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056-250-014
AP 56725-14�� ROBERTA CHILDRESS, - 94-5-25-0-014 96-2222 MHI 3mi-. E. of Hwy 32, E/S S.tage•.Rd`, 4 CHILDRESS, Robert & Roberta 01orest' Ranch' /2 �'j�a;, 16314 Stage Road, Forest Ranch Perrmt# 4065-74P,E ( til. , MH)". _ :_ (MHI/stg only) $��719� •+ j ' 56-25=14 Confr . Clemt>ns-pavis`Mobile o c+ p,�� Sales, Ch ico / 8�5-25-0-014 96-2223 P,E(MH) {Ij CHILDRESS, Robert & berta Permit#?96 T-8 s si e)x 16314 Stage Road ' g Fore Ranch Issued C ` (util,MH) ELEC p GAS 3 Yk SUP SCR o `CSO-/M�PACTION TEST o I 5925-0-014 96-22 4 MHI CHILDRESS, Robert & Robe to 16314 Stage Road, Fores Ranch (MHI/96-2223) `5 6 r 15 } RESIDENTIAL ,. 25-0-014 96-2223 P,E(H CHILDRESS, Robert & Roberta 16314 Stage Road, Forest Ranch (uti1,NII1)/ZZ/9%, JOB FINALED(Da et) Signature V OK O = Not OK =Not otReady MOBILE HOMES Date MOq&E HOME UTILITIES (Plans) OK except #'s YZo'ng Requirements - Setbacks - Easements oils; Special MH Support Sketch !2-2nSuer, Location -Test -Fall -C/0 -Concrete A! filer, Location -Test -Easement Nee(Sketch) -l Electricity; Locationearances-Grit ded • -/ p -Concrete i 6. Gas; Location -Test -Wrap; / PUL /Nat. or/ *L°ft./ /LPG Well Clearance & Disconnect Utility Clearance Date _y Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footing • ize-S g Marriage Line 3/MH T errand Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL4.Single & Duplex) Date 49. UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ PFtg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ PFtg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-BlockoutsaNrapped 6a. Hold Downs and Special Anchors 7. Slab, SteelWVrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. OF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Date 15. Access & Ventilation Date 16. Insulation 63. Ext Steps -Door & Sidelight Protection -Landings Date 64. Card B-1 Date Card B-1 Date 65. Card B-1 Date Card E-1 Date 66. 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 73. Elec. Outlets & Recepticales at Kit. Counter Date 74. Card B-1 Date Card B-1 Date 75. Card B-1 Date Card B-1 Date 76. 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 Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 89. Glass Protection Date 90. Card B-1 Date Card B-1 Date 91. Card B-1 Date Card B-1 Date 92. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade Date 38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet Date 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat prool) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 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 Hgt. & 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 Wall Panels 61. I nsulation-Wa IIs -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. 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 & Recepticales 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 (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive 0 Yes Q No/Walks Q Yes 0 No/Planters Q Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught 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 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: U' Y`rYfeY�'>Jr�.,'.>^':i'+'-'ac.+-.. aT->�M'✓t::w f 3...:—: CONTRACTORS VERIFLCATION - I CERTIFY -- THAT 1HAVE',INSTALLED THE' ABESCO `ANCHORING SYSTEM AS 1PER THE INSTALLATION I I HAVE MADE NO MODIFICATIONS TO "THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. o , INSTRUCTIONS W COMPANY NAME . - m ----------=-------- CONT TORS LIC. , a . / \ ATE:,r----- — —-------- IGNATURE:_ — } 'h2„ z7, 1958 �q,�rc trne�eRrd td iy73 Cm�cec� C& COUNTY OF BUTTE BUILDING DIVISION _DEPARTMENT OF DEVELOPMENT SERVICES "1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C 14 1 C 1) fL'e!�;z L� - OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact"t is office immediately. 1 4 'L -c1 r Date "" Inspectov, REV 10192 V f m REST NTIAL ,Id -25-- 0-014 96-22221MHI t CHILDRESS, Robert & Roberta k 16314 Stage Road, Forest Ranch f (MHI/stg only) I I JOB FINALED (Date) v—L Signature V=OK O = Not OK Not '=NotRepady 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /'L'fL / /Nat. or/ / L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Sine -Spacing -Marriage Line 3. Gas; MH Test-Demand-Vahe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B -i Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Deptt Spacing -Connectors -Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓= OK O = Not No OK RESIDENTIAL (Single & Duplex) ' - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 47. 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ PFtg. Depth 5. Stemwalls, Main; Steel-BlockoutsVWrapped 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. OF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & 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 E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. 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 Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. SUbfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Ran-je Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 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. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 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 Hgt. & 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 Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meeh. 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 & Recepticales 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 (G.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 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught 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 Date Card 3-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION - -- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT o. APPLICATION AND PERMIT G -a2 ASSESSOR PARCEL NUMBER 056-250-014 ZONING BUILDING PERMIT OWNER ROBERT & ROBERTA CHILDRESS TELEPHONE 893-0610 SQ. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 16314 STAGE RD, FOREST RANCE CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 16314 STAGE RD, FOREST RANCH PERMITFEE $ 0 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ff Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U611ties ❑ Installation M Other ❑ Describe Work: MI FOR STORAGE ONLY — Mobile Home I S I G W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000Y OR LESS ( 200A OR LESS )_ 23.00 Main Service ( 200A TO 1000A ) 46.00 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. )4 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 NEW CONST. DWELLING OCCUP. \ OR ADDNS. ( & ACC. BUDS. / SD. 3.50 FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER (s SIINGLE OUTLETTUS C R. ) EX. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .30 Ex. Occup. (GFIXEEDPPLNS Ts RES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith compl ith those provisions. X _ Date ��_ --�—_ Signature of Applicant - Owner Ll Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is 100-00 Energy Inspection Fee Is occ CONST. TYPE T9JAL FEE $ 143.00 HA D. ES I FL % CDF H ISS This permit is hereby issued under the app Ica le provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date S-A -A-7 —� PERMITEXPIRESON (Date) No. 7(161 R7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMF APPLICATION AND PERMIT ASSESSOR PARCEL NIMBER� — �s _ P (� IDN►q BUILDING PERMIT OWNER e�c� C� j �1ONE _6 6 fo so. Fr. OCC. BUILDING VALUATION OWNERS MAIJNO'ADDRESS . �' (ZD 12— CONTRACTORS CONTRACTORS NAME TELEPHONE CONTRACTORS MAKING ADDRESS Fireplace CONSTRUCTION LEADER UNMOWNTotal Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.0' Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ . ARCHITECT OR ENGwEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ SULDRW ADDRESS / _ / q PERMITFEE S PLUMBING PERMIT FilingFee 20.0[ Each Trap 7.00 IDT No. 9UBON18gN9 NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation B—Other ❑ j /� �-i2/3F Describe Work: ! Mobile Home S G W K2O PERMITFEE S Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service ( 000V OR LEss 200A OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 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,POWER and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) El certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONS i. DWELLING OCCUR. SO. OR ADONS. ( a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESIO_ ( BRANCH CIRCUITS ) 97.50 APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 0 1.00 SAL Q .50 EX. Occup. OuxrLE0 A tPUIS .°EA ( ) 5.00 Temporary Service 23.00' Mobile Home Facilities 20.00 . ) Misc. Wiring 23.00 i i PERMITFEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee is Energy Inspection Fee $ °C° coNsr. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRESON (Dare) I ReceiptNo. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .� ; ...r � -� ..ti...�r..,._.,w..kff...,,�.:�^..^-�n,,.....�.......-,�.."L�+'"'vr'"+a�-:'cat`�c.*•-+;w+:r'�i"��i..nn.,-sr�tY�rr.w•.+.:r+h:•rn.,.. r'~:.'sy-:..;-�� . .. _ COONTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER • G i-1-/ //P2C-U Proposed Building Use /k Building Inspector 61,1V Date ell At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... . 6. Energy Design Compliance and supporting documentation . .................. - 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......... ............................ . Impact fees as shown on attached schedule. ..---- §9:S-12. California Department of Forestry plan approval/fees. .......................:tpo �7 IS Flood elevation letter (100 year flood) y California Engineer ................... Sanitation and plot plan approval /C�O Health Department . ........... . 5. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for P".",it°" `6dir required. .. to B"�a inspeao(Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance. ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................... 0 ............. 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ..................... :.......... 0 ....... 30.- Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... --Al. Existing violations/expired permits . ...................................... 32. Plan check list. ..................... 0 .............................. . 5. "f7 e- 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other /9', Parcel C Acreage Applicant 2("Y Date I?- I? S_ -%o Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by �'-�7 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works I, . f PERMIT NO. 2%-8OMHI 6 i i PERMIT EXPIRES 611/81 OWNER ROBERTA CHILDRESS CONTR. ClemonG Davis MFi Sal es LOCATION (A.P. 56-25-14 ) E/S Stage Rd, 4 mi E of Hwy 32, Forest ,- Ranch i j, Temp. Power Pole / Called PG&E Temp. Elec. Ser". Called PG&�, Temp. Gas S ". /AED G&E JOB-1ZgI (D e) (Signature) Setback Forms Main Bid Footin Stemwi Slab Piers Garage Footin Stemw� Slab Carport Footin Slab Patio Footin Steel Mesh Scratch Brown . 1i< COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS � ) ..BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor.` Restroom Finish 2nd Floor Windows 3rd Floor Sidino To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents - Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footin Throat Final Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES ------------------ Elec- Service Water Piping Sewer W2116EHOME INSTALLATION --- 7-t- - - - - 7. Support Water Piping 10-17-flo Drainage DATE REMARKS OR CORRECTIONS C,4L l&4F 3 Motors Temp. Pole Underground Permanent Final Elec. Pedestal Gas Piping Elec. Continuity Gas Piping 9 (NOTE: An entry must be made on this form each time you visit the job site.) ELECTRICAL p r �f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California_ Administrative Code, Title 25, Chapter 5, under permit number ZV6/- for the following location: ESS -5T,4& Ka o1- 1tw-y 32 . rL�2C5 �-,c%r�. Owner Owner's Address Mobilehome Mfg. �olaxle, Model 'J7/ Year 7% g Ci7L. /fir% ` Insignia No. 'f � Serial No. 'Py �?�' It is hereby certified for occupancy at the above described location and may be occupied. I Director,of Public Works _ Date 6 - 2 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE i DEPARTMENT OF PUBLICAWOR•1,KS: 695 Oleander Avenue, Chico — Phone 343-4211, Ext70 7 County Center Drive, Orovi lie — Phone 534-454•1 Skyway and Elliott Road, Paradise — Phone 877-3435 - CIRRECTI®IV TICE BUILDING OR PROPERTY ADD SS A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office- when fficewhen correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office imme lately. s ria CeE F -D j t inspec E, G01WP1, YMIqi 4/ie A// Y O//- L RC 's l 72V/AJ 6 d MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot ,plan? Yes_ No____ , 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes" No 3. Are footings and supports,properly sized, spaced, and braced as p approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesL,, No 4. Is the mobilehome level? (Sec. 5088)'Yes ✓ 'No_ 5. If more/man a single unit, are crossover connections properly installed? (Sec. 5088) Yes ___LINo_ 6., Water A. Is fl ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)' Yes_ No � B. Test -.Does water piping withstand working pressure or 50 lbs. air test? Yes" No C. Backflow - I0�eh is not State of California approved, does station have backflow device and pressure valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yeses_ No B. Does it have minimum 4" per foot slope and is it properly supported? Yes` No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No� D. If coagh�t State of California approved, does station have required trap and vent? Yes �I%�L� 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobJkehome gas line inlet without reductions other than the mobilehome connector. YedV No� Z. B. Test OK as per following procedure? Yes= No_ ' 1. Open all appliance connector valves. 2. Shut off appliance.burner and pilot valves. 3. Air test with manometer to 10"-14" water,column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. appliance vents properly installed? Yes v No C. Are all apple p p y 9. Electrical A. Is 'service large enough to' pro ide adequate amperage -to mobile'home (must equal rating of mobilehome with a minimum of 00 amps and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No clearances around panels? Yes d No B. Is there proper c P — C. Is power supply cord or -feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per er the following procedure? Yes ZNo�__ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5.• All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested -for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity. test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. J 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA WIAII SYS�S Manufacturer and/or Namestyle Length Width l Z WxP• Vehicle Serial No. D % _70/? State Identification No. e`(- /6 Additional Information or Comments: / - _711-4, COUNTY OF BUTTE - DEPARTM}✓NT OF PUBLIC WORKS w 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR P9 RC L NUMBER 5� — 2 5-- ZONING BUILDING PERM OWNER 9096kri C HILDA-ESS TELEPHONE SQ. FT. OCC. BUILDING ALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME CLC -M -"s- 04ufSnn. S c ' TELEPHONE 3 9-144'9 CONTRACTOR'S MAILING ADDRESS zg33 e5PLAA1o90 CiJI�� CONSTRUCTION LENDER, �' � UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER O'` LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGIN ER'S MAILING ADDRESS Permit fee $ BUILDING DDRESS f �"PLUMBING / PERMIT Filin Fee 3.00 9 Each Trap 2.00 Repair drainage or vent piping 2.00 -- C Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome`r�jf Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal 'lation y Other ❑ Describe work: ��� %� `�" o� — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. �� 310 Classification t, ! ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@Z5C BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a.Certificate of Consent to Self -Insure. ©. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation �+ permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag;i�unty in consequence of the granting of this permit.This XDate �'^%�"�U Signature of Applicant — Owner Contractor FX Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ d Land Development Fee $ TOTAL PERMIT FEE $ '^ B d OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE f/ permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF�P By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS ate Receipt No. Q Co % WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT DV I I C (-UUN I Y 8UILDING DEPARTM .NT o APPROVE -71x- v I z r +�1 iC L• !'.ii# ,yj.r' �•a Iia : +.�- �'•:�a+s r�ar'sr.:Ti.+.a-.,u a,, ��a::-rte naays:"...:• x' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,.Oroville,'CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Re) GftiL.0RE-"S 2. Installer's name: CLE1VX6NS 04iliS 10-H J/9z-,ffS 3. Is -the site currently under permit? Yee / / No (If yes, furnish permit number ) OR Is the site an existing s`ite? '1 Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks an& -easements? Yes /�i/� No (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 1,06 Amps 6. What is the mobilehome site service rating? --------------------- o Amps 7.. What is the mobilehome site circuit breaker rating? ------------- �" Amps 6. Is there any other electric load to be served by the mobilehome site service? ------------------------ ----------------------- Yes No (If yes, identify the load and size: W (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------------- - 10. What is.the type of gas service? -------=----------------- --- Natural 11.• What is the gas pipe length, from meter or tank to t home? 12. :What is the mobilehome gas demand? ---------------------------- (BTU) (This information not quired. i£ pipe length less than 6 ft. on natural gas... or less than 50 on LPG.) BUTTE COUNTY /C ► V BUILDING DEPARTMENT re � APPROVED �; MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. @®it A"0o2C /3CIV,91X furnish Setup Model No. .2 GK �� ye Year Width I L (ft.) Box Length C Y (€t.) Tagalong or Expando Size_ 7 ft. k ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after .October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood .'either. pressure treated or foundation grade. x 2, Other' (specify) (ft.)(in:) (in.) (in.) ❑ Center support Center support locations* footin sizes Supports (check one) : Concrete block.' 2: Other (specify) (ft.) (i_) (in.)j (in.) l\ u, X (ft.j)(1in.) (4.) (in.) x (ft.)(in.) (in. (in.) �� (ft.1 (in.) �.2XItx3e 7,4EATC-0 <-—Tagalong or Expando,' show support details. t Zx 3 n -- Typical Support Footing Size Max. Pier Spacing .D r✓ -- Max. Overhang (in.)j(in.) (ft.)(in.,) *If center piers are other than drawn above, ___ draw- in. -locations, spacing, and dimensions. I PERMIT NO. P E ,MH UTIL. PERMIT NO. 4065-74P.E PERMIT EXPIRES 'OWNER Rnbertn Childress h CONTR. 'LOCATION (A.P. 56-25-14 ) t e/s Stage Rd, n mi. E. of Hwy 32, Forest Ranch `T i F' ( r x y I t a 4 Temp. Power Pole Called PG&E Tvaff—Elec. Serv. Called PG&E /Z Temp.' Gas Serv. 'Called PG&E JOB _ FINALED /2- 2-- 7 4 (Date) " C (Signature) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Footings Stemwa I I Slab Carport • Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framino Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT QF PUBLIC WORKS BUILDING INSPECTION RECORD } . BUILDING 11 BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets - 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidin ° To out Roof Sheathing Water Piping Z Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances . Conformance of ex. structure Gas Piping & Test - Temp. Gas Final Sanitation FIREPLACE Final --,---7 Footing ELECTRICAL Throat Rough : Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels 2- " -7 MECHANICAL Grd. Fault Prot. ffeating Service - Z - -7 Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS �J %S' '"�� ` �iQ�/dte'�1 7!" �jy/ l �S�CC•.`"J Y � iva� G�`e L� !off COUNTY -OF BUTTFl — dEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 Telephone:, 53,.4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above- oned property , spection purposes. a I!F X Date gnature offPPermitee o geen�t Receipt No. xzf2Z��7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS By Ite 1O"1�—? `% B Ing permit expires Date ............................................ BUILDING Owner s E� SQ. FT. OCC. BUILDING VAL ATION Mailing Address 3 �S Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address�C S�PLUMBING No.1 @ FEE PERMIT FILING FEE J$2.00 DO Each Trap 1.50 O Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. .� S er.' �T �N o ' ning Gas piping system 1 - 5 outlets 1.50 s Each additional outlet .30 F s ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 s QQ EQA Parking PI s Parcel Declaration Parce ' a P 60' R/W Im prov ments Lawn sprinkler system 2.00 g. ahs Recd I Par ' Approval Plans Approval Permit Fee $ leao $ D. yo NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _t?,00 Main service incl. 1 meter ,3, 0 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 p l0 —bail Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump /1400 Mobil Home Facilities 5.00 , DO Temp. Power Pole 5.00 License No. Classification Misc. wiring 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ .00 $ AZ _ 0C WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. hC1 I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State Laws relating to building construction, and hereby TOTAL PERMIT FEE s", Cc authorize representatives of the County of Butte to enter upon the above- oned property , spection purposes. a I!F X Date gnature offPPermitee o geen�t Receipt No. xzf2Z��7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS By Ite 1O"1�—? `% B Ing permit expires Date ............................................ --oc-T� E �, Inter-Depdr. .Memorandum '• TO : �1 r l .Gf" SUBL A ATE�jt i. Til 310 AT f4c) FF �� i S �gN'Cml� 0 ...--...�.., yy , -..• w.+�r.�,rr-n�rNS"'r".-:mn.�-�ar��+,.-..�, t.�..- .... i.. •-�v'+�,r'-' .-.. _ .. F ._ _ - , � .._.,,., :21-4 ��LL_._.�,�.. .: �+r rc--1 •F ', ......r w r � , COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILD"INGDIVISION 7 County Center Drive- Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. AP�PLICATIONAND PERMIT rl� ASSESSOR PARCEL NUMBER 056-250--014 ZONING TM5 BUILDING PERMIT ROBERT & ROBERTA C_HILDRESS � 893-0610 TEUEPHONE SO. Ff. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 16314 STAGE RD FOREST RANCH CONTRACTORS'NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER t UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDERS MAILING ADDRESS ... Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 16314 STAGE RD, FOREST RANCH PERMITFEE $ 43.00 X PLUMBINGPERMIT Fling Fee 20.00 Each Trap 1 7.00 LAT NO. SUBDNISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeY❑ Other 14 SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 ' 1 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UBlitiessInstallation ® Other ❑ Describe Work: MHI Ile- :°���� ' Mobile Home S G W 920.00 PERMITFEE ; Contractor ELECTRICAL PERMIT Filina Fee 20:00 ' Main Service606V OR LESS 266A OR LESS ) 23.00 Main Service ( 266A TO I660A ) 46.00 - 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. 4 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I ❑ 1 am exempt under Sec. Business and Professions -Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( d ACC. BLAS. ) 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FIXTURES) 20 Q BAIL L.SO0BAIL PLNS.OR 5.00 EX. Occup. (OUFIXED TLETS . Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 providedlfor by section 37004of 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 MECHANICA,L-PERMIT Filing Fee 20.00 9 Heating ..- Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.)- /'Q I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so, as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X1_c� l!�L,1 k ___J� l-CF'Date Z v'� Signature a Applicant - ©o Owner ❑Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 143.00 HA2. p�pEEs i I.-1 ✓ FLooD cDF�'ppR¢E� ✓ Po{ HDj `1 ,J ISsu+ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By , .r. _ .../r Date I✓�s�r X `S PERMITEXPIRESON S/ � (Date) Receipt No. 206187 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' Y1 64-.5-25-0-014 96-2224 MHI YCHILDRESS, Robert & Roberta 16314 Stage -Road, Forest Ranch (MHI/96-2223) OFFICE ,/ . CO-/P�,Y- Address-//n .) l C �(R GAS Meter By Da ELECTRIC Meter E ry_ MOBILEHOME INSTALLATION ACCEPTANCE- COUNTY CCEPTANCECOUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ---PHONE (916) 538-7541 APN�:�^y PERMIT. NO.: Owners: Name: Owners: ell, Address: Mobilehome l , f Manufacturer +-' ( i�' �.-� {,,.,1 Year.of Ioe Manufacture: r �' Serial number /` or V.I.N. n4 7 - S' ! `N jx9 tJ{ I tc� ` 7 Insignia or HUD number: Official approvi�,,slallation: Date: If the mobilehome is moved, or ie ocated, the+tlobilehome installation acceptance shall become invalid. This form shall not be used whewthe mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor 4' j - CONTRACTORS VERIFICATION Z 3 0 1 CERTIFY THAT I HAVE INSTALLED -THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO y1ODIFICATIONS T ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE.l(J CO TRACTORS LIC.# COMPANY NAME.. _- �----- �* DATE: ; _� �R SIGNATURE _X COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT C-� ASSESSOR PARCEL NUMBER 056-250-014 zONINc TM5 BUILDING PERMIT OWNER ROBERT & ROBERTA CHILDRESS TELEPHONE 893-0610 SQ. FT. OCC. BUILDING ATION OWNERS MAILING ADDRESS 16314 STAGE RD FOREST RANCH CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23,00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 16314 STAGE RD FOREST RANCH PERMITFEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeND Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ tilities ❑ Installation 0 Other ❑ Describe Work: MH1 — Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20:00 Mein Service a00v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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. 16I, 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 NEW CONST. DWELLING OCCUR SO. OR ( 8 ACC. BIDS. ) 3.5¢ FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 6AL 0 .a0 Ex. Occup. ( OUTLETS (RESD.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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: 3 Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply Mh those provisions. X Date 12� Signature of Applicant Ow-ner ❑Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is 100.00 Energy Inspection Fee $ OCC CONST. TYPE FEE $ HAZ. D IMP FLOOD COF PAR PD HD ISSU 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. C By g� Date PERMITEXPIRESON 5 y I (Dare) Receipt No. 206187 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .:s" �� .`"'�� Wl.--•Y...-i r^.7�-+.M""-+Lhyvwt.'�1�-4.V- �h-^�l.�n`c::.V.;.,,,,:i..y,�11.��t^>--•,,+"n''-.-, .. .. • a COUNTY OF BUTTE - DEP` MEhx� F15EVELOPMENTSERVICES -BUILDING DIVISION 7COUNTY CENTERDAE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATAHEE S T -� OWNERQA Z44tA4- c- L. No. Proposed Building Use Building Inspector Date Z.f� At time of permit application, I was advised the following data must be submitted prior to permit -processing and/or issuance: DATE RECEIVED BY 1. All items. have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 0. Fees of $......................................... =_VVImpact fees as shown on attached schedule................................5 12. California Department of Forestry plan approval/fees.................. (....... r. .2-0 271A 13. Flood elevation letter (100 year floo�b, plifornia Engineer ................. � . . Sanitation and plot plan approval r- ! CCS Health Department. ............ 1 . City of Chico plumbing permit . .......................:................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. .. . 20. Pre -inspection for required. .. B ";,� (Date 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. f r /r15�_- ............ . 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . W. Letter of intent on building use . ......................................... :A Mobilehome utility clearance. .......................................... Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ......... f...,. . 31. Existing violations/expired permits . ...................................... 32: Plan check list. .................................................. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation J 9, ZS, % Acreage Applicant Date Copy of�Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of., ent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: to permit issuance;, (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by ���� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF bEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 PROPOSED BUILDING USE /1? �1 2. 3. A.P. #_S 6-�-Yc� DATE ZS REC. # DATE REC SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building Division) Residential..' x =$ unit amt. Commercial (sq.ft.). x _$ URBAN AREA FEES ;: (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$ sq. ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALTTO DRAINAGE DISTRICT FEES d $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) r'j 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE -DEPARTMENT OF 6EVEL8PMENT SERVICES -BUILDING DIVISION �- —y 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541��, � PN APPLICATION APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 056-250-014 ZONING TMS BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 16314 STAGE RD, FOREST RANCH CONTRACTOR'S NAME TINKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIDJOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 16314 STAGE RD FOREST RANCH PERMITFEE $ 43.0 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities N Installation ❑ Other ❑ Describe Work: I`'HU Mobile Home I S I GI W I @20.00 PERMITFEE g go -on Contractor '--.,--.ELECTRICAL PERMIT Filino Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.'DO 23.00 Main Service ( 200A To I000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 7 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 NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. ) SO. 3.50 FT. NEW CCONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FUTURES ) BAL 0 L.500 0 Ex. Occup. (oFIXED EPPLNS.rs PES D.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 20.00 PERMITFEE S 63.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X R4 AJJ_Date / Zb Signature of Applicant - A Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 10-.6/0 I HA2. D. FEES -- FLOOD -- Cj>f P N Po HD 6Su 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. / B G 9 Dale (0/,9 �v y PERMITEXPIRESON !(� 2.z 977 I (Date) ReceiptNo. 206187 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PIS } COUNTY OF BUTTE- DEPARTMENT bF DE`1s'ELOPMENT SERVICES -BUILDING DIVISION 7 County 'Center' Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMF APPLICATION AND PERMIT -' ASSESSOR PARCEL NUMBER c6_ ;�-S l l a°N"G BUILDING PERMIT OM/NER ( (Q\0ev`t (� l l�C(� 8 (� ( 0 SO. FT. OCC. BUILDING VALUATION M//1�111KzXLY. -CS� J] OWNER'S \(J J P �VK L.v NC I CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAOJNG ADDRESS " Fireplace CONSTRUCTION LENOEA UNKNOWN Total Valuation $ ' LENGE" MAILING ADDRESS Fling Fee $ 20.0: Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ �� ARCHITECT OR ENGINEER'S MAILING ADORESS Energy Plan Checking Fee $ Penalty $ BuaoINGAooREss / 3 1 S � PERMITFEE S � PLUMBING PERMIT Fling Femme 20.00 Each Trap 7.00 IDT No. / l SUSDIVISIO SNAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplexbilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel [3 Utilities Cl Installation ❑ Other ❑ Describe Work: 1 121 Mobile Home S" @20.00 Q -- PERMITFEE S Q Contractor ELECTRICAL PERMIT Flinq Fee 20.00 Main Serviceeoov OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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,POWER 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 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.) ❑ 1 certifythat in the performance of the work for which this permit is issued, I shall P P not employ any person in any manner so as to become subject to workers'HA2. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DW OCCUP. gO, OR OR ADONS. ( b acc. BUDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESIO. ( BRANCH CIRCUITS ) 97.50 APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES 20 @ I.0 SAL Q .so EX. Occup. oUTTLEEOTSALaESIo.OEA ( ) 5.00 Temporary Service 23.0.0' Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ LIP Contractor MECHANICAL PERMIT Filing Fee 20.00 ! Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ ]UE D. FEES IMP I FL000 CDF PMCEL PO HO IS This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF MVEL7PMENTSERVICES -BUILDING DIVISION I:0 Tii!1:1;I 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT e�' 12 d-, APPLICATION DATA SHEET Proposed Building Use ��%�!� Building Inspector o - -I S -- / I/ , Date Zf-S Z' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data\and manufacturer's installation instructions, 2 sets. ........... 10. 11. . ................ . Fees tf $ ed schedule Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. 14. Flood elevation letter (100 year flo�d),by California Engineer. . . Sanitation and plot plan approval Health Department . ........... . 1S. City of Chico plumbing permit. ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ...........'. . 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .... . . 20. 16re�4"sp8ct1 Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy'of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... -� 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... �- 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ...................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... ...................... 33. 34. ',When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior t permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by SSI ai G onl S Date _LQ Sets of plans on hold in File cabinet_ AP folder Copy - Department of Public Works j? - TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USELOKLY �— Plot PIM Ateec6ed oZ Floor PLoSI►mwhW Seat to B.D. Owner Location AP# /. Plan Approved for: Sewage, Disposal ✓ Water Supply: Public Private Well ✓ Clearance for Other WoV, w bedroam No b;�,- har«.¢,, Hold final for: Final clearance O.K. for: NOTE: Environmental 8/92 to bpeciaust Date ` {"R BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District' 9" e U Building Department No. A.P. Number J��o � Jurisdiction: 0 City County Property Owner Property Location/Address /63/44 J 7-A&L 2_,� r Subdivison Residential Development Commercial/Industrial y 01t1 Building Departn No. of Living MHI Units New Lot No. Sq. Footage 16 Q O Addition (Group R) 0 Addition (Floor Plans reviewed by School District Personnel) District Identification No, Nft (Street Address) Sq. Footage (Including Exterior Roofed Areas) .2 5, ;4z Date School District certifies that 9���Q % (Applicant) g3 ^�) (Phone Number) WAM (City) 11(State) �� (Zip Code) has complied with the requirements of Resolution No. ���—/ 6 by payment of $ representing oc)6 square feet. As 2926 $ FULL MITIGATION $ �a^9� School District Representative Date Paid by Check # AI Remarks: kA f Bank Number Paid by Cash 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) feeformmkl (11/94)dmm And when recorded mail to: Building Division #t7 County Center Drive Oroville, Ca. 95965 97-016266 NOT COMPARED Wft ORIGINAL DOCUMENT - MAY - 5 1991 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT ' Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land dor 'incIuded within an ar.ea Izoned 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: NAte- o -r4E- Nom HP�Lr Of -TM RoerhG6r- �2� aF s�oH 32 , tcohK64ip 24- NOS(/ � tG6 3 sr , 1�I.D.B, M LY/NG f-�s kl-Y eF � e195�, , b uE Dr SATE x•1-1 WJ1 y �� �L A,5 he +ME EIcr'sr� bs! M,9f2(#I Date: ? PROPERTY OWNERS. l State of California ) County of�,}�� ) On 5- S -9 -1 before personally appeared ZU \ eJ-+G` J • r l � known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose narne(s K within instrunt and acknowledged to me that hc/�thcv executed the same in hisaQltheir authorized 4 that by hi cr/ heir signature(s) on the instrument, the persons) or the entity upon behalf of which the executed th Instrument. WITNESS mv'hand and official seal:CApt:-MAFEE . N -COMM. / 1114M Silmatu 3 ' oun FUKX.CMXNM COIN FY OF WM Seal: psna bob" tltt t7.!/M.,, A.P.#1 --'go - 2S— 1 `f C, subscribed. to the I M.H.I.- 2 Mobilihome Manufacturer, 6oyi COxp Manufacture"Year: 73 If other than single wide, furnish Setup Model Number: Width: ft.) Length: 60 ft.) Tagalong or Expando'Size— (ft.) N (ft.) On all mobilehomes manufactured after. October 7, 1973, furnish manufacturer's installation manual and structural setup.sheets. FOOTINGS: ' Wood pressure treated or foundation grade[/Q Other:' SUPPORTS: Concrete block[ vi' Other: Provide Tie Down Specifications ecifications for all,Mobilihomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 0 Line I Line 2`--,� Line 2 ................................................................................................ -Main Beane Line 2 ............ c 2 U Line I Line 3 Line 2 ....................................................... Main Beams Line 2 Line I ................................................. e 5 Tag or Triple e4 . ................................................. i -e I Line I Piers: Size minimum: r 1 x r i. Spacing maximum: I t I From ends -maximum: l 4 1 Line 2 Piers: I' Size minimum: [12- x 001'j. Spacing maximum: 15e '69� From ends -maximum. Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: ' Location (from front): Line I Openings Size minimum: x I Each side of openings with width over: Line 4 Piers: Size minimum: [ , ]XI I Spacing maximum: I I From ends-maximuml C OVTR FILE COPY 0/6, Be-?- ?_ 2. Assessor's Parcel Number: 3. Installer's Name: Roky yt- C� I 4. Is the site currently under permit? Yes[q No[ ] Permit No. 5. Is the site an existing site? Yes No[ ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the mobilehome? 30 Amperes. 7. What is the mobilehome site circuit breaker rating? 160 Amperes. 8. What is the electrical rating of the mobilehome site? /db 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 home site: Load- WF—LL Amperes- �o b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] ' Propane 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? (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 4 May 1995 8.5 l/ T f-7) Sd V /J/d Page No. 3 09/03/96 • DONE PERMIT TYPE DATE DATE ROAD NAME OF ? NUMBER ISSUED EXPIRED DIST. APPLICANT 961138 M 08/05/96 08/10/96 R6 961138 MA 08/26/96 09/11/96 R3 961139 U 08/05/96 12/05/96 R2 961139 MA 08/29/96 09/12/96 R1 961140 E 08/15/96 12/05/96 R2 961140 MA 08/27/96 09/10/96 R6 961141 U 08/05/96 06/05/97 R5 CANCILLA TRUCKING MOBILE HOME SERVICE CAL WATER MOBILE HOME SERVICE WEST VALLEY CONSTRUCTION MOBILE HOME SERVICE SPRINT COMMUNICATIONS 961141 EA 08/27/96 08/27/97 R4 BANES, GREGORY 961142 M 08/05/96 08/10/96 R3 DIAS, JIM TRUCKING 961143 M 08/05/96 08/09/96 R1 RER TRUCKING 961144 U 08/06/96 11/06/96 R4 PG&E 961145 U 08/06/96 12/06/96 R2 PAC BELL 961146 M 08/06/96 08/12/96 R1 CUMPTON TRUCKING 961147 U 08/06/96 11/06/96 R5 OWID 961148 M 08/06/96 08/21/96 R1 MOBILE HOME SERVICE 961149 M , 08/08/96 08/21/96 R6 MOBILE HOME SERVICE 961150 M 08/06/96 08/13/96 R6 ER ERICKSON AIR CRANE 961151 E 08/06/96 08/06/97 R3 MCCAULEY, ROBERT LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. �M OWNERSa'I A.P.NAME:JJ NUMBER: PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: %-%� S FLOOD ZONE: k FLOOD MAP: DSU R APPROVED: CONDITIONALLY APPROVED: v RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS X OR MAP DEED INFORMATION: DATE OF CREATION: G ,. 3 — Zl -CO LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION COMMENTS/CONDITIONS: 0&50�-- �-6 — ZS :0D—L-- MAP INFORMATION: DATE OF RECORDING LOT DEED REFERENCE: LEGAL ACCESS REQUIRED: YES NO YES NO BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THEBU/LD/NG DIVISION UNLESS OTHERWISE NOTED. V"'1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of _ 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from _ 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. V-"7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the 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 Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements, of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. 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. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22 23 24 25. 26. 'Ala 1N3Wd013M aNVI 3.11(18 :10 AiNf100 9661 1 0 100 MAMMA LD 7/96 C:\WP51 TORMS.K\BLDGPERM.CLR cri y c_' tj m I✓y��o cl. �•, 0, � '00cw* C4' y aID 49 6=QM Zm z r -4 C78�o 90> Cdr C) -e Z m �.. ® pz CO '1ca rnz OAK : =I ml s oum R 0 4 AA a a get_ f �a�-Soy ro 0 CD 00 0A rb. m b y fg� O 0c+(D�.j CD o n CD m Scl, c CD m P ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF ?a FT. FROM THE SIDE AND 3 a FT. FROM THE REAP. PROPERTY LINES AND J O FT. FROM THE ROAD CENTERLINE SHALL. BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. a`z l CALIF. DEPT. of FORESTRY [❑ approved as submitted [�] approved with conditions per attached sheet. in�3 � aureii Date S.gr. G� m ' 1 c 0 CQ!� i d a m�0I I 40v ' Zr 11 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. [�,J 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. [�) 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�) 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�) 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. R C7 Page 1 of3 gg F�,,� '��. �r �r T ��E�� �� ' RO ►E. AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [xl 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. [x] 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. [Xj 1. All parvels 1 acre and larger shall provide a mini- //`` mum 30 foot setback for buildings and accessory buildings from ull 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 be completed prior to completion of road construction )r fi_ial inspection of a building permit. 0U� �t V, Page 2 of 3wuf �g�"� a P 6 � 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 i0t 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 �0,Z Date Signature U �Pri Page 3 of 3 �r�� i Qr-off 7r- On 5#. 21# BATH 1 UTILITY PANTY - e KITCHEN w KCASE •;• � _,-----•- ._._._-- - BAR --. ._-_. _ LIVING ROOM BEDROOM JV AMR o WAR BEDROOM FET •• R DINING ROOM41, i4 r - r� _ r. y / r r "� 1 r_ 1' a '•w•.. 11 - d _ ,, =r 1::., �, 't UNIVERSAL = 20 x 50 =" 2 . BE 'CENTER KITCHEN x ' x .. •. ��� �r�� s=ib` . , . ir ., r f. •� s APPROVED `Butte County i fp �F • t•L ~� • . { ... -. f� f i ..a .. E rlrne,�rtal ealth r • '. � �` I_ M. " ;x'- ►=9 -t�13 2 .ci r „ N. d 4 1 �t��s�-Zs-oil 616 i