CAI.IFORNIA. I ss.
Count! of .Warin J
uln mr %.=L.1% IfltY,oM: .
On.... ' mid
19 41 betoW„t�(l!T tt. PAUL, j(jylll'1-�rr� M. r.=L,
a NtNary Public in and fold .Marin .. County and Stilt. penunally appeue
a d
knows to ma to W the peon.... whrne n+ms 17 .... aubrerlbed to the within Instrument and uknuwledyrd to me Chu -' w
executed IN same. ::nI.I.IK :% P11YANT
(SL'AL) Notary Public In and for Or (manly tai Mft t I [I,
My commis.iutt ..p:t:a ..
040. (i -/,a. .. .. Seta of Cabfuuiia.
RIIT'I'1. :t)IJNTY l'T'I'f.' CO., ;. .
l.
Recorded at the request of (, ?^nut o'dak P. M. In Vol. 160, Of UffSolrl,l(urur• ''
at, .. min, paN ...... e i
nisi rd 1': .._... ... ...•,...._
h69! No... ............ Compared Book ore Itacurder
Cow. if >•t .. .... ... Ekel,uly Rw,,,def
I've t..1..�4... .
i�
®�HII
260
I OFFICIAL
jRECORDS
1 1�
f
t
.I f
I
9G
t s
i
r
A135-10
R 135-04
BILL OF SALE
.y
BE IT KNOWN, for good consideration, and in payment of the sum of
the receipt and sufficiency of which is acknowledged, the undersigned DOUGLAS
M.H.S.
$-6,000.00
L. VIERRA D B A
of 354 LONE TREE RD. OROVILLE, CA 95965
�. -- - — (SelterT `
hereby sells and transfers to NORMAN SCHATZ
of INCLINE AVE. OROVILLE, CA 95966
uyer)
and the Buyer's successors and assigns forever, the following described chattels and personal property:
14 X 60 FLEETWOOD C A F L 5 17A1D156WF
WATER COOLER - FRONT DECK - BLOCKS - 5576Pt
AXLES AND TIRES TO BE RETURNED.
NO DELIVERY OR EXTRA CHARGES - NO LABOR STORAGE$ 50.00 A MONTH
EFFECTIVE 09 - 01 - 02
The Seller warrants to Buyer it has good and marketable title to said property, full authority to sell and trans-
fer said property, and that said property is sold free of all liens, encumbrances, liabilities and adverse claims of every
nature and description whatsoever.
Seller further warrants to Buyer that it will fully defend, protect, indemnify and hold harmless the Buyer and
its lawful successors and assigns from any adverse claim made thereto by all persons whomsoever.
Said property is otherwise sold in "as is" condition and where presently located.
Signed this da i
Y of � an'
(Year).
Signed in the presence of:
Witness
Print Name of Witness
Address of Witness
I
Seller
—
of Seller
I
I , -L —
of Buyer c, S - --I
O E -Z Legal Forms. Before you use this fonn, read It, fill in all blanks, and make whatever changes are necessary to your particular
transaction. Consult it lawyer It you doubt the funn'5 fitness for your purpose and use. E -Z Legal Forms and die retailer make no
representation or warramy, express or implied, with respect to the merchantability ofthis form for an Intended use or purpose.
Rev. 6/98
o 53926 20008 5
ATHF
c;.9
. TYtA attached Fire Sate
rGuirements must be� comPWW
I --
ea $peoed and approved
C.D.F.
APPROVED
Envlro�e Couty
-9` j nmentalnHeatth
oats
nature
.t
L (rj v
See thea ached
Re uireme�
Pa
C'
- 0z�t-
. BUILDING"DEPA
ARP R 0 E
M N'N
APPkOVED
Butte County
Environmental Health
Date
A P -P R 0 V. ED.
1. Owner's Name:
2. Assessor's Parcel Number: O 22 1 0 0 QP
3. Installer's Name: O LJ _
4. Is the site currently under permit? Yes[ ] No" Permit No.
5. Is the site an existing site? Yes[ ] No" (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome? D O Amperes.
7. What is the mobilehome site circuit breaker rating? 100 Amperes.
8. What is the electrical. rating of the mobilehome site? 1C) C�) Amperes.
4
9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes No[ J If yes, please identify the load and size:
a) The mobile home site:
Load- Amperes- f .
b) TWMWwmwoiGe
Load- V7 Amperes -
11. Type of gas service at mobilehome site: Natural[ ] PropaneV- None[ ] '
12. Size of gas pipe at the mobilehome site from the meter or
tank: -inches. -
13. ... What is the gas pipe length from the meter or tank to the mobilehome?-2-L '
14. What is the mobilehome gas demand? B.T.U.*:
*(This information is not required if the pipe length is less than 6 feet jon natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION..." ` N
May 1995
Mobilehome Manufacturer; AnU12 t I V32� n -C)," Manufacture Year
If other than single wide,' fiiitj�sh`Setup Model Number: `
Width: t (ft.) Length:: (a �,-(ft.) Tigalong or Expando Size (ft.) x (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade Other:
SUPPORTS: Concrete block Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 I
Line 2 Line 2
...................................................................................
Main Hearn+
Line2............................................................................................... 2
Line 1 Line 3
Line 2
................................................................................................
Main Beano
Line 2
................................................................................................ Line I
............................................... --i,ine S
Tag or Triple e4
el
Line 1 Piers:
Size minimum: r 1 x
Spacing maximum: `
From ends -maximum• `
Line 2 Piers:
Size minimum:r./Z. ; x
Spacing maximum: .6 `
From ends -maximum. ,
Line 3 Roof Loads:
Size minimum
Location (from front):
Line .5 Roof Loads:
Size minimum:
Location (from front):
Line 1 Openings
Size minimum: [ ] x [ ].
Each side of openings
with width over: `
Line 4 Piers:
Size minimum: x
Spacing maximum: `
From ends -maximum `
®m
BUM CTY
OVER gU ,I NG DEPAR EM'T
APPRO E ---D
E -Z TIE DOWN SYSTEM
UESIGN LUAUS:
*WIND LOAD — — 15 PSF
1. THIS TIE DOWN SYSTEM. IS 'DESIGNED TO BE CONSTRUCTED ON A
FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS.
MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM
SOIL BEARING CAPACITY OF 1000 PSF.
2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR.THE LOADS
AS SHOWN IN THE "MANUFACTURED 'HOME INSTALLATION INSTRUCTIONS".
3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) - CAN OCCUR,
MANUFACTURED HOME SHALL BE READJUSTED WHEN OS EXCEEDS 1/4",
OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT.
4.- THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES
UP TO (3) SECTIONS IN WIDTH. CONTACT THE' DESIGN ENGINEER
FOR DESIGNS OF MANUFACTURED HOMES OVER (3} SECTIONS WIDE.
5. -STRUCTURAL STEELS FABRICATED ACCORDING TO AISC SPECIFICATION.
WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATED -ASTM
A36. - BOLTS=ASTM A307.
6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS:
jEIGHT jj(NL1Z9NTAL VERTICAL UPUFT .
18" 2010 �Ib) 6000 (Ib) 891: (Ib) g
21 " 1825 Ib) 6000(lb) 801 Ib�
25" 1510 Ib 6000 ' Ib 664 Ib .
28" 14 f 9 Ib 6000 (lb 629 Ib
36" 867 �Ib 6000 (lb) 385 Ib�
7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL -BE PROTECTIVE
COATED.
8. WHERE STAND IS PLACED ON EXISTING CONCRETE SLAB, 1/2- SLEEVE
ANCHOR BOLTS MAY BE USED TO SECURE PIER EASE PAD.
9. ATTACHMENT METHODS FOR "C" do "J" BEAMS SHOWN ON SHT. #2.
10. THE LONG DIRECTION OF THE E -Z TIE. PAD (37") MUST BE INSTALLED
PERPENDICU AR.=:TGF'-- A IS"B�A/M.
•;i
SINGLE WIDE COACHES
DOUBLE/MULTIPLE COACHES
_ E= 2' MIN. / 8MAX.
E= I' MIN. / I I' MAX.
VARIES
10'-10'
EVENLY SPACED BETWEEN
E—+~ --y}.. ...........
... �.._ ..........} "_. E .
ABE9CO-GUS GUARD COMPANY
5851 FLORIN -PERKINS ROAD
SACRANtENTIO, CA 938:3
PH: (800 382-8831
FAX: (916 383-5207
U T. '►' ❑ o D
RIDGE BEAM. SUPPORT AS
REQUIRED BY MANUFACTURER
O ❑ (TYPICAL) ❑ ❑
,O O E3. --C3 ❑
E—Z TIE SUPPORT PAD -
A(TYPICAL)
1_1 ;_; ❑ L) U
L _. L7
CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING
AS REQUIRED BY THE. HOME MAMJFACTURER_ ,
LENGTH
OF HOME
18"HT
NUMBER
21 -HT
OF E; -Z
25"HT
TIES
28" HT
36 -MT
40,
4
4
4:
4
6--
-
50'
4
4
4
4 --
6
4
4"
4
6
66'
70'
•44
4 .
6
4:
6
6
. �' 6
_8
8
10
r
r
STATEAPPROVAL :.:�
ENGINEERED TIEDOWM SYSTEM
-� APPROVE U .
SUBJECT TO CORRu=;s l:OTED
Approval does acct •aftrize d awom say omission or
dwialioo from ne irealents of apptica'jle 3t3tc lcrs and
Tegolit mL
St�cofC:lir:rra
OepaTbllen! of Haa�r.Q � t':~:'""'N Otv�cwmtilt
BY 0:.:-
�iuWr^I
SPA NO 1--3 LIC2. ._...---
This Plan Approval ExxkcsTHIS TIE DOWN SYSTEM MEETS. THE REQUIREMENTS
,OF SECTION 1336.3 SUBSECTION (o).
WAYNE T. POLVA00,•P(-LIS7ING NO. 99001
SHEET I of
v
D
G)
rn
0
r
2'-.2".3/16" SIL. ANCLE
I/2 DIA. HOLE (8) PLACES
3/8- CAO PLATED BOLT. NUT & WASHER
COVNfCR BORED FLUSH WITH BOrTOA1
_ (8) REQUIRED
1/4" STAND BASE
ASESCO ABS PAD #503 10 SQ
_ 18.75
3/4- OIA. x 18- LG.
(4) REQUIRED + + ¢
-DETAIL "A"
30.00
�-�
CHASSIS FRAME
1/4" 'GRIPPER MATE .\
(2) REQUIRED
1/4' GRIPPER BASE
1/2-13UNC-A307 x 4-••�
BOLT W11N NUTS
(4) REOUIREO
01 1%Z- SCH 40 PIPE RISLR vnrm --
01/2' ADJUSTER HOLES ANO
THICK TOP PLATE'
02- SCH 40 PIPE STAND WITH TWO
01/2- ADJUSTER HOLES
ABESCO AGS PAD #503
STEEL FRAME \
.STEEL fRAi� E •
TOP VIEW
1 1/2-x1 1/2'x3/16 x2-.T.S.,.....- �,j°•ts
(4) REQUIRED . _ .. PL 34' WAX.
3.t
TO BOTTOM _.._...- .......
-----_....._.._ _.._.....
OF PAD
W4 SIDE VIEW : /
0I/2'x 3- C.R.
LOCK PIN WITH
01/8' BRIDGE
PIN
b
1
��.�� int►
� 1
4* -- 10.00 —+A
o v
Do. ox
09/16 HOLE (TYp)
STAND BASE
TOP VIEW
I/4"xI-1/4"-�
TEK STS
(2) REQUIRED
1/4' GRIPPER
BASE i
COACH -C" FRAME
1/4- GRIPPE
PLATE
Z` CHANNEL
.'-. -" . "J- FRAME ",'�•
TEK STS
t) REOUIREO
2" A307 BOLT
REQUIRED
- 1/4- GRIPPER
BASE
1/2" A307 BOLT�� X1/2" A307 BOLT
(4) REOUWD 61J. (2) REWIRED
C_BEAM J-GEAM
ATTACHMENT ATTACHMENT
E—Z TIE DOWN._SYSTEM
WAYNE T. POLVADO• PE-USTING NO. 99001
SHEET 2 or 3
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INSTALLATION INSTRUCTIONS
E—Z TIE Q0KN SYSTEM
I. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE INSTALL WEB STIFFENER *ON CHASSIS BEAM.
2. MAKE LEVEL THE PLACE WHERE THE PAO WILL SET, GOWN TO UNDISTURBED SOIL.
.3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM.
4. REMOVE THE FOUR (4) NUTS ANO WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES IN THE 8 . ASE PLATE .
WILL" LINE UP WITH THE STUD BOLTS: -REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN..
I
5. REMOVE. THE. TWO (2) 'GRIPPER PLATES ON THE TOP OF "THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE COTTER AND AOJUST'U:IENT
PINS, PIERS CAH THEN TELESCOPE. - RAISE THE TOP OF THE PIER UNTIL THE PLATE IS AS CLOSE TO THE (36T-ToiA OF THE CHASSIS OFAW"AS
POSSIBLE_- .. PLACE ADJUSTUENT PON THRUI ADJUSTMENT HOLE AND SECURE. WITH THE COTTER PIN.
G. RAISE THE TOP PLATE USING THE 'A0jUSTMEkY:-kUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE SOT.
TOM OF.. THE CHASSIS" BEAM_
i7 :PLACE THE GRIPPER PLATES 'OYER .-TtfE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS.
C—BEAMS AND J -13F -AMS
:.'a. "HEAD .-..OF: -PIERS 'REQUIRES-TH'
AT -TWO (2) TEK'SCREWS 6E_ PLACED THRU THE SIDE OF THE BEAU IN
*'
"A
DDhOk TOOH--RWER-PAt-�'',:r'
Ulg. FOUR": (4): STEEL STAKES:(�UPPLIEO) ARE TO BE DRIVEN THRU_GoES INTO-SOIL.UNTIL STOPS AREFLUSH 14,t
.WITH TtfE ''GUICIC.:.
AUTERNATM: (2) #12 S.U.S. OR WELD' .
(2) 112 •S.-M.S.—
ANGLE IRON
...77
NOTE: USE STIFFNER IF..-OUTRtGGER-OR
CROSS MEMBER'00'NOT -OCCUR
WITHIN 24'- OF , STANCHION (TYP)
WEB STIFFENER'- DETAIL
AFIESCO-GUS OUARD COMPANY
5851 F7,C)FLIN - PERKINS ROAD
SACRA)A04TO, CA 95823 WAYN' E. T. POLVADO, PE—l(5jlNG.N0.-:99001._.,
PH:: (800 382-8831
FAX*:' (916�'.'38375207 SH[Ef 3 of
Ij
NOTES
RESIDENTIAL
PERMIT NO.
033-010-006, 02-2588
SCH
jkTZ,'NORMAN 7-
qO LONG BAR RD.; OROVILLE j
MHU
(,2-Z3
SPECIAL CONDITIONS
CHECKED
BY
SRA J
FLOOD CERTIFICATE REQ_ .
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB, -STANDARD HOUSING LETTER-
. .�
i
OFFICE COPY
t Address
GAS
i Meter By Date
I ELECTRIC P
Meter By Date
'JOB FINALED (Date)
Signature
7
1
ea
I
r
RESIDENTIAL
PERMIT NO.
033-010-006, 02-2588
SCH
jkTZ,'NORMAN 7-
qO LONG BAR RD.; OROVILLE j
MHU
(,2-Z3
SPECIAL CONDITIONS
CHECKED
BY
SRA J
FLOOD CERTIFICATE REQ_ .
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB, -STANDARD HOUSING LETTER-
. .�
i
OFFICE COPY
t Address
GAS
i Meter By Date
I ELECTRIC P
Meter By Date
'JOB FINALED (Date)
Signature
J=OK
0 = Not OR
Not Applic
. Not9eadyab1e MOBILE HOMES
Date MO E HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
2._,Wi s; Special MH Support Sketch
wer; Location -Test -Fall -C/O -Concrete
ter; Location -Test -Easement Needed (Sketch) F'
. Electricity; Location-Clearances-Grnd-/Zoo/Amp-Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
Nat. or /I ""/" L "ft P LPG
�. I Cleara npel Misconnect
Utility Clearance
Date 1 T 1. (3 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOP
{.e'HOME INSTALLATION (Plans) OK except #'s
Zoroinq Requirements -Setbacks -Easements
Z��ooUpeff, Size -Spacing -Marriage Line
as; fol Test -Demand -Valve -Connector
ectriOty; MH Test -Crossovers -Breakers -Clearances
ain�1H Test -Fall -Flex Connector
a H Test -Regulator -Connector
and Sewer Connected -C/O to Grade -HD Approval
Cert. of Occu
41 e
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
Dat 9OZ94A2Card
13-1 Date Card B-1
Date V V
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
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected t
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
7
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
_
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/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
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) 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 AI
Insulated Neutral ❑ Yes ❑ 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
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
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
_
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked under Floor ❑ Yes
83. Following Instid./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
e'•- COUNTY OFiBUTTE
BUILDING DIVISION
' DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
r' 7 County Center Drive • Oroville, CA • (530) 538-7541
f
CORRECTION NOTICE
OWNER PERMITAO.
•' A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
i completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
tiff
^ Date Inspector k/ i
REV 10192
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751 4
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If youtihave any questions pertaining to this matter, or need additional explanation,
please
eccontact
ttthis
office immediately. �]
r
Data 1-12-1"2 - Inspector '.)/1
REV 10/92
-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
OWNER PERMIT NO.
A routine inspection indicates that the following_violalions of butte county Ordinances exist at the
above address and should be corrected:.-P-.lease;notice this office when correction of work is
completed. If you have any questions peitairiirig'fo'this matter, or need additional explanation,
please contact this office immediately.
L -a / lel v ^ C '-3"
c�K
Date Inspector -REV 10/'92
CERTMUTE OF ANCHOR INSTALLATION
Title 25 CCR Moblehome Parb Act Section 1326 (bH3)
I certify those portions of the tiedown system installed below grade were not damaged prior to or as a P
result of the installation, were not modified prior to or -during the installation, and were installed in
accordance with the manufacturer's installation -instructions, plans and specifications of the engineered -
tiedown system referenced on this certificate.
Tiedown Syrtem:
Manufacturer.
sbesce) Guw"JZ Co.
f 67
Model
Installed. by: N. S",al —2, Date:
8entrAwner. N : S G Z. License No.:
•c-
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION — COUNTY CENTER DRIVE
OROVILLE, CA 95965 — PHONE (530) 538-7541
APN:
33-om_oo6
PERMIT NO.:
Owner's Name: .
� di �
,>t 1AAz2_ LA c � Z-
Owriers Address:
MobilehornerManufacturer:
�y Zed�ooc:)-'j 7
Year of Manufacture:
11
Serial Number or V.I.N.:
Insignia or HUD Number:
Official "approving installation:
Date:
If the mobilehome is'/moved or relocated, the mobilehome installation acceptance shall become invalid. This
form shall not be used when the mobilehome is installed on a foundation system.
513B white -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 � NO.
(Rev.12/96) APPLICATION AND PERMIT e� k—
ASSESSOR PARCEL NUMBER
033-010-006
ZONING
A'R-c;
BUILDING PERMIT
OWNER
SCHATZ MAN
TELEPH NE
1533-8572
- SO. FT. OCC. BUILDING VALUATION
. OWNER'S MAILING ADD ESS
290 TNCLTNE AVE- GROVITLE, CA 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS I-ONG BAR. RD. OROVIT-LE
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 23,00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑
Describe Work: MHIJ
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home XV 1
@20.00 60.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
R LESS
a00Main Service 200gORLESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
w 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. owELUNG OCCUP.
OR ADDNS. ( s ACC. BLDs.
SO
3.5QFT:
T.
No" H'-ROSID. MULTI-CUTLETITS
@7,50
POWER APPARATUS
S SINGLE A=CIR.
Ex. Occup. OUTLET OR FDRURES
20 @ 1.00
BAL O .50
Ex. Occup. GFlx�s Aa OR) E,,)__
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 20.00
Misc. Wiring
23.00
PERMIT FEE
$ 63.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1� I certify that in the performance of the work for which this permit is issued, I shall
/ not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith complyph h th a pro 'si s.
X Date i g ^ n 2
Signat re of Applicant - ❑ O er ❑Contractor ❑Agent
An OS permit is required for exca ion over 5'0" deep and demolition or construction
of struct res over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE
HAZ. D. FEES IMP FLooO c0F PARCEL PD HD Is u
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
Byhd��
PERMIT EXPIRES ON 1",
applicable provisions
Resolutions to do work
been paid.
D to
Date
Receipt IN ��� fi
WHITE-D.D.S.-B. D. CA /tS SOR PINK -INSPECTOR GOLDENROD -APPLICANT
' COUNTY OF BUTTE -DEPARTMENT -OF, DEVELOPMENT SERVICES -BUILDING DIVISION
a 7 County Center Drive, Oroville,.CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
G)V-POWNER: 0,Ch cl �.�. ASSESSOR PARCAz NUMBER J 2,6)(6 -
Proposed
roposed Building Use: C/, Counter Technician: Date: /
I
t s required in order to apply for a permit. All boxes MUST be checked OR mar#d NA in order to apply.
. Plot plans, 3 or 4 sets, signed,ty 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.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance des nd supporting documentation in duplica e.
❑ 6. Manufactured hom s: ata sheets and installation instructions, arriage line information, ( loor Plan ie 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.
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 ................................
O' .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 .....................................
0'12. Hazardous Material Form .............................................. ............................... _
❑ 13. Other -
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
s
a ,1,
/14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
V! Statement of Intent for Non -heated and A/C Buildings .............................................
Sanitation and plot plan approval from the Environmental Health De art ent in. City of Chico Plumbing permit.........................................� *�-
California Department of Forestry plan approval paid. Sent. by: .Q ...................
`CI
19;, Planning ' O► `
9� ann g approval for (A) Use. �_(B)Parkmg: (C) Parcel Check:
❑ O. 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 ................
i '�i 3, • .
❑ 23V25
Contractor's license information. (Number, Name Style, Classification) ......................
Worker's Compensation Carrier and Policy Number..............:..............................�
Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone I'D 11-9 and hold for pickup.
3
I have been informed of the ab v items and requirements for obtaining a building permit.
~CJ
Applicant Date:
1. Index permit apalication for the above items niimbered:) Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data by ❑ phone, O mail, ❑ counter, by Date: _
Contractor, designer, owner, was advised of the abo a10L,
ata by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: ov / Plans approved by: _ Date: /alit /07--
Structural
LStructural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE
OWNER
PROPOSED BUILDING USE
1. BUILDING PERMIT FEES
Balance Due ....................... $
Additional Fees Due ................. $
Additional Fees Due ................. $
2Revised Plan Checking Fee .............$
2. SCHOOL DISTRICT FEES
(paid at District Office) (Available after Plan Check)(
3. SHERIFF FEES (paid at Building Division)
Residential ...................... x $360.00 = $
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
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
R47. 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
2
A.P. #03�- (d - 0,6
�D
DATE
RECEIPT # DATE REC.
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,,
APPLICANTq °— .
DATE / /
2
Pursuant to Gover ent Code Section 66020, you are he tified 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 the 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)
10 attached Fire $
0 use a W�P�ed°ort�P�e1�d
I
by C.D.F. a o �
1 Seethe attached
J, ��idential Co
Requirements
—.Pages
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R VI DIED BY i
BUTT CO. FIRE DEPT.
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CALIF. D PT. of FORESTRY
�/ ❑ approve as submitted
'09"1�approved lith conditichs
p attach m e6f.
Ove.(�/;.41V J4�s signature Date
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c� PT ®�'f 71Hc� : FSO
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QNJILDING DEPA, fi
AP#
CDF FIRE SAFE
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PERMIT #
REQUIREMENTS
c. .
NAM
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
�; 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
_Lrj 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other appurtenant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
[�l 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
2. The length of vertical.curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
1P 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 ' of .3.-.
r�
AP # PERMIT # NAME
[ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[�9 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[i 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
It ri I 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
;] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[1/J 1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from iA1] property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[�61 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction )r fi_ial inspection of a building
permit.
Page 2 of 3
AP # PERMIT # `' NAME
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area. not to exceed 10% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
2 -
Date
Date Signature
Page 3 of 3
ENCROACHMENT PERMIT
COUNTY Of BUTTE u DEPARTMENT Of PUBLIC WORKS
7 County Center Drive u Oroville, CA 95965 u Phone: (530) 538-7681 u Fax: (530) 538-4356"
Download Forms: www.buttecounty.neUpublicworks
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DON7 FPermit Number Distri
Phone: (530) 538-7339 �� q �
1 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: (N1,,,fi __ ,--"N r--- C— L1r'-1—, 1a. Company Name: Ll•,q n I — y1 (Q n1 `7
2. Address: Ci C v �i
3. Phone: l 4. Assessor's Parcel Number. b
o33 - CIO - avL
5. Location of Work to. be Done: /'_ Q ,
6. Applicant's Signature. K''1 _ - 7. Date: C� �_ req
CONTRArqcki�S INFORMATION '
8. Contractor's Name:
9. Address:
10. Phone: 11. Fax:
12. Contractor's Number. 13. Certificate of Insurance: Yes 9 No 9
14. Contractor's Signature:
15. Authorized Agent
TYPE OF WORK TO BE DONE
16. Please Check Curb: ❑ Gutter: ❑ Sidewalk: ❑
17. Driveway (List Type): 18. other.
PERMIT GRANTED
i In compliance with the above request; and subject to all terms, conditions (including those printed on the back of this form) and special conditions
written below, permission is hereby granted.
19. Conditions
Underoround Service Alert (U.S.A.) must be notified two workina days Drior to any excavation. 800-227-2600
20. M, All work shall conform to accompanying: Detail 0� Plans ❑ Special Conditions ❑
21. Date Issued: -/ / v3 22. Expiration Date: y// Al 23. Surety: Yesg No C3
Mike Crump, Director of Public Works I By:
"Note: If permits are faxed to any number besides (530)538-4356, they can be delayed up to one week.
Page 1 of 2
General Conditions - See Page 2