HomeMy WebLinkAbout058-200-071058-200-071 PERMIT#94-3268
BETTENCOURT, ROBERT :hA; J-�/9�
11717 CAPRICORN WAY, CONCOW
CONT: KIRKWOOD BACKHOE SERVICE �-
-MOBILEHOME UTILITIES
ELECTRICZ�VD
GAS LINE 1106 311,.1' 3y
COMPACTION TEST REQ_
SUPPORT STRUCT REQ
058-200-071 PERMIT#94-3372
BETTENCOURT, ROBERT
11717 CAPRICORN CAPRICORN WAY, CONCOW/3
CONT: AL CARL
MOBILEHOME INSTALLATION
COUNTY OF BUTTE - DEPARTMENT OF DEVE'-7PMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Qalifornla 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION ANb PERMIT %a -
ASSESSOR PARCEL NUMBER
058-200-071
ZONING
BUILDING PERMIT
OWNER
ROBERT BETTENCOURT
TELEPHONE
S0, FT, OCC. BUILDING VALUATIO
OWNER'S MAILNG ADDRESS
4065 WINDEIMER N. OROVILLE
CONTRACTOR'S NAME
AL CARL
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
--%
Fireplace
CONSTRUCTION LENDER. _ UNKNOWN
LENDER'S MAILING ADDRESS S 8 �. OD -0 /
ARCHITECT OR ENGINEER LICENSE NO.
Total Valuation Is
Filing Fee $
20.00
Permit Fee $
Plan Checking Fee $
23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
PERMIT FEE $
43.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome (X Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition O Remodel ❑ Utilities ❑ Installation ki Other ❑
Describework: FOR UTIL BP#94-3268
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service( 21111 OR LESS
OOA OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST.DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. )
SO,
3.5C FT. •T
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code aad my license is in full force and eef�fect. ;;1
y
License No. �/ �`�" ��/ % Classification L Z/; P'
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $ 100.00 (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of'Consent to Self -insure.
❑ Ishall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
NEW CONST.(
•NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POW ER APPARATUS )
& SINGLE OUTLET CIR.
r.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occup. FIxED APPLNS. OR
(OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence o the grantin of this permit.
X �Z7 Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $ 100.00
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEES 143.00
HAZ-
I D. FEES
I IMP
I FLOOD
I COF
PARCEL I PD
HO
ISSUE
This permit is hereby issued under the applicable provisions
of th Butte County Code and/or Resolutions to do work
in cat d o e for hich fees have been paid.
BY ° �`� �� ate
�2 2� P•S,�
PERMIT EXPIRES ON
IDaw
Receipt No. 171033
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
IS
�:.�g+.-1 `. .' t •K+, �^wv. �} 1 '. i+r4'"^'Hy�' `5�y.rFih•""�,�'p�� �y�*,. ,,y�,Y.,�.. *t � . ,
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT'OF DEVELOPMENT SERVICES
BUILDING DIVISION ---7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --PHONE (916) 538-7541
APN:
PERMIT NO.: r
Owners:
L
_
#
Name:
J � � . [ /,r.
✓
Owners:
Address:
/ 6L o r c\
Mobilehome
Manufacturer
r
�� IM �% �✓�
Year of
Manufacture:
/
Serial number
�r L/
Iq rb
Insignia or ?
% ' Loo
16 -7ell, � [
orV.I.N.
D number:
Official approving installation:
Date:
�j <
If the mobilehome is movedor relocated, a mobilehome installation acceptance shall become invalid. This form shall '
not be used when the mobilehome is installed on a foundation system.
513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor
1 �t.
COUNTYOF BUTTE - DEPARTMENTOFQEV • 'OPMENTSERVICES - BUILDING DIVISION
� xr f
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
�.
OWNER - ('.� ,A. PA No./)
S 0 aOZ�--i��-T C
Proposed Building Use
Building Inspector
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
". 1,
" DATE RECEIVED BY
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. ...........
Fees of $ . .................... _.....-..................
�10.
1.
Impact fees as shown on attached schedule . ..................................
12.
California Department of Forestry plan approval/fees. ..:.................... .
13.
Flood elevation letter (100 year flood) by California Engineer............:..... .
14.
Sanitation and plot plan approval Health Department . ........... .
15.
City of Chico plumbing permit . ........................................ .
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
' 17.
Planning approval for (A) Use: (B) Parking: :....
18.
Contact Land Development,about (A) Improvements (B) Drainage. ...........
19.
Driveway permit (construction approval required prior to occupancy). . .
'Preanspedionrequ�-
20.
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 . .........................................
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 mit process as follows: Ma to owner, Mail to contractor.
Telephone the
and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation`
Z��c.� ��
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 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 _m u ter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ ail ter by _ Date
Plans checked by Date Plans approved by Date Zy ip-Q
Sets of plans on hold in File cabinet AP folder :•.,.,:
Co- Department of Public Works
•• ;.a
COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (9161)x538-7541'
OWNER
PROPOSED BUILDING USE
3.
4.
5.
SCHOOL DISTRICT FEES
(paid at District Office) .......... U ..............
SHERIFEES
FF
(paid at Building Departmen )
Residential...... 1 x -$
unit amt.
Commercial (sqft) x -$
sq.ft. amt.
URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
RECREATION DISTRICT FEES
(paid at District Office)...... .................
DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00......
(paid at Building Department)
7. OTHER
00980 1 ���•
A. P..# —; X60 '671
DATE *. 4--
REC. # DATE REC
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANT
DATE
I
e
eW I L U11 1n iLiuun iy �xLCi wi
Roofed reas) "
E` ul ding Departme t epresentat' a Date
p r -
(Floor Plans reviewed by School District Personnel)
strict Identification No, 95--0 067
TAI (,ft) l C6�) School Di strictcertifies th t_ J) IM
�IT�ys •<'„tst¢�'Z.,b,�t?UTA.rw.twf:•¢Ytr��'i;Y,rT�ti'�xpyp�#i+w•Tures+��;yT.:r;fn@.!r.+vr.Z.n+�=:•f.+,^vys.eTa.Y.ftaha++».�--�v'-2^*+yirrw-:",-...",..
` s BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
j
(One Form Per Building)
School District VY -6i,(. ` Building Department No.
A.P. Number &3"F -0a -0-V Jurisdiction City County
Propertv Owner Pf.-An p-j,--Roia„-..P�1
Subdivison
Residential Development .
No. of Living
Units
Lot No.
0 Sq. Footage
MHI Addition (Group R)
C mmercial/Industrial 0 0
N Add'
r�
(Street A resj (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. %D��-9� by payment of $ 0(00,-6
representing ^ �� square feet: �� Check_ ere if fee receiv d represents "F Mitigation".
4V 1264.4L �,L cox
�e,�-.�� / - 8
5choohDistfi'bt'R�prL6sehtiitiVe // Date
Paid b ..0�eck,.����Remarks: Li? n
Bank Numijer_-n m� /
Paid by Cash /6
If, subsequent to the School District Represent tive signing this Butte County Schools I pact Fee
Certification Form, the School District is notified by the applicable Local Planning Ager cy that this project
is being reviewed under. the California, Environmental Quality Act (CEQA), this projeli 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) feeform. � (4/94)
:s
ELECTRIC
GAS
Support Compaction
Struc. Test eq.
Service
Other
Pipe
YES NOI YES NO
Size
Load
�Type
Size
Length
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: 9--1.c
u v�� #e00(1)Uf
2. Installer's Name: �� 4%A111
3. Is the site currently under permit? Yes No
.(If yes, furnish permit number. 9 ^ (O �) OR
Is the site an existing site?,. Yes No
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach
fields and clear of all setbacks and easements? Yes Er No F]
(If no, clarify
5.
What
is the
mobilehome electrical rating? ---------------
1
Amps
"6.
What
is the
mobilehome site service rating? -------------
:0 C la
Amps
7.
What
is the
mobilehome site circuit breaker rating?
----- �%
Amps
8.
Is there any other electric load to be served by the
F
mobilehome
site
service? --------------------------------
Yes
No
(If yes, identify the load and size: `�� `l
(Load) i
(Amps)
9.
What
is the
mobilehome site gas pipe size? --------------
�y
(in.)
10.
What
is the
type of gas service? -------------------
Natural F LPG
11.
What
is the
gas pipe length from meter or tank to the
mobilehome?
---------------------------
* 12.
What
is the
mobilehome gas demand? ----------------------
✓
(BTU)
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.)
72 -
.NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APP COUNTY
BUILDING DEPARTMENT
MOBILEHOME SUPPORT DATA
'/ If other than single wide, J 7
Mobilehome Mfr. Z'A vyh /A) fuinish'Setup Model No. G J Year
Width (ft.) Box Length SJZ (ft.) Tagalong or Expando Size ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) FIX
Wood-pressure treated or foundation grade. 2. Other,(specify)
SUPPORTS (check one)1. Concrete block. F]2. Other (specify)
Pier Footing Sizes and Locations
SINCLE-WIDE MULTI -WIDE
Line Z
Main Beams
Lj;ne Z _—_— _ _---\_
— — — � Main Beams — — — — — — —
— — —Line
Tag or Triple
T.inp 4
Line 1 Piers: Line 1 OoeninRs:
Size -Min. ------------ Size -Min. ------------------
Spacing-Max -
-----------------Spacing-Max. --------- ,k Each Side of Openings
From Ends -Max. ------- With Width Over ---------
Line 2 Piers:
Size -Min- ------------
�.� ,k 96„
Spacing -Max.--------- ,_ J
From Enda-Max.------- / �_ ���
Line 3 Roof Loads: -
Size -Min. --------
----
O !Y/ Location (From Front)
Line 4 Piers:
Size -Min .------------
'k
_ .. Spacing -Max.--------- ,
From Ends -Max .------- ,
Line 3 Piers: (Under Bearing Wall Only)
i
Size -Min -------------------
Spacing-Max._______________ ,
From Ends -Max .-------------
3e'. :mak �, .x :
„x „ •,X k
Line 5 Roof Loads:
Size -Min. ------------
Location (From Front)
.;'�L:4
■irk � `: , ., _.
Size -Min .------------------
Spacing -Max.------'--------- r_
From Ends -Max.------------- �-
•' ).q,* -
10*d
SIO 3WOH II80W
zi2� iv.-:, 916 x
Of :Z1 0612,171,90
ENGINEERED
TIE -DOWNS
MANUFACTURED HOME TIEDOWN CALULATIONS AND
SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES
GENERAL NOTES
1. DESIGN LOADS: ,
* WIND--- 15 PSF
* SEISMIC — ZONE 4
* SOIL --- 1.000 LBS. PSF LOAD BEARING
ABESCO ROCK ANCHOR #607 MAY BE USED FOR BOTH SIDE AND END TIEDOWNS.
2. ANCHOR DESIGN PULLOUT:
�E 1,727 LBS.—MAXIMUM TOTAL LOAD CAPACITY (CALCULATED)
TIEDOWN STRAPS ARE TO BE ABESCO'S STEEL STRAPS #606 AND x/614. THESE ST APS MEETS ASTM
D3953-91 SPECIFICATION FOR TYPE 1. CLASS E, GRADE A STRAPPING AND BE AT LE=ST 1 1/4" x .035
ZINC PLATED.
3. STRAP DESIGN TENSION:
* 4.750 LBS.—MINIMUM TOTAL LOAD CAPACITY (TESTED 5.900 LBS.)
* 3.150 LBS.—WORKING LOAD CAPACITY (1.5 SAFETY FACTOR)
SIDE TIEDOWNS ARE LOCATED ALONG THE OUTSIDE CHASSIS BEAMS. PLACE AN AE --!;O ROCK ANCHOR
AT 4' IN FROM EACH END OF EACH OUTSIDE CHASSIS BEAM. DISTRIBUTE THE REMAINING TIEDOWNS
EVENLY ALONG THE CHASSIS BEAMS.
4. END TIEDOWNS ARE LOCATED AT BOTH ENDS OF EACH UNIT(S). THEY ARE TO BE PL -=ED AT EACH EI4D
OF CHASSIS BEAMS. OF EACH TRANSPORTABLE SECTION OF THE BUILDING.
5. THE NUMBER OF TIEDOWNS REQUIRED ON EACH SIDE/END OF UNIT(S) ARE BASED ON THE LATERAL
LOAD DUE TO WIND OF 15 PSF OR SEISMIC Z014E '4.
ENGINEER-APPRMAL
No. '17918
Exp.®
call -
UF WWF'
THIS TIEDOWN SYSTEM MEETS_ THE REQUIREMENTS
OF SECTION 1336.3. SUBSECTION (o)
PACIFIC CONSULTING: ENGINEERS
4020 EL CAMINO AVE.
SAC. CA. 95821 PH: 916-482-7378 %
90-gH T 95AJ 0 lU C D UR T
CA4PAI c0lz0
WAV
O ROv���e
GA
614&m PloN
(01B(o
Z x so' -s `15 Z
�;372_
BUTTE COUNTY
BUILDING DEPARTMENT
:A P.'P R 0 V E D.
ABESCO TIEDOWNS
' -036 2
#607 CROSS #606 7' STL. #614 7' STL. #608 SPLIT #406 PIER
DRIVE ANCHOR STRAP W/BUC STRAP W/HOLE BOLT 8c NUT BOLT—ON TOP
TYPE 'S" TYPE "E"
WIDTH
LENGTH
TRANSVERS
LOAD'Mr
TOTAL TRANS.
LOAD
N TYPE "S"
TIEDOWNS
N TYPE "E"
TIEDOWNS
SINGLE
30
FT.
165 PLF
4,950 LBS.
3
2
40 FT. 165 PLF 6,600 LBS. 4
2
WIDE
TO 14'
.50
FT.
165 PLF
8,250 LBS.
5
2
60 FT. 165 PLF 9,900 LBS. 6
2
70 FT. 165 PLF 111,550 LBS. 7
2
DOUBLE
WIDE
TO 28' (
-
30
FT.
165 PLF
4,950 LBS.
3
4
40 FT. 165 PLF 6,600 LBS. 4
4
50 FT. 165 PLF 6,250 LBS. 5
4
60 FT. 165 PLF 9,900 LBS. 6
4
70 FT. 165 PLF 11,550 LBS. 7
4
TRIPLE
WIDE
TO 42'
30
FT.
165 PLF
4,950 LBS.
3
6
40 FT. 165 PLF 6,600 LBS. 4
6
50 FT. 165 PLF 8,250 LBS. 5
6
60 FT. 165 PLF 9,900 LBS. 6
6
70 FT._j 165 PLF 1.11,550 LBS. 7
6
WIND= 15 PSF
TYPEQ SEE CHART SEISMIC= ZONE 4
REQ'D. N0. OF ROCK ANCHORS FOP. EACH SIDE AND EACH END
T1?E
LENGTH OF UNIT 30' 40' 50' 56' 60' 66' 70
CKAFr SINGLE WIDE UNIT 4 2 5 2 5. 2 6 ;' 2 6 2 7 2! 7 2
♦ L EVENLY LSPACED
LENGTH VARIES ►`) TOTAL TIEDOWNS 12 14 14:- 16 16 18 18
I
SINGLE WIDE
LENGTH VAR I
DOUBLE WIDE
14'1
EVENLY LSPACED L EVENLY (SPACED LA'r,
1^ LENCTN VARIES
TRIPLE 1'PIDE
REQ'D. NO. OF ROCK ANCHORS FOP. EACH SIDE AND EACH END
LENGTH OF UNIT 30' 40' 50' : 56' 60' 66' 70'
TIEDOWN LOCATIONS E S E S E� S E S E S E S E
TRIPLE WIDE UNIT 4 6 1516 1516 6' 6 6 6 7 6 7T-6-1
REQ'D. NO. OF ROCK ANCHO
'
TIEDOWN LOCATION S E
S E
S i E S i E
S E
S E
S E
l®l
WIND= 15 PSF
SEISMIC= ZONE 4,
REQ'D. NO. OF ROCK ANCHO
.FOP.
x011 1
E AND EACH END
LENGTH OF UNIT 30'
40'
` SO'
,i56J
60'WSE
70'
TIEDOWN LOCATIONS E
S E
SII E ISHEI
E
S E
DOUBLE WIDE UNIT 4 4 5 4
5'+ 4
f6t41
6 4 7 4; 7 4
TOTAL TIEDOWNS '16 18 111"16
920
20 22 1 22-1—
WIND= 15 PSF
PO SEISMIC= ZONE 4
iAFT
ngj
Us'
C����
0 0. 7915
C6�1®�
OF
14•LEVE]A7.Y SPACED EVENLY SPACEDIEVENLT SPACED I4,
TOTAL TIEDOWNS 20
22 22 124 24 26 26
14•LEVE]A7.Y SPACED EVENLY SPACEDIEVENLT SPACED I4,
. SEE DETAIL"B"
TYPE QE TIEDOWN
¥406 PIER
BOLT -ON TOP-,
p,0
�0
6
- CHASSIS I r_� !�
CHASSIS
—'7 3
SIDE VIEW END VIEW
SEE DETAIL <<A„ DETAIL��A��
TYPE QS TIEDOWN TYPE QS
r�0. SIDE TIEDOWN
60
#606 STL.
SEE DETAIL C" o STRAP
(TYPICAL) 1
7' STEEL
STRAP
#608 SPLIT
BOLT & NUT
8 � 1
`:.�. CONCRETE:—�
12" SQUARE
x 12" DEEP << 0
GROUND LINE
{ DETAIL C
(TYPICAL)
SIDE VIEW
#607 CROSS
DRIVE ANCHOR
CROSS DRIVE ANCHORS ARE USED WHERE
DETAICB" END VIEW HARD OR ROCKY SOIL OCCURES. IF THE
TYPE QE GROUND SURFACE IS OTHER THAN ROCK
END TIEDOWN OR MINIMUM 2" ASPHALT, ENCASE THE
CROSSDRIVE ANCHORS WITH CONCRETE
AS SHOWN.
CONTRACTORS WARNING:
1. CHECK FIRST FOR UNDERGROUND UTILITIES.
2. INSTALL ROCK ANCHORS INTO SOIL ACCORDING TO DETAIL "C".
3. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
4. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG.
5. ABESCO NAME IS STAMPED IN ANCHOR HEAD.
- CONTRACTORS VERIFICATION -
I CERTIFY THAT I. HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS.
HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. .
COMPANY NAME :-------------------------- CONTRACTORS LIC.# ----------------
---
DATE: - - - - - - - - - - -- SIGNATURE:-------------------------------
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RESIDENTIAL
058-200-071 PERMIT#94-3268
BETTENCOURT, ROBERT
r 11717 CAPRICORN WAY, CONCOW
CONT: KIRKWOOD BACKHOE SERVICE
MOBILEHOME UTILITIES
9
OFFICE COPY t
1 Address
F GAS
Meter By Date
ELECTRIC '
t
Meter By Date
JOB FINALED (Date) AA�
_
Signature
f
J=OK
O = Nbt OK-'
Not
= Not Readyable MOBILE HOMES
Date
MOOK6 HOME UTILITIES (Plans) OK except #'s
1KZoni g'Requirements-Setbacks-Easements
oils; Special MH Support Sketch
E,
wer; Location -Test -Fall -C/O Concrete
Wa , ocation-Test-Easement Needed (Sketch)
le tricity; Lc p -Concrete
'Gas; Loca ' n -Test -Wrap: / /"L"ft.
/ or/ /"L"ft.30"'LPG
1 /
Clearance & Disconnect
ltility
Clearance
Date f Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Dat 04JKLF,,HOME INSTALLATION (Plans) OK except #'s
1. ning Requirements -Setbacks Easements
Fo ',gs; Size -Spacing -Marriage Line
H Test-Demand-Valve—Connector
ect jetty; MH Test -Crossovers -Breakers -Clearances
ain H Test -Fall -Flex Connector
t MH Test -Regulator -Connector
a an ewer Connected -C/O to Grade -HD Approval
as d Electricity Tagged
V_Iei Insp.-Sketch
0. Cert. of Occupancy
Date Card 13-1 Date Card B-1
Date Card B-1 Date Card B-1
,rf 2 1�
�, \� k4 -./ 7#��6
�C 34-501/L
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK •
= Not Applicable
Not Ready RESIDENTIAL (�
' =
Date UNDERFLOOR (Plans) OK except ti'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-/ /Fig. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except ti's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
--------------- -- --------------------------
17. Water Pipe; Test & Anchor -Nail Protection
---- -- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection
---------------- - -------------------
19. Shower Pan: Test, First Floor -Tub Access
----------------- ---------------------------------
20. Test -Tub & Shower. -Second Floor -Tub Access
---------------------------- ------------------
21. Gas Pipe: Size & Anchors
Date Card B-1 Date
- ----------
Date Card B-1 Date
Card B-1
Card B-1
Date ELECTRICAL (Permit) OK except ti's
22. Fixture & Transformer Clearance -Ins. Protection
--------------------------------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
--- ----------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
------- ------------ -----------------------------------
_ 25. Romex Installed Close to Edge of Studs & C.J.
------------------------------------------------------------
26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water
----------- -------------------------------------------- -------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
----------------------------------------'-------------------- ----
28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! / ga.
Cu or At
----------- - --------------------------------------------------
29. Range Circ / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----------------- -------------------------------------------------
---------------
----------- - ------
30. Service -Riser Conductors & Ground -Main Disconnect
---------- ---------------------------------------------
31. Equip Clearances Panels-Motors-Mech. Equip.
---------------------------------------------- - -----------------
32. Clothes Closet Light -Shower Light -Spa Light
----------------------------------------------------- ----- ---------
33. Smoke Detector
------.--------------------------------------------------------------------------
Date ' Card B-1 Date Card B-1
---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a's
34. A.C. Ducts Insulation & Support
------------------------------------------------- ------------------------------------
35. Vent Fan: Exhaust above insulation
------------------------------------------ ---------------------------------------
36. Condensate Drain & Overflow: Size & Grade
---------------------- -----------.
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
------------ --------------------------------------------------- -
38. Attic Access & Platform if Furnance in Attic
-------------------------------------- -------------------------------------------
Date Card -B-1 Date Card -B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except t1's
39. Sils. Proper Material & Anchors
------- ----- -------------------------------------------------------- - ------
- - ------ ---- -
40-- Wall -s- Studs -Nailing.- --
Spacing -&-B racing -Plates -Sound- ---- - - -- - ------------------------------- --- -- --------------
41.
-----------
41. Bearing Walls over Girders & Floor Nailing
----------- -----------------------------------------------
42. Draft Stop in Walls (rat proof)
----------- ----------------------------------------------------------------
43 Fire Stops: Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
33
tit
46gle & Duplex)
s,
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop'lns. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
_ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
------------53.-Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
----------- -
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
__ 55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date
Date
Card B-1 _ _ Date _ Card B-1
Card B-1 - Date Card B-1
Date FINAL (Plans) OK except ti's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
----------------------- ___
63.
----------------------------63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
---------- - - -------
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
----------------
67. Stairs & Rails-------------
_
68. Fireplace or Stove: Clearances -Hearth
-------------------
69. Elec. Outlets at Wood Panel; Int. & Ext.
------------------ -----
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
- ---
---------------
71.
--------------71. Elec. Outlets & Receptacles at Kit. Counter
----------------------------------- --------
72. Gara a Fire Door: Swing -Landing -Closer
-----------------
73. A.C. Duct in Garage -Damper
-----------------------------
74.
74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. ,
In Garage: Above Floor-Mech. Protection
-------------------------------------- -
75. Plb.. Elec. & Mech._Equip. Listed for Location
------------------
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
----------------
------------ ---------------------------
7;. Insulation -Foam -Looked in Attic C3 Yes
- - -
78. Guard Rails & Deck Construction -Post Caps
•-- -----------------------------------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
•, Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes IDNo
------------------------------------------- ---
81. Stucco: Brown -Finish _
82. A.0 Unit: Disconnect. Electrical, Plumbing
----------------------------------------------
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
..------------ - -
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
- -- - - --- - - - - - -- - -- --------------- ------------------------
87. Glass Protection
88. Corrections from Previous Inspections +
--------------- ----------
89. Gas Test -Meters Tagged; Gas -Electric
-90. Water & Sewer Connected -C/O to Grade -HD Approval
--------------- ----------------------------------
91. Energy Compliance Certificate -Other Certificates
- ----------- ____ -
Date Card B-1 Date Card B-1
-------------------------------------------------- ---
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Or6ville, California 95965 - Telephone (916) 538-754P R N .
APPLICATION AND PERMIT - �q--3:Z1
ASSESSOR PARCEL NUMBER 58-200-071
ZONING
BUILDING PERMIT
OWNER ROBERT BETTENCOURT
3. N—E2273
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 4065 WINDERMERE LN OROVILLE
CONTRACTOR'S NAME KIRM400D BACKHOE SERVICE
TEE�11f1-2253
[,C}
CONTRACTOR'S MAILING ADDRE18c0 :zIRizW00D RD
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS CAPRICORN WAY
PERMIT FEE $
CONCOW
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PRCEL MAP 2 ��
{/7.
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home
@20.00 Ir 0
TYPE OF WORK
New O Addition O Remodel ❑ Utilities 11 Installation ❑ Other ElContractor
Describe Work: MEM
PERMIT FEE $
80 00
ELECTRICAL PERMIT
Filing Fee 1 20.00
Main Service ( 'OV OR
200A OR LESS
23.00 23.00
Main Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( s ACC. BLDS. )
SO,
3.50 FT.
CONTRACTORS LICENSE LAW
I �de tare under penalty of perjury (check one)
1� am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code rid my license is in full force old effect.
License No. Classification (`L
O I, as the own r, or my eriiployees with wages as heir sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POW ERAPPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
SAL. @ .50
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS IRESID.1 EA. 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 20.017
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
°1Certificate of Consent to Self -insure.
1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
C3.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County inconsequenc of the granting of this permit.
X Date
Signature of Applicant - LlOwnerI&kontractor r Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FE$
HAZ• I D. FEES 1. IMP
Fl
PARCEL
H U
This permit is hereby issued under the applicable provisions
of the Butt ounty Co and/or Resolutions to do work
indicate b ve for whic _e,
e have been paid.
By Date
PERMIT EXPIRES ON
IDatel
1709018
Receipt No.^����
WHITE•D.D.S.-a.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
t
CONTRACTORS WAR\TING:
1. CHECK FIRST FOR UNDERGROUND UTILITIES.
2. INSTALL ROCK ANCHORS INTO SOIL ACCORDING TO DETAIL "C".
3. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
4. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG.
5. ABESCO NAME IS STAMPED IN ANCHOR HEAD.
- CONTRACTORS VERIFICATION -
I CERTIFY -THAT I
HAVE INSTALLED THE
ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS.
I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE.
COMPANY NAME: � �� !�� h'e _ ee1" 7''z__ CONTRACTORS LIC.#-_
DATE: 3�_1� SIGNATURE:__
E -
.yK
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
4
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contaejhis office immediately. i ;y
p
Ar
Date 4WJ- V Inspector Gv�
REV 10/92
:. COUNTY OF PAE.
'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 5
CORRECTION NOTICE
] .J 7Z
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, �S
please contact this office immediately. v
/n /
�kqd t ccArw b •l /"X" —Pew
Date Inspector
REV 10/ 2
�, us `r+n'r�.fr,r;+'."+.yn..y G rsw'�" '�++• - `� b
� «r .1t,�r r+°iw�'i' e a ` yr"+"`%. �"h� �C+tv� ••t}e+ �"�7���'r 'ti%'*.a•�Xrifii r...F.Sr°•i+nr._r..r•h•vw,,na.'�,'.n+t...r:,-�sr
' COUNTY OF BUTTE - DEPARTME _ ; DEVELOPMENT SERVICES - BUILDING DIVISION
a
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
"w G
OWNER
COCJ A P No. dJ~0 aG —a
Proposed Building Use Building Inspector Date ZZV
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. ..
2. California Department of Forestry plan approval ee ... • •
Flood elevation letter (100 year flood) &alifornia Engineer ..................
.
(J
1
4. Sanitation and plot plan approval Q Health Department ............
15. City of Chico plumbing permit. ....... .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18 ontact Land Development about (A) Improvements (B) Drainage. .......... .
g. Driveway permit (construction approval required prior to occupancy). ...Pr�4� 'Wc oA n?q�
20. Pre -inspection for required. . to Building Inspedor. (Date)
21. Contractor's license information. (No., Name Style, Classification). ........ .. .
22. Certificate of Workmans Compensation Insurance . ......................:'. :`.
6e24Owner -Builder Verification (Given to owner , Mail to owner . ........... 42
*
. 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 a1public 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.
W en u issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone nd hold for pickup at 0 office. Deliver with inspector.
Other
Parcel Creation C
Acreage Applicant �Gc- Ct=f�/ Date ems' -' r
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date V
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior
1. Index permit for above items No.
2. Additional items required:
ance: (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 Yi Date Z f 3 4_
Sets of plans on hold in File cabinet ' AP folder
Copy - Department of Public Works
'.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
S.H. USE ONLY
Plot Pl= Machod
Floor PIRn AMwW
sacs to B.D. I I . '-
l�Q,
r 1, 0d'�'l'�
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/92
L/
Date
•0. r
1. 1
"c✓ coda l-
APPROVEd
Butte County
nvironmental Health
-------------
/I.., 1 Date _ f�-�-
Signature
1 h a LC
-4 i
cc 1✓/4 Z SGS • Dov
�t 1P°i�� ti P U
31
a
rIA5TER
5EDROOM
6.,•xu'•m•
OINING
V.10%r.W
n• 5vaAa AL%- Ma
,•
/'(..I V INC3 ROOT" f
/ 11'-4•xu'-m• �
BEDROOM 0
j•.=•xa'•m.
Poo BEDROOM w2
I
, . 1198 sg-FT.
24' X52 ,
OOM ' MODEL 636
3 gEDR
AR aALL JC.a 1
36• 5Wty,R WALL Ra
I �
OPT. DEN I
APPROo E �
Butte
Environmental Health
Date
- t,�--g�0ature --- --
%
Ctovilte, Cai►fcrr.:a
C'coamr'O"
13UILDF-RS CO
---�
mg—.M HOME �
f
ql
TbM set of plans and speWAcatione MM be
kept M the job at all Unm and % Is UlaaZOW to
make WW 044njac or aaUn-aUaw on MW without
wMtten pernds&on from tbG DqWtnkaft of Pubba
Works, CounW of Butte.
CAfQ"L0It4 (A)4y coa a %A
AS 9
IWOTE:.AU Materials & Workmanship Shall B036�
AoKwidance with R000gnized Good Preadoes and
of a Quality Presoribed for the Specified use
lu the Uniform Building, Plumbing & MeobaniovJ
NI Odes and the National Electrical Code.
co 4w
BUI
CWiF
0 appr(
-app"-�
,
;m
81tachedS
M
req
must7bS�0�
reMOTwts
as
by
%I ik—t- I ,-
ALL STRUCTURES AND ..EOUIPMEMT INCLUDING
OVERHANGS SHALL BE 'CLEAR OF ALL EASE&4ENTS.
ASSET BACK OF Co Fr. FROT0 THE SIDE AND
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FT.FROtVITPRU RTYUNES ANZ DHEREAR
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CDF FIRESSAFE_REQUIREMENTS
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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 apparte-s-ant 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.
ib(] 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
[x] 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 SO -
1.00 feet radius; 2 feet to those from 100-200 feet.
[X] 2. The length of verti.,�l 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.
Page 1 of :?.-,
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AP # PERMIT # NAME
[vi 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in :.ength, shall provide a turnout
near the midpoint of tine driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[1Y__] 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
ll�! 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[N .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 and 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.
[ Y 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
1' 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_ral inspection of a building
permit.
Page 2 of 3
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PERMIT #
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
gen co v e-
NAME
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
Metal or no doors on side toward property line with insuffi-
cient setback
Class A or B roof with enclosed eaves
Interior automatic sprinkler system per NFPA 13D
Glass area not to exceed 10% of wall area toward property
line with insufficient setback
Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
i
'62�� i / i - i
Date Signature
Page 3 of 3
IN
94-49558 lie
I., c t.urr'r `to MV, AGRY.: JUILIRAL S'.I'ATE`MI•'.NT OF ACKNOWLEDGI?MIiNT
4 FOR RES IDENT1A], MVI;LOPMENT
`iect.ion 20--8.1 of. Lhe ButLe County Code
reclnire; Otis acknowledgement be recorded.
prior Lo 'issuance of a building permit.
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'11w described herein is adjacent
94�-0495581
:Rec Fee
9.00
property
Lo hind or i nc Luded within an area zoned
I
COP
' .1.50.
fc,r �IgriuII crral. purposes, rrnd resi(IerILs
I
orded I
Check
10.50'
„f Lh i s prc,perI y m;ry he srth jcc.L Lo i neon-
l Records
v e n i r•ncrs or d i scumfurL nr i s i.ng f rom Lhety
of
use of ,rf.;r i cu.1 Lur-o l chemic.a1s, hic.Lud ing,ttehuL
noL 1 iuri t od to herbicides, pesticides,
L:,2
J: Grubbs I
;incl Pert i I iters; and from the pursui t
order
af;r-J.I:II t.tra] operations itic]udi.ng,
8 -Dec -94 I
PUBL
XX 2
but not. I inri I ed Lo cul LJvaL.i.on, plowing,
scpr;iy i rag;, pr 1111 i.nF;, and harve.st..ing which
uccas:ionally gener.aLe (lust., smoke, noise, and
odor. liuLLe Count -y has
eslnblislicil
n;;ricIII
tura.L •r.rrrres which have ns a priority use for productive agricitILural purpc:,scr;, ;rad resiclenl::
w i Lh.i.n sa iA runes and on adjacent property should be prepared t.o ti(xPpL such i nc c,nvc n i enec
ur disc:umfc)rt- Drum normal., necessary farm opevaL.i.ons.
All that real propert.y sit.ual-.e i.n the County of Klt.Le, StaLe of: (;aJiforni;r, dc:;cr•ibed ns
I(lluws:
�2C. �}4� ri-e-l•} ee7&L D I Ss 2 t P / or3 S•cl1
RECORDER'S MEMO:
?OOR RECORD IS TO
UE
QUAUTY
OF ORIIGINALDDOCUMENT
UaLe: Dec. 7, 1994
State of CA _ )
) SS.
(lotrt,Ly crl Butte )
1'rescnt. AY. No.
PROPERT )WNERS
Sew Ir
On this the 7th day of Decembe 11) 94 hc•f wo III(,,
the undersigned Not.;rry l'uhl.ic, personally appearcd
Robert Bettencourt and Sherry Bettencourt
LlPersonally known Lome. ® Proved to me on Lhe.
of saLi.sfactory evidc n, c•.
Lo be the person(s) whose name(s) are _
subscribed to the within instrument and acknowledgcd Lh:rl they____
executed the same for the purposes therein coma i.ned . I N WITNI
WHEREOF, I hereunto set .my hand and off i.cial. scul .
S
Notary Puhlir.
�t;t'?�ti-qtr
STATE OF CALIFORNIA- )ss. -
i COUNTY OF ` - Butte
I On Dec. 7, 1994 beforeme, Michelle A. Miller
Personally appeared Robert Bettencourt and Sherry Bettenco4 rt
I' personally known to me (or proved
to me on the basis of satisfactory evidence) to be the persons) whose name(s) is/are subscribed to the within
i; instrument and acknowledged to me that he/she/they�ex_ecuted the same in his/her/their authQdzed capacity(ies),
CD A
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. °
i OFFICIAL SEAL o
MICHELLE A. MILLER °
WITNESS and official seal. NOTARY PUBLIC -CALIFORNIA
P • in BUTTE Co. °
m. OCT.20 1 W5 °
Signature - oe••so•••••••e
s y
14
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94-49558
Ord6r No. 2-168578
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL A:
LOT 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 9, 1977,
IN BOOK 62 OF MAPS, AT PAGE(S) 46 AND 47.
EXCEPTING THEREFROM ALL COAL AND OTHER MINERALS, AS CONTAINED IN THE
PATENT FROM THE UNITED STATES OF AMERICA TO FRANK BARTON, JR., RECORDED
APRIL 8, 1926 IN BOOK I OF PATENTS, AT PAGE 143, RECORDS OF BUTTE COUNTY.
AP NO. 058-200-071
PARCEL B:
A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN
WIDTH AS CONVEYED TO WILLIAM BEASLEY, ET UX', RECORDED OCTOBER 19, 1976,
IN BOOK 2112, PAGE 628, OFFICIAL RECORDS.
PARCEL C:
A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES INCLUDING BUT NOT
LIMITED TO PACIFIC GAS AND ELECTRIC COMPANY AND PACIFIC TELEPHONE AND
TELEGRAPH COMPANY FOR SERVICES TO THE GENERAL PUBLIC THE RIGHT FROM TIME
TO TIME TO INSTALL, MAINTAIN, OPERATE AND USE SUCH GAS AND ELECTRIC
FACILITIES,BOTH ABOVE GROUND AND UNDERGROUND AS IT MAY DEED NECESSARY AS
SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER
OF THE COUNTY.OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 9, 1977, IN BOOK
62 OF MAPS, AT PAGE(S) 46 AND 47.
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END OF DOCUMENT :,
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