Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
039-360-114
N� RESIDENTIAL 'PERMIT NO. -,_039-360`114,�4-�--'�- LEGG 1221, ORCHARD WAY, CHICO Cont: OWNER NSF (2 STORY) .. It 44, 41 r- o .. It 44, 41 . t I' SPECIAL CONDITIONS - CHECKED .^ BY �TSRA . FLOOD'CERTIFICATE REQ. ` - FIRE SPRINKLERS REQ.' SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i - • �. OFFICE COPY t Address GAS Meter By Date �,,� ELECTRIC/ J'v + Meter By Date �i JOB FINALED (Dat 4� 3 1�1�^ , Signature "� : . I' SPECIAL CONDITIONS - CHECKED .^ BY �TSRA . FLOOD'CERTIFICATE REQ. ` - FIRE SPRINKLERS REQ.' SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i - • �. OFFICE COPY t Address GAS Meter By Date �,,� ELECTRIC/ J'v + Meter By Date �i JOB FINALED (Dat 4� 3 1�1�^ , Signature "� : . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040521 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/30/2004 APN: 039-360-114-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1221 ORCHARD WAY CHI Date: Contractor: Map Index: Description: NSF (2530) GAR (589) COV (1703) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LEGG RANDY J & CAROL P to its issuance, also requires the applicant for such permit to file a 1221 ORCHARD WAY signed statement that he or she is licensed pursuant to the provisions of CHICO CA the Contractor's State License Law (Chapter 9 commencing with Section + 7000) of Division 3 of the Business and Professions Code) or that he or 95928 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the to a civil penalty of not more than five hundred dollars ($500).): ���applicant yp I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LEGG RANDY J &CAROL P Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 1221 ORCHARD WAY such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for 95928 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. LEGG, RANDY and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1221 ORCHARD WAY O 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 �QI' Date: 3C Owner: �..�ilJl/Q(�� f v` 1 Y�,,/� 530-345-9939 License #: 676365 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. O I have and will maintain workers' compensation insurance, as Engineer: GALLAWAY ASSOCIATES, RUSSELL required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation , insurance carrier and policy number are: Carrier: Total Square Ft: 2520 S.F. Policy#: Valuation: $163,800.00 6� 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � 1._3nn01 A Date: Applicant: CC1�/0X� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one -hundred, thousand. dollars ($100,000),_.in..addition. to. the cost -of - compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby i1sued under the applicable provisions of the Bufte County Code anrVor I hereby affirm that there is a construction lending agency for the Resolutions to o ndicated above for which fees have been paid. ` performance of the work for which this permit is issued (Sec 3097 Civ.) ^^ (� 'a Z Date: Name: BY: 17 ✓6 y E) PERMIT EXPIRES � � Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: �i�l �D Ci �i Signature: 1 Date: `�{-=—� Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Ws 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 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossover -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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 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 Ws 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- Panel boards- 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 I J=OK 0 = Not OK - = Not Applicable . = Not Ready Date RESIDENTIAL (Single & Duplex) UND LOOR (Plans) OK except #'s Zoni etbacks- Easements- Flo2Q-Slope Main-- oils-Elec. Grnd.-/ • /" Ftg. Depth 3. Ftg. rage; Soils-Steel-Elec. rnd.-/ /" Ftg. Deptl g., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stem s, Main; Steel-Blockouts-Wrapped 6. S walls, Garage; Steel- Blockouts-Wra ed 6eAold Do ns and Special Anchors 7. Slab eel -Wrapped ler -Fire lace Ftg.-Steel Fall -Fitting -Test -2 Way C/O -Sewer Test F, Gas ,ipe; Size Anchors -Yard Gas Piping; Size Test 11. Wat ip % Test -Anchors- Reg ulator-Service Test 12. ect Under round P ums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts-Joists-Vents-Crippies 15,Access & Ventilation Insulation Date -r Card B-1 Date _ -,IV Card B-1 Date OLUMBING Date Card 13-1 Date Card B-1 #'s 1U/ Water Htr.; Vent -Access -Combustion Air Baffle 1$/tQ/5ter Pipe; Test & Anchor -Nail Protection 1 D.W.V.; Test Fittings & Anchor -Nail Protection J� 20. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23—Fire Sprinkler; Test Date `f ` Card B-1 , ) Date Card B-1 Dat Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s is. Protection & Switches at Doors 2A..Z!;e Boxes'& No. of Conductors Stapled 2�!.�ogm Installed Close to Edge of Studs & C.J. Ground made up w/Mech Fasteners -Bond Gas & Water 2 _ pliance Circuits in Kitchen & Conductor Size GFI ,, eed Wire Size/ / a. Cu or AI-A.C. Wire Size/ /ga Cu or Al ange CircleT —Yga&O or AI -Oven Circ. / /ga Cu or Al Insylated Neutral O Yes O No S ice -Riser Conductors & Ground Main Disconnect n. E,Quip. Clearances Panels-Motors-Mech. Equip. SCI hes Closet Light -Shower Light -Spa Light 3 . moke Detector Date j Card B-1 fC L17 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH ICAL (Permit) OK except #'s 4 Ducts Insulation & Support 4e 7 e Fan, Exhaust above insulation 4 . onden ate Drain & Overflow, Size & Grade 5 F ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & P rm if Furnace in Attic Date 13 Card B-1 # t ' U , Date Card B-1 Date Card B-1 Date Card B-1 Date FRA NG (Permit) OK except #'s Outlets & Receptacles at Kit. Counter 41'/'ills Proper Materials & Anchors 5 42, WallStuds-Nailing Spacing & Braces -Plates -Sound A.C. Duct in Garage -Damper 43. 2a ring Walls over Girders & Floor Nailing -68r6tuc Mesh -Drip Screed -Fd. Vents-Underflr. Access 4 raft Stop in Walls (rat proof) azing Ar -Glass Protection -Skylights -Plastic Shear ails; Nailing -Bolts Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4 Headers & Beams -Size & Bearing Date FRAC G (Continued) 4 a ers-Post Caps -Anchors -Connectors 4e grng. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 . F place Ties or Type A Flue -Fireplace Throat Clearance 5 A . Access; Size & Romex Protection -Draft Stop -Ins. Baffles fireplace or Stove, Clearance -Hearth m. Windows or Exiting Doors -Sill Ht. & Dimensions Etc. Outlets at Wood Panel, Int. & Ext. age Fire Protection Framing -RC Channel Kit. kt. & Appliance; Ground -Air -Gap -Cooking Clearance Prpjlerty Line Firewall & Openings Outlets & Receptacles at Kit. Counter ors -One 3' -Check Garage 3rd Story, 2 Exits 5 St ; Width -Headroom -Rise -Run -Landing -Fire Protection ood on Roof Overhang -Attic Vents -Rafter Outriggers A.C. Duct in Garage -Damper Siding -Nailing Veneer -68r6tuc Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. 607 azing Ar -Glass Protection -Skylights -Plastic Shear ails; Nailing -Bolts _ 11. Br nterior/Exterior Wall Panels Date , ' 0 and B- C.. t Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL ans) OK except #'s fy1!F�cf Steps-Doof & Sidelight Protection -Landings 6&.—Furnace Vents -clearance -Comb, Air -Connector - I arage; Above Floor-Ducts-Mech. Protection B oom Exiting Cbath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 70. St_awel Rails fireplace or Stove, Clearance -Hearth 72. Etc. Outlets at Wood Panel, Int. & Ext. Kit. kt. & Appliance; Ground -Air -Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter C!rGarage 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-�ch. Protection 78. PI�iEtec. & Mech. Equip. Listed for Location lec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Ins ion -Foam -Looked in Attic Guar ils & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth CLearance Looked under Floor O Yes _ Eff'Following,Inst1d./Drive D Yes ❑ No/Walks 11 Yes O No/Planters 11 Yes El No 84. S o Brown -Finish . A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Ab Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. r Well ' connect, Electrical, Plumbing Ext Elec. Trim, G.F.I. Receptacle -Underground en on Throughout House ss Protection Correcti from Previous Inspections s T -Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval 94. Ener Compliance Certificate -Other Certificates 9 dress Posted 96. Da Dat Fire Sprinkl Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: INSULATION CERTIFICATE Job .......... _.y Contractor/Owner Name County DESCRIPTION OF INSTALLATION 1. ROOF Subdivision Name ................. .............................................................................. 4221:Qftft0#jW- .. . . . . ..................... Job Address (street, city, state) Lot Number aten .......................... .................................. Brand ......................... Thickness (inches): ................................................ ...... -. Thermal Resistance ....................................................... 2. CEILING Batt or Blanket Type. Brand Name:,:.::::::::::::::::: Thickness .. . . ..... . .............. ......... Thermal Resistance .............. W ....... W ............................ IAose Fill Type: Brand Name::::::::::::::::::.K-n Minimum Installed Weight/ft :::::;w':;-:::':::::::::::::lh al� Minimum Thickness::::::::::::::::::::::::::::::: inches 0**& ............... W ......... Manufacturer's installed weight per square foot to achieve Thermal Resistance .............. 3. EXTERIOR WALL Frame Type: A. Cavity Insulation Material: ....................... Thickness (inches):::::::::::::::::::"::.. B. Exterior Foam Sheathing Material: .............................. Thickness orches .................. I ................................... 4. RAISED FLOOR ..................................................... Material. Thickness (inches): ...... *'*'** ....... rr .... ............... 5. SLAB FLOOR/PERIMETER Materials s';�" Thickness (inches): Perimeter Insulation Depth 6. FOUNDATION WALL Material............................... I ......... Thickness inches .................... (): ',:� �::":i :�:; �::� ................. Brand Name: .............. ............ ............................. Thermal Resistance ....................... ........................ Brand Thermal Resistance ............. ................ Brand Name..:.:", Thermal Resistance ...................... ------- ..................... Brand Name::':::: ........ *.'.* ........... Thermal Resistance (R -Value)::"*:':"::::::::::::::::: Brand Thermal Resistance (R-Value)::::"::"::"::":,"::'*:,"::'.':"::*'"*.::-.::':"'';.;::::..::::::::::: DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Tine 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. ........... ........................ ................................ ................ ....... Item Number's SiWature aAiDate Installing Subcontractor (Co. Name) or Item Number's Signature and Date General Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Note to file Building Permit04-0521 2/22/05 Discussion at counter with owner re area over garage with floor installed, and loft area, both installed without permits and not shown on plan. Gave owner 2 choices, convert with permits, or remove door access to garage attic area, and access by standard attic access in ceiling only. For loft area, told the same thing, convert to living with permits, or remove carpet, build walls per plans, and access by attic access only. Told we would allow minimal electric in loft attic, and walk door would be OK. Also discussed the fact that doors not shown on plans could not be cut into designed shear walls without redesign and engineers OK, and that the letter he had presented from his architect was not valid unless stamped and signed. r �` from the design desk of.... Russell, Gallaway Associates • Z ,Sierra Nevada Court . Chico, California 95928 (530) 342-0302 fax 342-1882 WWW-rda-chico.com December 13, 2004 RE: Legg SFD Plan Check #2040015-019 1221 Orchard Way Chico, CA 95928 Dear Building Official: It has been brought to my attention that the upstairs wall between the living area and the mechanical loft has a door in it. This has shortened the shear wall length from 15 feet to 9 feet. The shortened length is adequate to resist the given loading as constructed. If you have any further questions or comments, please feel free to call me directly. Thank you, Q�pFESSli Bob Clark sa' �� NO G5 1 ;: R _ usse , Ga away Associa ;;, Ind,, R„/nuc-- . .; . w � _ __ .. ' �, __ .. �' , cis—G 31/ INTER -DEPARTMENTAL MEMORANDUM TO:., BUILDING DIVISIqN, OROV LE or:.. BUTTE �. COUNTY FRO M:zi T__Ge� . . HEALTH, CHICO FEB9 20th DEVELOPMENT DATE: SERVICES RELEASE ENV. HEALTH HOLD O�rUtDING FINAL FOR: OWNER NAME: AP#: ADDRESS/LOCATION: Comments: GL/memos/releasehold BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION BUTTE AND SUBMITTAL REQUIREMENTS COUNTY 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891}40 . 2005 OFFICE #: (530) 538-7541 MJ A FEE WILL BE REQUIRED AT TIME OFAPPLICAT1%EVELOPMENT Website: www.buttecounty.net/dds SERVICES "PLEASE PRINT CLEARLY" ' OWNER Last NameMA-TH/A Z58tJ First Name1—,AVP—A Address /I aR City GHiC State Zip q5cj73 Phone,53L, 3y 5_ q U_37 Fax E-mail APPLICANT NAME CONTRACTOR Name $ILS ,BSkD 2 Address 125 QQoem�,L City State., State ZipQS92,9 Phone BQ,�/_ g - Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name : �(Frum143 - W. l� bQt—l1 - Address 5 G 9 E City Chl State., Zipgs928 Phone 8� y _ Z b-7 Fax E-mail Planner State Number&.04 APPLICANT NAME Name /t Nt )1�l /t Address l' 1 M A -t j G�2 City L'l7eo State ZiP:7 -'T73 Phone �s 37 Fax E-mail APP (CANT SIGNATURE X For office use only: Zoning Property Address Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # LOCATION AP# Property Address City Cross Street SRA WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address „. Description or.Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): ; EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not requireo.for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance.and-site plan approval from the Ag Commissioner's office (if required). 11- 2. Impact Fees. _ , . ❑ 3. California Dep.tment.of Forestry plan approval(if required). l�{. .._... ❑ 4. NPDES Form. _ ❑ 5. Encroachment Permit for driVeway from the Public Works Dept. (construction approval prior to occupancy)... ❑ 6. Contractor's license -information. (Number, Name Style, Classification). , ❑ 7. Worker's Compensation Carrier and Policy Number. -. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. .BP040521 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/30/2004 APN: 039-360-114-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1221 ORCHARD WAY CHI Date: Contractor: Map Index: Description: NSF 2530 GAR 589 COV 1703 p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License.Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LEGG RANDY J & CAROL P to its issuance, also requires the applicant for such permit to file a 1221 ORCHARD WAY signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95928 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LEGG RANDY J &CAROL P pp Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 1221 ORCHARD WAY such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95928 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. LEGG, RANDY and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1221 ORCHARD WAY ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA- 95928 530-345-9939 Date: 3o D Owner: �� �/� �Y License #: 676365 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: GALLAWAY ASSOCIATES, RUSSELL required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 2520 S.F. Policy#: Valuation: $163,800.00 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 0 301 of Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. (� / CONSTRUCTION LENDING AGENCY This permit is hereby i s...uJJJJed under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to orl ndicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �Q -a Name: BY: �,�1 /� ..Date: 6. - OLE) Address: PERMIT EXPIRES . D ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: l off. Alj � �,e Cj q Signature: c�J�l l� A'a 1" Date: Q 1, 3-0 I� *Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor 014 P14Ar1I n,9 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES •� o o BUILDING PERMIT APPLICATION - 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) c --_ ! r�� o OFFICE #: (530) 538-7541 c�U 14 PERMIT NO. � asar DA EAPN: 3 _ w ZONING: Oy q.•/ NEAR STC S STREET: TAd a' I TRACTA.OTA �0 6 -jos SITE ADDRESS: L&'` 10 .90Z" C l z z 0'rc-ha, j W� ) CITY, ZIP: C 4 � C -o C -A 175 17 z - OWNER NAME: PHONE: STREET ADDRESS: 3 / ✓r FAX 22 C�✓G� ✓ c� CITY, ZIP: C S Z S EMAIL APPLICANT NAME: r0. L Q ca ck PHONE STREET ADDRESS: 1 7 M�-/� 1 FAX CITY, ZIP: Z c� 1 Z- V% Ci tt.., V W C l i C /• /A Z E-MAIL' CONTRACTOR NAME: PHONE: Ram -e 3`/S- ef STREET ADDRESS: FAX Z2 u CITY, ZIP: ,. W 86'1 q 20 . E-MAIL*G43c-o C Z(& LICENSE NUMBER: 676,-,4,- LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: G ✓ .1da / � G L ( O � 3 Z - O 3C' Z �� vJw, Cf FAL CITY, ZIP' C�LICENSE NUMBER E-MAIL t1c,o q2S DESCRIPTION OR SCOPE OF WORK: 1,u�� oh,e-. ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) z'Lo ' ; X ©5z> -S/ EXPIRATION O APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: rJ Z 620 Notes: C`. l 7 30 SQ A - ff So Fr' 4 Application Received by:—i--? Date: Receipt number: / Amount Received: j B. C. Building Permit 01=23-04 pg 2 II -6 S-CW1 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: _ ASSESSOR PARCEL NUMBER (/ c Proposed Building Use:n S Counter Technician: � Date: „(' 3 -Q Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plan"s,`3 or 4 sets, signed by the preparer of the plans. "2"Complete plans, 3 or 4 sets, signed"by the preparer of the plans. I fY 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in fico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt -of the following items.) DI_ 17. Fire Sprinklers............................................................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by A1C ❑ 19. Soils Report and/or. Engineered Foundation required ........................................... ........ ❑//] �,,� 20. Erosion Control Plan Required........................................................................ X21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ca ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: D K (B)Parking: (C) Parcel Check: -1- O 0� 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ , 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... A2. Letter of Signature authorization......................................:............................. 1 Recorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility clearance............................................................... q '35. Existing violations and/or expired permits......................................................... ❑at 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued TelephoneQ, nA and hold for pickup. I have been informeqp.f the above items and requirementstor obtaining a building permit. Applicant: ✓ `.. Date: c� y 1. Index permi appli ion for' a above items numbered: P n Check etter 2. Additional items wired Contractor, design r, owne as advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, ner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: _Date: Plans approved by: A 0 Date Structural reviewe Date: X, ructural approved by: ' Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER deQ Q A.P. # PROPROSED BUILDING USE DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES � / � � � n �O J-,�r[[� --- Balance Due ..................... $ (� / (UJ�( --- Additional Fees Due........... $ Revised Plan Checking Fee.... $ CHOOL DISTRICT FEES C h I �(� ��� !Le CL aid at School District Office) (form available after Plan Check) 3. HERIFF FEES (paid at Building Division) ./ Re idential........... X 60.00 = , JT i _ 5x49- _s -ire' Units Commercial (sq: ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. ommercial (Sq. Ftg.).... X = $ Sq. Fig. Amt./ RECREATION DISTRICT FEES (2 RSD (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid_ at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER �,�'6•�-,- `t time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during,*e plan checking process. APPLICANT DATE Z2 ,o Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from 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 -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 CCiFPY of Document Recorded 30 -Jun -2004 2004-0039809 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included 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:' Lof 40 ( a,s SV-,owrn or 4Anea+ eer4-o-Lv� Vvo-p -E-(•ec( 1 S}�h1ey 1. PO fi.v 1Lz fou v�-1�.� p u i(�--i-i� i©� C��.l r'�rC►� t ct 1 o n 441e�I ae� r`e1curd1er 2O �►� Baote- to o� rAa-pS C,+ PolSccs) 405• A,P•N. 03i-3i�o-ilk-oov Date �t�h� ; ( o20O`PROP R;TY /7 0. K\C J . 7- / Caro 1 P- L.L State of California ) County of Ca ,-k-W - ) 3Ci ZOOLAbefore me, personally appeared ` v 1 L2 ersonally known to me (or proved to me on tO basis of satisfactory evidence) to be t person(s) whose name(s) i subscribed to the within instrument and acknowledged to me that halsh /�ie� executed the same in h' ei \authorized eI capacity(ies), and that by h' signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS hand and official seal. Signa e � al: LISA M. ME AFEE V1 COMM. 11289743 A.P. 4 LL NOTARY PURUC-CIUFORNU y COUNTY OF BUTTE W Comm. Explree Jan. 7, 2005 f. BUTTE COUNTY PARKS DEVELOPMENT FSS CERTIFICATION FORM �. CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number (s) e5.3a-7 • 54,n . it 4- P roperty Property Owner Project Location/Address Subdivision Lot Number(s) Residential Development: (check one) lee ✓ New Development _Alteration/Addition Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units .Comment: Re j> La < c .e x- t s"t`! �q . ��� `Y� ` `� LCR,_ c� :� � • �. ¢ ' Bui/ ,ding Depa tment Representative irdrylryrYrytyt��k�kyrytYlr�kyryr•kir,�ryr7r�kwyrYr�ktir,�ryrvr,�rrt,tvrYryt,kyrYtMr�k,�r,�rYrvr�kw�r�lr,r,k*rtnrYr*yr��r�It�k��kY�c�Ir�Ir�rytikyrYt9tw�r '' Chico Area Recreation and Park District(CARD) certifies that C; j V �A�CA ck Sys . LC J (Applicant Name) (Phone Number) 2-2-1 ✓C (1,o« WCA_ CStree-t, Address ) Vl C:. -O C'/4 is ? Z (,City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-1140by payment for dwelli-ng units @ $1,189 for total payment of $ CARD Representative Date •PAID BY CHECK NO. `) REMARKS: �X�(ly\'a As BANK NO. -3 -IVCSO • ;O PAID BY CASH eG IO Z RECEIPT. NO. P' Distribution: White --Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City of Chico.Building Dept. park.fec (form revised 11/90) School District A.P. Number BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) C14 % er d=. *Building Department No. eD 3� - 3 40 - I I A- Jurisdiction: Q city County Property Owner Property LocationlAddress t 1 tZ e- /A- Q 0 Wot Subdivision Lot No. ..................... ...................................... Residential Development Q ..................................... Q Q Sq. Footage No of Living Units Mobile Home Installation Addition/ *Supplemental to Conversion Permit # D(Group R a" 0 *(No foundation Inspection) ........................................................................ t ....................... . ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage Now Addition (including Exterior Roofed Areas) 49'.7q,,0 4- Buildinoartrnent Reorelghtative Date District Identification No. L4 f5 2) CU t> School District certifies that aC), (Appikhrit)() .0 (Street Address) .(Phone Number) (City) y (State) (Zip Code) has comoli6d with the requirements of Resolution No. 0 L/ by payment . of $ 0? Le 3V 2-d representing 17b. 'square feet. School District Represent4ive Paid by Check # Remarks: 2926 $ FULL MMGATION $ Date Ll Notice: You may protest the Imposition of the few Identified! above by submitting a wftm protest to the District, In compliance with Goverment md Code Section 66020(a), within 90 days from the doe ton are paid. Failure to submit a timely written protest w10'pMh1bit you from chel"Ing the Imposition of the fees In any court acdon. K, subsequent to the School District Representative signing this Bulb County Schools Impad Foe Certification Forin, the School. District Is nstMNd by the applicable Local Planning Agency that this project Is being mviermed under do California EfrAmnmental Quality Act (CEQAh this pnojed may be subject to additional school fees to fully mitl9de. Its Impact on the school dhftkft schools. White (applicant), Yellow (building department), Pink (school district) teeforni-xii (t0103)dmM -- •.•• •- -PA IVAA:,l1i 111V1N1UN .7 COUNT' CENTER ]DRIVE, OROVILLE CERTIFICATION OF EXISTING SQUARE FOOTAGE School District C�< <e) AP # 4:>3q • 31,6e, - 14 Owner's Name Property Location/Address !cP+04"2.oy%,ty Square Footage 1344- Residential Commercial Demo permit issued (Date issued ) Mobile home replaced [KVerified by Building Department Records 0 Verified by Assessor Department Records . �• 29 •off- . Build' Department Representative Date 2� _ ml ■ot n■ ■ 111■ 1211411111111111111 AND WHEN RECORDED MAIL TO: — 3 9 $10 9 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded Official Records County Of BUTTE CANDACE J. BRUBBS Recorder ROSEMARY DICKSON Assistant 01:43PM 30 -Jun -2004 I REC FEE 7.00 1 CONFORM 1.00 1 I I. I Shawnya I Page'1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be -recorded prior to issuance of.a building permit. The property described herein is adjacent to land or included 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: Lo-{' 40 cis Show rn or 4-1i o,+ Cera -o,; rv,a�p ��+; �- (e " S}a h le y Pw✓K wlni c� rv.a-10 vias re_eorded i,-\ fie, &P-Ei cc of_ "e reeorc{er o p bu 0 e. I S }r, -+e o� Ce l i d rn i a l on Oa -,l `1 1`7,0(o( 1VN BooK to rVXa-pS 1 a.+ PaajC�S) l�5 /�,P.N. 03i- 3(00- I ly-oov Date Jl-11,e , 3D( -;�00q PROP RTY OWNERS: / - Le P- LeRg State of California ) County of Onwt C C L)``1 before me, C personally appeared SR a personally known to me (or proved to me on th basis of satisfactory evidence) to be t persons) whose name(s) i subscribed to the within instrument and acknowledged to me that hekh /Ce3 executed the same in h' e �iy authorized capacity(ies), and that by h' et signatures) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS hand and official seal. Signat a al: LISA M. MC AFEE" COMM. f 1289743 NOTARY PUBUC-CAUFORNIA d COUNTY OF BUTTE A.P. # Comm. Expires Jan. 7, 2005 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water. Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Butte County Storm Water Management Program Revised 7/02/03 i TO: ?' u� artment FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attoclledy— Float Plan Anachad Sent to B.D. ! �5g:L zl-�a -.360 - Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public c--' Private Well Clearance for dwelling. Other Hold -final for,%QO Final clearance O.K. for: NOTE: c 9 /A A21 Environmental Health Specialist Date 8/96 June 21, 2004 Mr. Michael Vieira County of Butte 7 County Center Drive Oroville, CA 95965-3397 Phone: (530) 538-7541 Fax: (530) 538-2140 Re: Plan Review: Address: Dear: Mr. Vieira: Legg SFD 1221 Orchard Way County of Butte- FINAL REVIEW Jurisdiction Application No.: 04-0521 LP2A Job No. 2040015-019 Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents: 1. Plans: Two (2) revised copies Plan Sheets GO through EC1 (14 total sheets) Title/Cover Sheet dated August 11, 2003 by Russell, Gallaway Associates. 2. Structural Calculations: Two (2) copies dated May 24, 2004 and Two (2) revised copies dated June 9, 2004 by Russell, Gallaway Associates. 3. Title 24 Energy Compliance Documentation: Two (2) revised copies dated January 23, 2004 (revision dated 6/9/04) by Russell, Gallaway Associates. The 2001 California Building, Mechanical, Electrical, Plumbing and Energy Codes were used as the basis of our review. Please note there are no further comments. - Therefore, we are recommending approval of the above noted items with the added redlines shown on sheets GO through EC1. Enclosed for your use are the above referenced documents bearing the LP2A plan review stamps along with the applicant's response letter. Please let us know if you have any questions. Thank you. Sincerely, LINHART PETERS ERS ASSOCIATES Gary Cox I.C.B.O. Plans Examiner GC/MB:ag Enclosures: Cc: Alice Mefford: amefford@buttecounty.net Bin 50 fAbutte county 015\butte county 2004\2040015-019-pcf.doc 0LINHART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard • Citrus Heights, CA 95610 .(916)725-4200 • FAX(916)725-8242 0 Toll Free (877) 235-0653 ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING PN: ONE: BUILDING PMT. 0 OWNER: V�. PHONE: 530 3Y -73 MAIL ADDRESS: Z 2 pG a r 1/l%w 9Sq?e SITE ADDRESS: 1-2--2-) . 0 y -c t, -d PROPOSED USE: SAbra_u e- G-va e PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-16) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION 0) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? 2. Is the structure already buiR, under construction, or under notice of code violation? 3. Will items produced in this building be offered for sale? 4. Will the public have access to this building? 5. Will any advertising, on or off site, be associated with the use of this building? 6. Will this building be occupied at any time as a sleeping quarters? 7. Will this building be occupied at any time as an eating area? 8. Will this building be occupied at any time as a cooking area? 9. Will this building be occupied at any time as a living area? SITE CONDITIONS: 10. Is the structure foundation within T of septic tank or 10' of leach lines? 1.1. Is any portion of the proposed structure located closer than 20' to your front property line? 12. Do you plan to add a driveway or modify e)dsting access to a county maintained road? 13. Will the proposed structure encroach within any recorded easement? CONSTRUCTION FEATURES: Yes: ✓ No: Yes: No:.- t/ Yes: No: i/ Yes: No: _ Yes: No: Yes: Yes: No: Will this building have a sink? Yes: No: 18. Yes: No: No: I� Yes: No: Yes: No: Yes: No: f Yes: No: 15. Yes: No: _ 16. 14. Will this building have insulated floor, walls, or ceiling? Yes: k/ No: 15. Will this building be heated or cooled? Yes: No: 16. Will this building have a water closetttoilet7 Yes: No: 17. Will this building have a sink? Yes: No: 18. Will this building have a water heater? Yes: No: I� 19. What type of floor covering will the building have? 0k-"- 20. What type of wall covering will the building have? .5A e- e�>tfo ciG( ADDITIONAL INFORMATION: I I hearby affirm under penalty of perjury the above irdrometfon is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. 1 understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. S or OWNER'S S .yATLw,r E OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: DATE' COMMENTS: 'RES -1 EN IAL 39-36-114 92-1806 P, E LACHEMEYER, Hazel 1221 Orchard Way, Chico contr: MH Center mh utilities TAY - P GAIU-S 4 T- hit fere JOB F1 Signi orrict COPY Address GA Meter BY ELELECTRICDa Meter eIer i3Y lk v V D (DaA 47�— — MOBILEHOME INSTALLATION ACCEPTANCE a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DR'CE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0. Address or location of mobi lehome Zr- 1 0n C 0 A 2 \ik( Owner's name L ACt\ ,� G( K Owner's address 22— 1`11 W \1 Insignia or hud number c� 4,l13 Sl 11 CA- ' ( u tr •.1 ?Manufacturer's name �%1 rSi L f2�f Y�OMl`S 'eri&l num er of V. . -j WL 11131" HWL - -1g391 Year of manufa ture IS —L (r�.- ` (OfficiafApproving Installation) (Dole) d { 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. 4 n0. ILI 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE t= PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date(,�^�/T!�f —7 �spector !�::,LQ REV 11/81 Aq� d A •'Y 4 'y Date(,�^�/T!�f —7 �spector !�::,LQ REV 11/81 L� COUNTY OF BUTTE DEPARTMENT OF RUBLIC WORKS 1469 Humboldt Road, Chico, CA`11� 16) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 ' 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE LA c4rncyEP- °IZ- 09 L7 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work' is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact office immediately. Tr<r OFwATF2 ri(It yr. F)/v Date Inspector REV 11/81 ' J=OK O = Not OK Not = t Ready N MOBILE HOMES Date MOBILE HOME UTILITIES Plans OK except #'s Zoning Requirements -Setbacks -Easements Soils; Special MH Support Sketch ewer; Location -Test -Fall -C/O Concrete ater; Location -Test -Easement Needed (Sketch) Sxloctrici(y; Location-Clearences-Grnd mp-Concrete Ga ocation-Test-Wrap: / /"L"ft. /"Nat or/ or/ /" L" ftJ Well Clearance & Disconnect utility Clearance Date (� CZ Card B-1 GC3 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBJLE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements g!Fsotings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector : electricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector 6 Water; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged jgr�Exits; Insp.-Sketch 10. Cert. of Occupancy Dated -(53,,9L Card B-1 Date Card B-1 Date/A .,AA—J,;�£ard B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (� = Date UNDERFLOOR (Plans) OK except #'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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -- ------------------------------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --------- --------------- ------------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ------------------------ --------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's 22. Fixture & Transformer Clearance -Ins. Protection -------- ----------- ---------- --------------------- --------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- -------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled --------------------- - - - --------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------- Equip. Ground made up w/Meth. Fastners-Bond Gas & Water ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------- - --------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI 29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- ------------- ------------------- ------ 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------------------------ - 31. Equip. Clearances Panels-Motors-Mech. Equip. -------- ---------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----------- ----- - --- -- - ------ -- - ----------------------- 33. Smoke Detector ------------------------ -------------------------------------------------------- Date Card B-1 Date Card -B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34. A.C. Ducts Insulation & Support -------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------------------------------------ --------------------------------------- 36. - - ----------- 36 Condensate Drain & Overflow: Size & Grade -------- ------------------------------- - ...._._. 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------------------------------ --------- ------------------------------------- 38. Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -- ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors - - - --------- ----- ----------------------------------------------- 40 ---------------------------------------------------------- 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------- ------ ------------------------------------------------------ --- 41. Bearing Walls over Girders & Floor Nailing -- - --- - - ---------------------------------- 42. Draft Stop in Walls (rat proof) ------ ------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------- ---------------------------------------- 44. Headers & Beam -Size & Bearing single & Duplex) , Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. -Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits --------------------------------- 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection --------------------------- _ _54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------------------- -Date -- - Date Card B-1 Date Card B-1 ---------------- - Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's --- ------------------- 61. Ext. Steps -Door & Sidelight Protection -Landings ' 62. Smoke Detector -------------- ----------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - -------------------------------- In Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa ---------------- ------- 66. Elec. Trim & Subpanel: Breakei Sizes & Labels 67. Stairs & R_ails 67. 68. Fireplace or Stove: Clearances -Hearth --------- - - - 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ----------------------- -------- ------ 72. Garage Fire Door: Swing -Landing -Closer --- - ---------------------------------- -------------- 9 a -Dam p er 73.A.C.Duct in ---------Gara------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. , ---------------------------------------- In Garage: Above Floor-Mech. Protection --------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------- 7-,. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------------------------------------ - 80. Following instld.: Drive Cl Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No-- 81. Stucco: Brown -Finish - 82. A.C. Unit: Disconnect, Electrical, Plumbing - --------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ---------- ------------------------ -------------- 84. Water Well: Disconnect. Electrical, Plumbing ----------------------------- - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground - - - -- - - --- ----------------- ---------------86. ------ - 86.Ventilation Throughout House --------------------------------------- 87. _Glass Protection 88. Corrections from Previous Inspections -------------------------- ------•------------------89. 89.Gas Test -Meters Tagged: Gas -Electric 90. -Water & Sewer Connected -C/O to Grade -HD Approval ----- ------------------------------------- 91. Energy Compliance Certificate -Other Certificates --------------------------------------------------- Date ---- Card B-1 Date Card B-1 - -- "--------------------------------------------- Date ----------------------------- ----------------------------Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: CJN'TY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = Orovllle, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. 92-1807 ASSESSOR PARCEL NUMBER 39-36-114 ZONING Srl r BUILDING PERMIT OWNER Hazel TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING AODR SS 3008 Star Ct Sacramento 95864 CONTRACTOR'S NAME I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1221 Orchard WChico Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomej] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New Li Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: 2 bdrm (MHU # 92-1806) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions / Code� and my license is in full) force and effect. License No.:2:E Q[ —Classification !i"!i� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.&\ NEW CONST.OR ADDNS, ( / ACC. BLDGS. I 3.64 sq.ft. NEW CONSTR ULT' -OUTLET ^ 5 00 NON-RESID• BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76FIXED APLNS,d EX. Occup. OUTLETS PIRESID IREA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities dgments, , and expenses which may in any way accrue against sai I my in co a enc of the granting of this permit. X Date caner ❑ Contractor ❑ Agent Signature of Applicant —�-8 An OSHA permit i5 re or excavations over 5'0" deep and emolition or construct- ion of structures over 3q tories in height. Mobile Home Installation FeeS TOO Energy Inspection Fee $ OCC CONST TYPE OTAL FEE $ 105.00 HAz DF IMP FLOOD _ CDF PARCEL PD HD ISS ! This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Work indicate above r which fees have been paid. F PUBLIC WORKS By Date — PE �7—QT, IT XPIRES Date —P. 116822 Receipt ED.No. WNITE•D.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT x .r' wYr�r.r ..:rn-��' .- j+ri. A.i.:iti w��r��,� .bk''.F{• o-,+'!"��il� � Yl'lj�`-t, t 'hr.` ,y�• COUNTY OF BUTTE °y EPA`kfy- EkT' OF PUBLIC WO -BUILDING DIVISION, L#:. r v .. .. y-'.4^.CF.. 7 COUNTY CENTER DR�V.E'r•OROVILLE, CALIFORNIA 965 �,. ELEPHONE (916) 538-751 J PERMIT APPLICATION DATA SHEET o f u G r � OWNER �/ ►�t/ �i G/ l Lj(� i` 2 ` No._ Proposed Building Use Building Inspector Date S (� A � At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. . Feesof$ . ......................................... 11. Impact fees as shown on attached schedule . ............................. . 2. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .'. ... ... . 20. Pre -inspection for to Building Ins re for required. . to Building Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner ). ......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearancd. .....................................-�--- Documentation of legal accbsks. ...,...................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. .+. . . . . . . ... . . . . . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ................................................ .:... . 33. 34. When you is the permit, process as follows: Mail j� owner. Mail to contractor. e ephone5 3 �1yO nd hold for pickup at V fL C1, office. p� Deliver with inspector. / Other Parcel Creation Acreage Applicant D Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air PollutioA/Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitt, 1. Index permit for above items No. 2. Additional items required: Contract , designer, owner, was advised of above r, designer, owner, was advised of above Plans checked byDate issuance: (Circle new item not checked above). required data by,,--*' phone_ mail Counter by&) Date re uired data by _ phone _ mail Cout r by_ Date (9 Z Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.-538-75419 APPLICATION AND- PERMIT - aO-7 , ASSESSOR PARCEL NUMB R - - ZONI - BUILDING PERMIT oG r� 1-1�0 L A/1/ � � TEL P E SO. FT. OCC. BUILDING VALUATION OW s MAILING ADDRESS-_ 6O MI5 8 CO5, 5—AMENT ACTO ,•T,€LEPH oc , N 0� CONTRACTOR'S MAI I AODR _ I Q �/ ej' � — P Fireplace CONST UCTION LEN ER - UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS _ Filing -Fee - $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee g ARCHITECT OR ENGINEER'S MAILING ADDRESS - - - Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - Perml.t.fee $ it, Lo PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 _ Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping _ 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home _ @ 15.00 TYPE OF WORK New Addition L✓ Remodel L Uti+i-tL InstaIIatio Other ❑ Describe work: ' _Z&. Q� Ric Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service i600V OR LESS 200A OR LESS 18.501 ----- -. -_ CONTRACTORS LICENSE LAW - I decla a -under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, DIV. 3 of the Business and Professions code my license is in full orce and effect. License No. i�G��/r/ � Classification `� j_j I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. // 3.6d sq.ft. NEW CONSTR • ULTI-OUTLET NO N•R E51 D BRA NCH CIRC ITS @ 5'00 (POWER APPARATUS A\ SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FI%TURES\\ RAO 76d Ex. Occup. OUTLETS FIXED PI RESID )REA.7 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way a crue against said County in consequence of the granting of this perm71- X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee $ occ CONST TYPE TOTAL F ESS' HAz 0FEES IMP FL00 C F PARCE PD HD ISSUE This permit is hereby issued unde sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date e-appiieal a provi- resolutions to do have been paid. I WORKS Date Receipt No. 2 �� WNIT[•D. P. W., TEL LOW-A93[»OR, PINK -INSPECTOR. GOIOEN RO D-APPLIGANT COUNTY OF. BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION -. 7 COUNTY CENTER DRIVE = OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER L.l?`G� /ii/I�I %Z A. P.. NO. 3 3 PROPOSED BUILDING USE PHI DATE / Z� REC . # _ _ DATE REC L i/ 1. School Distric Fees (paid at District Office) „ .. 2. Sheriff Fees = (paid at Building Department) Residential ... ....=X unit amt . - -- Commercial(per sq.ft.) X _$ sq.ft. _amt_ . 3. Urban Area Fees _ =J (paid.at Building Department- Residential epartment Residential (per unit) X # units amt. Commerical(per sq.ft.) X _$ sq.ft. /amt. Recreation District Fees (paid at District Office) 5. Drainage District Fees, (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. , APPLICANT DATE �� AP # OWNER C 14 PERMIT 4 - MH MH UT IL . CLEARANCE DATE INSPECTOR ELECTRIC GAS. Support Struc. Compaction Test Re . Service Size Other. Load Type Pipe Size Length YESJ NO YES NO 8'0 w Mgr 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orovirle, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 17, L �, A C/V %'N rr</5-,.2 2.: Installer's. Name: �� C IC 7'/Z I C-5Af `c e- 3 cj, C Is the site currently under permit? Yes No�,��� (If yes, furnish permit number OR Is the site an existing site? Yes F I No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 £t, away from septic tank and leach fields and clear of all setbacks and easements? Yes No L___.1 /0 (If no, clarify 5. What is the mobilehome electrical rating? --------------- t'lln C) Amna 6. What is the mobilehome site service rating? ------------- Amps 7. What is- -the mobilehome site circuit breaker rating? ----- ..Amps 8. Is there any other electric load to be served by the mobilehome site service? ------------------------------ - Yes No (If, yes, . identify the load and size: ul1`c�iLoad) �d (Amps) 9. What is the mobilehome site gas pipe size? ----=--------- 30— (in.) type g ----------- ---- 10. What is the t e of as service? -- -- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 2--- * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 9 � EV1111TE COUNTY UILDIO DEpT1WT MUt11 L HOME sliPPOR"I DATA If other than single wide, Mobi1ehome Mfr. _S' i U£2CRis-% furnish Setup Model No. S IV % ,// Year. 9-O Width (f t, ) Box Length (ft.) Tagalong or Expand o' Size—! 494t. xzzij ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not o`n file with the County of Butte). FOOTINGS (check one) Wood -pressure treated or foundation grade . 2. Other (specify) SUPPORTS (check one) 1. Concrete block.a 2. ,Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Besets 2- Line �-— � tine 2 Main Beams Llne_� — — — — — — — — — — -+-Line 4 Tag or Triple e Line 1 Size -Min. ------------ Spacing -Max. Fium Ends -Max. ------- Line 2 Piers. Size -Min. --------.--- ix -30,, Spacing -Max. ---- ---- L4 From P.nds-Max......... L --0 I_inUL. I.Roof Loads: ✓ ✓ -- „X36,, nXllc�, rk3�r Location (From Front) Line 4 Per : l Size - Min ------------- 'k ' Spa,ing-Mex---------- Prom inda-Max-------- „ gine 5 hoof Londa: 81se-Min-----------.- Location (From Front) Ltae 1 Owginits: Size -Min. ................... Each Side of openings With Width Over- -------- Line 9 Fiera: (Under Bearing Wall only) Size -Min. ................ ,rX „ Spacing -Max................ r „ From Ends -Max,------------- 3 „ nX n ,rX n rk rl Line 5 Piprs: (Under Bearing s • on -17 Size -Min. .................. ,rX Spacing -Max ---------------- From------------- From Ends -Max.............. uX n uX OOH OdbGC��Oz�C fridge Beam Support Piers MODEL LINE:I—si Yel`�or> MAHUFACTUREO HOUSINC INC. • Man ufactured Hou`i- -t on And Saiety Starr.-rds Fedcral `f construc I �� PLAN " . NO-. (Dead Load 8 P.S.F.) LOCATE SUPPORT PIERS FROM REAR OF FLOOR construc I �� PLAN " . NO-. (Dead Load 8 P.S.F.) LOCATE SUPPORT PIERS FROM REAR OF FLOOR 1 2 .3 4. 5• .6 7 8• • 9 10 11 ., .� 49 LOCATION --=O 14Z'' Z4 I ' 3$'-0 LLL ��_"' r \>y�•� L: � Atjoints betw. units PLAN " . NO-. (Dead Load 8 P.S.F.) LOCATE SUPPORT PIERS FROM REAR OF FLOOR 1 2 .3 4. 5• .6 7 8• • 9 10 11 • 12 LOCATION --=O 14Z'' Z4 I ' 3$'-0 '4s' $-o'� I A B 51J-7 2- Load @ 20• P.S.F. 2749 4834 •46z� 478IN40 Load @ 30 P.S.F. (SS3 '626-51-69-7f 263.0: ' Load @ 60 P.S.F. I -- — — — L ZE— -n C.•tau i * . . %4 4vu, I 1191HX3 33S 3 GNnous 212 U01VNILOOdl IIS U NrM . . . . . . . . . . . . FA I U 11 L isior 'dooll ";ivs puv )IWA301S f q19 oki lois ps r L.D ... . ..... -*.Oook. .6. -�t& —IL 0-11 ,6-,6 .6-.6 019-.6 #0005; .119-19 #0096 SS31 bo SS31 110 SS31 2i0 e)NILVH MOV.— —Mzk— —Mov-A—ffitlf, M() HIOIM nnaw Illcilm MOON HiaIM ainclow ay013AII BOOM :GVOI 3AII BOOM aVOI 3AII dOOd JSd 06108109 1 JSd OC ASJ oz . MIN30 01 WIN30 5NIOWS sit. s -liv Ndsi�oairitdw:. T/T*cl LI -202 OT99 IIEL'ITi hWj5-g_LP:OT 06, 22 Dnu W, - 4 {4 12'-O' 48'- (;'1 1 7 20* -0' 0 'MEN Till m IN, momms . I 4.1 MSTR BEDROOM LIVING ROOM eN MEN NEE OEM ME NMI IL osomil own Moo BEDROOM 3 In 11�d Moo HMoo +., jv, v et MW.4 69{17•y2 1H3:45 91E:r 343 3,._._ MiiEIL HOME CTP.. F. D1 r ' 13UTTF= COUNTY SCHOOL.S IMPAC) FEE CERTIFICATION F013M (Ono Foirr: PC,! '731J! ling) School District L , } building Department No. A.P. Number%�% Jurlsdictlon i City.County Property Owner �j �l : C / �-%� rl//1'7 �z� a Properly Location/Address Wu) Subdivisor, Lot Nc), r Residential DevelopmentSq, Footage Na. of LiVO9. Addition. (Group R, Commercial/industrial ' ; Sq.. rootage •� �� New Addition (I uding Ext©rlor 1 R ofod Areas) BuII'ding"DepailM'EV'W epresentative Date. 11,14 (Floor Plans review: -,d i)y Sc tiuoi Uistriot Personi)el) I District Identification No,Ca(�, (J1 1 t �'�j ,te School District certifies that v (Applicant) - r(Strcot Acidr©ss) (Phone Number) j (City) (Stie) (Zip Code) f has comf)I;ed _with tho requircTnents of Resolution No, (p � _ �j � by payment of $� 0�, � VO reiireseririr�g /' '�) 11.13M fcr I [ , i (SCJ �. i •� Schoul District Hepresentalivo Date II Paid by Check Number t Picini -irks: . - Bank Numr� er paid by Cash 4;U) $,7,7'7&2"75& id It, subsequent to the School District Representative signing this Butte County Schools Impact Foe Certification Fora, the School District is notified by the applicable Local Planning Agency that this project is being raviewod under the California Environmental Quality Act (CE*QA), this project may be subject to ' _-. additional school fees to fully mitigate"its iigR o;4j4h6 school district's schools. �VJh,tc (aPI?licant); YellowT-(huiiding,,gepa!1nv•n!),}Prnk i i ; ,c,l•c rpt ct) i;»�'�r•.^^ _ 410.W i 1— �.���. 'a�r � _ �'4_ ' / u � � �" -- FJ'a �•i� r .../�Y1�R^'. �.a _t�f , �.i' ^�"[':.. VJ Jww��.. M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller'Callornla 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R;. 39-36-114 " ZONING SR 1 BUILDING PERMIT OWNER HAZEL LACHENMYER TELEPHONE SQ. FT. OCC. BUILDING VALUATI-Olq OWNER'S MAILING ADDRESS 3008 STAR CRT SACRAMENTO 95864 CONTRACTOR'S NAME MOBILE HOME CENTER INC TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1740 FEATHER RIVER BLVD Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ , Permit Fee $ 20.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1291 ORCHARD WAY CHICO Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP / Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home �� k)V @ 15.00 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel L_-; UtilitiesllLl Installation* Other ❑ Describe work: 2 BDRM •I° Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ?OOA OR LESS 18.50 18.5 Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ,JO. 626/?h Classification � % ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) OR ADDNS. l ACC. BLDGS. / 3.6d sq.ft. NEW CON5TRMULTI-OUTLET NON-RESID, BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. OCCup(OUTLETS OR FIXTURES 20 @ 761 FIXED APLNS Ex. Occup. OUTLETS P(RESID IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15-00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree save, indemnify and keep harmless the County of Butte against all liabili 'es judgments osts, and expenses which may in any way accrue against id aunty in on equ ce of the granting of this permit. X Date Signature of Applican — Owner ❑ Contractor ❑ Agent An OSHA ermit is ion of structures over 39storiesoineheight ions over S'0" deep an emolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 128.50 I HAz OFEES IMP _.. FLODD CDF PARC PD D S UE This permit is hereby issued under the sions Of the Butte County Code and/or work indicated above for which fees —DIRECT R OF PUBLIC BY E IBES Date r applicable provi- resolutions to do have been paid. WORKS �— DatePE �—•'�� Receipt No. 116822 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I Y COUNTY OF BUTTE t�EPART MT=CCF PUBLIC V110fr V110BUILDING DIVISION 7 COUNTY CENTER DRIVE./c-,f,.OROVILLE, CALIFORNIA 95965 - TELEPHONE(916) 538-7541 ,ate -r-^ . , . ` • , PERMIT APPLICATION DATA SHEET OWNER / - P o. Proposed Building Use Building Inspector Date D72,Fj At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance' DATE RECEIVED BY 1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ................... :......................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in':duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... 11. Imp t fees as shown on attached schedule . .............................. 12. ifornia Department of Forestry plan approval/fees. ........................ Flood elevation letter (100 year flo�g),by tfornia Engineer. ........... _ anitation and plot plan approval f77//LL ((�J Health Department . ............ �- City of Chico plumbing permit. ....:.......................... :.......... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ . Contact Land Development about (A) Improvements (B) Drainage. . 47k 19. Driveway permit (construction approval required prior to occupancy). .. 20. Pre -inspection for to Buil in ns request required. . to Building ;on (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ................ :......... 23. Owner -Builder Verification (Given to owner , Mail to owner ). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 5. Letter of signature authorization. ...... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... ' , ;ep 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. PI check list . .............. . ............. I ........... 34. Wh n yo issue the eer it p ocess as follows: Mai to pwe Mail to contractor. Telephone 934% lJ?j and hold for pickup at bG office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy,of Haz-Mat form sent Health Dept. Fire Dept. Air Copy of plans sent Health Dept. Fire Dept. Other The following data must be submittl 1. Index permit for above items No. 2. Additional items required: Date` to permit issuance: (Circle new item not checked above). By Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Plans checked by Date Plans approved by '02 W Date �? Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works • � � • ` �'' .y TO: Building.Department FROM: Encroachment Permit, Section_ RE: 'Driveway Clearance L.Gc e >�Z Z Dr�litu✓�y(/ �� I G �1� owner location AP # Driveway permit ! Z O G has been issued for the above property. .n b sign re date TO: Building Department. FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance 1.� Owner Location AP Plann approved for; sewage disposal ✓water supply Hold final for: water supply Final clearance.O A . for: water supply Clearance for bedroom mobile ome. Other Note*** - LDL .tartan Date N. A: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Centar Drlva - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT . ASSESSO P RCEL NUMB R ,j — – / Z I - BUILDING PERMIT OWNER Q r f) � TELEPM SO. FT. OCC. BUILDING VALUATION O WNE 'S MAILING ADDRESS p_ w`—r I V V - CONTRA TOR'.SG/M ILI ADDR ;! ) d 7f'� Fireplace _ CONSTRUCTION LENDER UNKNOWN Total Valuation$ LENDER'S MAILING AD ss 14 u ARCHITECT 'co R N E R LICENSE No. Filing Fee - $ Permit Fee. _ $ Plan Checking Fee. $ ARCHITEC OR ENGIN�,E(''S MAILJ.NG ADDRESS /(J� 1'J8 Energy Plan Checking Fee_ $ Penalty $ BUILDING ADDRESS a Ye��r9 Permit fee $ 0 - o� PLUMBING-PERMIT Filing Fee 1 15.00 - elb ICO Each Trap - 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other - _ SPECIFY Gas.piping system 1 = 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 .60 TYPE K i New � Addition;_; Remodel tilitie I s allati t -her ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS v 200A OR LESS 18.501 . S CONTRACTORS LICENSE LAW I de a under penalty of perjury (check one): 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. �`� License No. q�R� Classification ' I U 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract— ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20CATO t000A1 37.50 NEW CONST. / DWELLING OCCUPM s.so5q.rc.' OR ADONS. 1 ACC. BLDGS. NEW CONSTR ULTI.OUT LET NON-RESID BRANCH CIRC ITS @ 5 -Op POWER APPARATUS e) SINGLE OUTLET CIR. EX. DCCUp�OUTLETS OR FIXTURES 20 76d RA FIXEDAPPLNS. OR EX. Occup. OUTLETS IRESIO.I EA.! 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 W g 15.00 Permit Fee $ O — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way ccrue against said County in consequence of the granting of this perm't. X Date 7i Signature of Applicant — OwnerContractor ❑ Agent Pr An OSHA permit is required for excavations over 5'0" deep an emor construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE ITOTAL FEE $ I I HA2 DFEES I IMP FLOOD I CDF I PARCEL PD HD IssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid.olition i DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. %Z ! ��� � -re-O.P.W.. TELLOVT55F9'3OR. PINK -INSPECTOR. GOLD ENPOD-APPLICANT '1. i {� r \�`� V > as We job ati au or volftamuWar r Q-0 '1 . s .. . WJ J J r Q-0 '1 . s .. . J 10.1 I00o . ,7AMK /-32' MZE -i-ANE M W&K N 1217 0/�C H A Izt�;> VJN\l C R 1 G.0 / CA- SCALE. J�}�N 039-340-111 I"= 20� 1 �«� .w,, ENVIRONMENTAL HEALTH AUG 4.1992 CHICO, CALIFORNIA �� "OVED olthQ� � nom` ��Q�ta� He 0 RC IA hRD E hq KIXR AU VAterlal8 &-Workra=sh p Shah Be In r¢al" with ReQognized Good Practices • ala Quality Prescribed for the $PI=ed usa and 10 the UnIform OWN and the jEgg ffiPlu lW 6t Meahaniciel PARK IN1c- 24� 14oME MME HOME, MUST S AR KU M LM3ELS . SM11J S1DE �. 0Ret+AWAY . 330 fEDFOCIE b W ELL l� > AvZ-AcENT tlWE ObWNTT ILDI G DEPARTMENT APPRovp-() W q2-igo � Mum Z5• S� t• Lr r� i ar"� • - ,a 0n QJ.•••'1� M u ejs uipmenf'. u'be as F 4 C�8t1 61.811 • '� �y � r.( �1. .. • j. 4 S•' /-32' MZE -i-ANE M W&K N 1217 0/�C H A Izt�;> VJN\l C R 1 G.0 / CA- SCALE. J�}�N 039-340-111 I"= 20� 1 �«� .w,, ENVIRONMENTAL HEALTH AUG 4.1992 CHICO, CALIFORNIA �� "OVED olthQ� � nom` ��Q�ta� He 0 RC IA hRD E hq KIXR AU VAterlal8 &-Workra=sh p Shah Be In r¢al" with ReQognized Good Practices • ala Quality Prescribed for the $PI=ed usa and 10 the UnIform OWN and the jEgg ffiPlu lW 6t Meahaniciel PARK IN1c- 24� 14oME MME HOME, MUST S AR KU M LM3ELS . SM11J S1DE �. 0Ret+AWAY . 330 fEDFOCIE b W ELL l� > AvZ-AcENT tlWE ObWNTT ILDI G DEPARTMENT APPRovp-() W q2-igo � Mum v"I'mum wmr=ftw too tumu S" 4ba O3 kil-WU# W PA U Lug R94W int U di►t 00 40 W SAA% MtW MM DO W JU-11914" 41WOO WO 10 Jo *4$Q o6swo ma"Vo =OWN ~'Imt DA"lw i• int t? UA tgy r y rtl♦ri 44 w�iJ1!\ 1J�Ls• ilTlir.�i+r�'A� :��1s.�s.�:.::srx'� �"� 7��ttt3^.IFfiCi ,�,s•.l::iltr€S »�t;�€tt`J e►t1�t tU a1`?%Ju Q A ,?J3SAJ .O.L.=j R&�S ..IriLltfiifffJ its .oe 4: 64 00841 .ftke 00t I -3 099 i_Ac4F_ M K\/EK 1217 09CHAjZr,> \Alh\l Job u at-mea ""d a'a"do �048 m' c RiCD / C/1- SC -ALE o une" r eaterab:� a I I -��WW. f N 0-39 - 34 0 1 ti I 20 rCtYh, 330 Z. i I% SLOPE 1000 TAWK �a All MoAriab V Workmanship 8bat1Be In tb Fl000gnized Good Prectioes, a I ty "Autvy arlbed. iter the Speoifted use *WN v" U Building Plumbing & NeGbAnIC&I, and Ngu=a.zlectmo.Oode. FARK I N G_ WELL Q .j 2-4 K I NonnE MOMLE HWE MUST '59 2-5--7—)B H-U.p. LABELS U)Cdwn ()16"1nes & eqylpmWft shall - as shown, YA*t' & Clew* of all eats n*rnftts. < 13.S t, VACAW 00 > AVZ -Ac-EqT 0Z I � 1 ®1101�:10 ►- Sal'$ Wx43' *,pc.r.-)x Ft. 1280 2ECRCD -A 2 EA-- ® SV7 28' x 48' Approx. Sq. Ft. 1,280 2 BEDROOM 2 BATH IAIDI=:°[!. ► $V6 28' x 52' Approx. Sq. Ft. 1,387 3 BEDROOM 2 BATH 3rc BEDROOM/ OPT. DEN ► sV5 28' x 52' Approx. Sq. Ft. 1,387 3 BEDROOM 2 BATH �fc m CL E 0 i= c m U E N LL w in d coc 3 I N ,0 0 0 M I STATE OF CALIFORNIA Butte )ss. COUNTY OF 1 On May 20, 1992 , before me, the undersigned, a Notary Public in and for said State, personally appeared Robert L. Burt personally known to mepCOMM)O 4fK1a2`MWV3G1%Dd21KMId1}0!}{XXX XXXXXXxxxxxxxxxxxxxxxxx ��9GSRDti2S@tt7sXr�B�Yrp484fi�) to be the person whose name is subscribed to the within i nstrument, as a witness thereto, who being by me duly sworn, deposed and said: That he/sWe resides in Orov i 1 1 e , CA that he/Ra was present and saw Hazel Lachenmeyer personally known to him)KcW to be the same person(s) described in and who executed the within instrument, as a party(ies) thereto, sign, seal and deliver the same and that said party(ies) duly acknowledged in the presence of said affiant, that he/she/they executed the same, and that said affiant, thereupon at the party's(ies') request, subscribed his/her name as a witness thereto. WITNESS o ici I Signature Michelle A. Miller • • OFFICIAL SEAL • MICHELLE A. MILLER NOTARY PUBUC MIPORNIA • • ff= in BUTTE Co. • MMP Co .00T.20,1995 ri • (This area for official notarial seal) 9 2 2 2 2 7 f� a:y 92-0222711 `Rec Fee Cash COUNTY OF 3UT i E Recorded DEPT. OF PUBLIC WORKS � Official Records MAY 281992 County of I I Butte i Candace J. Grubbs 1 Recorder 11:47am 20 -May -92 1 PUBL Return to DPW AGRIC6Lt'1JRAL STATEMENT OF ACKNOWLEDGfkE FOR RESIDENCIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 5. 00 . 5. 00 XX 1 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from :he use of agricultural chemicals, including, but not limited to herbicides, pesticides, ':and fertilizers; and from the pursuit of agric.ultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority.use for productive agricultural purposes, and residents within said zones and on Vidjacent property should be -prepared to accept such inconvenience or disconforar•-from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described is follows: LOT 40 OF LOTS 37, 38,.39, 40 AND 41, AS SHOWN ON'THAT CERTAIN MAP ENTITLED, "MAP OF .S"9`ANLEY PARK", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF'. -THE COUNTY OF BUTTE, STATE OF CALIFORNIA ON MAY 7, 1906, IN BOOK 6.©F MAPS, AT PAGE 105. V � •y l_ • V - ROP RT_Y `�O ER state of ) On this the day of , 19 , before SS. me, the undersigned Notary Public, personally appeared County of ) :e4sent A.P. No. w Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public i Eft® OF DOCUMENT W J � 0 r. t r i 1 .. z . NOTES RESIDENTIAL PERMIT Nii.039-360-114 00-1644---.-----D LACHENME r ER. HAZEL, f f 1221 ORCHARD WAS', CHICO I CONTR: ZINK'S REMODEL, t EX MH ON PERM FND Poe, IW3?� /-7 -3 11 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Signature CHECKED BY /= OK DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 0 = Not OK 1. - = Not Applicable MOBILE HOMES = Not Ready 2. Date `MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 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./ )"LPG 7. Well Clearance & Discorinect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE E INSTALLATION (Plans) OK except #'s Hing Requirements -Setbacks -Easements F tinas: Size-SDacina-Marriaae Line 4i--t!p6trW, MH Test -Crossovers -Breakers -Clearances i , MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie•Downs-Type-Installation Cert. Exits; Insp.-Sketch 11. Ce of Occupancy 1 ermanent Foundation Only; License Decal Date o Card B-1 PP; Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- 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 -1 Date Card B-1 Date U. AL (Plans) OK except #'s -Easements oils; 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- Enclosure s- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Licht Niche 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 (; t Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r 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- Reg ulator-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 63. 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 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ] Yes 0 No/Walks ❑ Yes U No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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 - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Cal•ifornfa• 95965 • Telephone (530) 538-7541PERMIT O. (Rev.12/9F,,) . , APPLICATION AND PERMIT iz ✓ ASSESSOR PARCEL NUMBER 039=360-114 ZONING SRI BUILDING PERMIT OWNER HAZEL LACHENMEYER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1344 R 72,976-00 . OWNERS MAILING ADDRESS 1221 ORCHARD WAY, CHICO CONTRACTOR'S NAME ZINKS REMODEL TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 79 976 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee -nn $ 20.00 Permit Fee $ 959-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS SAME Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15 00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation )CI Other ❑ Describe Work: FX MH ON PERM FOUND Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S G W 920.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Fling Feel 20.00 Main Service 200A 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 rce and effect.rr tt � C License Class Lic. No. b 7 4'7�J 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 TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. SO 3.5QFr. ,CONS MULTI.OUTLET rNmN 97.50 POWER APPARATUS UTCIR. 8 SINGLE OLET EX. OCCU . OUTLET OR FIXTURES 20 @ 1.00 BAL O .50 Ex. Occup. OFUTiEDrsA A� O� 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number l - Z ® — Q (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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X QA`d' Date �� �3 —�� Signature of Applic - ❑Owner ❑Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOT L FEE$ D IM FLOo CDP PARC Pfl D u This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ByA PERMIT EXPIRES ON I I the applicable provisions Resolutions to do work been paid. Dat �+ tbate) Receipt No. 302117/$352.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :"Y"f''�'�: �r .. ��•-• ...-ti,:. �-.rv`•M..r.,y,,.,..,f-.+..,.�.�,��1('h..�..Ywi-."'�1.�''�l.•�l+•r\��.""�`4r7^.S{`'�.,.•-»'��rt�},<.li.r-��. .v ,.-... ...-, COUNTY OF BUTTE -DEPARTMENT OF�DEVELOPMENT SERVICES -BUILDING DIVISION • 7 COUNTY CENTER DRIVE - ORO`' IwE Ca— , RNIA 95965 -TELEPHONE (530) 538-7541 PE"ITAPPLICATIONDATA SHEET� OWNER: 'e� ASSESSOR PARC ER: 3 - [/ ` (_q, V — ' C Proposed Building Use: InI4 adA.211 Building Inspector: Date: At time of permit appficationj I was ad ed the following data must be submitted prior to perniii proc ssmng and/or issuance: Date Received By 1 items have been submitted .------------------------ ------------------------------------------------------------ Ot' o plans19 sets, signed by the preparer of plans.------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 115. Engineered truss'details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. -------------------------------------------------==-------------- ❑ 12. California Department of Forestry plan approval/fees. ------------------------------------- -------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. --------- ----------------------------------- Ell 5. -------------------------------- ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan aid business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- % ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ . ncroachment Permit for driveway (co tructi n approval prior to occupancy). ---------------------------- VJY!Pre-inspection for equest to Building Inspector on (Date) Contractor's license information. (NumPer, dame Style, Classification). ----------------------------------- 2. Workers' Compensation carrier and policy number.----------------------------------------------------------- ❑23% Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ! ❑24. Letter of signature authorization. ---------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ------------------------------------ ----------------------------------------------- 027. Manufactured Home u ilityyA--�-------------------------------------------------- ❑2 . Existing vianex "t------ -----/---/- -------------------------- K 433 ant Deed . Title�edZ H.C.D $ � '° l/ l./--------ther: 0 -- you issue the ermit, process as lows El Mail to owner, OM *1 to tractor. Pon elephone 1699- l55 and hold for pickup at office. ❑ Deliver with inspector. Applicant: a '•�UCI<�- Date: Copy of Ifaz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution U Date: By: Copy of plans sent ❑ Hemh Department, ❑ Fire Department, o, th Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check 2. Additional items required: List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above requu-ed data by ❑ phone, ❑ mail, ❑ Building Division counter, by;- " Date: Contractor, designer, owner, was advised of the above required data by 13 phone, 13 mail, ❑ Building Division counter; by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building DiVision, counter, byt : Plans reviewed by: Date: Plans approved by: ,' Date: /-�— Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. I- • - ��., p PRE-INSPEC-T10N REPORT OWNER: LA&� F' � �� `e� DATE: � O LOCATION: i ;L- \ ©rc" C�� CZ A.P. # f CONTRACTOR: ZONING: PRE-INSPETION FOR: DATE TO INSPECTOR: Building Description: Commercial/Usage: Residential/# of Units:_ Currently Occupied PERMIT HISTORY:( ) NONE (&AS FOLLOWS: BUILDING INSPECTOR'S REPORT AbandonedNacant Electric: Yes_41 No Electric currently On Off Condition of Electric a .9n ly Gas: �/ D Natural Propane None Currently On Off _ y Obvious Problems:-_ /f// Sanitation: v Plumbing Working Well Working Potable Water 11110f e Obvious SewageProblems Ne c d( -70-0 J ACTION RECOMMENDED: ISSUE:1 OLD FO one; Inspector: �u.S$C 1 Date / y G d Sketch buildings on reverse and indicate location on property. Iaal., 0rc 0.rcL ' A ZEL NE`/ER AP nick -'.,loo- Iiii rly), 0 rch o, rcL o 6 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded • ,'. ,�: 07 -Aug -2000 2000-0030509 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE.OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. HAZEL LACHENMEYER REAL PROPERTY OWNER/LESSOR 1221 ORCHARD WAY MAILING ADDRESS CHICO, BUTTE, CA 95926 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner. write'SAME') MAILING ADDRESS BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 00-1694 (530)538-7541 BUILDr,jG PERMIT NO TELEPHONE NUMBER die 08/03/00 SIGNATURE OF LOCAL AG Y F ICI DATE NONE DEALER NAME (if not a dealer sale. write 'NONE") DEALER LICENSE NO. cm' cotxrr STATE LP UNIT DESCRIPTION DELAWARE WESTERN HM CORP 1990 SILVER CREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NANMINUMBER A/13173SC3178CA 48' X 28' HWC179388/9 SERIAL NUMBER(S) LENGTH X WIDTH WSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 039-360-114 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept BUILDING PERMIT NUMBER: 00-1694 Address or location of unit: 1221 ORCHARD WAY, CHICO, CA 95926 Legal Description of Real Property: A.P. #039-360-114 SEE ATTACHED : (x) Mobilehome/Manufactured Home O Commercial Coach' Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: HAZEL LACHENMEYER Owner's address: 1221 ORCHARD WAY, CHICO, CA 95926 INSIGNIA OR HUD NUMBER: HWC179388/9 SERIAL NUMBER OR V.I.N.: A/B173SC3178CA MANUFACTURER'S_ NAME: DELAWARE WESTERN HN YEAR: 1990 OFFICIAL APPROVING INSTALLATION: DATE: 08/03/00 PHONE: (530) 538-7541 H.C.D. 513C __. .... _ ........._ _ ,ter- ..: ..:...... ' :. oEm"o. LAU25e IA - DEPARTMENj OF. HOUSING Oe AND. COMMUNITY DEVELOPMENT STATE OF CALIFORNIA ISTSK ATION CARD MOBIL DOM TRADE NAME MODEL 09/11/90 09/17/90 03/30/93 �.� MANUFACTUfER NAME�IO SIIVE�RCRESY SILVERN000 SVJ OELANAKE 1iESTERN NM CORpl04881 Sf� Sa EXEMPT 5 nNStGNU NUMBER C �{� f 6 0 �6 oo1Y9B 04� E 99 a 5fR�UL NUMBER H) C17 �ifie 019816 000576 000166 TOTAL A173 317 HNC179389 FEES 2 6173SC317" PAID: � 567.00 a s' 6 A LAC14EN14YF-R HAZEL 0 3008 STAR CT o SACRAMENTO CA 95864 a 0 F s • It LACNEW&I HAZEL I A 1217 ORCHARD NY 6 = •C 95926 e CNICO R p• . o s 1217 ORCHARDqu Id I T � CA 9592,..:.x' �. _ .:•' •� , �,"`,:;. E u CHICO,1,_.-...'�=:�....'....., 'h:' ,'a,; .•.1�,.;^ �� �-xc.-•► B Iii I` ` i •+�' Tt� ") �'seiq r �� r 4% R 1 r 1 H X , = R O S R T L i E n 9 M O C O O1 o n E 0. IMPORTANT R O1 AGAINST THE DESCRIBED DEP RTMENTCURRENT THE OWNER INFORMATION SHOWN ABOVE MAY NOT All LIENS RECERDED WITH THE DEPQ OF HOTITLE AND OF THE UNIT MAYEBE CONFIRMED THROUGH 2 ZO'd 60:L 00. VZ in[ V19S-6L8-0FS:xe3 NOGA-1 S3R13331 LEGAL DESCRIPTION. A.P. #038-360-114 All that certain real property situate in the County of Butte, State of California, described as follows: Lot 40, as shown on that certain map entitled, "Map of Stanley Park", which map was filed in the office of the County Recorder of the County of Butte, State of California, on May 7, 1906 in Book 6 of Maps, at page 105. 4 07/18/00 TLB 08:56 FAX 5508940713 BIDWELL TITLE 71i1g nehi)ES.Ii7Y,rsI(>y;ya,w" Tule 8 E' rvco"• Company as ar.. _a urs,. h:.: not bee eR-, , amiroa as to Its c •, ... �r '15 0 +:= et:,:Cl upon th Ilue. 2-157564 ARP MKM eacoeow MAN TO 5.00 3.00 The undersigned grantor(s) decl-re(s): This conveyance confirms a correction of nam,. nnxi I lv. , Dorumenhry transfer tax is S _ ran,or ITd grantee are the sane party. R&T 111A.1 ( ) computed on -full value o property conveyed, or ( ) computed on full value !-u value of Gens and encumbrances reautining at time of sale. i ) Unincorporated aro: ( ) and 1'Uli A VALUABLE CONSIDERATION, receipt of which is hereby aeknowkdgcd, I1A21•T. L1CIOW-vR, a serried wtan dealing with her separate property, who ar.,tl;ri+t title as MEL IACHENMEYER, hereby GRANT(S) to W%ZEL Wt1Etolyzp,4a married wonun, as her seMrate ;roperty, the foliwAing describcd oval property in.rhe County of nutte , State of California: [rJt 4r, 36 shag on that certain nap entitled, "lisp of Stanley Park". which tntp was filed in the office of the County Remder of the Cooney of Butte, State of hl.ifrrftia, on My 7, 1906 in Book 6 of taps, as page 109. ":rITS COWL Al10E C0W-IW A CHANCE OF NAME, AND 111E GRWrOR AND GRANreE A% THE S,%'iF YAWY, R If T 11911. " .f _ /�7iad, Hbr.0 1dChenhyer Sralc o!Califothia Coumyo( �u-� t )" 1149m me, the undersigned, a Notary Publi: In and (tit Wit State I"r vu+llp nl+1+r++nit I`t"-q-14y (or proved tome on the basis of setisfaelety c•'t�cnrc) 10 tw 14c person(s) whose names) is(wsubscribed to the h l+bin insu++mem anJ scknvwledgeJ to me that M(chellhely eaeeuted rtfX rir....o++. its 1.::fhcrylt. wthurized eo ell (a , and that b•• fb )1 ) Aie/her( a .�e:rr .•...:::.rte• +Irs•r� !iplature(s) on I)te Instrument Ilse (rtmon(s) or the entity upon �•• M,��j'�;•''�r •i t+,•half of which the persons) acted executed the instrument. WITNESS ttt.• b:+nJ nnJ official , seal� ..s;r_.�.s.+-,� ra:.r. ` '•tc. r.r. si (Tai. arra I n .d'i ir;at m•+:n::J •..•,i• 0002 r w r I Mzel Lac lenntyer a•— 1008 Star Ct "''"• SaCrtlt8ntO, CA 95864 w.•. I I J 92-0369161 Rate Foe ruL TAR IITATE RNTS TO I check (— R*Corded I ..� 0111,1MI Reeorde 1 Same as above Countr of 1 eutte 1 Candace J. Gr4bba I era LRecorder I J 8.004bo is -Aug -92 I BNTC •►• 0,�-16o-i14 individual Grant Deed r Ms coats fuRattsltM OT MDWR;L TITLE 1 ESCROW COMpaMT 5.00 3.00 The undersigned grantor(s) decl-re(s): This conveyance confirms a correction of nam,. nnxi I lv. , Dorumenhry transfer tax is S _ ran,or ITd grantee are the sane party. R&T 111A.1 ( ) computed on -full value o property conveyed, or ( ) computed on full value !-u value of Gens and encumbrances reautining at time of sale. i ) Unincorporated aro: ( ) and 1'Uli A VALUABLE CONSIDERATION, receipt of which is hereby aeknowkdgcd, I1A21•T. L1CIOW-vR, a serried wtan dealing with her separate property, who ar.,tl;ri+t title as MEL IACHENMEYER, hereby GRANT(S) to W%ZEL Wt1Etolyzp,4a married wonun, as her seMrate ;roperty, the foliwAing describcd oval property in.rhe County of nutte , State of California: [rJt 4r, 36 shag on that certain nap entitled, "lisp of Stanley Park". which tntp was filed in the office of the County Remder of the Cooney of Butte, State of hl.ifrrftia, on My 7, 1906 in Book 6 of taps, as page 109. ":rITS COWL Al10E C0W-IW A CHANCE OF NAME, AND 111E GRWrOR AND GRANreE A% THE S,%'iF YAWY, R If T 11911. " .f _ /�7iad, Hbr.0 1dChenhyer Sralc o!Califothia Coumyo( �u-� t )" 1149m me, the undersigned, a Notary Publi: In and (tit Wit State I"r vu+llp nl+1+r++nit I`t"-q-14y (or proved tome on the basis of setisfaelety c•'t�cnrc) 10 tw 14c person(s) whose names) is(wsubscribed to the h l+bin insu++mem anJ scknvwledgeJ to me that M(chellhely eaeeuted rtfX rir....o++. its 1.::fhcrylt. wthurized eo ell (a , and that b•• fb )1 ) Aie/her( a .�e:rr .•...:::.rte• +Irs•r� !iplature(s) on I)te Instrument Ilse (rtmon(s) or the entity upon �•• M,��j'�;•''�r •i t+,•half of which the persons) acted executed the instrument. WITNESS ttt.• b:+nJ nnJ official , seal� ..s;r_.�.s.+-,� ra:.r. ` '•tc. r.r. si (Tai. arra I n .d'i ir;at m•+:n::J •..•,i• 0002 r w ZINK'S REMODEL RICHARD A. ZAHND (530) 532-6464 PO BOX 9281 CHICO, CA 95927 U mi i 2649 LIZA 1210 rnrn u7 Bank of America Chico Main Branch 0009 400 Br Chico, CA 95929 (530) 899-2120 I r II'0'026491I- 1:12 00066��� 1 SO 361I' ----� 0 Y� �i U� Date 3 Inspector REV 101d2 COUNTY OF BUTTE'S 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 La �✓ 8 /!/cw% 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 you have any questions pertaining to this matter, or need additional, explanation,' please"contact this office immediately. vy Y� �i U� Date 3 Inspector REV 101d2 Aug -03-00 07:zi5A `' P.01 .� COUNTY OF BUTTE - DEPARTMENT OF- DEVELOPMENT SERVICES- BUILDING DIVISION _ . 7 County Center Drive • Oroville, Califorfiia 95965 • Telephone (530) 538-7541 'r p IT o. (Rev. 12/9 ` APPLICATION AND PERMIT / ASSESSORPARCEL 039-360414 Z°"NO SRI BUILDING PERMIT OWNER TELEVNDNE KAZEL LACHBNMLYER ONNOi9'"""'"°"°°"�°° 1221 ORCHARD WAYS CHICO SO. FT. OCC. BUILDING VALUATION 1344 77.576. W CONTRACTOR'S NAAIE ZIN)<S REM(?DEL TELEPHONE CONTRACTORS ►WING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S kWUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee SIR 25 ARCHITECT OR N7NGSNEERS NANUNG ADDRESS -00a Plan Checkin Fee i73-00 .00 WILDINOADDRESS SAMEnergy Plan Checking Fee S S PERMIT FEE i IDT NO. 9usDNaIDNS NAME PARCEL .wAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex O Wbilehome Ek Other SPS`" Solar or heat pump water heater 23.00 Water piping 15.00 15-00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition O Ramodel O Utilities O InsieUetionI3 Other ❑ Describe Work: FY MW (]N PERM FOUND Gas piping system I - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home S G W @20.00 PERMIT FEE fi 50.00 ELECTRICAL PERMIT Filing Fee 20.00 In Service °�oowA oA mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and m license is in full ce and effect. y / ,..' �r License Clens Lic. No. 1�'L-s J[ U 1 WNER-BUILDER DECLAR TION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. 1 have and will maintain workers' compensation Insurance, as required -by Section 3700 of the Labor Code, for the performance of work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier -C, PYiTV- Policy Number I nh C�Q (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) /=TOTAL O 1 certify that in the performance of the work for which this permit is issued, I shell not employ any person In any manner so as to become subject to workers'IM compensation laws of California, and agree that If I should become subject to the1- workers' compensation provisions of section 3700 of the Labor Code, I shell forthwith comply with those provisions. _. •--- )I— X N- J- Date (3 Cir% Signature of Appli - E3 owner O Contractor O Agent An OSHA permit is required for excavations over S0' deep and demolition or construction of structures over 3 stories in height Mein Service 2e0A To LwoA 48.00 New CONST. owEun+o oa uP. $0 OR ADDNS. a AGS. eLos. 3.5dFT: No"ESID. MULTI CUTUQlarNEW CON51. @7.50 "°"�' APPARATUS a sMOLE R FDnU ES OUTLET OR fDRUR® m- a .50 Ex. Occu eAL w FULEO APPLNs. OR 5.00 Ex. Occup. ounFTs ESIo. EA Tem ora Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee Energy Inspection Fee E FEE $ 352.00 R-v0v CDFi 1 t/ PARCIS v' This permit Is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been ti!' / 'J' """ """ B y Date PERMIT EXPIRES ON r v provisions to do work paid. U ra ReceiptNo. •� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a NOTES RESIDENTIAL PERMIT NO. rc ti 39-360=114 -. 01-2214 LEGG, RANDY " '? 'g2210RCHARD WY CHICO'•� SHOP/GARAGE ' SPECIAL CONDITIONS. CHECKED y •` BY -- SRA -L FLOOD CERTIFICATE.REQ. w FIRE SPRINKLERS REQ. , • ` SPECIAL INSPECTION ITEMS VERIFY { USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER F . !.l JOB FINALEC Signature 1 ✓ = OK , 0 = Not OK = Not Applicable MOBILE HOMES = Not Ready 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./ PLPG 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 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cent. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COV R , CARPORTS GARAGES (Plans) OK except #'s Gt V ning Requirements -Setbacks -Easements ~`• f 1 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 t 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 FINAL (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- Enclosure s- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date 46. Underfloor (Plans) OK except #'s 47. oning-Setbacks- Easements- Flood -Slope 48. Ftg., Main; Soils-Elec. GUvdr / /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ r 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 ,2 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 Date 15. Access & Ventilation Date 16. Insulation Date FINAL (Plans) OK except #'s Date 63. Card B-1 Date Card B-1 Date 64. Card B-1 Date Card B-1 Date 65. 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 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date 75. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes f] No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date 90. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 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 Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom- Rise- Run- Land ing-fVfe Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ,2 58. 59. 60. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive ] Yes ] No/Walks ] Yes ] No/Planters ] Yes '] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing _ 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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 OWNER PERMIT NO, A routine inspection indicates that the following violations of butte county Ordinances exist at the ? above address and should be 6rrected. Please notice this office when correction of work is completed. If you have anyqOestions pertaining to this matter, or need additional explanation, please contact this office ' mediately. 4 a 7N7_ C- G41tC?�Wti Ej Illllllllllivi/lam?.�/1��1��li�l�s;G,l J � Date %` a Inspector REV 10!92 COUNTY OF BUTTE - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 41;1 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 - y 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 you have any questions pertaining to this matter, or need additional explanation, please con tac this office immediately 1 COUNTY OF BUTTE - DEPARTM,,NT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville,•California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-2214 ASSESSORPARCELNUMBER 039-360-114 ZONING - BUILDING PERMIT ' OWNERRANDYLEGG 45-9934 SO. FT. OCC. BUILDING VALUATION ' OWNERS MAILING ADDRESS 122 ORCHARD WAY CHICO 95928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 122 0 Energy Plan Checking Fee $ PERMIT FEE $ 575.23 LOT NO. 40 SUBDIVISIONS NAME 6-105 1 AC PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 13� Describe Work: c�NEWSH$P/GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W - tG]2o.00 PERMIT FEE i ELECTRICAL PERMIT Filing Fee 20.00 600V OR LESS Main Service 20.AORLESS 23.00 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 i 'n full force and effect. License Class Lic. No. Z: -] - �� 6, 3 6 OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f r the following reason: WI, 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 theperforraance 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 yf one hundred dollars ($100) or less.) ASI 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. 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 forthwit comply with those provisions. X Date �s O / Signature of pli nt - Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO +000A 46.00 NEW CONST. ( DWELLING OCCUP. 3.50F OR ADONS. a ACC. BLDS. °. 6 O NOµR OE51U ' MULTI -OUTLET 97.50 POWER APPARATUS a sOUTLET 2O @ 1'00 S FroR FIXTURES Ex. Occup. OUTLET BAL @ .30 FIXELNSI Ex. Occup..OUTLETS R IESIES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ 107-10 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee I $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES 682.'33 — D IMP —X AooD — cOf — PARCEL PD Ho ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate �1 Date Receipt No. . (od i WHITE-D.D.S.-B.D. CANARY-ASSE OR PINK -INSPECTOR GO LDENROD-APPLICANT )z ��,. � y''H1r.r;.�,}i�.-7..R� F�ti4y. ��+Ye.�4�q.11'F iii{" e , o � 1 ,; --COUNTY OF BUTTE - DEPARTME�0 DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT"PLICA TION DATA SHEET OWNER: Aevy ASSESSOR PARCEL NUMBER: ( -3 9 - 2 Proposed Building Use: f Building Inspector: l )RD D o iL Date: A At time of permit application, I was advised the following data must be submitted prior to permit p ssing and/or issuance: `., Date Received By ❑ 1. All items have been submitted ----------------------------------------------------------------------- --------------- °. 02. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ _ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss de ails=and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. --------------------------------- ❑ 9.ufactured Home data and installation instructions including Tie Down Specifications. f$ ---------------------------------------------------------------- ❑ 11. Impact fees as shown on'the attached schedule. ----------------------------------------------. q12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 13. Flood elevation certificate. -40 ------------------------------------------------------------------------------- anitation and plot plan approval_ Health Department. ------------------------------------------- (j� 1115. City of Chico plumbing permit. ------------------------------------------- -'--------------------------------------- -al _off �-- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: ®lZ (B) parking: __________________ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage,TT�egal Parcel. ---------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. •Pre mspectton for required Rediiest.to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ------------------- =--------- V El 22. workers' Compensation carrier and policy number. ---------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑), ❑24. Letter of signature authorization. ------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. ----------- F-1 26. Letter of intent on building use. ------ ------------------------------------- ❑27. Manufactured Home utility clearance.-------------------------- 028. -------------------------❑28. Existing violations and/or expired permits. --------------------. ❑29. ❑433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: Mm Q -/i -®r - (Date) Wh ou issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. 7 nTelephone 3145- 0/ 7 3 / and hold for pickup at office. ❑ Deliver with inspector. pplicant:fPollutid y Date: 1510 / Copy of Haz-Mat form sent ❑Health Djgpartment,.❑ Fire Department, ❑ AiDate, By: Copy of plans sent ❑ Health Department, ❑ Fire Dep a&Ab r: Date: By, 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items r - .� Contractor, design owner,' as advised of the above requirphone, ❑mail, ❑ Building Division counter,"by W Date:9,12,01,6 Contractor, designer, o er, was advised of the.above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by''W Date: Contractor, designer, owner, was advised of the alio�ve required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di ' on counter, by Dat Plans reviewed by: Date: 1%APlans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P.folder. Note transfer by: Pj - Date: 2J o R" - OWNER -BUILDER ;VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature Please complete and return this information at your earliest opportunity to avoid unnecessary dela; in processing and issuing your building permit. No building permit will be issued until this verification is received. L' I personally plan to provide the major labor and materials for construction of the proposed property x�"ve hent : YES M�' NO 13 2. I HAVE ® HAVE NOT 0 signed an application far a building permit for the proposed work, 3. I have contracted th the following person (Sim) tQ.Prnvi .the.proposed cons4n,ction: NAME: o� ADDRESS: 12 21 ©c�� �.� CM:. Cc/S q Z pg PHONE: -3Y,5 M1 CONTRACTOR'S LICENSE NO. C 6 yy o © % 4. I plan to provide portions of this work, but I have hired. the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY:- . ., f PHONE: CONT'RACTOR'S LICENSE NO. S. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMHE ( DATE: x•,13 / A I NOTE. This Owner -Builder Verification is required by Section 198.11 and 198.12 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to Issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of propeity improvements specified For your protecdon, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors aro 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. �Ifyod pli� to d1o{yoiir own•work with the exoepdon of various trades that you plan to subcontrzcf you jhduM be aware of the following Information for your benefit and protection: ' ♦ , If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer,. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There msy be financial risks for you ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administra.tion). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, ��� Mic el C. Vilira, C.B.O. Ma ger, Building [nspection NOTE: Th it Owner -Builder Inform ado n Lt required by Secdon 19 83 0 of the Californla HeaI/h and Safety Coda OVER Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Sep -20-01 1:25PM; Page, 1/1 LHJUISIE-10MOV. Plot Plan Attoahod Floes Plea Atte sant to S.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner_ Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Erivironmentai Health Specialist 8/96 l Date �4t GREGORY A: PEITZ ARCHITECT 383 RIO UNDO AVE., CHICO CA 95926 (916) 894-5719 Structural Calculations For: �ss ff #r1 aYARcy���. �V �d A• �r �No. C 21 83 y� REN. L' OAD ' SUMMARY Wind Analvsis Normal force method, exposure B, 75 mph wind speed P = Ce Cq Qs I. WALLS P = .62 * 1.3 * 14.5 * 1.0 = .01 17 ksf @ 15 ft. P = .67 * 1.3 * 14.5 * 1.0 = .0126 ksf @ 20 ft. "P=:72 * 1.3 * 14.5 * 1.0=.0136 ksf @ 25 ft. P = .76 * 1.3 * 14.5 * 1.0 =.0143 ksf @ 30 ft. ROOFS 2:12 TO LESS THAN 9:12 P = .62 * 1.0 * 14.5 * 1.0 =.009 ksf. @ 15 ft. P = .67 * 1.0 * 14.5 * 1.0 = .010 ksf. @ 20 ft. P = .72 * 1.0 * 14.5 * 1.0 = .01 1 ksf. @ 25 ft.. P=.76*1.0*14.5*1.0=.011 ksf@ 30 ft. ROOFS 9:12 TO 12:12 P=.62*LI*14.5*1.0=.010 ksf@ 15 ft. P =.67 * LI * 14'.5 * 1.0 =.01 I kst @ 20 ft. P =.72 * 1.1 * 14.5 * 1.0 = .012 ksf @ 25 ft. P=.76*1.1*14.5*1.0=.012 kst@30 ft. Seismic Analysis Static Method V = 2.5 Ca (w) = 2.5 * .36 = .1636 (w) @ plywd. shear walls R 5.5 V ` 2.5'Ca (NY) = 2.5 * .36 = .20 (w) @ plaster. and gyp. bd. shear walls R 4.5 Gravitv Loads ROOF LOADS: 10 psf dead load +_ 16 psf live load = 26 psf total load FLOOR LOADS: 10 psf dead load + 40 psf live load = 50 psf total load WALL LOADS: 12 psf @ 3 -coat plaster exterior walls; 8 psf @ Jnterior walls; 10 psf @ exterior walls with 1 -coat stucco or siding R _t,:..:.... .... . . 22-141 50 SHEETS 22-142 100 SHEETS' 22-144 200 SHEETS' l • CL • N N � G a_ , Yl . r n i - � •, �:... ,. t .. , � tet` �' , .... 4. t 6 � � , � i :�� •�.� - ! ::•iY_. - '3+' .. F'••o:' i -a':-:' i ,- .y. .... _ __ .. .1'. _ _�.._._i.c::_..i.._;__. "_.: {.'. - __ —..r..., .1`' r F7 N: t: _ j;.�,,�,�_'.a._.-.-.::..:�._-.-.i-c�,?+:i�r:' - ...ter 1� :�' ". �� •t I- I 1. ( ''�� � �� �1 7 �•' e .. -�'-- --- _ .. ._.:....._ ..__.: __� _mss •....: � _.. � — ---� -- —'—� - - i ' Y1 N h F F H W W W W W W xxx %A 00 O O O v1 0 0 •- N N Odd h C N H N N In � .a .. A'rn,�$; fig. � � . �: i � . ' �� •f .(.: p; p-' ffi , r , 1 coy C�j i Lu LU W W W ^r C14 C*4 C4 �J5' t j Y z -Z. � � _ — i i Jam._.: `.f h: �s..,:t ..• { ... ...... ._.. ......_ {—_; _ ! i. _.�:,._. .. _+..,awl _ ! '��f..•:- ,- ` _ ol . .... '_ ji 1 i r Uniformly Loaded Floor Beam[ 97 Uniform Building Code (91 NDS) ) Ver: 5.03 By: Gregory Peitz, Gregory A. Peitz Architect on: 06-25-2001 : 8:54:01 PM Proiect: TOM—NIX - Location: CENTER BEAM SUPPORTING SECOND FLOOR Summary: 5.125 IN x 16.5 IN x 20.0 FT / 24F -V4 - Visually Graded Western Species - Dry Use Section Adequate By: 23.0% Controlling Factor: Moment of Inertia / Depth Required 15.4 In Deflections: Dead Load: DLD= 0:16 Live Load,: "' • LLD= 0.54 Total Load: TLD=*-- 0.70 Reactions (Each End): Live Load: I LL-Rxn= 5200 Dead Load: DL-Rxn= 1506 Total Load: TL-Rxh= 6706 Bearing Length Required (Beam only, Support capacity not checked): BL= 2.01 Camber Reqd.: C= 0.24 Beam Data: Span: L= 20.0 Unbraced Lenqth-Top of Beam: Lu= 0.0 Live Load Deflect. Criteria: U 360 Total Load Deflect. Criteria: U 240 Camber Adjustment Factor:., CAF= 1.5 Floor -Loading: Floor Live Load -Side One: LL1= 40.0 Floor Dead Load -Side One: DL1= 10.0 Tributary Width -Side One: TW1= 6.5 Floor Live Load -Side Two: LL2= 40.0 Floor Dead Load -Side Two: DL2= 10.0 Tributary Width -Side Two: TW2= 6.5 Live Load Duration Factor: Cd= 1.00 Wall Load: WALL=_ ' 0 Beam Loading: Beam Total Live Load: wL= 520 Beam Self Weiqht: BSW= 21 Beam Total Dead Load: wD= 151 Total Maximum Load: wT= 671 _Properties For: 24F -V4-. Visually Graded Western Species Bending Stress: Fb= 2400 Shear Stress: Fv= 190 Modulus of Elasticity: Ex= 1800000 Ey= 1600000 Stress Perpendicular to Grain: Fc perp= 650 Bending Stress of Comp. Face in Tension: Fb_cpr= 1200 Adjusted Properties Fb' (Tension): Fb'= 2336 Adiustment Factors: Cd=1.00 Cv=0.97 FV: FV= 190 Adiustment Factors: Cd=1.00 Design Requirements: CQ trollinq Moment: M= 33528 10.D ft from left support Critical moment created by combining all dead and live loads. Maximum Shear: V= 6706 At support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus (Moment): Sreq= 172.3 S= 232.5 Area (Shear): Areq= 53.0 A= 84.5 Moment of Inertia (Deflection): " ' Ireq= ' 1559.8 1= 1918.5 IN IN = U443 IN- U343 LB LB LB IN IN FT ' FT X DLD PSF PSF FT PSF PSF FT r� PLF PLF PLF PLF PSI PSI PSI PSI PSI PSI PSI PSI FT -LB LB IN3 IN3 I N2 IN2 IN4 IN4 J • Combination Roof and Floor Seam[ 97 Uniform Buildinq Code (91-NDS)1 Ven 5:03 _ By: Gregory Peitz, Gregory A. Peitz Architect on: 06-25-2001 : 8:40:27 PM Project: TOM_NIX - Location: GARAGE DOOR HEADER Summary: 3.125 IN x 15.0 IN x 16.5 FT / 24F -V4 =Visually Graded Western Species - Dry Use Section Adequate By: 11.4% Controlling Factor: Moment of Inertia / Depth Required 14.47 In Deflections: Dead Load: DLD= 0:29 IN Live Load: LLD= 0.45 IN = U439 Total Load: TLD= . ... 0.74 IN.= U267 Reactions (Each End): Live Load: t LL-Rxn= 3531 LB Dead Load: DL-Rxn= 2264 LB Total Load: TL-Rw_i 5795 LB Bearing Length Required (Beam only, Support capacity not checked): BL= 2.85 IN Camber Reqd.: C= 0.43 IN. Beam Data: Span: L= 16.5 FT Maximum Unbraced Span: Lu= 2.0 FT Live Load Deflect. Criteria: U 360 Total Load Deflect. Criteria: U 240 Camber Adjustment Factor: CAF= 1.5 X DLD Non -Snow Live Load: Roof Loaded Area: RLA= „ 231.0 SF Live Load Method: Method = One Roof Loading: Roof Live Load -Side One: RLL1= 12.0 PSF Roof Dead Load -Side One: RDL1= 10.0 PSF Roof Tributary Width -Side One: RTW1= 13.0 FT Roof Live Load -Side Two: RLL2= 12.0 PSF Roof Dead Load -Side Two: RDI2= 10.0 PSF Roof Tributary Width -Side Two: RTW2= 1.0 FT Roof Duration Factor: Cd -roof= 1.25 Floor Loading: Floor Live Load -Side One: FLL1= 40.0 PSF Floor Dead Load -Side One: FDL1= 10.0 PSF Floor,Tributary Width -Side One: " FTW1= 6.5 FT Floor Live Load -Side -Two: FLL2=- 40.0 PSF Floor Dead Load -Side Two: FDL2= 10.0 PSF Floor Tributary Width -Side Two: FTW2= 0.0 FT Floor Duration Factor: Cd -floor= 1.00 Wall Load: WALL= 0 PLF Beam Loads: Roof Uniform Live Load:. wL-roof= 168 PLF Roof Uniform Dead Load (Adjusted for roof pitch):, wD-roof= 198 PLF Floor Uniform Live Load: wL-floor= 260 PLF Floor Uniform Dead Load: wD-floor= 65 PLF Beam Self Weight: BSW= 11 PLF Combined Uniform Live Load: wL= 428 PLF Combined Uniform Dead Load: wD= 263 PLF Combined Uniform Total Load: wT= 702 PLF Controlling Total Design Load: WT -cont= 702 PLF Properties For: 241744- Visually Graded Western Species Bending Stress: Fb= 2400 PSI Shear Stress: Fv= 190 PSI Modulus of Elasticity: Ex= 1800000 PSI Ey= 1600000 PSI Stress Perpendicular to Grain: Fc perp= 650 PSI ' Bending Stress of Comp. Face in Tension: Fb cpr= 1200 PSI • Adjusted Properties Fb' (Tension): Fb'= 2962 PSI Adjustment Factors: Cd=1.25 CI=0.99 Fv': FV= 238 PSI Adjustment Factors: Cd=1..25 Design Requirements: Controlling Moment: M= 23903 FT -LB 8.25,ft from left support Critical moment created by combining all"dead and live loads. Maximum Shear: V= 5795 LB At support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus (Moment): Sreq= 96.9 IN3 S= 117.1 IN3 Area (Shear): Areq= 36.6 IN2 46.8 IN2 ' Moment of Inertia (Deflection): Ir q= eq= 78$.7 IN4 /N'4- APA crry Certificate of Conformanc* e Certificate 054071 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992; For Wood Products —Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93.— Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant OA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. by — 10 L I ita " _--- Thomas G. Williamson y E-xe�cutive Vice President C.�+�� ENGINEERED WOOD SYSTEMS is a related corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 South 19th Street • P.O. Box 11700 • Tacoma. WA 98411-0700 Telephone: (253) 565-6600 • Fax Number: (253) 565-7265 NOTES (/'l RESIDENTIAL �r039-360114 03-0334( PERMIT NOS ,LEGG, RANDY;., "1221 ORCHA _ICO COIvIPLET BP#01-2214.', 4 9 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER l i t r JOB FINALED ( e) Signatur CHECKED BY J = OK ' 0 = Not OK = Notkaticable s Nol DECKS, AVERS, CARPORTS, GARAGES (Plans) OK except #'s 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 - 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector, Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and. Lighting,. Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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 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, AVERS, CARPORTS, GARAGES (Plans) OK except #'s Hing Requirements -Setbacks -Easements 2. Footings; Soils-Size=Depth-Spacing-Connectors-Steel Q. irders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- eams-Rftrs-Connectyors Shthg-Frg-Bracing( { �/ `3 OJEW 5. Alum. Awn.; Columns onnections-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 - =Not AAppplicable . = Not Ready FRAMING (Continued) RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 18. Water Pipe; Test & Anchor -Nail Protection 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 21. Test Tub & Shower, Second Floor -Tub Access 5. Stemwalls, Main; Steel-Blockouts-Wrapped 22. Gas Pipe; Sixe & Anchors 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 54. 6a. Hold Downs and Special Anchors Card B-1 Date Card B-1 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel 57. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 26. Size Boxes & No. of Conductors Stapled 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 32. Service -Riser Conductors & Ground Main Disconnect 15. Access & Ventilation 16. Insulation (Single & Duplex) 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) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 49. 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 19. D.W.V.; Test Fittings & Anchor -Nail Protection 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 20. Shower Pan; Test, First Floor -Tub Access 52. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Property Line Firewall & Openings 23. Fire Sprinkler; Test 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 57. 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 26. Size Boxes & No. of Conductors Stapled 59. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Shear Walls; Nailing -Bolts 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 61. 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 ❑ Yes O No Insulation -Walls -Ceilings 32. Service -Riser Conductors & Ground Main Disconnect 63. Infiltration -Walls -Windows 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light Date 35. Smoke Detector Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Smoke Detector 36. A.C. Ducts Insulation & Support 66. 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade Bedroom Exiting 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 68. 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 71. 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 O No/Planters O 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 - DEPARTMEN-T OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive i Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-360-114 ZONING BUILDING PERMIT OWNER Legg Rand 345-9939 TELEPHONE SO. FT. OCC. BUILDING VALUATION 00 . OWNER's MAIUNG ADDRESS 1221 Orchard Way - _.. CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $rions no ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 Energy Plan Checking Fee $ _ $ PERMIT FEE $ IAT 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uli ities ❑ Installation ❑ Other ❑ Describe Work:Mobile pC11=�Ai} rte EenTplE'tf—i3P�1 z�-� exterior starzwayto storage Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A VOR 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 31?'f the Business and Professions Code, and my license is in full rce and effect. L 6 License Class Lic. No. S OWNER -BUILDER CLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. Er-1—as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. _. Business and Professions Code for this reason 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 alof one hundred dollars ($100) or less.) l 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 forthwit mply with those rovisions. X _ Date O Signature o pplicar - Owner El -Contractor ❑ Age An OSHA permit is required for excavations over 60" deep an demolition or construction of structures over 3 stories in height. Main Service 200A TO lOooA q6,;;0 _ NEW CONST. OWElUNG OCCUP. 3 SQ FT. OR ADDNS. ( NEW CONST. MULrIC-o .Sr NON RESID. 97.50 aFOslNo°iiE P cA. IR Ex. Occu o.1 OR FDCTUR �0 @'.00 Ex. Occup. oFlxuTiEis PPM.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE g MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 191 HAz. D FEES IMP FLOG PD HD 5S E This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date EXPIRES ON provisions to do work paid. ' O ate ReceiptNo. _41PERMIT WHITE-D.D.S.-B.D. I CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -.�;.�.. ,�'..3...�r�:^�C-ivy'w"ti._-:r'^��.i0.'"1F�"�-:,C'sl'7�"r.+,.c-r,�: �r.. �..-' xvr+:r.,ysfi--"--'�"'�+w�� 2+r�'�,""""..w+,.••+....,, yy ..- ..�-+�----- - ti-'..-.« . _ � � COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 'y 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:. -'ASSESSOR PARCEL NUMBER Proposed Building Use: ''J 1 �v �� 4- 4 Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply - Plot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate. No faxes! Energy compliance design and supporting documentation in duplicate. 0-6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. M77.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. I (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 Inde ed and returned to the plan review line-up when required items are received. Date Received By 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............................................................................... El 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) *14 ❑ 15. ❑ 16. ❑ 17. ❑ 18. ❑ 19. ❑ 20. ❑ 21. ❑ 22. ❑ 23. ❑ 24. `O 25. ❑ 26. ❑ 27. ❑ 28. ❑ 29. ❑ 30. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ............................................. Sanitation and plot plan approval from the Environmental Health Department in City of Chico Plumbing permit......................................................................... California Department of Forestry plan approval ❑ paid. Sent by: ...................... Planning approval for (A) Use: cb < (B)Parking: (C) Parcel Check: Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for required ................ Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner)..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance.......................................:....................... Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner,_QLQeck to H.C.D. $ ❑ 31. Other: When issued Telephone hold for pi I have been mf� me of the above items and requirements for obtaining as puildin permit. Applicant: fi Date: 3 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, y Date: Plans reviewed by: Date: Plans approved by: c�Date: Q Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division Dec 17 02 11:•38a p.2 OWNER -BUILDER VERIFICATION Attention ,Property Owner: An "owner -builder'' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of thero p posed property improvement: YES al" NO O C?2) I HAVE V/ HAVE NOT 0 signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: Com,: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: _ NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dec 17 02 11:37a N. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible ply of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a for which they apply. business license from the city or county. They are also required by law to put their license number on all permits If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate familyding , and the work (inclu materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you -are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation in 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in vour community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinc'brel , Mrcha t C. Vierra, C.B.O. Manager, Building Inspection' NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER .� _ t a � .a a c r^ ,ter. �-a _ _ " '► � ;fs { � �: '�.. a s. ,�„ �, � ,. .. ,. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, C,aVorniaq,95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O r — ZONING i BUILDING PERMIT OWNER 2e Lac Vvn rnr TELEPHONE k,3 SO. FT. OCC. BUILDING VALUATION .OWNER'S LUNG ADDRESS, I _ , F59& CONTRACTOR'S NAME 1 K TELEPM,ONE/ Qjy CONTRACTORS LUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEFA / - LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS +m � Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS 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 ❑/ �r� Describe Work: T( �% I n/ 6 71f.(Q (/ Gas piping system 1- 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '...v oA vss 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 Io—full force and effect.P r� License Class Lic. No.s -3V! j OWNER -BUILDER DECLARATION 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 TO 46.00 CCU000A WEE200A NEW CONST. DWELLING OCCUP. ORADDNS. C. slns. SO 3.5aFT. r",oNA° IDT. MULTI -OUTLET @7,50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU . ourLEr OR FDCTUREs SAL @ .50 FIXI Ex. Occup.OUTLETS ERA 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' COMM ensation insurance carrier and policy number are: s Carrier MIM P :1& C - RJAJh Policy Number 156� 1 -OI t -x p - 4-1--01 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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. �7, X /' Ii Date l� (I�( i) Signatu°re of plicant - ❑ Owner ❑ Contractor Agent / An OSHAPermitJs required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 4-0— �G HAZ. FE IMP FLOOD CDP PARCEL %(/ ,PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B /l� �* / Y PERMIT EXPIRES ON l _. 9/2 the applicable provisions Resolutions to do work been paid. Date ���! ©C� / I Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .01 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ;; 7 County Center Drive Oroville, CaWerriia 95965 • Telephone (530) 538-7541 PERMIT yO. (Rev. 12/96) `� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 03 q_ 66 _ ZONINO _k I BUILDING PERMIT OWNER �1 cin mer T LEPHONE 99- �3� SO. FT. OCC. BUILDING VALUATION .OWNER IU ADD SS q rZ CA C 7 CONTRACTOR'S NAMEz, I J TELErE,j10NE_ 99QQ((// OOjjii CONTRACTORS IU ADORES B q�7D C CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ° ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS f^ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNIS IONS 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 ❑ yy��Remodel 0 Utilities ❑ Installation ❑ Other ❑ Describe Work: -AAA) /V I A 6 �t T� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 "OVORUE Main Service zo.A 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 Busjness and Professions Code, and my license is irLAUII force and effect. ' h_ License Class Lic. No. 3���" J OWN WILDER DECLARATION hereby affirm under penalty of perjury that 1 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 OCCUR ( 3.51tF0 NEW CONST. MuLLTTI`-,ouuTLEr NON-RESID_ C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES .00 BAL O I.50 LNSI Ex. Occup. oFIXUTEiFrAPP A°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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' cope�L ation insurance carrier and policy number are: Carrier 9171 S4) /01) MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 15 ::0 Cx O . 44-1-01 (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 orthwith comply with those provisions. p� X____ Date — Sig*ure,o icant - ❑Owner O Contractor Agent An OSHA perm) ' required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE CO TOTAL FEE $ FE IMP I FLO-00 F E EL U This permit is hereby Issued under the of the Butte County Code and/or indicated above for which fees have By p PERMIT EXPIRES ON a I applicable provisions Resolutions to do work been paid. Q ate O 2 ilnke) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ti ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Calfornia. 95965 • Telephone (530) 538-7541 PERMIT 0. (Rev.IZVO) �APPLIC T(6N AND PERMIT ell"o i ,2 A/alpOR►AIICdWMeI yp�q �^ \ BUILDINOPERMIT TmgOMt owNtn L LA C Af iv M �- ESO.Fr.00C. BUILDING VALUATION ollnas C c_ U o0"'RACTO" 4" COM ACTOR'S VALM ADORM OOIiT11UCf10N LEFOe1 LE1400" VA&M ADOResa Fireplace Total Valuation b ARCK"CT OR eNONEER uceNse No. Filina Fee S 20.00 AACWeCT OR DI(MUMs WLUNO ADoness Permit Fee S /� Plan CheckingFee S euLONOADORESS Energy Plan Checking Fee S LOTNO. I •ueon IDN'S U9 USEOFSTRUCTURE SF O Duplex O Moblehome O Other SPECIFY TYPE OF WORK New O Addition O Remodel O Utilities OInstallation O Other O ribs Work: A'�% / ,- A/ 6j Des0- 9-9-& 0 1 e- 6,0 . /"9 )fr L4D TOTAL $ S PERMIT FEE _ MAP PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G I W PERMIT FEE S ELECTRICAL PERMIT Main Service OOOv OR LESS 300A OR LESS Main Service ( 200A TO IOWA POWER APPARATUS i SINGIX OUTLET Olt RECEIPT # 3 47 Temporary Service Mobile Home Facilities PERMIT FEE $ SRA $ SHR $ CSA 87 $ CUA $ TUA $ REC $ OTHER: TOTAL $ S PERMIT FEE _ MAP PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G I W PERMIT FEE S ELECTRICAL PERMIT Main Service OOOv OR LESS 300A OR LESS Main Service ( 200A TO IOWA wing Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 Fee 20.00 23.00 48.00 9 5¢0FT. P7.50 0 1.00 50 5.00 23.00 20.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Hood . I I 8.501 1 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection fee S o" CONST. TYPE I TOTAL FEE $ RAZ O. FEES -P moo0 cof V1. 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 - PERMIT EXPIRES ON Date �— POWER APPARATUS i SINGIX OUTLET Olt Ex. Occup. OUTLET OR FOCTURFS EX. OCCU nXED APPLN9. OR OVnZTS ESIO. FA Temporary Service Mobile Home Facilities Misc. Wirin wing Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 Fee 20.00 23.00 48.00 9 5¢0FT. P7.50 0 1.00 50 5.00 23.00 20.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Hood . I I 8.501 1 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection fee S o" CONST. TYPE I TOTAL FEE $ RAZ O. FEES -P moo0 cof V1. 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 - PERMIT EXPIRES ON Date �— W4- i r COUNTY OF BUTTE - DEPARTMENT.OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 j/ j( PERMIT APPLICATION DATA SHEET q / OWNER: Z- A C -1'T E�91-41. L Y (,FASSESSOR PARC ER: D3 ! 360 ^ [ Proposed Building Use: i a i /V I W � ,Building Inspecto : _Qi Date: d d At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By All items have been submitted .----------------------------------------------------------------------7-------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. -------------------------------------------; ---------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Fonm. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ -------------------- ---------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. -------------------------- 7------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ---------------- ------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- N, ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy) ❑20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 024. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------- ❑ 26. Letter of intent on building use. ----------------------------------------------. ❑27. Manufactured Home utility clearance. ----- / 28. Existing violations and/or expired permits. ---------------------------------. ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1130. Other: (Date) �W�hen you imiEl lis"process a�follows Mail to owner, to actor. `�Telephoneg �S and hold for pickup a4-- office. ❑Deliver with inspector. Applicant: aWlr�_lqloAf.PP- Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Departmeni, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ BuildiV'viis* counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildicounter, by Dte: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: Iaat.OrcA�Q.rcL JjA2ELLRcHENMEvER AP 15' 0 rcholrcL RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 I I (I "I II' I III" 2000-0030509 II i loll I' (�II"I'I Recorded I REC FEE .00 Official Records I CONFORM .00 CoBUgEOf I CANDACE J. GRUBBS I Recorder 1' ROSEMARY DICKSON I Assistant I Vickie 02:04PM 07 -Aug -2000 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. HAZEL LACHENMEYER REAL PROPERTY OWNEWLESSOR 1221 ORCHARD WAY MAILING ADDRESS CHICO, BUTTE, CA 95926 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 00-1694 (530)538-7541 BUILD G PERMIT NO TELEPHONE NUMBER 08/03/00 SIGNATURE OF LOCAL AG Y F ICI DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. CIT), COUNTY STATE ZIP UNIT DESCRIPTION DELAWARE WESTERN HM CORP 1990 SILVER CREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER A/13173SC3178CA 48' X 28' HWC179388/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 039-360-114 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept LEGAL DESCRIPTION A.P. 4038-360-114 All that certain real property situate in the County of Butte, State of California, described as follows: Lot 40, as shown on that certain map entitled, "Map of Stanley Park", which map was filed in the office of the County Recorder of the County of Butte, State of California, on May 7, 1906 in Book 6 of Maps, at page 105. t RE, I TIAL_ _039-36-0-114 i93-186 P,E LACHEMEYER, Hazel 1221 Orchard Way, Chico contr: MH Center relocate mh utilities OFFICE COPY n� Address GAS Meter By Date ELECTRIC Meter By Date JOB FINALED Date Signature , J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s .Zoning Requirements -Setbacks -Easements Soils; Special MH Support Sketch /Sewer: Location -Test -Fall -C/O Concrete Water; Location -Test -Easement Needed (Sketch) electricity; Location-Clearences-Gnail--eoump-Concrete Gas; Location -Test -Wrap: / /"L" it. ,(/"Nat. or/ /" L" ft./ /"LPG 7 --Well Clearance & Disconnect tility Clearance Date ��?� Card 6-1 GG Date Card B-1 Date Card B-1 Date Card B-1 Date MOBjJ.E HOME INSTALLATION (Plans) OK except #'s %r'Zpning Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line L_05 -s; MH Test-Demand-Valve—Connector &.-Electricity: MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector . Water; MH Test -Regulator -Connector 01."Water and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged Kit Insp.-Sketch 10 ert. of Occupancy Date S7` X17 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. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Bo xes- Enclosu res- Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK _ = Not Applicable Not Ready RESIDENTIAL'(Single = Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's Water Htr.: Vent -Access -Combustion Air -Baffle ---------------------- ------------------------------ 17. Water Pipe; Test & Anchor -Nail Protection ----------- --- ------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------------------ ------------------- 19. Shower Pan: Test. First Floor -Tub Access ------------------ ----------------------------- 20. Test Tub & Shower. Second Floor -Tub Access ------------------------------ ------ ----------- 21. Gas Pipe. Size & Anchors ---------- ----------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------- ------------------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ----------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------- ----------- ------ ------ ------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------------ ------------- 26. -- ------ 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - ---------------------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or AI 29. Range Circ. ! ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------- -----------------------------------------..------ 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------- ------------------------------ 31. Equip Clearances Panels-Motors-Mech. Equip. ------------- --------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------- -- ---------------------------------------------- 33. Smoke Detector -------------------------------- -- -------------------------------------------- Date Card B-1 Date Card B-1 - ----------- -------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ----------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------------------------------------------------- 36. ----------------------- ------ -- - -- ------- - --- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------------------------ - - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ - --- - ----------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic --------------------------------- --------------------------------------------- Date Card B-7 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors - ------------------------------------------------------ 4 0 -------------------------------------------------40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) ---- -- -------------------------------------------------- - ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------ ----------------------------------- ----------- 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-root Brac-Truss-Shthng.-Rfng., 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------------- --------- 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits --------------------- --------- - 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------- - 55. Siding -Nailing Veneer ---------------------- -- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --------------------- --- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts ----------------------- 59. Insulation -Walls -Ceilings ------------- 60. Infiltration -Walls -Windows -------------- ---- ------------------- Card B-1 Date Card B-1 ------------------------------ - Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's ___ ______ 61. Ext. Steps -Door & Sidelight Protection -Landings t 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ----------- ----------------- 64. Bedroom Exiting -------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa - --------------------------- -- --- - 66. Elec. Trim & SubPanel: Breaker Sizes & Labels - -------------- 67. Stairs -&-Rails _ 68. Fireplace or Stove: Clearances -Hearth - --- --- --- - --------- - ------- 69. ----------------69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------ ------------------ ------------- ----- ---------------- -- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing-Landin Closer -------------- -- .----------- ---- - 73.-.A.C.-Duct in -Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ----------------------- ------ -- 76. Elec. Receptacles in Garage: (G.F.I.) -Romex Protection 7-,. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard -Rails & Deck -Const ruct ion -Post Caps ------------------------------------ - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor.,=-- ❑ Yes - - -- - - ------------------------------- - 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish -------------------- 82. A.C. Unit Disconnect. Electrical, Plumbing - - - -- - -------------------------- 83. ------------------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings --------------------------------------- - - 84. Water Well: Disconnect, Electrical, Plumbing - -------------------------------------- --- ---- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House .. ... - ------------------------- --- 87. Glass Protection .. ---- ----- ---------------------- -------- 88. Corrections from Previous Inspections ------- --------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ----------- - ------------------- ------------ ------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------ -- --- ---------------------- - --- 91. Energy -Compliance -Certificate. -Other Certificates -- --------------------------------- ------------ -- 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: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (93.6) 538-7541 PERMIT N0. U-187 Address or location of mobilehome ?—Z) (9r< C )(AK� Owner's name i r� C \A r- IZ Owner's address J�2CUnR+� Insignia or hud number Q 1;S L (7 C A Manufacturer's name WLLI [tznlAAf"S C Serial number of V.I.N. -Vi WL 17-i3.g8 H(AR 17 712 Year of manufacture n� � 6.9 3 (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 - D.P.W. COUNTY OF BUTTE ;. BUILDING DIVISION. , DEPARTMENT OF DEVELOPMENT SERVICES.; y 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 'a l 747 Elliott Road, Paradise, CA - (916) 872-6307. CORRECTION NOTICE G-4� OWNER PERMIT NO. A routine inspection indicates that the'following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work " Z is completed. If you have any questions pertaining to this matter, or need additional explanation', `. s• please contact this office immediately. ,x ;x \Z2l 0XZe\An2I. ' 4 se .sy. .ca Date �� ."� _ Cj Inspector PL REV 10/92 COUNTY OF BUTTE - DEPAPTMENT OF PUBLIC WORKS PE MI T O 7 County Center Drive - Oroville, Calikrnia 95965•- Telephone: 916/538-7541 �✓ APPLICATION AND PERMIT % ASSESSOR PARCEL NUMBER 039-360-114 ZONING SR -1 BUILDING PERMIT OWNER Hazel ame er Lche TELEPHONE SO. FT. OCC. BUILDING VAL ION OWNER'S MAILING ADDRESS 1221 Orchard Way, Chico 95926 CONTRACTOR'SNAME TELEPHONE Mobile Home Center 533-4403 CONTRACTOR'S MAILING ADDRESS 1740 Feather River Blvd., Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 1221 Orchard Way, Chico Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome® Other Building sewer 15.00 Mobile Home JSFG W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other © Permit Fee $ Describe work: Relocation of Existing Mobilehome Contractor _ (See Utility 93—/t36) t36 ELECTRICAL PERMIT Filing Fee 15.00 .001 Main service 200AORLESS 18.50 Main service 200A TO IOOOA, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (Check One): NEW CONST.( DWELLING OCCUP.&) OR AODNS. ACC. BLDGS. 3.64 sq.ft. 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 and Professions Code and my license is in full/force and effect. POWER APPARATUS 6 (SINGLE OUTLET CIR. License No. � /��� Classification C'°'J Ex. OCCUp(OUTLETS OR FIXTURES20 76 — F13.00 I, as the owner, or my employees with wages as their sole�compen- EX. OCCUp. OUTLETS IFIXED PRESID,)RE A.) sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract - Mobile Home Facilities 00 15.ors. (Sec. 7044) Misc. Wiring -15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject --- to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ 70.00 is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. OCC CONST TYPE I also agre o save, indemnify and keep harmless the County of Butte against TOTAL FEE $ 105.00 all liabili es, judgments, costs, and expenses which may in any way accrue HAz DFEES IMP FLoo CDF PARCEL PD HD ISSUE against s id ounty in con q enc of the granting of this permit. X Date / �� This permit is hereby issued under the applicable provi- Signature of Applicant — Owner ❑ Contractor IXI Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is requi: d for excavations over 5'0" deep and demolition or Donsrruct- work indicated above for which fees have be:;;hs ion of structures over 3 siories in height. LIC WORKS Receipt No. 30468 By �'�r'V /"P i PERMIT EXPIRES Dat WHITE-D.P.W., YELLOW-A88E8SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �r"i, p,ta�'. •.■ .-�. 'rkf" rQh'6f1.2+"tV r.+v'* Yr. �`alk^s.1i'-7 tii� ;�� • r. Cdr J�.�^r:'.r,:' ala' •' k•.• - .. r -COUNTYOF BUTTE - DEPARTMENTOF DEVELOP NT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 /1 /V / v PERMIT APPLICATION DATASHEET ri OWNER 1 i �f 2 C1(/ G-�rC� C� m� S/Ct ►'i A. No. � 9- (0' l / Proposed Building Use / Building Inspector Date / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans. .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8 Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 1 ees of $ ...................... .......... . 1. Impact fees as shown on attached schedule. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................... :............... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . -' 19. Driveway permit (construction approval required prior to occupancy). , � 20. Pre-Inspectionrequeis Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ............................. I..........:: Mobilehome utility clearance . .................................. ' ..... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... . 31. Existing violations/expired permits . ..................................... . 32. Plan check list . .................................................... . 33. 34 \ L When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone D and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant xe�4�� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution ate Copy of plans sent Health Dept. Fire Dept. Other � ate By The following data must be submitted Pfi� to mit issuance: (Circle new item not checked above). 1. Index permit for above items No. d�M Arr 4014 F_N = Ex(s` I^/G 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by, Date Contractor, designer, owner, was advised of above required data by _ phone _ mai Count _ Date Plans checked by Date Plans approved by Date G Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 Telephone: 916:'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ll 4 - 60- /l1` ZONI G BUILDING PERMIT OWNER z- a r ill c c� r TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ORE 5 IA�l �''c�I _P &)a V I ;c® 959CZ CONTR�C OR'•S NAM TELEPHONE //nn��"'• hi c E S -y T�RACTOR' MIL �A•N ADDRES CONtn / / �t/ EQ 1 Y t/(' i^ �`�V— f Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - _ Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Pian Checking Fee $ 0.0 O ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDI G DRESS / r rc lJ ' f, 9Q C O v W Permit fee $ 3 `to PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO: SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeWl Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G IW @ 15.00 TYPE OF WORK New ❑ Addition ❑ Rem del D.Uti1llities El Instal tion Other E] Describe work: &e- I [t? to a T f l9 h t _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ZOOAOR ORIESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) F -1I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200AT01000AI 37.50 NEW CONST./ DWELLING OCCUP.g\ OR ACDNS, l ACC. BLDGS. // 3.6d sq.ft. NEW CONSTR ULTOUTLET NON-RESID BRANCH CIRC ITS @ 5.00 ( POWER APPARATUS 61 \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d 45 FIXED EX. Occup. OUTLETS (RESID,)REA.� i 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyor Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this per it. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA p permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stones in height. Mobile Home Installation Fee $ �td0 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $-71 HAz OFEES IMP FLOOD CDF PARCEL PD Fo SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. W NITC•O. r. W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLOEN POC -APPLICANT 1. Owner's Name: 2. Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orovillei� CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET /_ac� e me yC-(' der 3. Is the site currently under permit? Yes �. No (If yes, furnish permit number 13 '( ) OR Is the site an existing site? Yes No N/I (If yes, furnish two plot plans.) 4. Will the mobilehome be -located -at least 5 -ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes a No F (If no, clarify 5. What is the mobilehome electrical rating? --------------- /00 Amps 6. What is the mobilehome site service rating?---------------tP0 v Amps 7. What is the mobilehome site circuit breaker rating? ----- /0 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) p (Amps) 9. What is the mobilehome site gas pipe size? ------- 3l (in.) 10... What is the ..type . of gas .service . _. Natural /� LPG _ _ ? ------ ---- _ _ 0 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 62- * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) ®A'�C ^O,tN� NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPI ®®0VVING DEPARTMENT APPROVED, MOBILEHOME SUPPORT DATA I 'If other 'than single wide, o Mobilehome Mfr. �iItlo C re(� furnish Setup Model No. Year l Width � � (ft.) Box Length 0 (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)al. Wood -pressure treated or foundation grade. El2. Other (specify) SUPPORTS (check one)©1. Concrete block.2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE in Line 1 Line 2 ine 2 _ _ _ — _ — — — _ — — Line 2 Main Beams -- -- — — — — —. — — — — TAn Line 3 Main Beams — — — — — — — --- -- ------ �Line v Tag or Triple i.ine 4 Line 1 Line 1 Piers: • Line 1 Openings: Size -Min. ------------ „x „ Size -Min. ------------------ Spacing -Max. --------- ,_ Each Side of.Openings From Ends -Max. ------- '_ " With Width Over --------- '+ Line 2 Piers: Size -Min. -------- --- /a "x Q „ Spacing -Max. --------- From Ends -Max .------- '- Line'3 Roof mads: Size -Min .------------ a� o' a� „x • a Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ k Spacing -Max.--------------- From Ends -Max .---- -------- 'k 30 / „x „x „ „x „x Location (From Front) _ " /Z/ _ '_ _ Line 4_Piers: _ _...... Line 5 -.Piers: (Under Bearing Walls Only Size -Min. - ----------- ,k Size -Min ------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- , ., Spacing -Max ----------------- From Ends -Max.------- , „ From Ends -Max .------------- Line 5 Roof Loads' Size -Min .------------ x "x "x " "x k "x 1c "x Idcation (From Front) 'M.i Y•' Z79A 90 WE ng: NEW'. mAHUFACTUAIED HOUSING INC. Ridge Beam Piers MODEL LINE:S1LNjF_Q_W:&0C> o H.._. ;,ujactured HOU federai Mi S,i,,y Strgla,ds Construction /,,d .14 05 IFT At joints betw. units PLAN N0: (Dead Load 8 P.S.F.) LOCATE SUPPORT PIERS FROM REAR OF FLOOR 1 2 3 4. .5 -6 7 8 9' 10 11 • 12 A S2-7- LOCATION 21 - 0 I- 14 Z" Z4��-Il 38'-0 4SI-011 Load 9 20' P.S.F. le7-45 X1834 46z_+,44-75 N40 Load @ 30 P.S.F. -��zt (oSS3 •626- 5'L6 071 630- Z630- Lo'ad @8 60 P.S.F. Load indicates required longitudinal under these bearing wall between these. supports.' Additional PIERS areSet violls —up Supplement I NO. 1 - - P L A NS, qS(Z I N0. 7- -RUG 22 190 10:47 WESTERN 714 73.4 6610 207.;-7 4 QRT S.P,A.,:01NG. 4�,RAIL S.U:PP ,..}.: SPACING CENTER TO CENTER MAN RAIL PIER. FOOTING FOR SIZE SEE EXHIBIT F IE'' MINIMUM GROUND Ir MINIMUM w nut I rill ap Lo jq J OL & .—. Rzv. CA SU -32 1:, 1w- q 11, 20 PSF ROOF LIVE LOAD 30 PSF ROOF LIVE LOAD 60180/90 PSF ROOF LIVE LOAD -------------- MODULE WIDTH- MODULE WIDTH MODULE WIDTH iow OW i . 2�V .-.. i2w 14W-' --I ow— OR LESS . ... . 12W—' —14W'— 'oW- OR LESS 12W'-- 44W PIER CAPACITY'- 'RATING OR LESS .25 000 5'-6" -.6 '4 -3 9.4" 91-91, 81-61, 9'-6" - -: ------ 4o 0 0.* 7' 7' R 03 UL 10 1950cc-D) e Celrmirucurjn 1--- And Sicid—fin c—_._ — SIDEWALL. FLOOR JOIST n1 MAN RAIL PIER. FOOTING FOR SIZE SEE EXHIBIT F IE'' MINIMUM GROUND Ir MINIMUM w nut I rill ap Lo jq J OL & .—. Rzv. CA SU -32 1:, 1w- q 11, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS—PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _ APPLICATION AWPERMIT ASSESSOR PARCEL NUMBER 039-360-114 ZONING SR -1 BUILDING PERMIT OWNER Hazel Lachemeyer TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1221 Orchard Way, Chico 95926 CONTRACTOR'SNAME Mobile Home Center, Inc. TELE PHO E 533-4+03 CONTRACTOR'S MAILING ADDRESS 1740 Feather River Blvd., Oroville 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ nn Permit Fee Plan Checking Fee $ 20.00 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 20.00 1221 Orchard Way, Chico PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P ARCEL MAP Water piping 7.070 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeD' Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G J W 3@ 15.00 45,00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [n Installation❑ Other ❑ Describe work: Relocate Mobile Home RE: B.P. #92-180 Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of P Y perjury y (Check One): I am licensed under provisions of Chapt. 9, DIV. 3 of the Business and Profess s Coe and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their ole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO 1000AI 37.50 NEW CONST. DWELLING OCCUPM OR ADONS. ACC. BLOGS. / 3.54sq.ft. NEW CONSTFt NON.RESID U BRANCTI-H CIRCITSOUTLET @ 5 00 POWER APPARATUS 6 SINGLE OUTLET CIR. ) EX. OCCUp(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 1 15-00115.00 Misc. Wiring 15.00 Permit Fee $ 48.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree t lye, indemnify pq keep harmless the County of Butte against all liabilitie jyfdgments, cos , nd xpenses which may in any way accrue against sai Cc y in cons ue ce the granting of this permit X Date Signature of Applicant — wner ❑ Contractor Agent An OSHA permit is requir for excavations over 5 deep and demolition or construct- ion of structures over 3 st ries in height. Mobile Home Installation Fee S Energy Inspection Fee $ occCONST TYPE TOTAL FEE $ 128.50 I HAz DFEES IMP I FLOOD J,CDF PARCEL PD HD Issu This permit is hereby issued under the sions of the Butte Count ode and/or work indicW r which fees I OF PUBLIC B y PE EXPIRES Date ��,+��y applicable provi- resolutions to do have been paid. WORKS D,a/te ���% 1304 8 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT w r.- r a w /'`�"-4N'i'i'+iF✓V`i'�"rKr'Y�+'rW�.(}• .f�� �r•` 4�yiir?�l��f�`,�/��Si�'�'�.��. �. yj ��.. _„�+��t�i��a+G?.r'"`� t.i.;.+-y_�..�,.,.,�.�v... COUNTYOF BUTTE - DEPART.MgNTOF DEVELO_ PMENTSERVICES -BUILDING DIVIS'lQ " 7COUNTY CENTER DRIVE -OROVILLE,CALIF IA95965-TELEPHONE( 538-7541 PERMIT APPLICATION DATA SHEET OWNER %//9Lfi' A. P. No. 639 � 360 - X41 Proposed Building Use G" -Ag &blyj 14CJw4eBuilding Inspector 2!�e Date / L,7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY TIS 1. All items have been submitted . .....................:................. . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3_ Complete plans, 3/4 sets', signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details.and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ................. 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 1 Flood elevation letter (100 year flood California Engineer. ........... 14 Sanitation and plot plan' -approval i C. 0 Health Department. -*--L- iu. City of Chico plumbing permit . ........................................ . 16. Plot plan and business. license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: t ' (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Prea;spe'aon r6au 20. Pre -inspection for s required. .. to Building inspector(Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. -'-- 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use. ......................................... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal`access. ..................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ................................................... . 33. 34. When you issue the permit, process as follows: Mail to owner ail to contractor. Telephone - and hold for pickup at office. Deliver with inspector. Other - Parcel Creation Acreage Applicant _ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution ate Copy of plans sent Health Dept. Fire Dept. Other r'` Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail C founter b}� Date Plans checked by G &w -5 Date 1-29-23 Plans approved by a3 14CCAd�� Date o2-cr7 Z Sets of plans on hold in File cabinet _� AP folder - Copy - Department of Public Works 1,. TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance Owner Location Plan Approved for: Scwige Disposal Water Supply: I'ublic Clearance for bedroom mobile home. Other &6 tb Hold final for: Final clearance O.K. for: NOTE: Ai E vironmental Health Specialist O Now Him Amuliol A Phi Private Well Date 8/92 e �a IZIRZ,154 zlvvy�w� Etc C'En/'AC X/YC /2/r! 0,eaWV1Zo' 60R yy : -�•- �-��`o---�,�,ca�19�ir• Riu�Eh• aeon....---�---.___.._--�C��co----eq---.. I ORov.�CCE ; .rices ze/9as 17PN X039 360-//,/ 17 I ' , i ov : i : I , i I : .1321 I I z � ` /$ov �/99\ ©�{ � 33 so COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916."538-7541 APPLICATION AND -PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER2 v3 s Q - ZONING S - I BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S G I INADD ESS /Z Z, / zz/ d1iGl9 CONT CTOR NAME A4 010- c tiV c. TELEPHONE CONT / CT/O/R'S MAAIILING�DDDRESSS �1 eQ R % U&P- �(/ (/ Fireplace CONSTRUCrTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ _,g-g� Permit Fee $ i ARCHITECT OR ENGINEER I LICENSE NO. Plan Checking g Fee $ ao 0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2ZI 10,4 0� ,,-WPermit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeo( Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G @ 15.00 TYPE OF WORK ttaallatiE, oonOther ❑ New❑ Addition❑ Remodel❑ Utilitiesai Ins/� Describe work:rl- /7JE' �i % Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20GA TO 1000AI 37.50 NEW CONST. ( DWELLING OCCUP.g\ OR ADDNS. ACC. SLOGS. I 3.60 sq.ft. NEW CONSTR ULTI.OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 764 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) ( .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 `Q Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of thiSperm1 . X Date / 7 f Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is re5'0" d quired for excavations over deep and demolition or construct- ion of structures over 3��}}stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ HAz DFEES I =F CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte Count Code and/or y work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. r loio WHITE-O.P.W.• TEL LOW- ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT %2i7 O�ivIzd Ova y 1 i Zlcxr ze/9e4,X039 360 Structures & Oqupment shall be as. —=& clew of all easements. .. �. _ . .. ....._.._ ......330_ ...._ - - P0 r_4.O, . . . . . . . N s i -- /o0YE . 10 4,4 I • �-ivf^teri-cts A¢coridan a with Prac-fi;.es a OO ' Q �� f escribet :1.". 1i ..0 C 1159 {n �' •. .� �.,. .I.- ..��'t' C;lliJi"f77" _ �''rZ9':.riCo�.ietCGl COG 95 t7 lA t6q;1 N fioj ial Electrical Coc:irn. ' i is se of± plans and - - - 11`1�g $ iinif,7lMY.11 make bnY es hcnc�cr..� y� ,.x•_ wrftpo pe mission frory 6�e Qe�rrt,i• meat of -n 1.6?;e _..�. t Y. . . . . . .. . . . . . . G . . . . . , 'e. RECGRDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded Q 07 -Aug -2000 2000-0030509 Has not been compared vith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. HAZEL LACHENMEYER REAL PROPERTY OWNER/LFSSOR 1221 ORCHARD WAY MAILING ADDRESS CHICO, BUTTE, CA 95926 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write'SAME') BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 00-1694 (530)538-7541 B:E;R2qEr TELEPHONE NUMBER 08/03/00 SIGNATURE OF LOCAL AG Y F ICI DATE NONE DEALER NAME (if not a dealer sale, write 'NONE") MAILING ADDRESS DEALER LICENSE NO. My CoWry STATE . LP UNIT DESCRIPTION DELAWARE WESTERN HM CORP 1990 SILVER CREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER A/B173SC3178CA 48' X 28' HWC179388/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 039-360-114 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PfNK - Applicant GOLDENROD -Building Dept. BUILDING PERMIT NUMBER: 00-1694 Address or location of unit: 1221 ORCHARD. WAY, CHICO, CA 95926. Legal Description of Real Property: A.P. #039-360-114 ' SEE ATTACHED (x) Mobilehome/Manufactured Home - y O Commercial Coach - Has been affixed to the'real property above by installation on a`foundation system pursuant to Health and Safety Code Section 18551. Owner's name: HAZEL LACHENMEYER 1 Owner's address: 1221 ORCHARD WAY, CHICO, CA 95926 INSIGNIA, OR HUD NUMBER: HWC179388/9 . SERIAL. NUMBER OR V.I.N.: A/B173SC3178CA MANUFACTURER'S NAME: DELAWARE WESTERN HN YEAR: 1990 s M OFFICIAL APPROVING INSTALLATION: ' DATE: 08/03/00 PHONE: (530) 538-7541 + ', H.C.D. 513C L , } � - c 146 pq mimeo. LAU2S6 -DEPARTMENT OF. HOU etnOMe AND. COMMUNITY DoEVELOPMEN �%�W STATE OF CALIFORNIA -DF D STRATION CARD MOBS _ jpmUWE MOMS 09/11/90 09/17/90 03/30/93 MAN UFI.or NAME/ 1 SILVERCREST SILVERN000 SV7 ..�,,.ec LtFSTERH HN CORP/09881 _� �rcuoc uS S nuleurt9ER HNC a8 018816 000576 00016e TOTAL �AJ73 SC3178 A HM179369 FEES817 SC3178CA PAID: 3 $67.00 S 6 A LACHENMYER HAZEL 0 3003 STAR CT D SACRAMENTO CA 95864 a fi s E -OF RLACHEWIER HAZEL 9 62. � " . I A 1217 ORCHARD W •41 S i s ., T L� 95926 c CHICO �t . o 1217 ORCHARD ::..: • �j:'?. �. O S :_i.• 't" y'Vi • " N I • f.::• N T CA 95926 E U CHICO 1:.-..."w _ ... i :h"�` <. nG.:l• '1:`r., :Y NrlE R 14 N I = R , ' O S R 7 I E N S M E ' O C L 0 O1 o n EK a o IMPORTANT THE CURRENT R ABOVE MAY NOT REFLECT LIENCRIBEDRUNITW17H THE DEPAR7MOI T ON SHOWN THE DEPARTMENT. THE OWNER INFORMA I COMMUNITY DEVELOPMENT AGAIN OF MOUSING STATUS OF THE UNIT MAY BE CONFIRMED THROUGH .i - _- __,. ... -f 11 r-iTV 1 nr GENERAL NOTES 1. DESIGN LOADS: WIND LOAD. 80 MPH EXPOSURE "C" SEISMIC 'ZONE, 4 SNOW LOAD AS REQUIRED BY BUILDING OFFICIAL. 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON AN APPROXIMATELY LEVEL SITE. 3. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1000 psi ALLOWABLE SOIL PRESSURE. u- CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE MOBILEHOME MANUFACTURER'S INSTALLATION INSTRUCTIONS. ' 5. IN AREAS WHERE DIFFERENTIAL SETTLEMENT ID.S.) CAN OCCUR, MANU- FACTURED HOME SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4". OR WHEN IT WILL ADVERSELY AFFECT MANUFACTURED HOME UNIT. 6. STRUCTURAL STEEL: FABRICATE ACCORDING TO AISC SPECIFICATIONS. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES, 370 PLATES, ASTM A36 BOLTS, SAE GR.S = ASTM A449 = ASTM A3725 7. ALL EXPOSED STEEL SURFACES OF COMPONENT PARTS TO BE FINISHED. IN DURABLE INDUSTRIAL -GRADE PAINT, OR CORROSION -RESISTANT PLATING, BEFORE DELIVERY TO THE MOBILEHOME SITE. NO STEEL SURFACES TO BE IN DIRECT CONTACT WITH SOIL SUBGRADES. 8. THE STAND AND PAD ASSEMBLIES SHALL BE LISTED AND LABELED BY BSK L ASSOCIATES FOR THE FOLLOWING LOADS: HORIZONTAL 10759. VERTICAL 59701. 9. THESE STAND AND PAD UNITS ARE DESIGNED TO BE USED WITH MOBILE - HOME CHASSIS BEAMS OF STANDARD SECTION EQUAL TO OR GREATER THAN WSX10t. ANY OTHER SECTIONS SHALL BE FIELD ENGINEERED TO ADAPT TO SECTIONS ACTUALLY ENCOUNTERED. t0. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING THESE UNITS AS SHOWN ON THE TYPICAL FOUNDATION PLAN. 11. MULTIPLE -UNIT .INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF FOUNDATION UNITS MEETS THE REQUIREMENTS SHOWN ON THIS SHEET AND THE PLACEMENT AND INSTALLATION PROCEDURES ARE FOLLOWED PROPERLY. 12. FOR LONG DURATION SNOW LOADS, USE APPROPRIATE NUMBER OF ADDITIONAL UNITS AS DETERMINED BY THE FOLLOWING FORMULA:, I(LONG TERM SNOW LOAD I/FT7) X IROOF AREA SQ.FT.11 _ 5970. USE EVEN NUMBER OF UNITS ARRANGED 50% EACH DIRECTION. (NOTE: DESIGN SNOW LOAD CAN BE REDUCED UP TO 75% WHEN APPROVED BY BUILDING OFFICIAL.) 13. FOR POLYMER CONCRETE PADS. USE CONCRETE MATERIAL CONSISTING OF SAND AGGREGATE BOUND TOGETHER WITH POLYESTER RESIN AND REINFORCED WITH CONTINUOUS WOVEN GLASS STRANDS. THE CONCRETE THUS PRODUCED MUST HAVE THE FOLLOWING MINIMUM MECHANICAL PROPERTIES: COMPRESSIVE STRENGTH 20,300 psi TENSILE STRENGTH 9,000 psi FLEXURAL MODULUS 5.8 X 1016 psi TENSILE MODULUS 5.9 X los psi 14._ THE MANUFACTURER MUST CERTIFY THAT THE MATERIALS HAVE BEEN TESTED TO THE REQUIREMENTS OF ASTM METHOD D-543, SECTION 7. PROCEDURE 1. SAID CERTIFICATION WILL GUARANTEE THAT THE CON- CRETE HAS CHEMICAL RESISTANCE AGAINST THE FOLLOWING CHEMICALS IN THE CONCENTRATIONS NOTED: SODIUM CHLORIDE 5% SULFURIC ACID 0.1N SODIUM SULFATE O.1N HYDROCHLORIC ACID 0.2N SODIUM HYDROXIDE 0.1N ACETIC ACID 5% KEROSENE PER ASTM D-543 TRANSFORMER OIL PER ASTM D-543 15. IN LIEU OF RP20298 'PAD THE RP2021 STAND CAN BE INSTALLED USING RP2029 PAD AND APPROPRIATE DIAGONAL BRACING PER SHEET 2. VARIFS - 30'-77' SEE TARIF J J E 5 _ S . r 2'NOM. �lT�� 33-50' 6 i 2' NOM. .J JI � 8' NOM. I 8' NOM. O • I , RIIIGE.BEAM SUPPORT AS REQUIRED BY O 13 BRIDGE BEAM SUPPORT AS O 48-64' STANDARD MH FOUNDATION PIERS - AS RI -COMMENDED REQUIRED BY MANUFACTURER-TYP. 65-80' BY THE MANUFACTURER OR THE ENGINEER - TYPICAL TO 28' THROUGHOUT. RELOCATE AS NECESSARY TYP. 29-44' FA ROTATED ANY PAIR MAY EPROBLEMS STONAVOID O _ O SO CLEARANCE O RECOMMENDED PLAN FOR 12 SUPPORTS 1. i` VARIES - 30'-77' SEE TABLE IIITT�TJ TO 32' 4 2'NOM. �lT�� 33-50' 6 i � 8' NOM. 8 12' 69-85' 10 13' RIIIGE.BEAM SUPPORT AS REQUIRED BY �J 6 48-64' MANUFACTURER-TYP. 13 65-80' 10 14' TO 28' 4 29-44' 6 45=60! 8 14' STANDARD MH FOUNDATION PIERS - AS IECOMMENDED 10 20' TO 32' BY THE MANUFACTURER OR THE ENGINEER, TYPICAL 33-44' 8 THROUGHOUT. RELOCATE AS NECESSARI - TYP. 20' 69-80' 16 24 TO 37' PADS IN ANY PAIR MAY 38-60' 12 24' 61-70' 16 26' O 8 BE ROTATED 90° AVOID TO 12 26' 55-73' 16 28' TO 32' 8 PROBLEMSEARANCE 0 RECOMMENDED PLAN FOR 16 SUPPORTS TYPICAL PERMANENT FOUNDATION PLANS NO SCALE E = 2' MIN / 6' MAX S = 6' MIN / 26' MAX 1 1 NORMAL LOADS SNOW LOAD = 0 NO. OF WIDTH LENGTH UNITS 10' TO 37' 4 1 38-58' 6 10' 59-78' 8 ' 12' TO 32' 4 33-50' 6 51-68' 8 12' 69-85' 10 13' TO 30' 4 31-47' 6 48-64' 8 13 65-80' 10 14' TO 28' 4 29-44' 6 45=60! 8 14' 61-76' 10 20' TO 32' 6 33-44' 8 45-68' 12 20' 69-80' 16 24 TO 37' 8 I 38-60' 12 24' 61-70' 16 26' TO 34' 8 35-54' 12 26' 55-73' 16 28' TO 32' 8 33-50' 12 51-68' 16 28' 69-77' 18 DESIGN LISTED AND TESTED BY BSK & ASSOCIATES WAYNE T. POLVADO, PE - LISTING,NO. F01601053 MOBMEHOI,M FOUNDATION SYMIN 1MAM AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORREC TilONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANy OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPUC.ABLE STATE LAWS AND REGULATIONS State Of California _-.Deparuneat of Housing tad Community Development DIVLSIO F CODES AND STANDARDS By Dire ¢/z//zvov cl LLM) SPA NO. 9& -IF alis Plan�Apptoval &pi 4 Z(a 2 0C)2 PJB 3 Biro PACIFIC CONSULTING ENGINEERS MW Dell Avwm #145 Ph. 916 36a-028 8aat>rent0• G. 958.38 Ila:- 916-564-6029 PERMANENT FOUNDATION SYSTEM DB POLYMER 2000 SYSTEMS pEc c`S"ONA1 RP1900 SERIES STANDS RP2000 SERIES STANDS P2028, RP2029 AND RP2029B f� POLYMER CONCRETE PADS N 791 Exp '4 AE OF CR`� `'° SHEET 3 OF 3 SHEETS \p0Q �O yQ SJQQ C�1 �SJQQ �E \ P11 W1TN5 " x 3a `STEEL 2i, GR 112 K 1 N KEY 0 P,41)NUT IOC NE BoL� HPC"1 T G 1/2" MB-1YP. ATTACH SECURELY TO UJI MOBILE HOME SUPPORT GIRDER - TYP a I ti a o cy Q 1~ zo 2 h>go 10 z 4b V`' � 9/16" DIA. TYP. m 4. q- 1/4" R06 X 4-1/2" pQ MIN., WELDED BEAM RESTRAINT CLAMP DETAIL NO SCALE 6" 0„ ;Ojk — O O 9/16" DIA. TYP. BEAM RESTRAINT BASE PLATE DETAIL NO SCALE TYPICAL INSTALLATION DETAIL NO SCALE 1 -9/16 --ROD WELDED TO GRIPPER BASE PLATE. 1/2" FILLET BELOW OR PLUG WELD ABOVE 1-3/4" X 1-1/16" X 1/8" PL FORMED TO "U" 1/4" FILLET, BOTH SIDES -� BEAM RESTRAINT CLAMP, SEE DETAIL 1/2" MB TYP-) —1/2" X 2" MB TYP. L BEAM RESTRAINT BASE � .PLATE -SEE DETAIL 1/2" X 5" THREADED ROD. 1/4" FILLET WELD BELOW OR PLUG WELD ABOVE TO r BASE PLATE 2 O.D. SCH 40 PIPE WITH 1/2" HOLE 1/2" HOLE FOR LOCKING PIN - TYP 2-1/4" O.D. SCH 80 PIPE SIDE VIEW - 3" —} 9/16" 0 CENTERED ON PLATE , r _ ? 1-1/4" J � O 0 HOLE FOR1 FOR 1/2" MB 2-1/2" X 2-1/2" X 1/4" PLATE 1/4 PLATE GUSSET PLATES FOR 1'900 SERIES STANDS NO SCALE (BOTH ARE ACCEPTABLE) 9/16" DIA. TYP. t 1011 ar3„x4” ZP7� - '�- 114 RpUpO 2-1/4" f, a PLL P O u 1" TYP. • 1/4" PLATE F BASE PLATE DETAIL. NO SCALE SUPPORT GIRDER STANDARD BEAM RESTRAINT ASSEMBLY /16" 0- CENTERED i" COLLAPSED .3";� STD. _ MAX. Z /A"1.- 1 / D4 1T018EAMPLATE: 3 ,TALL MAX. RESTRAINT PLATE, BOTH SIDES PACIFIC CONSULTING ENGINEERS ('OPTIONAL DIAGONAL BRACING: 1" X 1" X 1/8" 1 LENGTH VARIES, 16"-42" PERMANENT FOUNDATION SYSTEM $DB POLYMER 2000 SYSTEMS Q�pEESS111Nq� RP1900 SERI ES STANDS RP2000 SERIES STANDS P2028, RP2029 AND RP2029B POLYMER CONCRETE PADS a 1 918 'D E.XP' . Q Jl CIV�ti �� � • ?lE OF CA���`SHEET 2 .OF 3 SHEETS DESIGN LISTED AND TESTED BY BSK & ASSOCIATES WAYNE T. POLVADO, PE - LISTING,NO. F01601053 Q�CFES-S 1�� �7 ; rn Es). QoZ l� tp� CIV11- 9 lF GF C A,UF� MOBR.EHOM6 FOUNDATION SYS m HEALTH AND SAFETX CODE, SECTION 78531 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOTAUTHORUE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLJCA13LE STA3E LAWS AND REGULATIONS Stam o(cw0mia DeParmlw Of Housing ad Camunity Development DIVISIO F CODES AND STANDARDS B � v t•ianaLurcr' -- murm Approval ap m 4-12&12_00Z • �aOP � �hru. 3� 2150 >sl11 llvrou! f145 pfi, 116-X56�2r8 SacraiientA• G. 95838 lam. 916-564029 .� 4-- 3 " I 8"' STD. 12" TALL 214 XTALL 4 - 3/8" CAD M 1 UM- PLATED GR.5 MB TYP., INTO CAST -IN-PLACE _ p.C' 1 ��P „ ' 1%2 MB CONNECTION - TYP. FERROL INSERTS I1n i FRONT VIEW RP2028 PAD WITH RP1900 SER I ES STfNND 2150 >sl11 llvrou! f145 pfi, 116-X56�2r8 SacraiientA• G. 95838 lam. 916-564029 .� IS �}-4 - 1/2" MB TYP. —4 = 1/2" ADJUSTING. NUTS - TYP. Y 1/2"X3" PIN OR 1/2" GR.5 MACHINE BOLT & NUT t4- - 3/8"M11 TYP. RP2029 PAD WITH RP2000 SERIES STAND NO SCALE 4 -,1/2" MB TYP. -7,4 - 1/2" ADJUSTING ! NUTS - TYP. 1/2"X3" PIN OR 1/2" GR . 5 MACH I NE BOLT & NUT 4 - 3/8" MB TYP. RP2028 PAD WITH RP1900 .SER 1 ES STAND NO SCALE O O O • yid � p 36 V2' —� RP2029/2029B PADS_ NO SCALE I 36' -1-4-1 1/7. TYP 1-1/2" TYP CAST -IN-PLACE FERROL INSERTS 11 i FOR .3/8e CADMIUM -PLATED MB « • EA- TYP �o n - o o. 4 Y, 5 I V2 0 Pvp Sch 40-7 fir, 2 2 II 'a 0 �y n C v o« v . o w /1 p T p o T O ^� B Extension A Extension FOR RP2013/2021 STANDS.' FOR RP2007 STAND 'v 4-9/16'0 r 2 - Li4' 0 : 3' t� +•1 r* 0 v4 - go sidd o71 -� �-0 3/4' 2 V2' -I r -4 3- �. 19160 s 4 04' bQ slothM, V2 droadod rod G-Roq'd rl 9/16' 0 Beam Restraint -Clamp - chard (Joni) TOP VIEW END VIEW i V- a 2 V2' L 2 V2 ' , 2 VT L� chwnw (Joel) A6 0 Q ruga 2" S,ffi 0 (2nq 9/16 4 C1 roq 3/r!' 0 ■ 3' bw stock 36" ir VT' ■ 3/4' . 6 not so., by SIDE VIEW RP2028 PAD A,It. 'Beam Resiroint - Clomp Alt. Beam Restraint - Clamp ;' NO SCALE . . 0 0 0 0 ^' 2-9/16'6 a O L IO RP2007 STAND ( HT 12" - 19" ) t p T 0 SILAS.* sch 80 O O, 2' 0 Sd Pipe - Srh 80 DESIGN LISTED AND TESTEP-,SAY BsK d ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01601053. QRpFES S/p�/ �'0< � �1,9��.y n CJ t rn L * Exi.�131(bZ !� �BIt7Vp�=�� AMOVED . vJsNcTlDcawwcnoM N0M 13 OF ��1QD ��rOQAi®IARDa ASC 3 PACIFIC CONSULTING ENGINEERS - 0 0 '3/16' S1 -Iwe. .' .- . 3A6' SI. Plat. 2150 )sell AwImI #145 Ph. 916-564-6028 ' 4 - 9A6 d I Q. 95838 fi=. 91&-564"W29 0 3/4' PERMANENT FOUNDATION SYSTEM 03r4' I p T USE RP2029B PAD BDB POLYMER 2000 SYSTEMS 3 V4' �� ) ( SEE NOTE 15) QEi;�Hq RP'1900 SER 1 ES 'STAN FQR .� P2000 SER 1 ES Sr. T 4 �i N f w e p O F RP 28, RP2029 A pup, E3 '=� p j p - o rJ )i►' yf� O L_ Y M E R C O N Ce Ap • Ex RP2.0 1 3 STANDRP202 1 S N ( HT 18" - 30" 1 ( HT 25" - 3 ) fr ` C. 4 HEET 1 OF 3 SHEETS Environmental Meallth JAN 2 8 2004 chloo, og lfomil SECOND LEVEL FLOOR PLAN APPROVED Butte County - .�yrliplA -3 7s N BRACE WALL -OAR" ELICHEDULE QINTERIOR BRACED WALL PANEL. LATERAL LOAD RESISTING PANEL IN CONFORMACE WITH THE CONVENTIONAL WOOD FRAMING PROVISIONS OF THE 2001 C.B.C. USE' 1/2" GYPSUM BOARD SHEATHING WITH NAILS AT 7" PER C.B.C. TABLE 25-I. MINIMUM LENGTH 4'-0" IF APPLIED TO BOTH SIDES OF WALL, 8'-0" IF APPLIED TO ONE SIDE OF WALL ONLY. BRACED WALL PANEL. LATERAL LOAD 2 RESISTING PANEL IN CONFORMACE WITH THE CONVENTIONAL WOOD FRAMING PROVISIONS OF THE C.B.C. USE 3/8" A.P.A. RATED SHEATHING WITH 8d NAILS AT 12" IN FIELD AND 6" AT THE PERIMETERS. --MINIMUM LENGTH 4'-0" AALTERNATE WALL PANEL. WHERE DEVELOPED LENGTH OF PANEL CANNOT BE 4'-0" USE HD2A HOLD DOWNS AT EA. END OF PANEL WITH SIMPSON SSTB16 ANCHOR. USE 3 TYPICAL ANCHORS IN PLATE AT QUARTER POINTS. USE 3/8" APA RATED SHEATHING, BLOCK PANEL EDGES AND NAIL w/ 8d COMMONS O 6" O.C. EDGE, 12" O.C. FIELD. MIN LENGTH NEW ED WOOD FRAMED, WALL USE 2xV DA STUDS AT0 O.Q , EXTERIOR FINISH TO -E WO6-n MW INTERIOR V21 GYP. BD. �E• - LATERALmc •-C - Sti t.; •7• DIMENSIONS ON ARCHITECTURAL I •••' IV. NEW INT ERIM WOOD FRAMED WALL USE 2x4P I I� DF. MDS AT V • .. WALLS ARE EXCEPMNS FOR PLUMBING AND ARE NOTED ON DRAWINGS INDICATES SECOND LEVEL FLOOR PUN EXTENTS ALL DOORS SHAM BE LOCATED 4", AWAY FROM NEAREST PERPEND I AR WALL THIS ALLOWS FOR TYPICAL ICASING INSTALLATION TO A KKIW STUD AND TRIMMER FRAMING CONDITION, TYPICAL UNLESS DIMENSIONED OTHERWISE ON THIS DRAWING. HIDDEN LINES INDICATES CEILING FEAlU3E AS NOTED ON DRAWING TYPICAL PLATE HEIGHT IS 9-0 3/4" (9 FOOT ;STUDS) SECOND LEVEL FLOOR UNLESS OTHERWISE NOTED ON DRAWING "LEVEL" IMICATES A SLOPE NOT TO EXCEED 2% AS DEFINED BY THE C.RQ TO ALLOW FOR DRAINAGIE 2% EQUATES TO V4" FALL IN 12" RUN. CENTER WINDOWS UNLESS DIMENSIONED OTHERWISE SCALE V4" s 1-0" [48] ��.; * `�°� NOTES SCALE NONE tI1 4) •U � T •� oluo o p .� � r4 � rd Th 0 cc o u1 z 3 2 4 I � � Environmental Meallth JAN 2 8 2004 chloo, og lfomil SECOND LEVEL FLOOR PLAN APPROVED Butte County - .�yrliplA -3 7s N BRACE WALL -OAR" ELICHEDULE QINTERIOR BRACED WALL PANEL. LATERAL LOAD RESISTING PANEL IN CONFORMACE WITH THE CONVENTIONAL WOOD FRAMING PROVISIONS OF THE 2001 C.B.C. USE' 1/2" GYPSUM BOARD SHEATHING WITH NAILS AT 7" PER C.B.C. TABLE 25-I. MINIMUM LENGTH 4'-0" IF APPLIED TO BOTH SIDES OF WALL, 8'-0" IF APPLIED TO ONE SIDE OF WALL ONLY. BRACED WALL PANEL. LATERAL LOAD 2 RESISTING PANEL IN CONFORMACE WITH THE CONVENTIONAL WOOD FRAMING PROVISIONS OF THE C.B.C. USE 3/8" A.P.A. RATED SHEATHING WITH 8d NAILS AT 12" IN FIELD AND 6" AT THE PERIMETERS. --MINIMUM LENGTH 4'-0" AALTERNATE WALL PANEL. WHERE DEVELOPED LENGTH OF PANEL CANNOT BE 4'-0" USE HD2A HOLD DOWNS AT EA. END OF PANEL WITH SIMPSON SSTB16 ANCHOR. USE 3 TYPICAL ANCHORS IN PLATE AT QUARTER POINTS. USE 3/8" APA RATED SHEATHING, BLOCK PANEL EDGES AND NAIL w/ 8d COMMONS O 6" O.C. EDGE, 12" O.C. FIELD. MIN LENGTH NEW ED WOOD FRAMED, WALL USE 2xV DA STUDS AT0 O.Q , EXTERIOR FINISH TO -E WO6-n MW INTERIOR V21 GYP. BD. �E• - LATERALmc •-C - Sti t.; •7• DIMENSIONS ON ARCHITECTURAL I •••' IV. NEW INT ERIM WOOD FRAMED WALL USE 2x4P I I� DF. MDS AT V • .. WALLS ARE EXCEPMNS FOR PLUMBING AND ARE NOTED ON DRAWINGS INDICATES SECOND LEVEL FLOOR PUN EXTENTS ALL DOORS SHAM BE LOCATED 4", AWAY FROM NEAREST PERPEND I AR WALL THIS ALLOWS FOR TYPICAL ICASING INSTALLATION TO A KKIW STUD AND TRIMMER FRAMING CONDITION, TYPICAL UNLESS DIMENSIONED OTHERWISE ON THIS DRAWING. HIDDEN LINES INDICATES CEILING FEAlU3E AS NOTED ON DRAWING TYPICAL PLATE HEIGHT IS 9-0 3/4" (9 FOOT ;STUDS) SECOND LEVEL FLOOR UNLESS OTHERWISE NOTED ON DRAWING "LEVEL" IMICATES A SLOPE NOT TO EXCEED 2% AS DEFINED BY THE C.RQ TO ALLOW FOR DRAINAGIE 2% EQUATES TO V4" FALL IN 12" RUN. CENTER WINDOWS UNLESS DIMENSIONED OTHERWISE SCALE V4" s 1-0" [48] ��.; * `�°� NOTES SCALE NONE tI1 4) •U � T •� oluo o p .� � r4 � rd Th 0 cc o u1 z ri 3' rn *' a Z _0 cc W p 0 Z CL Q ,- O Q Z crO O U Z co ffi C0 4-7 0coo O z Q c o 0 EM♦ 0.1 a �=H r-�Z vs rm m v c� 0 z D m CA) Q> yLI v m rn �o � 0 ogG)m m c 'fit O r C) z cp --► � Z o CO L 0 0 O m O r- 0 0 C m Z m O rn n ---i a �=H r-�Z oso m D m CA) Q> yLI Z m rn �o � 0 ogG)m m 'fit O y S�10 N * , [Ml &X = 4 3ro� NVI d 31lS 3NON TOS k" V SL. N 5 O N 4 7 0 o - -ul�� O� 0 HO � n N P �O o n C � 0 N �' �► N � TA r+ 0 N �- (D w Avon aavHDao S30V\U3S c z m RIDN301,328 MON a3SOd08d SVJ C -U I i i 7) � mP -IL � i i i I �+ 7) � mP -IL � m 'fit O (D 0 m r- 0 C m z m rn n I