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Home My WebLink About041-280-187041-28'-0-187, 93-2639 PE(MH.) PEREZ, Ellen 105 High Meadows Xd, Orovill (util, MH) ELEC GAS COMPACTION TEST REQ SUPPORT STRUCT REQ r 1 � ��'_� �� SRA, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �^ 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75413— a� R IIT o• APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 041-28-0-187 ZONING BUILDING IILDING PERMIT l7 OWN L:iLEN PEREZ � T -/V 1NE0360 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 157 Apache Circle, CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ - LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDItJODR�Sgh Meadows Rd, Oroville 1111J1...JJ I123.00 1 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT N6. SJW N'S Nq V7 -/ / If rt(`''ni' alt/'L�a"�"•',0 PARCEL MAP 02 — 106 Each gas water heater or vent 15.00 USE OF STRUCTURE _y SF ❑ Duplex Cl❑X Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home JUG I &A @20.00 60.00 TYPE OF WORK New ❑ Addition ❑ Remodel 1:1 Utilities CIX Installation ❑ Other ❑ Describe Work: titil , MH) PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 200V OR LESS 0AORLESS ) 23.00 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLOS. ) So, 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. �� License No. Classification tv I, as the owner, 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) Cl I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) El am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( ) OUTLET OR FIXTURES 20 @ 1.00SAL. .50 Ex. Occu FIXED APPLNS. OR P• ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring / 23.00 20.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of -Workmen's Compensation Insurance or a certificate of Consent to Self=insure. U1 I shall not employ any person in any manneaso as'to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, `shouldnyou become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above, information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cc ty in consequence of the granting of this permit. X 1 6 Date C/ 4 Signature of Applicant - Owne ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 166.00 HAZ. D. FEES I P FLOOD CDF PARC PD ND ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON (Date) Receipt No. 148307 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT U- ..."_..T`�V"f"+! ^ •i ` r�� '✓ ..�4 . �1.y � �.. . �►'�'1��,...'�''Yi�*f'�W1�`Y'SLw�`vy.�.�.irr. �, _ �..i:-„11•a.. ... r � .. a tOUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION y 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET ,OWNER/fit/ %—ci�� A. P. No. n e/I -0 4(9? Proposed Building Use � - !J Building Inspector _�O Date ( C`Q 19 ;Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1 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 . ...................... A. 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 . .............. . 2. California Department of Forestry plan approval/fees. l �� :? ..... t. lood elevation letter (100 year flood) by California Engineer. . . ................ 14 Sanitation and plot plan approval (',t!,D.� •-r (¢. 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: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . { 19. .'Driveway permit (construction approval required prior to occupancy). . . st 20. Pre -inspection for Prey"�D Inspector required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . ................. ; 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. Whery' ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 53U_ -712,-g and hold for pickup at PcY „'ll _ office. Deliver with inspector. Other Parcel Creation lj jn/ Acreage Applicant [� � i V �I ` OY Date Op Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail ounter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mai Counter by _Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Hot Plan Attached -VLI—I How Him Amiched soll Io II.D. TO: BUilding Department FROM: Erivi roil men tal Health SUBJECT: . Sanitation Clearance Owner Location/I AP# Plan Approved for: Sewage Disposal t,� Water Supply: Public Private Well L --- Clearance for a bedrooni lll()bllc home. Othcr Hold Final for: Final clearance O.K. for: NOTE: Envir6nmenyq H6alth Splecialist 8/92 A 0 )ate COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. NOTE: I.I personally plan to provide the major labor and materials for construction of the proposed property improvement yes r no) 2. I (have/ ave ) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name' Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following. Berson to coordinate, supervise, and provide the major work: _ Name-. Address City Phone- Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Si6, nod• Property Owner Social Security Numb r Date , Iy 7 4 Cd This:-Ownex-Builder .Verification is sent to you as. required -by Sections 19831 and 19832 of the California Health and Safe-ty Code.'. This verification must be completed.and-returned to our office before .we are per- mitted to issue the permit. Fans and spedfications MUST 166 '►1•�4 �f pd it is moo WOO ®� the job at all times on same with- Make ith make any Changes or alterations out written permission from the Department Qk/ ALL S M4 ES AND EQUIPM NT INCLUDINQ Q OVE AQS ALL 6E CLEAR OF A L EASEMENT$, C! A AC OF 20 FT. FROM HE SIDE AND 3 .FROM 'iME RI±AF, PROPER Y LINES AND S T. FROM THE ROAD CENTErRLI E SHALL 8E NOTE:—Aff MciferiA X WorKmafnsSTp hCA i L OF STRUCTURES AND EQUIP NT EXCEPT F A O FT. EAVE OV ANG. 14cccrdc>^,ca tva?'r . Eoecegnized Good roc#aces ,,�� •. Wk' a qua'af' prescribed for fhe Spe 'nets use :n the. Wfwyvi Building, Plumbing & Mech .nical Q.dos nd Ae Notional Electrical Cade, / The attached Fire Safe requirements must be comps as specified and C approves ' by C.D.F, 4D PLIJMBu* �� _ b iwD P ` c _ �`�,j:,� ► • �. ^.mum? � �!np '�"� � yy�.'�� Qv tel! V O BUTTE COU ! y X0'0 BUILDING DEPARTMENT i APPN�y�� CDF FIRE SAFE REQUIREMENTS 7 AP # PERMIT ## Under authority of PRC 4290, the following by the Butte County Fire Department and permit. These requirements are minimums Butte County local regulations which equal Field inspections will be made by the Butte for compliance. NAME checked items are required are made a part of this and will be superseded by or exceed these standards. County Building Department 66 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Drivewav Standards V] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to --,conventional drive vehicles, includ- ing sedans and fir-e:.:.auparatus weighing up to 40,000 pounds. [� 1273.03 Grade. Not to. exceed" 16 :percent unless paved. 1273.04 Driveway Radius-.- adius:1. 1.No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. ] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. L�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from center of the road. j 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 2.5 foot taper on each end. [Y,l / 1270;10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 AP # PERMIT # NAME VQ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�Q 1. Gate -entrances shall be at least two feet wider than the roadway it serves. (�J 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [,l 3. Where a one-way road with a single traffic lane provides entranc:e,.a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure:,Defensible Space. A] 1. All parcels 1 acre and larger shall provide a mini= mum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burring or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels. caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 4i-- a- �T AP # PERMIT # Other Requirements Date Signature Page 3 of 3 Pcme5 z / Fb�. j NAME 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 RE: Building Permit Application #923-2639 DATE: August 31, 1993 A.P. # 041-280-187 With reference to the above subject: Attached is: Application for permit Mobilehcme Utilities Installation Sheet Building Plans _ Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes Enforced XX We need the following information prior to permit processing and/or issuance Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form . Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. 1..XXX Mobilehcme data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. 2. XXX.Sanitaticn and plot plan approval Oroville Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Workmans Compensation Insurance. Owner -Builder Verification Form. 3. XXX Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Docuanentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zo"ming area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes narked in red. rX Other: Your Mobile Home Utility permit will be ready to pick up when items 2 and 3 are taken care of. Should you have any questions concerning the above, please contact of this office., between 3:00 and 5:00 pm weekdays. DP:ahb Dave Wasney Yours v , David Purvis Manager, Building Inspection COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center brive - Oroville, California 95965 - Telephone (916) 538-7541/'3 a RMI NO. APPLICATION AND PERMIT `ice ASSESSOR PARCEL NUMBER 041-28-0-187 ZONING FR -20 BUILDING PERMIT OWNER TELEPHONE 534-7123 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 11;7 Annrl3p Circle, Droville CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 105 High Meadows Rd, Oroville PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehomel Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK y New ❑ Addition EI Remodel ❑ Utilities ❑ Installation E ' Other O Describe Work: MHI/ 93_,?4,39 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 OR S$ Main Service ( " LE 200. R OLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLOS. ) 3.50 F$TO.. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect.u ,AIcense No. Classification 61 I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA2L @ 1.000 FIXED APPLNS. OR Ex. Occup. ( OUTLETS IRESIO.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, wilding Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County /inconsequence of the granting of this permit. rl X �i V l(�TCJ�/—�/� Date (V Signature of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100. Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 1 Z13. 00 HAZ• I D. FEES IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON (Datel Receipt No. 148307 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 041-28-0-187 93-2640 MHI PEREZ, Ellen 105 High Meadows Rd, Oroville C (MHI/93-26390 1 r 0 9 041-28-0-187 93-2640 MHI PEREZ, Ellen 105 High Meadows Rd, Oroville C (MHI/93-26390 1 r 0 T.. .:':�!ri7+' �'^''• �,.+'•'+r "'y"Y"-�'lr.,r..r'+--.`�1NL.�rT-.�,.syr,•nye,,,.'";l^f4�'..;+N...,.nrv+�..nr.Lr. �,.•*�...-:l•.r-�y-.• - .t `.. . . COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI LLE, PALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 2f Z- A. P. No. ZOD 8 Proposed Building Use Building Inspector 60 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). ... . _ 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. ....................... . 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 IreInsPect'°n req�� 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 . ......................................... Lef 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. Mail to contractor. v/ Telephone 53q- 7/ z3and hold for pickup at C-')Poc„( (�e- office. Deliver with inspector. Other Parcel Creation 1 , Acreage Applicant (/ �loz-�- +1 Date F6, 0 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner,, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Worms COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 -.TELEPHONE (916) 538=7541 OWNER . PeY e A.P. # t� D _A9 7 HPROPOSED BUILDING USE / DATE REC. # DATE REC 1. SCHOOL DISTRICT FEES (paid at District Office)......... ............. ✓ 2. SHERIFF FEES (paid at Building Department) Residential...... x =$�� unit amt. Commercial (sgft) x =$ %sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ —Fu amt. Commercial (per'sq.ft) x =$ sq.ft.' amt. 4. RECREATION DISTRICT FEES (paid at District Office). ........ .. ...... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. t U SRA FIRE INSPECTION AND PLAN CHECK = $89.00 ...... (paid_ at Building Department)` 7. OTHER 8 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 V COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and -issuing your building permit. No building permit will be issued until this verification is received. 1. -I personally plan to provide the ma'or labor and materials for construction of the proposed property.improvement (yes or no) Posed 2. I (have/ avsigned an applicatiod for a building permit for the ork.. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the -major work: Name - Address City Phone Contractors License No. 5. I will provide some of the.work but I have contracted (hired) the following --.- persons to provide -the work indicated: Name Address Phone Type of -Work Signed: Property Owner _ Social Se urity Date: (. 0 i RM NOTE: This Owner=Builder Verification is sent 'to you as required by Sections. -19831 and 19832 of the California-Hea-lth.and'Safety Code. This verification must be completed and returned to -our office before --we are per- mitted to issue the permit. environmental mealth AUG 10 1993 Orovilie, Califgmi,4 c i /J2� cn\Q AeL APPROVED Butte County Environmental Health i u_ _ILI5 � Sig ure CDF FIRE SAFE REQUIREMENTS W-2-.?- Ifs , 2(-27 P2Z, --- C_X ,�) AP # PERMIT ## NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards V] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to—conventional drive vehicles, includ- ing sedans and fire=:.an.paratus weighing up to 40,000 pounds. [� 1273.03 Grade. Not to. exceed: llo::percent unless paved. 1273.04 Driveway Radius-.- adius:1. 1.No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. ] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. Lam) 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from center of the road. ] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 / feet long with a minimum 25 foot taper on each end. [�] 1270:10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 .,J 117 2-6 3 A&S 7 - AP ## PERMIT # NAME k<1 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. k 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�Q 1. Gate -entrances shall be at least two feet wider than the roadway it serves. lJ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, _a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure.:Defensible.Space. fAli 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. ] 1276.02 Disposal of Vegetation and Fuels. Disposal, including / chipping, burying, burring or removal to•a landfill site approved by the local jurisdiction, of flammable vegetation and fuels. caused by site development and construction, road and 'driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 CIO 4�— z8 AP # Date ep—" — r3 ,T3- zG 3? PERMIT # Other Requirements Signature Page 3 of 3 NAME This set of plans and specifications MUST be ADO , kept on the job at all times and it is unlawful make env chancies or ai- er aYsons on same �� itn- out writ permission from tl�e Department of Public Works, County of Butte. CTRICA , t E HANICAL AND PLUMBINQ_ REVIEWED EiY NSTAU TII' N (NOT P CHECKED) BUTTE CO. FIRE DEPT. SHALLCO?j PL KITH CUR NT EDI -1710N CALIF. DEPT. of FORESTRY OF NE U)W AND UPC. E] approved as submitted �G\ approved with conditions \�A / per attache sh8et5 O /ECUtPME INCLUDING NOTE—. —A 1 Materials & Workmanslii �iiaA B0 STRUCTURES AN CLEAR OF AL EASEMENTS' Accordlanco with Recognized Good Practice arid/ OVERHANGS SHA a FT. 1=RO�d F SIDE AND of a quality prescribes! for the Sp cified a i/tli® A SET BACK OF LINES AND Uniform Building, Plumbing & Ivle � anis Cad,eS �. FROM TH-REAS PROPER RE }fie National Electrical Code. O FT. FROM TH ROAD GENT ERLI E S EXCEPT � CLEAR OF STRUCTU ES AND EQUIP FOR q 2 FT, EAVE OV RHANG• iE;- i The attached Fire Sate toted' �� requirements must be comp � \ ` tC as specified and apprgV®d by C.D.F. 1�_j C� /pI BUTTE COUN BUILDING DEPARTMENT APPROVED Ihis set of plans and specifications MUST ! kept on the job at all times and it is unlavvful:'tc make any changes or alterations on same wrAh out written permission from the Department of Public Works, Gounty Of Butte. E EV i E W_ErD'_ BY BUTT` CO. FIRE DIEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted 61 approved with conditions �� ALL S U4 ES AND EQUIPM NT INCLUDING per attached sheet$ Q OVE AI GS ALL BE CLEAR OF A L EASEMENT& si nature Uat� C' A AC OF .SID FT. FROM HE S;DE AND s 3 . FROM THE REAR PROPER LINES AND A . FROM THE ROAD CENTERLI E SHALL BE NOTE't Alj K4aferials W®AmonShtP aAL OF STRUCTU ES AND EQUIP NT EXCEPT Accordance wi I h Recognized Goad d use es on, ® F A 2 FT. EAVE OV ANO. al a gualii,y prescribed icor the S e oed use Unify m- - Building, Plumbing & Mec nic41 j he attached Fre Safe ;te®aol blectrac-'a! bode,. / requirements must be comp) as specified and approved i by C.D.F. c ASID PLO i6ioo -5 w 00 v vstviipll- Of Nom, 4 /O. �y z z BUTn COUNTY BUILDING DEPAR'CPRENT APPROVED