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HomeMy WebLinkAbout056-090-091056-090-0 o /�«�� 01-0794 ROSS, STELLA - //-/- dI EUCA MISSION RD.COHAS ET CONT: OWNER QIA� 6 n It MH UTILITIES 056-090-0* 101-0795 ROSS, STELLA'V EUCA MISSION ASSET CONT: OWNER ptar, iv, MH INSTALLATION S -et t#- 056-090-0910' 01-2455 ROSS, STELLA T. 76 EUCA MISSION RD. COHASSET ' CONT: AMER AUTO FIRE PROTECT H2O SUPPLY FOR M14 FIRE SPRINK Ej l'J 11 OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County. Center Drive • Oroville, California 95965 • Telephone (530) 538-754 P RMI T NO. (Rev. 12/96) APPLICATION AND PERMIT / -, ASSESSORPARCELM ZONING 5 BUILDING PERMIT OWNER ROSS9 STELIA TELEPHONE TELEPHONE 826-3305 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 6 HAMILTON CI-TYl CA 95951 CONTRACTOR'S NAME owm TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER r � Fireplace r LENDER'S MAILING ADDRESS Total Valuation $ f ARCHITECT OR ENGINEER LICENSE NO. Filing Fee + $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEET '$ UTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT � r � Kling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome (% Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work:JL4_MI MH I=AL=CN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W (Q20.00 PERMIT FEE $ ELECTRICAL PERMIT -Filing Fee 20.00 LESS Main Service 200. OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ` License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation oftone hundred dollars ($100) or less.) .14 1 certify that in the performance of the work for which this permit is issued, I shall n t employ any person in any manner so as to become subject to workers' c mpensation laws of California, and agree that if I should become subject to the rkers' compensation provisiohs of section 3700 of the Labor Code, I shall fo with comply with those+provions. X ti 1 I Date _ Sigi1ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei fir^� 46.00 Main Service TOLINo NEW coNsr. oWELEL OcCcuCUp. so , OR ADDNS. ( a ACC. BLDS. 3.50F T. NON.gESlp MULTI.OUTLET 97,50 POWER APPARATUS 8 SIN GLE OUTLET CIR. Ex. Occu OUTLET OR FWTURES �� LNS Ex. Occup.ouxTis AEsID.°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee $ 2.W.00 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.UO HAZ. D, IMP FLOOD CDP 'PARC V/ PO I 'ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON IL}13kz the applicable pro Resolutions to do work been paid. `o /� ate I /-� D%% Ieft) Receipt No. 7 ' ""' WHITE-D.D.S.-B. D. CANARWASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I �,. a9 q� �55 bl �� �- "COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL NG DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530 538-754 r - © PART NO. (Rev. 12/96) APPLICATION AND PERMIT -b ASSESSORPARCELNUMSER 056-090_085 ZONING TM 5 - BUILDING PERMIT OWNER ROSS STELLA TELEPHONE 826-3305 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 6 HAMILTON CITY CA 95951 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS q/ I EUCAM Energy Plan Checking Fee $ PERMIT FEE $ TNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX 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 ❑ Ulilities ❑ Installation N Other ❑ Describe Work: NEW MH TN T T LAIMN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service ZDOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License La 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 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. ❑ 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' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation �p ofne hundred dollars ($100) or less.) �1f I r 'fy that in the performance of the work for which this permit is issued, I shall n t mp y any person in any manner so as to become subject to workers' c m en tion laws of Cal'rfornia, d agree that if I should become subject to the r ers' ompensation provi i of section 3700 of the Labor Code, I shall fo with mp th t7JTpns. X� Date Sig ure of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei Main Service sow 46.00 NEW CONST, DWELLING U NG OCCCCUP. S° OR ADONS. ( a ACC. BLDS. 3.5¢FT; �NjpµgE°glp, MULTI-OUTLETUITS @7,50 SRANC PowFR APPARATUS 8 SINGLE OUTLET CIR. 20 OUTLET OR FIXTURES @ 1'00 Ex. Occu SAL o .50 F1XOALNSI Ex. Occup. °Ln,t p p,° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Z00,00 Energy Inspection Fee $ OCC CONST. TYPE TO AL FEE $ A43.00 HAZ. p, IM Ft0 D CDF pgRC PD HD 1 ISS 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. Dte Ail— Te ReceiptNo.'— WHITE-D.D.S.-B.D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �j '1• 1 r v; w•+ I r UtIKAK I MtNT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Cour"ity PERMIT FEE t Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ELECTRICAL PERMIT Fling Fea 20.00 Main Service xwoRLEss 23.00 tev:1:'0'+APPLICATION AND PERMIT=qE �T N0. ASS t,,:)RCANCEL NUMBER �CQ - 6- -Q 3 �rn S BUILDING PERMIT ' OWNER TE1EPHpNE OWNERS AL3 o S SO. FT. OCC. BUILDING VALUATION ' NO ADORES -Ex. OCCU OUTLET OR FIXTURES ®I•� SAL .w Ex. Occu 0 �" OR D EstD. EA 5.00 CONTRACTO •S NAME (-) TELEPHONE Mobile Home Facilities 20.00 CONTRACTOR'S MAILING ADDRESS Misc. Wirino 23.00 CONSTRUCTION LENDER . LENDER'S MAILING ADDRESS Fire lace ARCNRECT OR ENGINEER LICENSEE NO. Total Valuation E SRA - - ARCWrECT OR ENGINEERS MAJUNG ADDRESS Filin Fee S 20.00 Permit Fee $ SHERIFF BUILDING ADDRESS X Plan Checkin Fee $ Q OTHER C ( Energy Plan Checking Fee $ L ? $ �IQss 9UBONEiION9 NAME) S _ 4 D PARo L MAP PERMIT FEE t o0 USEOFSTRUCTURE PLUMBING PERMIT Fling Fee _ 20.00 ja Tra7.00 AMOUNT RECQVEC SF ❑ Duplex ❑ Mobilehome Other or heat pump water heater 23.00 CONST. TYPE T AL FEE t qb SPECIFY Water pipin C 15.00 -z . TYPE OF WORK Ench as water heater or vent 15.00 CDF New Addition ❑ Remodel ❑ UliGdes O Installation i'Other 13 i in 1 - 5 outlets 15.00 'Id' �. Describe Work:Mobile I Buildin sewer 15.00 Home S G W ?20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fea 20.00 Main Service xwoRLEss 23.00 --"""'"---'- Nla Service :!!!LTo IOOIA 46.00 NEW C T. OWE]11MG OCCUP. NR ADD 0 i ACC. BLDS. 3.5Q F°. NON-RESID. MULn-OUTLET Q7.50 ' POWER APPARATUS 8 SINGLE OURET CIR. ' I I 1 I -Ex. OCCU OUTLET OR FIXTURES ®I•� SAL .w Ex. Occu 0 �" OR D EstD. EA 5.00 Tem or Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE t *PERMIT FEE PAID MECHANICAL PERMIT Fling Fee 20.00 Heating SRA - - Coolin SHERIFF Hood 6.50 OTHER Ventilation PERMIT FEP $ Mobile Home Installation Fee S ) Go ---.—_ Energy Inspection Fee S AMOUNT RECQVEC OCC CONST. TYPE T AL FEE t qb -z . 0. FEES iFLgOD CDF PAi ND ISSUE *RECEIPTNUMBER (//, This permit is hereby issued under the applicable provisions 1 of the Butte County Code and/or Resolutions to do work " indicated above for which fees have been paid. * TO BE PUT INTO COMPUTERBy Date PERMIT EXPIRES ON ! � F •,.;'�"`-'�.3'"''�'+d`s,,�.a. �r,.��':isTt�..��.=1�-r'A^ ,J,:+�.:.=r�':vT--%+.iim;.r�� 'COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES 1 BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: �,:��t°! /d—�C� S ASSESSOR PARCEL NUMBER: A"S/ Proposed Building Use: Building Inspector: Date: c�—� At time of permit appli anon, I was advised the following data most be submitted prior to permit processing and/or issuance: Date Received By P❑ 1. 1 items have been submitted-------------------------------------------------------------------------------------- ot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ 4D p hL Complete plans; 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 3P 4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- %8 Hazardous Material Form.----------------------------------------------------------- - -------------;- -- -- - 3 0. ;r2. ufactured Home.data and installation instructions including Tie Down Specifications. h es of $ ------------------------------------------------------------------------------------- pact fees as shown on the attached schedule. ----------------------------------------------------------------- lifornia Department of Forestry plan approval/fees- --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (:�s V_ (B) Parking: _. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage egal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, -Classification). Workers' Compensation carrier and policy number. ----=----------------------------- 3. 0 er-Builder Verification (Given to owner ❑, Mailed to owner 0). -----_--_; ---------------------------------- V 3. of signature authorization. ------------------------------------ ------------------ co 5. Rerded copy of Agricultural Acknowledgment Statement. ------------- =----------- ❑ Letter of intent on building use. ------------------=-------------------. Manufactured Home utility clearance. ------------------------------- 028. Existing violations and/or expired permits. ----------------------------. ❑ 9 ❑433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ - Other:1.�R� >eR1NK�.Pe5 aC�I.lqui � /en you issue the permit, process as follows El Mail to owner, ❑Mail to �1Telephone _2 �? it– 3 3 G S and hold for pickup atO(OVI /h C1►ni' I�GSS Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ A Copy of plans sent •0 Health Department, ❑ Fire Department, ❑ Qther• S 1. Index permit application foLk above items numbered: 2. Additional items required: ( Sel-(Z t Contractor, designer, owner, was advised of the above required data by phone; amai Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o` Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Contractor, designer, owner was advised of the above r data by ❑ phone, ❑ mail, ❑ Plans reviewed by: __ V,C/ Dat: •t • 0 ( Plans approved by: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Not transfer by: _ r,,,,., _ rlo.,,,.+..,_+_rr,.._...,..----� r---'--- — , , _. . (Date) A w ,O M:Tector.Dat: r 7-o Dat: By: Dat: By: LIW ❑ Elan Check List burldmg'Drvrsion counter,'by1'NL' Date: 5 -) If -O � Building Division counter, by Date: BurldingiDivision counter, by Date: Building vision counter, byDate: Date: .(Q TUT— Dat: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSEDBUU-DINGUSE M(SUL6 nMi'. l n�'WlAnn A. P. It 616S 7 -" /C/ OS DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee.......// .......................... $ h 2. SCHOOL DISTRICT FEES Cil 1 eQUQti Schaal `�s (paid at District Office) - 3. SHERIFF FEES (paid at Building Division) j� O / Residential .................................... 360.00 $ i Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x =$ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) �.�FIRE INSPECTION AND PLAN CHECK I d at Building Division)' V 8. WATER TENDER FEES (Battalion V $200.00 (paid at Building Division) l / / 9. CSA 87 TRAFFIC FEE $2500.OT aid at Building Division) 10. OTHE At time of permit appica t n, I was advised the'abov e��s are required to be paid prior to issuance of the building permit. These fees may be changedori g th plan checking process. APPLICANT DATE —� Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) i7 ..,rry s� .:+•:; ;•.rt.N.,+.y'v' x'1. 4y.^,4k"t'�•�'r ' ;'�-: '<`9•'`1}+W.k'�.•. ,�si.:,rill*cam: "^ r.5y1'Ft'ri..-'f'v^ertT`.r.111WN—r1-1. . s`,`. ^r.-�.- r.,._, -,•- ��4"—. , i L s1'w School District A.P. Number Property Owner Property Location/AI i} Subdivision } p BUTTE COUNTY SCHUOLS IMPACT FEE CERTIFICATION FORM (One form per Building) 129�- '' Building Department No. U54- O�y.-0.ii'irisdiction: City County Lot No. ............................................................................................... Residential Development Sq. Footage No of Living Mo ile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # `(No foundation inspection)' ................................................................................................................... CommerciaUlndustrial Building 0 0 New Addition (Floor Plans reviewed by School District District Identification No. �? School District certifies that Sq. Footage (Including Exterior Roofed Areas) Q1 (q of AIL (Applicant) (Street Address) (Phone Number) + (City) (State) (Zip Code) has complied with the requirements of Resolution No. 9912-00 by payment of $ �� 0c) representing /Wo— square feet. AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a). within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) 7><11r feeform.xls (10198)dmm APPLICANT: OWNER: PERMIT l• A. P. h WORK DER PRC -ECT V PROCESSING RFrORD (91 -O -7 914 FJ l —079 5 DATE DESQIE=N OF STEP_ 1 �- pie ec{ s � o►-�-�-�- I •� � . �OVYLS 1� 1'YlO iJ S� O- < < 4y r, bay" �i ►'� � raY �n (Cie. r' s 5 2°� .o f !�:Y-12rove0( (Gi • o l ala u t st Owner HOMES BY OAKWOOD, INC. — Owner's Registration Card Serial No. F05147 Model No. 3715 Date MFG. 4105/00 Name of Purchaser Phone No. Address County City State Zip • Name & Address of Dealer or Seller Mobile Home Will Be Used For (check one or morel Home ❑ Travel ❑ Vacations ❑ Your Occupation a I Mobile Home May Usually Be Seen At WZoneHome Designed For 1,4ZONE I WIND MIDDLE ROOF LOAD #30 Remarks: ZONE III Thermal Date of Purchase You are requested to fill in and return this card as soon as possible to . HOMES BY OAKWOOD, INC. I �. n LJ BUSINESS REPLY MAIL FIRST CLASS PERMIT NO. 3 RICHFIELD, N.C. 28137 POSTAGE WILL BE PAID BY ADDRESSEE HOMES BY OAKWOOD, INC. P.O. Box 248 Richfield, North Carolina 28137-9900 1 r� NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES DlaoedmoajjjaoddnS I YL .91 �� HOZ az S a Z proZ 821S ad7:a xagap I 031n.2ag � � �IOZ03aSi1I 3ZVQ 3wra' oomin im L 0 —)0ZI1iZl3a s S Z 3NRO fav s Building Permit Number: Dl — OTJ9S Owner Name: 055 Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Pagel of 2 Building Permit Number: Of -0'79S_ Owner Name: k, e> Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. L__'Zv� uxzkiXL Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of 0 feet from the side and -'.*.o feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. ❑ Expansive soil may be encountered on this site. This condition may require the foundation to be designed -by a California registered engineer or licensed architect.- Page rchitect: Page 2 of 2 A iC t` 000 �i 50. BSL Ic 1 i N E: S .e the tt hed� amide i ,! ruction gg -ilia" 6S ages Pool P i as,Ne Pio •� -� ��� � � � �. 5Ile i p -o-I Xj6r- -p UE &wl a PLANNING DIVISION -BUILDING PLAN APPROVAL Use: Date: k iParking:-- Landscaping: Other:. Signature: 1. Owner's Name: N, I vli VV 9 (S / 13M IC{ 2. Assessor's Parcel Number: 0 n I ' I . jai n n _ i 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No Permit No. 5. Is the site an existing site? Yes[ ] . Nob] . (If yes, furnish two plot plans). 6. What is the electrical. rating of the mobdehome? LW Amperes. -7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote. from the mobilehome site? Yes[ ] No"] If it is, what is . the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile hp m�y s' e: ,: Load- M �J! .Amperes- ,LTJy V �/� HP � b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[k] None[ ] 12. Size of gas pipe at the mobilehome -site from the meter or tank: �' inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 1 (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 ,8.5 '.L- Mobilehome Manufacturer:2 & l/VPwd Manuff cture Year: If other thaa single wide, fu 'sh Setup Model Number:% J Width:(ft.) Length: -'(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. 11 FOOTINGS: Wood pressure treated or fou d t' n de[ Other: SUPPORTS: Concrete block Other: J Provide Tie Down Specifications for A Mobilehomes: Ids 53 Pier Footings Footings Sizes and Location 3IIQGLE WIDE MULTI -WIDE Une Line 1I' Line 2`-%,,"j fl�r- .`� �� .j(:......�i..... � ........X........�.......X.......�.........�,/ I Line 2 Line 2 MamBe . ............. x k..... x.......1r......°'...........X2`kNk k 2 Line 1 . Lme 3 X......X........ ...... .......X........k ......x........`........ ....... .. Lase 2 Main Beams ....... ......... ....... --.....k...... X .....\., ....... �(..... X 1� Uw2 Lin I ............................................ s Tag or Triple 4 rine 1 Line.1 Piers: N/ Line 1 Openings Size minimum: x I 1p Size minimum: [ 111 x 1,5 Spacing maximum: Each side of openings From ends -maximum: with width over: Lf ` 5 5/7-` Line 2 Piers: Line 4 Piers: Size minimum: x Size minimum: x Spacing maximum: Spacing maximum: ` From ends -maximum From ends -maximum: ` ine 3 Roof Loads: Size minimum �c3p 2 x o 2�r3 2 3 a C�3 Location (from front): I 35 g,(;�Z3`7ilq -7z' Line 5 Roof Loads: 1 Size ,minimum: Location (from front): t . May 1995 8.4 -o h--ago-a Ga ` bN V( eL�ao F F ACEL 3 �y\ c v 5V BSL ayx30 50' BSL i vw .� t000P� o yIDSPARII APPRO I 1 I 1 . 1 54 53 92 91 90 49 40 41 4 49 44I 43I 47 I 41 40 39 38 31 36 I I I I I I I I I 1 I 39 34 33 '37 31 30 79 28 71 76 79 74 73 72 71 20 IS 10 M NS 19 t4 13 12 II 10 9 B 1 6 5 4 3 2 11 �'•B' 67'•9 V4' 56'.7 V41 47'-6 3/4'771•5 Wn,.3 vr ! . 3 106 7/8 T 74 1/D 3 156 3/4 2 237 V72 7 7 1 3 7� 7/5tm . 2 - 42K4D EXIT HEAT N.P. TAPE - 62 7/5 24 FOR T 100E III 1/22 42 v7I' ' SG IVY MIRR0R5 OWR 2-10 GFG yg 3p35 T YS 3K3 2453 VS 3653 E e I . q�yy9py[y OBATH ER -WAY �5 0 BEDROOM WAIK•UTILIT CLOSET i STAUC �7 CEO 2 1 12 #4 $ h A KIT KITCHEN OPT. OPT. C am n CEILING 4Dd2 'i �k T -i • MIRROR V .. .. .. _ * L D e �V' FIREPLACE �'=�ak[ ADD w B m a B -HALF W04 END C AG:E55 OPT. Y)/H 07 5/D ; ft•, F.P.•A• OR 'B' o F � 2 O c o x R' o N 4 SNITw » (7 / vEs 3g•D. C,' �V n 7-6 2_6 © 0 ' DRANER STACK n ADD w OPT. F.P. •B• . .�5 1 QI 1702. 7-0 7"i / WAINSCOT ,a n tet' 77'•9 W 1-i 7-6 n DOOR ®130/40/60s 71 » [1.117. D M"^ GS[D • l . .� F®P_202 C__ K - •7 6 F _-60. ) , ©200 ol r (. . D_ fDvrNwc - 2-6 ppp s Y ®� C EIUNG i/W2 i (;' ••j FAN W/O ® S () 2-6 If3o/402 030/402 �.1 i ®0 E02 0 f0✓t® I y N 1 O 54'•1 W • F— r 2-0 FIREPLACE 0.43/4 ! W 3//• GREAT e -D 1 4 �,... ROOM ADD w BEDROOM #2 1 i n 1 w em io a OPT: F.P..B' ,a` �' A -HALF OUMDILIER 1 7 I4TCN DO MASTER a-6 • - 31 � BEDROOM #3 BEDROOM WALK-IN }k �' DINING ADD w OPT. CLOSET r 2CU4J a• ROOM F.P.'13'T aj - EXIT DOOR CLOSET CLWe SWOSET CLOSET CLOSET }�• uw IT ig_0 •n1.01 rtY 7(,2VS 3153 EGRESS VS3653(2) VS 3653 VS 3653 EL 30 7/B 7 7/D 3/1 T 7/D 114 V4 7is 248 3/D T 131 UD 7 L H 3/1 2 N 7/5 w, 11'•11' I 53'•7 3/4' 51'-5 V4• F---- I 43'•5 5/6' F� h'-9 V4' 0.1 VI• 5'•D ]/1• I i 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 54 93 57 91 50 49 40 41 46 45 44 43 47 41 40 39 38 31 36 39 34 33 32 31 30 79 78 71 76 75 1 I,I I( 111 I I I I I I I I 1 1 1 i 14 73 77 71 70 g IB 11 16 19 14 13 D II 10 9 B 1 6 5 4 3 1 I 0 I 4 O " RID�6E�DEAOa SUPPORT POSTS 1 SNGRNAII 10G1gNi InNO Zd4-1 DE IES SNtAWNALL LOCATIONS TTIND ZONE -T . DENOTES SNEARWALL LOGT*NS Wee ZONE -3 RETURN NR REOUIREMENTS AR )11151 N AllP.L.F.SN Nl .L . NOGi[S TNf A f0''le',TKIURN AT DREL MW1M0 •ALL 5 C M [ 0 u L [ 1. 3 . 12 4 3. 11.7' IE 167. 1171 71. 7 . 21 76 )' ID 3/1 37 ' 71 ®�� © WdGt[S TNT A 1'.12' Rl1URK AT cnLL REOIeREO 7•) • 137 1/7 7.17.7.17] 1 1 17.3.56 71. 3 . )? 7611.77 IT]I.7 . N 7/e Elm� W�l S�� © 1 t[S TINT OOOR(S) OUST DE LOERCvI 7 1/7•113. 24 171 1/1 6 3. N 17 7 1 TO 73 3 . 71 IN 1/. 37.3. a E O NOGRS TNI ODM(S) KUS7 SE uclaLlrt 7' 0Ne1yY 1/6114.3.893/4 1.3.171 1/1 • ) . A 1/1 la) 1134 1/6 W.7 . 177 )/e 7l ] . N 7D .. 3/ 1 IDI1KW'{y D®®....W C®lA1C. / NIA1 W (jT�Tff� I��' R C V 1 5 1 0 N 5 DRLE .1111 I 1 -All PRODUCT 011011. NO. ®Ili4IL11E•ll•� G SIEIISdIICU ®IE]F'Il r 05-18-98 D CN R3478 II -10-98 AB MOVED REG. PER PCN 4073 TITLE MASTER PLAN NATIONAL i 3715 7800 EEj DATE: 4-30-97 ' S0. R. 1920 SBORMcCLO, . NC. 27425 lo-NeREENSBORO' ORAvnNc n.E 1Nm2N.TmN 33 32 31 30 79 78 21 76 25 24 73 77 I I I I I I I I I I I I 21 10 19 I I I IS 11 16 I I I I I I I I I I 42'•6 3N' I I I I I I I I I I I n' 2 237 1/1 2 (1) -EGRESS (2) VS 3653 ~ FAMILY ROOM 251 SO. FT. n h, OPT. .`. CEILING C; '.:FAN �39..8. F 10. 600 34'•5 5B• f Dl ® P 20/30/40- r-11'0-58• II-- 77--'•9 OPTIONAL ETC -72 I I I 1.0 OPTIONAL ETC•72 ®O 2D/30/40° YIYD IDr4 LIVING ROOM ' 194 SO. FT. 0 VS 43'5 5/B• 1T•9 V4• I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 33 37 31 30 79 70 71 76 75 74 73 77 JI 70 19 IB Il 16 . USE W/ ETC -72 OPTION. OAKWOOID HOAM COMP. / DRAM14G 4G S E RM CM DEM 7800 McCLOUD RD. L GREENSBORO, NC. 27425 0 33 32 31 30 19 26 71 26 79 74 23 77 21 20 19 IB FI 16 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 41'•6 )/!' 72'-9 V4' (2) VS 3653 FAMILY ROOM 751 SO. FT. n A= -=a+ OPT. %' CEILING C ' )9'•B' 'JFANADD W Y 200® 0 30/400® _ D) P 200 ®0 30/ 8 0 2-0400 HEARTH TO BE 600 FIELD INSTALLE of tlA�I.AO W-fYWDIW •'� 63 I/2 ADo w 4 LIVING ROOM 194 SO. FT. Q EXIT OOR (2) VS 3653 43'•5 SB• 71••9 VO I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 33 37 31 30 19 78 71 26 79 74 23 77 II 70 5 IS 11 16 USE W/ FIERPLACE "B" OPTION AA LOCATIONS WINO 70.E-3 1 RETURN AIR REOUIREMENTS W u SN J01 OI "CXTES T.AI A 20•.16• R[lURll AR OR" REWWD 31. 3 2 U 1/1 11w1 A .'.10- RnuaN Nii CRLLt RCOU-RO 37.3 2 OOOR(5) uusi BC 11p[RM 7 1/2• S0. ! [ h Q wwwEs THAI OOOR(5) uy71 BE lA2E" 2' uRD4u 71. ! 277 ORAWING TITLE MASTER PLAN na•wlNr. n1r 1„rnR,.n,n� ._...... __ ORIDGE TI BttCAY SUPPORT POSTS vaooucT NATIONAL i NDOEL NO. 3715 WE: 4-30-97 so. n. 1920 DE OV 0 K ITf W FN D NR Q �a51 F A n 54' SuOWER "' P' ]C y E MAIN DROP 8 VIR TUB 36 5i8 STOOLS K Cp o I D j o I FIELD ! a I ,�, INSTALL F 8 LL I � fo ----------- I v.2PIPE 60' ■ 3' PIPE • MECHANICAL VENT L E c F N D AUTO VENT--- )' PIPE 2' PIPE 1 1/2- PIPE R DESCRIPTION LET DESCPoPIgN LCT OCSCRtPT10N LET OESCR,PT10N GAIN W OOD HOMES CORPE / �'� [WIN-29-97 MMP OTO REVISIO 5 ""tfftDAAIII'U' G � do Dom._26-97 MM CN # 626 WASTE PLUMBING 7800 ►TDCLOUD RD.-- -- AB 5 -II- 8 V. 5 IP L P 60 _._ u4m PRODUCT NATIONAL ' I •'ooa No. 3715 J o.Tu 5-6-97 I so. n. 1920 S-WAT ',SWITCM .......... USE H/ ETC -72 OPTION j . OAKWOOD mimm cont? / V,27 DRAVMG MMVUCFS DE". 2,, 7800 McCLOUD RO. GREENSBORO, NC. 27425 LIGHT PER PCN ORAW 0 rffu USE W/ FIERPLACE "B" OPTION ---05T--Ts TW L -c 0 E 0 0 M—mcRpnm van 19�1 omcgv� 1-254 V4 tl Ita 11 17 dol. tN�UOq 10 120 it upn PIAL OWN 15 AMP W1. 260 RM. I Its[. 120 1 14 : :UGHT UMfl (gD - SMOKE DET. THERWOSI1I1SV"cH M 110 L I I 11 1151 Ila AN OEM - PANEL gom 20 AMP OUT. 9p - On om.1 NATIONAL IIOpu 11d.3715 ELECTRICAL PLAN am 5-7-97 w. n.1920 07/05/01 THU 03:04 FAX 360+740+8892 SAC INDUSWE§_. -.,.,SAC INDUSTRIES NS*. PW VQ Rl co OF COt GENERAL NOTES DESIGN *WIND - — — — — — -7 — — - — I 5psf (70 MPH EXPOSURE G") WIND 25psf (85 MPH EXPOSURE "C") WIND ..(100 MPH EXPOSURE 1C SEISMIC ZONE SOIL'BEARING 000 psf MAXIMUM SOIL PRESSURE Is 1000 ppf WITHOUT A SOIL REPORT.-, EARTH AUGERS 77-- 4750# MIN. TOTAL LOAD CAPACITY ..311.50# WORKING LOAD CAPACITY * STABIL—X DRIVE ANCHORS TOTAL LOAD CAPACITY. 3150# WORKING LOAD CAPACI[TY * CONCRETE SLAB ANCHORS- 4750# MIH. . TOTAL LOAD CAPACITY 3150# WORKING LOAD CAPACITY * TIE DOWN STRAPS ------- 475,0# MIN. TOTAL LOAD CAPACITY 3150#..:WORKING LOAD. -CAPACITY TIE DOWN STRAPS MEETS 'FEDERAL SPECIFICATION QO—S-781H FOR TYPE 1, CLASS B, GRADE I STRAPPING AND BE AT LEAST 1 1/47 x .035 ZINC PLATED. 1. THE CHARTS SHOW THE REQUIRED NUMBER OF TIE DOWNS ON THE SIDES AND ENDS OF THE MANUFACTURED HOME.' 2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED. 3. FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS ARE SHOWN AS "r BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS CAN ALSO BE 'C" SHAPED OR *RFC" SHAPED. 4. SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE DOWNS ARE REQUIRED AT EACH END OFEACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME. 5. END TIE DOWNS CAN BE LOCATED WITHIN:: 18" OF EITHER SIDE OF CHASSIS BEAM AXIS, AND BOLT—ON TOP CAN BE ATTACHED WITHIN 18- TO 60- FROM J_NQ OF CHASSIS BEAM. 6. THE SIZES, TYPES, LENGTHS, ECT. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER. LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY BE USED AT THE SAME SPACING AND LOCATIONS SHOWN. 7. ALL PARTS ARE COATED WITH RUST RESISTANT INDUSTRIAL SHOP PRIMER. 8. THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUB— SECTION STATE APPROVAL ENGINEERED TIEDOWN APPROVED SUBJECT TO CORRECVONS NOTED Approval does not authorize or approve any omissi:d cr deviation from requirements of appiicawc state Ian:: and regulations. StateofCalifamia Dcaartment of Ho=,rg and.commmirl Developancrt aDPP7,,,,,l,l00FC011 AINDSTANDARDS ' Ali yj W2_7LZ :049 0 Wgnawe Dote SPA No 2-(a TUs Pian Approval Expires In2SACD MC Ou mMr R URArEn A:l 'MOP ROAD CHERAIM, -WA 9852 --Ph:360-7484850 :Exp— 3t... PACIFIC CONSULTING ENGINEERS 2150 BELL --AVE.- SUITE 145 SACRAMENTO, 'CA. 95838 ENGINEER_ -APPROVAL I D PRO SIN REMP, 'Al 4% 14176 NAL DAHMEN rkij(Uh A. A, d0. 3UUL-3 SAC IND. EARTH AUGER TIS DOWN ANCHORS #6001 #6000 a s v W N W D N( IJ #7000 #7001 #7002 NOTE 4 0 8 B #4002 CHASSIS i #4002 PIER BOLT -ON TOP � #7002 �. 7' STEEL STRAP #7000 7' STEEL W/HOLE ! STRAP W/BUCKLE Baa #6005 SPLIT co: BOLT do NUT Ju - — v - VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL AUGER TIE -DOWN INSTALLATION INSTRUCTIONS I. CONTRACTORS WARNING: CHECK .FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL GROUND ANCHOR INTO GROUND LEAVING 17'-14" OF SHAFT EXPOSED. 3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. 4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. S. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 6. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. .7. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. END TIE DOWN ENO TIE DOWN SEE CHART SEE CHART E SEE TICHART N ;« W Ld ` W 6 6 Y t Q U W r Y, ul r Z N z J z 3 z z u oo o J c A u W u W <_�•.ar ff y AE4 w-1 I --F Arm I ---.n ., . . v v SINGLE WIDE TRIPLE WIDE #6006 STABILIZER PLATE #6000 SERIES EARTH AUGER (TYPICAL) Ju - — v - VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL AUGER TIE -DOWN INSTALLATION INSTRUCTIONS I. CONTRACTORS WARNING: CHECK .FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL GROUND ANCHOR INTO GROUND LEAVING 17'-14" OF SHAFT EXPOSED. 3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. 4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. S. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 6. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. .7. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. END TIE DOWN ENO TIE DOWN SEE CHART SEE CHART E SEE TICHART N ;« W Ld ` W 6 6 Y t Q U W r Y, ul r Z N z J z 3 z z u oo o J c A u W u W <_�•.ar ff y AE4 w-1 I --F Arm I ---.n ., . . v v SINGLE WIDE TRIPLE WIDE SAC IND. CONCRETE TIE DOWN ANCHORS #7000 #7001 #7002 #6005 0 e #4002 #4002 PIER BOLT—ON TOP #7002 7' STEEL STRAP WITH HOLE #6005 SPLIT BOLT do NUT CHASSIS #7000 7' STEEL STRAP W/BUCKLE #6004 CONCRETE TIE—DOWN INSTALLATION INSTRUCTIONS NEW CONCRETE — #6004 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE, AND ALLOW TO PROPERLY CURE. 2. ALTERNATE CONNECTION REQUIRES #5 REBAR PROPERLY EMBEDDED IN CONCRETE. EXISTING CONCRETE — 06003 I. CONCRETE MUST BE A MINIMUM 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A 'MINIMUM OF 12" FROM ANY SIDE. 4. EXPANSION BOLT IS 5/8" x 3 1/2" WITH MINIMUM 2 3/4" EMBEDMENT AND 6,180 POUND PULL OUT, 7,160 POUND SHEAR. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. IF ANGLE OF SIDE STRAP IS GREATER THAN 60% STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. NOTE: SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME. NOTE: A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CAN BE USED. SIDE VIEW "C" BEAM CHASSIS SEE GENERAL NOTE #3 DRILL 9/16" HOLE AT MID HEIGHT OF BEAM AND INSTALL i 1/2- A307 BOLT (TYPICAL) G G' SIDE VIEW "RFC" BEAM CHASSIS SEE GENERAL NOTE #3 OR #6003 � 01 .o ALTERNATE SIDE VIEW END VIEW END TIE DOWN NOTE: END TIE OOVJNS_CAN BE LOCATED, WITHIN 18"' OFA _FT , SIOE OF CI44SISx BEAM AXIS �t�L�tBP-i � � I CONTRACTORS CERTIFICATION °`'� 1 ON I CERTIFY THAT I HAVE INSTALLED THE SAC IND., INC. ANCHORINYS'-T�,E'i PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS 70 ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME: CONTRACTORS LIC.# SAC IND. STABIL-X DRIVE SCE -DOWN ANCHORS #6013 #7000 or #7002 7' STEEL STRAP -- #6005 SPLIT BOLT & NUT #6013 STABILE "X DRIVE ANCHOR - GROUND LINE #6005 #7000 #7001 #7002 0� #4002 CHASSIS #4002 PIER i BOLT—ON TOP #7002 7' STEEL #7000 7' STEEL STRAP STRAP W/BUCKLE W/HOLE #6005 SPLIT 6 �o- BOLT k NUT 6a rte° 0��EAIMN lilm DETAIL"A" Q -'Q SEE DETAIL" A" VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL STABIL-X DRIVE TIE DOWN SEE DETAIL 'A" INSTALLATION INSTRUCTIONS 1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. 2. DRIVE STABILIZER PLATE INTO GROUND. 3. DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN. 4. ATTACH STRAPS TO CHASSIS BEAM .IN MANNER SHOWN. 5. IF ANGLE OF SIDE STRAP IS GREATER THEN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. 7. #6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE GROUNDS RF C SOIL OR MINIM M 2" ASPH T USE #6002 SEE NOTE #7 AND NOTE #8 U ACE IS OTHER THAN RO KY U AL STABIL—X ANCHOR OR ENCASE ANCHOR WITH 12"x12"x12" CUBE OF CONCRETE. 8. WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -- (2) ANCHORS . . MUST BE USED AT THAT LOCATION. WIND= 70 MPH — 85 MPH — 100 MPH EXP. "C" — SEISMIC ZONE 4 IREQUIRED NUMBER OF COMBINED ANCHORS FOR EACH MU AND M OF MANUFACTURED HOME � WIDTH I LENGTH WIND SPEED SEISMIC No. OF SIDE I No. OF END TOTAL No. OF TIE DOWNS TIE AD;QW,NS TIE DOWNS SINGLE WIDE TO 16' 0'-78' 70 MPH EXP. C =15PSF ZONE 4 1 4 2 n (� LY12 1 85 MPH EXP. "C"=25PSF ZONE 4 1 8 112-1 1 `20 # 1 100 MPH EXP. C =35PSF ZONE 4 1 12 1 ..-"2V�l ,4l& -g,,2.8 DOUBLE WIDE TO 28' W-74' 70 MPH EXP. C =15PSF ZONE 4 4 4�%s :� _ -161 r a E85 MPH EXP. C =25PSF ZONE 4 8• . ''`' 4WA:4', "24 1 100 MPH EXP. C =35PSF I ZONE 4 1 12 1 4 9 CC # Wy70'x TRIPLE WIDE TO 42' 0'-78' 1 170 MPH EXP. C =15PSF I ZONE 4 1 4 1 6 204 —,1 85 MPH EXP. C =25PSF ZONE 4 8 6 28 1 100 MPH EXP. C =35PSF I ZONE 4 1 12 1 6 1 36 r .? 177 Building Permit Nu ber: DI —D -79 q Owner Name: O ;:5�5 Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 1 of 2 V� Building Permit N}mber: 0(-0 79 Owner Name: K C? s - �( Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. rVI Fire sprinklers are required in this structure. The foil ing parcel map requirements shall be met: mil de. PROS i Or) &r -,+Y -y I �-k� All structures and equipment including overhangs shall be clear of all easements. A setback of 1�Q feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. v Page 2 of 2 "1 .7c�o \I s Alp SCA APpRO ACt� E .Q FREE SETBACK. SO ONAL X. 50s • DRA 9 FREE SEBACKC 50ACHFIELO , -m - 1. i ��Lin ` It • {lj ' �fi�ti /I \ �<od 4w• /�G YYY r O 2 V g CL oftab moo i C. 400or 10 r PLANNING DIVISION -BUILDING PLAN APPROVAL 1 use: Date: SZ �^ O o � Parking: Landscaping: Other: Signature: 10 Ell _-� • i^i t r l �� .'_ ( 1..--� , i .. L-1 L. r-' �-r Lt lA 4.4 r 40 U ALS :3 �TL� �q ' A 'El �-�-. .A tl ��"'�jj�"�i-L�_ i t + ( ._.+... .-s- T �'—A•' "t" � � t�� "'T b' 1 ,_ �,f' j I 1- ` ,— E -C- Or IR PEPT7 RIr8T! - ' L` aIf pt�o�fed's suitte r approved wit i:co idtions J. - - Pe a ached, be E ,s C -Date: _ ,�. CDF FIRE SAFE REQUIREMENTS 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 provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app.,rteaant structures which supple- ment the ,roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. /v 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius t�D 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. Ifl 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. r 1273.05 Turnarounds. If required, will have a minimum turning \ radius of 40 feet -from the center of the road. [�[]. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 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--, p AP # PERMIT # NAME lY1 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [�] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. 1. All parcels 1 acre azzd larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels -caused by site development and construction, road and driveway construction and fuel modification shall ba completed prior to completion of road construction .)r fi:zal inspection of a building permit. Page 2 of 3 to t o j AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed i0k of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 �i T , .9s SfgSON APpR�k � AL �R�IIlyA 1 f 5d� ACH L6" REE SETBACK ` • SETBACK • is 50-ACHFIEt 0 FREE � tw CD �N rrl / k �%o a._ ¢ 17 Ch 4,V moo � H `-kit 41 Environmental ea MAY � 2001 CN`;crl�alifomia �f Winter Erosion Control Plan Equa Mission Subdivision, Parcel #3 for: Clint Wells family The following standards are to be used for erosion control if operations proceed during the "winter period" designated as November V to April 15'. These standards are not applicable for timber harvest operations which are covered under WINTER OPERATIONS within a less than three acre exemption approved by CDF. Operations connected with construction and earthmoving for construction purposes may take place when soils are saturated unless there is likelihood that displaced soil and/or sediment may reasonably be expected to reach watercourses. There is an identified watercourse on both the east and west sides of the construction area. The one on the west is minor with only a very occasional and light flow. The watercourse on the east is intermittent but has a higher seasonal flow and may contain some aquatic fauna. Any exposed soil within fifty feet of the eastern watercourse and twenty -five feet of the western watercourse will be mulched with straw, wood chips, or other suitable material prior to the 15' of October. The area between the driveway and the well location will also have bare soil areas similarly treated by the 15' of October. A straw bale barrier and/ or a drainage ditch to control runoff are not feasible on this site. Contractors and/or the owners must be prepared to immediately address unusual drainage issues, such as unusually severe and unseasonable storms, that could allow sediment loads to reach (a) watercourse(s). Straw or other material for mulching is to be kept onsite if there is a prediction of measurable precipitation. It is expected that all construction will be completed prior to the 2001/2002 winter period. "Watercourse" is defined for purposes of this Plan as: a well-defined channel with distinguishable bed and bank showing evidence of having contained flowing water indicated by deposit of rock, sand, gravel, or soil, including but not limited to, streams as defined in PRC 4528 (f). Definition taken from Section 895.1 of the Forest Practice Rules. I have examined the site designated above. I believe the potential for significant soil and/or sediment movement offsite on this project is low and that the above mitigations are adequate to prevent movement of soil and /or sediment offsite and into identified watercourses. David L. Sellars RPF #1875 PO Box 6292 Chico, CA 95927 530-893-9727 �/_Z, 11%0() / f fi ND"EN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 200 1 —00 1 8752 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:30AM 07 -May -2001 REC FEE 10.00' CONFORM .00 COPIES 1.00 Kristy Page 1 of 2 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: Date D –off 6 / State of California County of Glenn On 05/05/01 PROPERTY me, Rossaanh eftnt R. Wells personally appeared " "`'-` personally (mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal sa SARAH ODOM 14 'v� � r�COMM. #1260870 Signature 15�h.t-C� Seal: i� ���.� Notary Publ' In S/ ,�l a T Josh X-1 W � , GLENN COUNTY ahrornis (40 — �� MY Comm. Exp. May 13, 2004 A. P. # 7T ORDER NO. BU -184305 DMP DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 3, 2000, IN BOOK 150 OF MAPS, AT PAGES) 48, 49 AND 50'. RESERVING THEREFROM AN EASEMENT FOR ROAD AND PUBLIC SERVICE EASEMENT AS SHOWN ON SAID MAP. AP#: 056-090-085-000 (PORTION) PARCEL IIs A NON—EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER A PORTION OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 14, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A STRIP OF LAND 60.00 FEET IN WIDTH LYING 30.00 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHEAST CORNER OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 14; THENCE ALONG THE NORTH AND SOUTH CENTERLINE OF SAID SECTION 14, BEING IDENTICAL TO THE CENTERLINE OF COHASSET ROAD, SOUTH 01 DEG. 00' 24" WEST, 384.74 FEET; THENCE NORTH 81 DEG. 30' 37" WEST, 30.26 FEET TO THE WESTERLY RIGHT—OF—WAY LINE COHASSET ROAD AND THE TRUE POINT OF BEGINNING FOR THE FOLLOWING DESCRIBED CENTERLINE; THENCE FROM SAID TRUE POINT OF BEGINNING AND CONTINUING NORTH 81 DEG. 30' 37" WEST, 223.77 FEET; THENCE SOUTH 85 DEG. 17' 36" WEST, 154.25 FEET; THENCE NORTH 49 DEG. 21' 11" WEST, 355.15 FEET; THENCE NORTH 65 DEG. 29' 38" WEST, 246.58 FEET; THENCE NORTH 89 DEG. 51' 49" WEST, 173.40 FEET. PARCEL III: A 60 FOOT ROAD AND PUBLIC SERVICE EASEMENT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 3, 2000, IN BOOK 150 OF MAPS, AT PAGE(S) 48, 49 AND 50. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. SITE PLAN REVIEW APPLICATION Date: - - f Permit Number (if applicable) O 1 - D 7)9 L - APPLICANT INFORMATION Owners Name: Owners Address: Telephone No. Situs Address: Proposed Use: AP# Parcel Size: 'Ro S s . ST .LL_A, B2b-`33OS OS6- Qui 8- ` Co ,y8 A LC UP �)SS(o.i•) Residential ❑ New Single Family Residential ❑ Single Family Addition 10 Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ® Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well - DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval fS Site Plan Stamped Approved By Date �- Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ® Snow Load Area: • S 00 -T 5 0-0 ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) . ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive. Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: 1 • Flood Panel No.: _p22S Index Date: a - C� 8 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------------_--_ ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front so C L Side Side Street Rear 3� Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 V Applicable Development Fees: Standard Fees Amount ❑ Fire School* ❑ Parks/Recreation ❑ Roads Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ® Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: . Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 flK Subdivision Map/Parcel Map: Map Date of Recording: Lot: s � � 11-3 ❑ Use Permit/Minor Use Permit Permit Number: Book: ) �;O Date of Approval: in Comply with the following Conditions of Approval: riV"', IR Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: L S C) ® Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ® Provide an erosion control plan for building and land disturbanceen.slopas.ste�aes�rt S4%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dustcontrol plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations -are required. ❑ Class A roofs are required. Page 4 of 5 ® ) JJ U E Lc. o A F 2 i-5 S tj 2' 2 �,i� arCfZ �y STQ�n 02 �Too A�IL TIaN )L Pay lrveJkYt 1 NT O -i`N i A P4' �0 P 21 ATE 03 ATj P LIQ W A i �_-1-'(�-fl � 6� �U 1.110 rr A"`�► C�'E 2-r5 �?U 1 '(2.,� 1� _ Wp gzc, k? -r --S P WSt (3C_1>_ -q"6f2— 6- 0 hula C A ® PEMe],ti Z,uJaz -rgP, i t>GIJ'f1A TD 63E. 5 ' W l r; C. ST'Z_tyJ� orAX� \-,U r , , L'3 W EST . S i "-AM b To T3Z5� A C3OY6 600 Chi . N UN i--S-r TO ql C-,41'(�i2 -MAA-),Q rar3ov G 6rrnal7.N fl 21p,j7 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review.. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of.5 ,V Development policies for the Cohasset Area Building Constraints Development shall be encouraged in areas where slope is 15% or less. SETBACKS: All buildings shall not be located closer than thirty (30) feet from the parcel line. 2. SPACING: All buildings located on a single parcel shall not be closer than sixty (60) feet to another building. (The responsible fire agency may accept a low fire hazard landscaping as an alternative to the requirement of sixty (60) foot spacing between buildings. In no event will the spacing between buildings be less than thirty (30) feet.) All dead brush, construction debris created by building or road construction shall be removed or disposed of prior to the final inspection and approval by the Building Division. 3. ROOFING MATERIALS: Used in "high fire hazard" areas must meet Uniform Building Code Standard 32.7 Class B. Used in "extreme fire hazard" areas must meet Uniform Building Code Standard 32.7 Class A. Building roofing materials should be fire resistant. Untreated shake or wood shingles shall not be allowed. Tile roofs shall be fire stopped with concrete or equivalent resistive material to prevent entry of flame or embers. Spaces between rafters, the wall plate line and the underside of the roof sheeting shall be filled with solid blocking. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to' avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESO NO[ I. 2. I HAVE[( I HAVE NOT[ I sign an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide. the `proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work,` but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following.persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF'WORK ­ ` SIGNED: PROPERTY OWNER: SOCIAL SECURITY.. NUMBER: DATE • NOTE: This owner -Builder Verification is 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. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: I 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 . There may be financial risks .for -you if you do not carry out these obligations,lind.these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific infori ition about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. P. ` 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. ,T A frequent practice of unlicensed persons professing to be contractors is to secure in "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I i ly, NEC el C. nifira, C.B.O. ger, Bding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 COPY of Document Recorded 07 -May -2001 2001-0018752 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: Date D—fob 0 / State of California County of Glenn PROPERTY . •. r i On 05/05/01 lbeefore me, l, d Rossaanci Tint R. Wells personally appeared " `�'_ _ � Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal ODOM Si atures� • ,_ COMM.'#1260870 cTd-� Seal: N,1 Notaryp bl' tTf A.P. # /�.) I/J -0 ?.Q -s5 `�5 ._0D6) I� w\` ca GLENN COUNTY is My Co""- Exp. May 13, 2004 ORDER NO. BU -184305 DMP DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE- OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 3, 2000, IN BOOK 150 OF MAPS, AT PAGES) 48, 49 AND 50'. RESERVING THEREFROM AN EASEMENT FOR ROAD AND PUBLIC SERVICE EASEMENT AS SHOWN ON SAID MAP. AP#: 056-090-085-000 (PORTION) PARCEL IIs A NON—EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER A PORTION OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 14, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: A STRIP OF LAND 60.00 FEET IN WIDTH LYING 30.00 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHEAST CORNER OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 14; THENCE ALONG THE NORTH AND SOUTH CENTERLINE OF SAID SECTION 14, BEING IDENTICAL TO THE CENTERLINE• OF COHASSET ROAD, SOUTH 01 DEG. 00' 24" WESTs 384.74 FEET; THENCE NORTH 81 DEG. 30' 37" WEST, 30.26 FEET TO THE WESTERLY RIGHT—OF—WAY LINE COHASSET ROAD AND THE TRUE POINT OF BEGINNING FOR THE FOLLOWING DESCRIBED CENTERLINE; THENCE FROM SAID TRrE POINT OF BEGINNING AND CONTINUING NORTH 81 DEG. 30' 3_7" WEST, 223.77 FEET; THENCE SOUTH 85 DEG. 17' 36" WEST, 154.25 FEET; THENCE NORTH 49 DEG. 21' 11" WEST, 355..15 FEET; THENCE NORTH 65 DEG. 29' 38" WEST, 246.58 FEET; THENCE NORTH 89 DEG. 51' 49" WEST, 173.40 FEET. PARCEL III: A 60 FOOT ROAD AND PUBLIC SERVICE EASEMENT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 3, 2000, IN BOOK 150 OF MAPS,. AT PAGE(S) 48, 49 AND 50. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. NOTES 0 RESIDENTIAL o 1-b79 056-090-091 O U455 ROSS, STELLA T. 76 EUCA MISSION RD. COHASSET CONT: AMER AUTO FIRE PROTECT H2O SUPPLY FOR MR FIRE SPRINK 11 SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ` VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Cil o5 -y o �2 Co[ 05`1Lny CHECKED BY 21 066) c� ALP, r ' JOB FINALED (Date) Signature V = OK 0 = Not OK ; - = Not Applicable =Not Ready 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./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card -1 . Date Card B-1 Date MOBILE EfINSTALLATION (Plans) OK except #'s onin equirements-Setbacks-Easements Zoning Requirements -Setbacks -Easements otings; Size -Spacing -Marriage Line 2. Gas; MH Test -Demand -Valve -Connector ctricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Fater; MH Test -Regulator -Connector 4. 7 .ter and Sewer Connected -C/O to Grade -HD Approval 8 d Electricity Tagged Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures T owns -Type -Installation Cert. 6. 1 ; Exits; Insp.-Sketch 11. Cert. of Occupancy Electric 12. Permanent Foundation nly; License Decal 8. Frmg.; Sills-Anchors-Studs-Rhrs-Trusses Date "card B-1 Date Card B-1 Date 1, Card B-1 Date Card B-1 Q Ali MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rhrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card -1 Date Card B-1 Date Ca B-1 Date Card B-1 y Date I 1 FINAL (Plans) OK except #'s tbacks-Easements Soils; Compaction -Structure Stability ' 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 111 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 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 J = OK 0 = Not OK - = Not Applicable = Not Ready -RESIDENTIAL (� Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ 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 -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes J 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. Sills 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 oinglp & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff 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 Root 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 J 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 C1 Yes 82. Following Instld./Drive J Yes J NoMalks J Yes J No/Planters J Yes J 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 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. 41 Date Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD NG DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 38-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 42 455 CSSESSVV c00 091 ZONING BUILDING PERMIT OWNER ROSS STELLA T. TELEPHONE 826-3305 SO. FT. OCC. BUILDING VALUATION 1920 R 3 072.00 OWNERS MAILING ADDRESS 76 EUCA MISSION RD. COHASSET CONTRACTOR'S NAME AMERICAN AUTOMATIC FIRE PROTECTION TELEPHONE CONTRACTORS "UNG ADDRESS 2525 Q ST. RIO LINDA CA 95673 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is 3.072.00 ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40.95 BUILDING ADDRESS 76 EUCA MISSION RD. COHASSET Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other )] Describe Work: H2O SUPPLY FOR MH FIRE SPRINKLERS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�ooA oA 'ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License La 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I ertiy that in the performance of the work for which this permit is issued, I shall t employ any person in any manner so as to become subject to workers' pensation laws of Califo • ia, and agree that if I should become subject to the rk s' compensation r isions of section 3700 of the Labor Code, I shall 'R o th co ply with o rovisions. X Date V __ Signature of Applicant ----ff Z5wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in h fight. Main Service 200A TO 1000A 46.00 NEIN CONST. DWELLING OCCUP. s0 OR ADDNS. ( 6 ACC. BLDS. 3.5¢FT: NON-REOSD MULT.' CIROUTCUITS97,50 OWER APPARATUS 8 SINGLE 011fLET CIR. Ex. Occu OUTLET OR FDnURES 20 ° I:' �� so Ex. Occup.. oiJT1FTS RE�SID.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 123.95 HAz. D FEES IMP FLOOD CDF PARCEL PO HD 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? [4 0 J 2 Dat Receipt No. 3�c�� f� v7 3 1-9 WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT NO. (Rev. 12/96) APPL' ICATION AND PERMIT f�1- � y55 ASSESSOR PARCELNUMBER ZONING BUILDING PERMIT OWNER - TELEPHONE - � SO. FT. OCC. BUILDINGVALUATFI�ON OWNERS MAILING ADDRESS Gt l t ,S r r ' oV CONTRACTOR'S NAME TELEPHONE wtev i n. C✓ CONTRACTORS MARINO AD S v _ CO uCTION LENDER \ Q LENDER'S MAILING ADDRESS Fire lace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENOWEEAS MA UNG ADDRESS BULOINOAooREss ( Permit Fee $ 63 -o0 Plan Checkin Fee $ Energy Plan Checking Fee S ), _ r. -X °501-73 1 .:.• •.-. SGBDNLiGNSNAME _ PARCEL MAP $ PERMIT FEE S PLUMBING PERMIT / 2 3 Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other BPEsv Each Trap 7.00 Solar or hektpump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OIh Describe Work: C, Each as water Acer or vent 15.00 Gas piping system 1 - outlets 15.00 Buildin sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE to ELECTRICAL PERMIT Filing Fee 20.00 Main Service 11 OR LESS 200A OR LESS 23.00 *PERMIT FEE PAlb SRI ; i SHERIFF ; i OTHER ; AMOUNT RECEIVEp ; ��- � -� S - • i "RECEIPT MAIM 3 * TO 0E PVT =HTO COMPVI'ER F Main Service 200A TO l000A 46.00 NEW CONST. OR ADONS. D a � SDs P 3.50Fr.. NEW O MULTI.OUTLET Nol•ERE9I @7.50 8 CA PSMOWER APPAROUTLETATUSR. EX. OCCU OUTLET OR FIXTURES 20 ® 1.O0 ENL .50 Ex.OCCU O APPUv3. OR o ESID.) EA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL,PERMIT Filing Fee 20.00 Heating ling Hoo Hoodd 6.50 Ventilation PERMIT FEIE Mobile Home Installation Fee $ Energy Inspection Fee $ Oce CONST. TYPE TOTAL FEE $ W. D. FEES IMP FLOOD CDf pAiLCEl PO HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutlons to do work Indicated above for which tees have been paid. BY Date PERMIT EXPIRES ON ra State of California ty ^ Business, Transportation and Housing Agency' •• r ^) / c/1J J Department of Housing and Community Development Division of Co8es and Standards / U - . ,f/ / `� / If � AP?LICATIOI� FOR: 41teration/Conversion❑Approval to Remanufacture 0 Alternate Approval ❑ Technical Services ❑ Replacement Insignia ❑ Coding Inspection I (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTOR/OWNER BUILDER DECLARATIONS Not required for Special Purpose Commercial Coaches or Recreational Vehicles 1. 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 the Business and Professions Code, and my license is in full force and effect. ^ ��,Q� License Class Cl �O Lic. No. Exp. Date °Contractor Auf-m(/AAI,4UrAA-Oe—FrADate 2. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Layv for the following reason (Sec. 7031.5), Business and Professions ode: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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 11, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended of offered for sale' (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is 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 11, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors License Law.). ( I I am exempt under Sec. , B. & P.C. for this reason Owner Date 3. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 11 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 I have and will maintain workers' compensation insurance, as required by Section 3700 of 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 r( l :5,51e y Policy Number 2a ti 2[el^ C�rY`C�(�gm (This section need-n—ot-Fe—completeo it t e permit is for one un re dollars ($100) or less). I 1 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensa 'on laws of California, and agree that if I should become -subject ject t o ere' compensation provisions of Section 3700 of tha,, Cod , s II forth�h comply with those provisions. Applicant -) Date WARNIN PE COVERA E IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (9100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.3097, Civ. C.). Lender's Name I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and he uth a representatives of this county to enter upon the �o /,�?�nt' n ro4erty for inspection purposes. iRL!'U' R [titAeA�r i' -v� SECTION 1 - UNIT INFORMATION I/We are requesting services for the following unit(s): (Check Appropriate Box) Manufactured Home/Multi-Unit Manufactured Housing Manufactured Home/Multi-Unit Mfg. Hsg. Component Structure Recreational Vehicle Commercial Coach (Occupancy Group Special Purpose Commercial Coach or License No. Manufacturer Name/7 Model Name r r! )%1 Year of Manufacturer Insignia/HUD Label Number(s) Owner Address %, S City ( t i<: / JC..r � S' �e / Location of Unit if Different Than Above Applicant Address City Zip COL NO,'Zt OSS Z9 FEE REC'D i rJ DATE AA NO. RT TO RT BY Telephone No. County P_ / .L •' Zip ! r- Telephone No. SECTION 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION A - Contractor's Name Address Architect/Engineer Name License No. Address - AND VALUATION Describe the proposed work/activity in detail. Attach additional pages if necessary. If structural alterations or remanufacturing are pr posed, complete plans, specifications, details, and calculations must accompany this form. Check box Wif plans accompany this application. Provide the make and model of any appliancest to be installed and provide complete electrical calculations for any electrical alterations or additions. A FI.RE 1Mk1Et? S &rEX4 Indicate the Total Cost of the Work to be Performed $ .36(r lco 621 1/We hereby make application for the services designated above. If applying for replacement of a lost insignia for the unit described In SECTION 1 above, I/we certify that there have been no alterations, additions, or modifications to the unit that would affect the unit's compliance with California or federal law or the rules and regulations of the Department. (If alterations, additions, or modifications have been made, a coding inspection must be obtained.) Signature Date (Owner of unit must sign, when a replacement insignia is being reauested). APPROVED ❑ CONDITIONS (see reverse side) ❑ Disapproved (see reverse side) 'Signature of Department Representative ate - - AREA OFFICE NOTES T l f sc{ qo 'pont". -spru CC- i-> 4-O r'✓\D✓Ji lz. Qom• �r i c. yj I RESIDENTIAL �090- 0w 01-0794 056- ROSS, STELLA � ,EUCA MISSION RD.COHASSET CONT: OWNER MH UTILITIES SPECIAL CONDITIONS / CHECKED `// SRA BY _ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. — SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SJd'B-STANDARD HOUSING LETTER Ho'60- coL n 5L(D?2 01-h�jGOD 5-1117 JOB FINALED (Date) Signature i V= OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOB!kE HOME UTILITIES (Plans) OK except #'s D ,Oj TZ, T• YZojgqg Requirements -Setbacks -Easements 2. Special MH Support Sketch 3. wer; Location -Test -Fall -C/O -Concrete 1 W r; Location -Test -Easement Needed (Sketch) t ctricity; Location-Clearances-Grr d-2W/Amp-Concrete J� (Gas; Location -Test -Wrap;-/ / \1" L�'ft+—.� / P Nat. or/ /"L"ft./ ;,7, p lea/ 7. 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 HqNfIfINSTALLATION (Plans) OK except It's o gs; Size -Spacing -Marriage Line Gas; MH Test -Demand -Valve -Connector le tricity; MH Test -Crossovers -Breakers -Clearances r 'n; MH Test -Fall -Flex Connector W ter; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval & G3Ls and Electricity Tagged e Downs -Type -Installation Cert. 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 I 11 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except It's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except It'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 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 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date 46. Underffoor (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-/ P' Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe, Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-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. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O 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. Sills 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. Inf iltration-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 O Yes 82. Following Inslld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J 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 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. Date �r' 3 • v 1 Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California .95965 - Telephone (530) 538-754 / FAIT NO. (Rev. 12/96) APPLICATION AND PERMIT fJ (.� ASSESSOR PARCEL NUMBER 056-090-Go ZONING TM 5 BUILDING PERMIT OWNER ROSS STELLA TELEPHONE 826-3305 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS PQ BOX.6 HAMILTON CITY, CA 95951 CONTRACTOR'S NAME DOM 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 $ 23.00 BUILDING ADDRESS 76 EUCA MISSION RD. COHASSET CA Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LDTLV,Nj,�,.,.,A 3 SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Each Trap 1 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 ❑ Utllities ❑ Installation ❑ Other ❑ Describe Work: MH UTILITIES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ks 191 r 1 920.00 60.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Fling Feel 20.00 Main Service z�o.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 is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ... 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 2o0A TO 1000A 46.00 NEW CONST. owEIiING OCCUP. OR ADDNS. ( a ACC. aLDs. SO 3.5QFT: T. NOµq °SID MULTI.OUTLET @7.50 APPARATUS 8 SINGLE Otm.Er CIR. Ex. Occup. OUTLET OR FIXTURES 20 0 1.00 BAL a w LINS Ex. Occup.oFlunEis Aeslo.°ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.0 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ` I rtify that in the performa a of the work for which this permit is issued, I shall ` employ any person in n manner so as to become subject to workers' o ensation laws of Calif r i and agree that if I should become subject to the rS' compensatio i ' ns of section 3700 of the Labor Code, I shall f ith o ply ith isions. X ate Sig tura of Applicant - ❑Owner ❑ Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP _ D. FE FLAOD cDF _ 1DF PARCEL VCE pp ✓/ HD ISsuE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been B ate PERMIT EXPIRES ON 5-30-2002 (Date) provisions to do work paid. 5--in--2onj rRecTeiptNo. 324431/166.00 HI..S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ^" . . OUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENJ' SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - t OI2A, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 I-e PERMIT APPLICATION DATA SHEET OWNER: &. thf 6_ SS J ASSESSOR PARCEL NUMBER:(/5 t- Proposed Building Use: Building Inspector: 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. Al t Plot plans, 3/4 sets, signed'by the piof plans. eparer ------------------------------------------------------ 113. 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. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ W -F anufactured Home data and installation instructions including Tie Down Specifications.------------------ eesof $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------1------- -- ------%f------------- ------------j------ . California Department of Forestry plan approval/fees.---RC1=--s7�9�--e-- �y�--?J--l-�l�—,$ �/ a� 13. Flood elevation certificate. ----------------------------------------------- -----------------------------x--------------------------------------- --------------------------------- Mb� — vr*4. Sanitation and plot plan approv Health Department. -`' --k-i 1&- -�4- ^_ - -------- ❑ 15. City of Chico plumbing permit. -------------------------------------- -------------------------------------------- Ali - ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: 0 k:�_ (B) Parking: 81 C+o/ntact Land Development about ❑ Improvements, ❑ Drainage, egal Parcel. ----------------- R9, McroachQ&Ft rmit 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. ----------------------- f26 wner-Builder Verification (Given to owner ❑, Mailed to owner ❑).etter of signature Fthonzation- -------------------------------------------- ecorded copy of Agricultural Acknowledgment Statement. -------------- etter of intent on building use. ----------------------------------------------. ❑27. Manufactured Home utility clearance. ----- ❑28. Existing violations and/or expired permits. .N (Date) ❑ 9. ❑433 A, []Grant Deed, Cl M.H. Title, ❑ Check to H.C.D $ . --------------- 9' 0. Other: ro SI on G n� I � - I Y1 r nee✓ �n c�h�c re�� rrn� Z you issue a permr , process as o ows ar to owner, Mail to contractor. - t�(j Telephone 2 —3365 - and hold for pickup atQr0V11 I e o ce OD li ector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:�_ Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered:lPlan 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, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Briildin D'dsion c ter, by Plans reviewed by: 1(� Date: • O Plans approved by: 6 Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER < ) 1 i���l �A 't'o-S'S A.P. # (166-2— 0 90 113E PROPOSED BUILDING USE t ' u �` 1 1��Ii) �J 7 I I I tl '1�S DATE S — — Q I RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES nh 1�f^ o �_ eJ (paid at District Office) v 3. SHERIFF FEES (paid at Building Division) t Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) Z7. SR_:E INSPECTION AND PLAN CHEC �8(paid at Building Division) 8. WATER TENDER FEES (Battalion`# ( ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit applicatio I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during t Ian checking process. _/ APPLICANT DATE / _ L/ Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your. project. You have 90 days from the date of approval of 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 Div. 2nd Copy - Applicant 3rd Copy - Owner _ (Rev. 6/00) -4' Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at . your earliest . opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[)(] NO[ ]. 2. I HAVER ] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide.�the 'proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, ,but I have hired the following person'to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following..pesons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: v SOCIAL SECURITV. NUMBER: - DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be. completed and returned to our office before we are permitted to issue the permit. O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks'for'you if you do not carry out these obligations,-'and.these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information "about your obligations under State Law, contact the Department of Benefit Payments and the Division 'of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. jNie ly, is el C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. %.vVnIT VrouiIr- -L)E 7 County Center Dr (Rev. 12/96) 9 ASSESSOR PARCEL NU1d8ERR r ! 0 �D ^ OWNER S� rlL� \J (E/•, � s s Ow MAAING ADDRESS O 150Y, CONTRACTOR'S NAME vLJ S M ! \`1\b CONTRACTOR'S ADDRESS ADDRR ESS CONSTRUCTION LENDEA LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER 1\ ARCWTECT OR ENGINEERS WILING ADDRESS BUILDING ADDRESS LOTNO. '^ i SLWN6IONSNAME 'BARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT 4 / - D q cA 2ON BUILDING PERMIT gym. T!`jPMONE FSO.Fr.00C. BUILDING VALUATION 6 3305 �L5, 9' USEOOFFSTRUCTURE SF O Duplex O Mobilehome t- Other BPECIFV 'TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ installation ❑ Other O *PERMIT FEE PAID SRA '- SHERIFF OTHER ' AMOvNT RECEIVED $-2-L. *RECEIPT NVMSER *' TO BE PVT INTO COMPVTER Fire lace Total Valuation b Filing Fee S Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee S S ffPERMIT EE $ PLUMBINEach TrapSolar or heat uer Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home -4k 1 .1' W 20.00 -Ring ree 20.00 7.00 23.00 15.00 15.00 15.00 15.00 420.00 / CA - PERMIT FEE _ a( ELECTRICAL PERMIT Filing Fee 20.00 Main Service 800V OR LESS, 200A OR LESS 23.00 23. Go Main Service 200A TO 1000A 46.00 NEW CONST. ADDNS. OCCU. P . ACC. DLOSOR 3.SsF° : °• NDN•REs1o. �Dwalm ULTL•OmET @7.50 POWER APPARATUS 8 SOIGLE OUTLET CIR. Ex. Occup. OUnET OR "CrURES 20 W 1.00 l M 30 Ex. O°CLI PP�IES I OUTLEMEDTS ODEA 5.00 i I Temporary Service 23.00 Mobile Home Facilities 20.00 ao00 Misc. Wiring 23.00 PERMIT FEE $ cv MECHANICAL PERMIT Filing Fee 20.00 Heatina 8.50 PERMIT FEE t ff ile Home Installation Fee $ rgy Inspection Fee __N nFE TO*AL FEE $ / /k/, OC3, I KAZ- 10. FEES I I D CO P EL ISSUE - 1 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. I By PERMIT EXPIRES ON Date