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058-210-170
r- -- -, �----- '-- '�------� -- -----�58-21-170STEVEN DEANSTEVEN DEAN ` '4370 Paiute Dr, oroville4370 a e Dr OroFST,EVEN,DEAN SUPPORT RUCTURE REOMP QN.TEST.REQ../LGAS .58-21-170 58 ` . .STEVEN DEAN4370 Painte r, roville � LELEC. 460 141>28 .�GA . . SUPPORT STRUCTURE REQ.COMPACTION TEST REQ.` . i \ \ .1pe 58-21-170 U _2336� | 'OWN /4370 PIAUTEb'R-,,OROYILLA ' |POWER POLE NEW EA E 058-210-170 02-1388 INALE/DOWNING, GREG ` } 4376 PAIUTE DR., OROVILLEE^ MHU/ELECTRIC 1 (10 ;20 GAS LINE.7341, (P5,COMPACTION TEST RE�SUPPORT STRUCT RE Ob � ' DOWNING, GREG, '4370 PAIUTE DR., OROVILLE v � . | /MHI � ^DOWNING, GREG CONT: ER� . . - / �� ���^� In [� ` ~� ^ _��U 41 PRE -INSPECTION REPORT OWNER: (,c� VL ` DATE:q// U LOCATION: A.P. # 7 0 CONTRACTOR: n ZONING: REASON FOR PRE -INS ECT N DATE TO INSPECTOR:PERMIT HISTORY ( ) NO ( EE ATTHED BUMDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Mobile home # of Units: Currently Occupied ( es ( ) No ' Abandoned/Vacant: _ Electric: Electric Currently (-On !' ( ) Off Condition of Electric 9i o -i`}. , Gas: Currently (W On ( Off Condition Sanitation: Plumbing Worldng N4Yes ( ) No t Obvious Sewage Problems ( ) Yes ' (�No ` r ACTION RECOMMENDED: ISSUE ( ) Yes O No Hold for permits or verify: !� ✓�/��� — ten- &75 dL Inspector: Date: VL t ["�T7T T!"TT i1TTTT T%T1kTd740.d-%XT iI1;TTT1r"0T A XT" T1kT11Td" A'T171 T d -%A" A TTl11LT d-�wT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVIILE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last NameIDL first Name Address Q rt City f'D J t' State Zip Phone �-1 _ r7 j� •� J v Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Uc. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax ` E Planner We Ucense Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Pro dy Address Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS v.1n^nhAMnl 111 f11A1('_ A-, PERAUT NO. BP ()qa 7 BIN # LOCATION AP# IDS -d_'9/(D_ per( 1 /7 n Pro dy Address C' i/ Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at Me time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. , Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount . / V Bldg SRA Receipt #: a Sheriff SMIP Date: 9/11/b Other 5�E- 2a Total COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Z4 OWNER y 5 PERMIT NO. Z.l0— 1i'0 A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. l KC ✓ rime- a6ar wl,,aj - no FAQ i.•�s®����„! /"l/7 ,���n �j.���n�► 1'lr ?r, fA ly t� D 2� . F Date Inspector _ REV 10/92 STEVEN DEAN 58-21-170 4370 Paiute Dr, oroville -� Permit#2206-88P9E(uti m ELEC . --'' GAS •� SUPPORT CTIIRP. RR JV1 1 L:_,c;urlFJWTION TEST REQ. / 1 STEVEN DEAN 58-21-170 4370 Painte Dr, roville "Permit#2888-89P,E(u '1, MH) ELEC. 1 GAS i SUPPORT STRUC URE REQ. COMPACTION TEST REQ. Permit#2889-8 I 58-21-170 I. _ -Issued J_ ---- _� 05th -170 01--2336--- DOWN1960GREG 4370 PIAUTE OROVILLE CONT: ZINKS REM POWER POLE NEW SER E 058-210-170 02-1388 INALE DOWNING, GREG _ _D 4370 PAIUTE DR., OROVILLE CONT: D &A CONST. MHU i ELECTRIC C) GAS LINE -3/4/1 S•' COMPACTION TEST REQ ,/ c SUPPORT STRUCT REQ Q& .058-210-170 02-1389ilz DOWNING, GREG 4370 PAIUTE DR., OROVILLE CONT: D &A CONST. MHI 058-210-170 AG02-046 GREG DOWNrNG 4370 PAIUTE DR., OROVILLE AG. BLDG. BUTTVCOUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name first Name Address Q l r1 City ( J t' t State Zip Phone•� J 71 1�D Fax E-mail AWMA PERMIT NO. BP Qqa� BIN # LOCATION CONTRACTOR Name Ci 1 Address Phone City Policy Number State Zip Phone LE ING AGENCY Fax E-mail Uc. # Class AWMA PERMIT NO. BP Qqa� BIN # LOCATION ARCHITECT/ENGINEER Name Ci 1 Address Phone City Policy Number State Zp Phone LE ING AGENCY Fax E State Ucense Number v AWMA PERMIT NO. BP Qqa� BIN # LOCATION 9 AP# Jy-- (r_ Prop rtyAddres Ci 1 Cross Street Phone WORKER'S COMPENSATIPR Policy Number Carrier If hiring anyone other than license c ntractors, a certificate of worker's compensation must be shown at a time of permit issuance. LE ING AGENCY Name Address APPLICANT NAME Name Address City State p Phone Fax E-mail runner uate RpprWea: ER FOR SUBMITTAL REQUIREM K:\FORMSIB LIMG-F6Rf S-OdgAppiSgmts.doc joteescription or Scope of Work: y X* re Built withoutPermitsed Change of Occupancy revious use): XPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by Amount . !2-0 Bldg SRA Receipt #: �I a Sheriff SMTP 9/11/6 � 1� T Other Date: 7 ` U Total Page 1 of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a it. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK Ulm 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Q/ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. .` ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Ketunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION • ,; KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 / REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA '95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: V1 ASSSOR PARCEL NUMBER C Proposed Building Use: y Counter Technician Date: Items required in order to apply fora permit. All b xes MUST be hecked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. O 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. O 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. 7 8.Qlt<anufactured1wQags4)-®a#a-sheets-and-instaNatiost&p�vlaFr�ge-{ate iCa an DST tLo,or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. aK ❑ 24. Planning approval (A) Use: OIC-(B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept...... ..................... 0--- 28. Pre -Inspection for E° required....... ❑ 29. Contractor's license information. (Number, dame Style i lassifi,,cation)................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32, Letter of Signature authorization............................................................... ...... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction....................................................................................... 37. 2Grant Deed, CNI.H. Title/St eP t�,nf Farts, eller from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit application for the above items numbered: 2. Additional items required i Contractor, desiggn� was advised of the above data by phone, '7 mail, ❑ counter, Contractor, desi ne , was advised of the ov tab hone, ❑ mail, ❑ counter Plans reviewed by: ��. Date: • D Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: i Date: j Y�I 0 R� I Yellow: Building Division Date: 9,z Plan Check Lett y Date: Date: �U Date: ' Date: STATE OF CALIFORNIA - DEPARTMENT OF TIOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: LBD9006 Manufacturer ID/Name 920239 CHAMPION HOME BUILDERS CO Trade Name INFINITI NT Model IT216-2 DOM 06/03/2002 DFS 06/12/2002 RY Exp. Date Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type. 090221613618 RAD1363448 26,427 60' 13'4" 04 SFD LPT Issued Total Fees Paid Jul 11, 2002 $66.00 Addressee GREGORY DOWNING 4370 PAIUTE DRIVE OROVILLE, CA 95965 ` Registered Owner(s) GREGORY DOWNING 4370 PAIUTE DRIVE OROVILLE, CA 95965 Situs Address 4370 PAIUTE DRIVE OROVILLE, CA 95965 Legal Owner(s) US SMALL BUSINESS ADMINSTRATION PO BOX 13795 SACRAMENTO, CA. 95853 Lien Perfected On: 06/20/02 14:37:27 s �0vg1NG qy0 DE �v IMPORTANT THE OWNER INFORMATION SHOWN ABOVE, MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 2531682 07112002- 495 r Building Permit Number: Owner Name: I w }� rrn - Residential Construction Requirements DIPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY NVITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown' on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3.. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered.with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: -jD0-G0n t V Parcel lies within the State Responsibility Area (SRA). Comply with attached �- requirements. Fire sprinklers are required in this structure. - 0 The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. " A setback of �D feet from the side and � feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. r 1 MOBILEHOME INSTALLATION DATA 1) Owners Name: -ugh (�C, 2) Assessors Parcel Number: 3) Installers Name: INTEGRITY HOMES, INC. 4) Is the site currently under permit? Yes [ ] No [1e] Permit No. 5) Is the site an existing site? Yes Fff No (If yes, furnish two plot plans). 6) What is the electrical rating of the mobilehome? jbQ_Amperes. 7) What is the mobilehome site circuit breaker rating?_Amperes. 8) What is the electrical rating of the mobilehome site? ecp60 Amperes. 9) Is the main service remote from the mobilehome site? Yes [ ] No [X'] If it is, what is the rating? Amperes. 10) Is there any other electrical load to be served by the mobilehome site electric service (ie well, garage, etc.)? Yes [y.] No[ ] If yes, please identify the load and size: • a) The mobilehome site: Load- t Ll Amperes- 2� b) The main service: Load- Amperes - 11) Type of gas service at mobilehome site: Natural [ ] Propane [)o] None[ ] 12) Size of gas pipe at the mobilehome site from the meter or tank: 3/4" . 13) What is the gas pipe length from the meter or tank to the mobilehome? a�; (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 then 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION . 9951 �,..�si7,' b,F. i:,,3 ,•r ���1 5 � ��` _.;f�..°.. 4 MOBILEHOME SUPPORT DATA Mobile Manufacturer: 0 VXCtyy, DV Un Manufacture Year: 20Oa If other then single wide, furnishSetup Model Number: Width: j3 " (ft Length: Loo' (ft) Tagalong or Expando Size X On all mobilehomes manufactured after October 7, 1973, furnish manufacturers installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade [ x] Other: SUPPORTS: Concrete block [,c] Other: Provide Tie Down Specifications for all Mobilehomes: rpa� a� Pp Footings Sizes an SINGLE WIDE Line 1 Line 2 n MULTI -WIDE Line 1 Line ............................................................................................•... ` Line 2 ..................................... a ... Main u .Beaa.......................................... Line I ......................... Main Seams ............................................... L:::ineS Tag or Triple e 4 ine I Line 1 Piers: Size minimum:]XI I Spacing maximum: " From ends -max: " Line 2 Piers: Size minimum: x Spacing maximum: O " From ends -max: Line 3 Roof Loads: Size minimum Location (from rear): Line 5 Roof Loads: Size minimum Location (from rear): Line 1 Openings Size minimum: i2 x Each side of openings " with width over: " Line 4 Piers: Size minimum:]XI I Spacing maximum: " From ends -max: " ♦ i iib �'i. ;.@. i::?:-..` `i _ Xr 4r ine 2 Line 3 Line 2 Line 2 Line 1 Sent By: CHAMPION HOME BUILDERS CO.; 209 562 9502 May -9-02 7:43AM; Page 2!2 i� _ 1 n � z • o .NI o[ F►+ ..... �fl•1)E r OM] H)lIH JIHH-tl W r - ,.t. �.r� - , •e .. 61 (L FL lal f�l I F ; r J � ap a L. J 1 I d 12 1 12 - I r I 18 1 1 2 F. 88 I r !s 3 1 C� I i � ! F o • I `gl t�l I I I J L I J f rL, I T � I L J .�___ _ __ � •a J I N I — I vii I I A I ` I f I o .I ., U V7 V. Y � - .2"x 2"x SIEEL ANGLE m LL1 C'S a o_ CHASSJIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x BOLT WITH KUTS (4) REQUIRED DETAIL "A" 3/8' CAD PLA -EO BOLT, NUT & WASHER COAC-I "C" FRAME COUNTER BORED FLUSH WITH 30TTOM AT 8" D.C. (8) REQUIRED .2" CHANNEL 1/4"x1-1/4-- 1/4- 4-1/4" STAND BASE TEK STS ASESCA ABS PAD #503 (2) REQUIRED LD N m m v m CD N N un CD 36' MAX TO BOTTOM OF PAD 01/2-x 3" C.R- LOCK PJN WITH 01/8" BRIDGE PIN 1/4 " /4" GRIPPER PLATE 1/4" GRIFPER BASE 1/2" A307 800 (2) REQUIRED 3/8"x S"x 6" STEEL PLATE 1/2" A3D7 BOLT C—BEAM (2) REQUIRED ATTACHMENT 09/16 HOLE (TYP) STAND BASE TOP VIEW 17918 4[ eA`r.1150 J'vx J. C jl} �� Of C TUF--1 PERMANENT FOUNDATION SYSTEM AHLSCO-GUS GUARD C014PAWY 5851 FLORIN - PERKJM ROAD SACRAMEYFO, CA 95923. PH: (800) 382-8831 FAK: (916) 383-5207 COACH "J" FRAME 1/4103-1-1/4" TEK STS (4) REQUIRED m . 1/40' GRIPPER BASE 1/2" A407 BOLT (4) REQUIRED J—BEAU ATTACHM-NT � •4 $ 8" 1/2" DIA. HOLE (8) PLACES 304 STEEL FRAME TOF VIEW ' `' S cmc• 9 . _ _ . �BALiRJ1iR1 lA1�lY � !8Cl101f !i!!!� ��•= wleos�,ts000wl.�tio�tt�ons � r-° 1�.>DOISBMdflk�JtR0�t11/�T11llf�Y�J�21!< •�,Ltsef�CAtr�nty►7sttw�fl►��>illbli .. 44 - (of— "mme I WAYNE POLVAOO, PE—LISTING NO. F94249• SHEET i or 3 GENERAL NOTES GUS GUARD TUF-1 DE&GN LOADS: LIVE LOAD - 30 Lam. 16. FOUNDATION ROCKS 16"x 16"x127 POUREO IN PLACE AT GROUND LEVEL NAY FLOOR LEVE LOAO - 40 PSF BE USED AT IISTALIERS DISCRETION ALTENIATIVE TO PADS. WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE '4" *SNOW LOAD 100 PSF (SEE NOTE 11115) SIllGLE WIDE COACHES DOUBLE/MULTIPLE COACHES 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON E= 2' MIN. / 6' MAX. £= 2' MIN_ / 11' MAX. A FARLY LEVEL SITE WITH NO EXISTING SOJL PROBLEMS. S= 6' MIN. /16MAX. S= 6' NIH_ / 22' MAX. S. CHASSIS BEAN SUPPORTS SHALL BE LOWED AND SIZED FOR THE LOADS PARIES 10'-70' (SEE TABLE ON SHEET �3) -' AS SHOWN IN THE `MOBILE HOME INSTALLATION INSTRUCTIONS". � i, IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, E S S �'� 5 E MANUFACTURED ROME SHALL BE READJUSTED WHEN OS EXCEEE•S 1/0, OR; WHEN IT WJLL ADVERSELY AFFECT MOBILE HOME UNIT. ❑ ❑ 5. CARRY ALL FOOTINGS DOWN TO FIRM: UNDISTURBED SOIL FOOTINGS RIDGE BEAN! SUPPORT AS ARE DESIGNED FOR 1.000 PSF TOTAL LOAD SOIL PRESSURE, AND REQUIRED BY MANUFACTURER SHALL BE COWPATBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND a (TYPICAL) a ❑ ❑ MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. iJ E. STRUCTURAL STEL: FABRICATED ACCORDING TO A1SC SPECIFICATION. EEl❑ 1:1 1:1WELD ACCORDING TO ASIS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM EaT A36 COLTS -SAE GR 5=ASTM A449=ASTM A3725. 8' NOM. 7. THE •CUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL IRE LISTED AND0-2-EN OM. ❑ ❑ LABELED BY BSK AND ASSOCIATES FOR THE FOLLDWJNG LOADS: ALLOWABLE WADS- HORIZONTAL VERTICAL PADS IN ANY PAIR MAY BE t STANDARD M.H. FOUNDATION ROTATED 90 DECREES OR PIERS AS RECOMMENDED BY PVC SERIES GJS GUARD TUF-1 2200'# b00D# OFFSET TO OTHER SIDE TO T14E MANUFACTURER OP. THE SUPPORT GUS GUARD MGP PAD 22001 6000# AVOID CLEARANCE PROBJEMS_ ENGINEER. TYPICAL THROUGHOUT PAD TYP) GUS GUARD E -Z TIE PAD 22001 60001 - ;" 7 9 MINARY INSPECTION, THE ESTIMATOR SHALL CHA SIS BEAMS ARE OF STANDARD S£C ON�SURF THd'T MOBILE HOMEeR©�Us - ; EXISTING COACHES MAr BE RETROFITTED TO RESIST SEISMIC FORCES BY STATE APPROVAL INSTAWHG GUS GUARD TUF-1 LNITS AS SHOWN ON- THIS PAGE OF TYPICAL � 2 k+ t % MATJL�FACiTR?D}i0ME1MOB[!�)fi0 I FOUNDATION LAMS. f FOUNDA110N SYSTEM CUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTAUATION IN FLOOD NBALTEiANDSATATYCODE,BEGiMIM ULA(IN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT ,ROVED 6^.. HREE FEET. C:)MLTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED EXP STJB18CryocoRR$CTIOa®1mO= E NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS�jq%N' A>�exrn,�cml�xor�trreol��L�tl��veAal>r M MSAME AS SHOWN REQUIRED PER EACH UNIT. r� dF � `►-��0 01MISSTON3 aRDEVLATToNFAOMR�Qr 1V ISLE -HIDE UNITS REQUIRE ADDiRONAL RESTRAINT.- (SEE SHEET #3)--.8 APPLICABLE STA75 LAWS AND MEOW T>EI M _ 1 METAL COMPONENTS M ATTACHMENTS ITEMS SHdIL BF PROTECTIVE 0DATE0. StamoiCxLfemis N CONCRETE -SLAB 15 IN E(ISTANCE, PAD IS NOTDv-apw OfA0°t1°Si°d IRED. ANCHOR STAND TO CONCRETE SLAB WIT14 U F-1 PERMANENT �=113 A» +7 PO R -:UF-1 (4) 1/Yx 3 1 j2' EXPANSION ANCHORS. FOUNDATION SYSTEM ! 151 GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNDW LOA[ TO 1 OC PSF WHEN INSTALLED ABESCO-GUS GUARD CGIMOANY sv1A No. ' WiPk EXISTING STANDARDS REQUIRED BY COACH 5$5I FLORQI-PEFKWS ROAD TlisPlanApprov ! its MANUFACTURER OR REPLACE THEN ON A ONE TO SACBAINENM. CA 95823 ONE BASIS. e., o., rrt. tow) JOL—VVJI FAY- (9161 ARA -_%?A7 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 01 3 3/4" DIA, x 18' LG. I/2"x 3 1/2" 1/2"x 80 LONG (4) REQUIRED EXPANSION ANCHOR - ANCHOR BOLT 3/8" CAO PLATED BOLT, NUT 8: WASHER '4) REQUIRED (4) REWIRED COUNTER BORED FLUSH WfiH BOT -OM AT B" O.C. ` (8) REQUIRED CONCRETE PAD INSTALLMON POURED IN PLACE 16xl6xl2 C_ONCRETE FOUNDATION INSTALLATION ti 1 CHASSIS FRAME 1/4- GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4' BOLT WITH NUTS • (4) REQUIRED Al 1/2" SCH 40 PIPE RISER WITH 01/2" ADJISTER NOLES AND 3/$" THICK TOP PLATE Cim2" SCH 40 PIPE STAND . WITH TWO ;91/2" ADJUSTER HOLES ''BESCO ABS PAG #503 Q ® (A z STEEL FRAME - 36' MAX TO BOT 0m OF PAD i 01/2'x 3" CR. j LOCK PIN WITH 01/8` BRIDGE PIN i f J LIGH— HEAVY—WEIGHT PLASTIC PAD INSTALLATION MULTI-VIDB UN= LENGTH OF H014E ?41 WJDTH OF HOME 21r 28 44 UP TO 44 B 1 8 1 8 12 44'-1- to GVJ 12 1 12 12I 18 6i'-1' to Sol 20 1 20 120 24 SINGW AIDE UNITS LENGTH OF ROME 10 WiQTH Of Rom 12 14 16 UP TO 4,V 1 6 1 6 16 B 44'-1 to Sr 1 8 8 I 8 65'-1' fo S4 10 i0 IO 10 NUMNER of TLPI —1 ICLUUUMU NUMULIL OF ,u► -7 mvulmu. NOTE; SINGLE WE UNRS REQIFRE (4) E -Z TI_ PADS. GUS GUARD TUF-1 PIER'S ARE TO BE PLACED AT APPROXIMATELY EQUAL WTER'IAfS ALONG EACH FRAME RAIL 9Nl I' 5151 FLORIN PERKINSROAD SACRANENM. . :OO 382-8831 -Z TI E PAFAX: (916� 383-5207 1791 STATE APPROVAL FC'UNDATION SYSPJBM NL: SAF6TYC8DE, SSCTYON WJl APPADYI6D SUBJECT TO COARBMOM NOTED APPROVAL DOES NOT AUMORM DR APPRDVE ANY 1' DMISSIOMS OR DEVIATION FROM R€QUIREMIRM W APPJZCAELE STAT$ LAWS AND REOULATIONS . --SmteofCa7iforcSx--' ... v and Carom -4 D- E5 AIS 82AI+fDAgDas z.� fs �� BY SPANO. i� ThFs F18nApptawl Expiry WAYNE T. POLVADO, PE-JSTING NO. F94249 SHEET 3 of 3 Building Permit Number: O �- d 7 L/5 Owner Name: fb6-7,0rl t/L3 Residential Construction Requirements Il1IEPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use'in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, =" H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. I j W �I Page 2of 2 Building Permit Number:.V a �S Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 rte:. "Fire sprinklers are required in this structure. �s ��.. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. ' A setback of :�b feet from the side and -350 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. MOBILEHOME INSTALLATION DATA ___1 1) Owners Name: 2) Assessors Parcel Number: 3) Installer's Name: INTEGRITY HOMES, INC. 4) Is the site currently under permit? Yes [ ] No[ %e] 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? Ibn Amperes. 7) What is the mobilehome site circuit breaker rating? Amperes. 8) What is the electrical rating of the mobilehome site? Amperes. 9) Is the main service remote from the mobilehome site? Yes [ ] No [x] If it is, what is the rating? Amperes. 10) Is there any other electrical load to be served by the mobilehome site electric service (ie well, garage, etc.)? Yes [�] No[ ] If yes, please identify the load and size: a) The mobilehome site: Load- ta.e trl Amperes- 2� • b) The main service: Load- Amperes - 11) Type of gas service at mobilehome site: Natural [ ] Propane [)o] None[ ] 12) Size of gas pipe at the mobilehome site from the meter or tank: 3/4" . 13) What is the gas pipe length from the meter or tank to the mobilehome? 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 then 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION 6UTA 4ULDING LIP 3,� MOBILEHOME SUPPORT DATA Mobile Manufacturer: -Chary, ry, D Un Manufacture Year: `ZOOa If other then single wide, fumishSetup Model Number: Width: 134" ft Length: (co' (ft) Tagalong or Expando Size X On all mobilehomes manufactured after October 7, 1973, furnish manufacturers installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade [ x] Other: SUPPORTS: Concrete block [,c] Other. Provide Tie Down Specifications for all Mobilehomes: oaahnl Footings SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 line 2 Main Bea Line2............................................................................................:. Line I e 2 Line 3 i Line 2 ms ................................................................................................ Main Beams ................................................................................................ Line 2 Line 1 ............................................... _—Une S Tag or Triple e4 ine 1 Line 1 Piers: Size minimum:]XI I Spacing maximum: " From ends -max: " Line 2 Piers: Size minimum: x Spacing maximum: 10 " From ends -max: Line 3 Roof Loads: Size minimum Location (from rear): Line 5 Roof Loads: Size minimum Location (from rear): Line 1 Openings Size minimum. 62 x Each side of openings " with width over: " Line 4 Piers: Size minimum:]XI I Spacing maximum: " From ends -max: " Sent By: CHAMPION HOME BUILDERS CO.; 209 562 9502 ; May -9-02 7:43AM; Page.2!2 x z 0 a o c ' 8 B W r.. t C M g M N.. -aU�a a -♦e n� v� x m 2"x z"x 3/ 16" STEEL ANGLE DETAIL "A" CHASSIS FRAME 3/8- CAD PLA -ED BOLT, NUT & WASHER COAC-1 "C" FRAME COUNTER BORED FLUSH WITH 3OTTOM AT e- D.C. (8) REQUIRED .2- CHANNEL 1 /4" GRIPPER 1/4"xi-1/4" PLAT£ 1/4- STAND BASE TEK STS �- ABESCA ABS PAD X503 (2) REQUIRED • / 36. MAX 1/4" GRIPPER PLATE / TO BOTTOM OF PAD (2) REQUIRED 1/4- GRIPPER BASE 01/2"x 3" C-R. 1/2-I3UNC-A307 x 4" LOCK PIN WITH BOLT WITH KUTS 01/8- BRIDGE (4) REQUIRED PIN 01 1/2" SCH 40 PIPE' RISER WITF: p 01/2" ADJUSTER HOLES AVD 3/8 - THICK TOP PLATE 02` SCH 40 PIPE STAND WITH TWCI J 01/2- ADJUSTER HOLES 2AAIBESCO ABS PAD #503 �p �4- STEEL FPAME�\ �7 iff-ETA[L "A" - 0 1/4.7 GRIFPER� BASE 1/2- A307 BOLT (2) REQUIRED 3/8"x S'x 6" STEEL PLATE 1/2" A307 BOLT C -BEAM (2) REQUIRED ATTACHMENT ice— 10.00 11 09/16 HOLE (TYP) STAND BASE TOP VIEW 17918 OF C TUF--1 PERMANENT FOUNDATION SYSTEM AEISCO-EUS GUARD COMPANY 5851 FLORIN - PERKLNS ROAD SACRAME rO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 COACH "J" FRAME 1/4->1-1/4- TEK STS (4) REQUIRED m , 1/4' GRIPPER 8.65€ 1/2- A307 BOLT (4) REQUIRED J -BEAU ATTACHM- NT 8" 1/2' DIA. HOLE (8) PLACES STEEL FRAME TOF VIEW . _ _ , aRe�Lis� s+�iY ooa� s>9i C>na� iilei APMOM WK NW JWTHWAU 06 APPMVE MW _:.. AtTl OR DETLAr l>tUf>13 MEREN @ M09 �� �11tA>RtJ►�flt���ilKM - "` - &F**v"* WAYNE 7. POLVADO. PE -LISTING NO. F94249 SHEET 1 of 3 GENERAL NOTES GUS GUARD TUF-1 DESIGN LOADS: LIVE LOAD - 30 LB. 16. FOUNDATION FLOCKS I6"x 16"x127 POURED IN PLACE AT GROUND LEVEL ILLY FLOOR LEVE LOAD - 40 PSF BE USED AT INSTALLERS DISCRETION ALTEPAATNE i0 PADS. WIND LOAD - 80 MPH EXPOSURE "C" - SEISMIC ZONE "4" iE SNOW LOAD 100 PSF (SEE NOTE 115) SIYGLE WIDE COACHES DOUBLE/MULTIPLE COACHES 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. S= 6` MIN. /16 MAX. S= 6' NLN_ / 22* MAX. A FARLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS DEAN SUPPORTS SHALL BE LO:ATED AND SIZED FOR THE LOADS AS Si40WN IN THE `MOBILE HOME INSTALLATION LNSTRUCTIONS". VARIES 10'-70' SEE TA3L E ON SWEET #3)-' �. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, E 5 S S E 1 MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEE•S 1/4", OR• WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. ❑ ❑ 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS RIDGE BEAM SUPPORT AS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND REQUIRED BY MANUFACTURER SHALL BE COIIPATTBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND a (TYPICAL) -1 ❑ a MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. E. STRUCTURAL STEEL: FABRICATED ACCORDING TO A1SC SPECIFICATION. F-1 D -T ❑ ❑ ❑ Q WELD ACCORDING TO AHS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 VOLTS-SRE GR 5=ASTM A449=ASTM A3725. 8' NOIR. 7. THE *CUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL Of LISTED ANDO-A- 2' NOM. ❑ ❑ LABELED BY BSK AND A4SDCIATES FOR THE FOL'LOINJNG LOADS: AVOWABLE LOADS HORIZONTAL VERTICAL PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION � ROTATED 90 DECREES OR PIERS AS RECOMMENDED BY PVC SERIES GJS GUARD TUF-1 22001 6000# OFFSET TO OTHER SIDE TO THE MANUFACTURER OP. THE SUPPORT (TYP) GUS GUARD MGP PAD 22001 6000# AVOID CLEARANCE PROII-EMS- ENGINEER. TYPI,. AL THROUGHOUT PAD GUS GUARD E—Z TIE PAD 2200f 6000f 8 OURrNG PREUMINARY INSPECTION, THE ESTIMATOR SHALLSURE THJi'f 1iA SLS BEAMS ARE STANDARD SECTION. MOBILE HOMEF STATE APPROVAL 9. EXISTING COACHES MAf BE RETROFITTED TO RESIST SEISMIC FORCES 9Y 4Gr� INSTAWNG GUS GUARD TUF-1 LNITS AS SHOWN ON' THIS PAGE OF TYPICAL 'LAMS. MANUFAC URya /MOMAMM �. FOUNDATION "' ' � FOUNDATION SYSTEh1t THE CUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD f � HBALTRAND SATt7Y CODES XECFM IM ����� � LAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT APPROVED F THREE FEET. / . ULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED Exp� SUWWrTOCOILRBCTI[CM10 = ,T._E NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS fly rWW, E SAME AS SHOWN REQUIRED PER EACH UNIT. AppAOYALDOW NOTAt}THORLZBORJIp sl111QAK7 l� 1+;1id � e `1'Z SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. s (SEE SHEET #3) :• L dF �,(�►. OMISSIONS ORDEMrTONFROM RBQ�ID�yg(W APPLICABLE STA7ELAWSA"gXgyjLA7X" . METAL COWONENTS MATTACHMENTS (TENS SHdL BF PROTECTIVE COATEO. sft%of[�lli�cm;� WHEN CON"'15 IN E<ISTANCE, PAD IS NOTofH00 -:UF-1 - 9=d )UIRED. ANCHOR STAND TO CONCRETE SLAB WITH UE -1 PERMANENT ' R (d) I/2'z 3 1j2" EXPRRSION ANCHORS. FOUNDATION SYSTEM MES AND �v � =T.,; 5. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES a ALLOWABLE SNOW LOAD TO 1 OC PSF WHEN INSTALLED ABESCO-GUS GUARD C(MPANY WITH EXISTING STANDARDS REQUIRED BY COAL COACH 5851 FLOR-PEPYJM ROAD ry sPIQ a Y 1 MANUFACTURER OR REPLACE THEM ON A ONE TO PPres CA 95823 ONE BASIS.SACRAMENTO, PH: (800) 382-8831 rAY- lQ1rl tstx-aim WAYNE T. POLVADO, PE -LISTING NO. E94249 SHEET 2 of 3 IN i/2"x 3 1/2" ---N EXPANSION ANCHOR . ;4) REQUIRED 3/4" DIA. x 18" LG. 1/2'x 8" LONG (4) REQUIRED ANCHOR BOLT 3/8- CAD PLATED BOLT, NUT do WASHER (4) REWIRED COUKTER BORED FLUSH WITH 60170M / AT B" 0-C. ` (8) REQUIRED , CONCRETE1 �.`1 mit CHASSIS FRAME 1/4- GRIPPER PLATE (2) REQUIRED t/4" GRfPPER BASE 1/2-13UNC—A307 x 4'_,� BOLT WITH NUTS • (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH 01/2- ADJISTER HOLES AND 3/P" THICK TOP PLATE 02" SCH 40 PIPE STAND . WITH TWO 01/2" ADJUSTER HOLES _ ABESCO ABS PAG #503 STEEL FRAME -� 12 CONCRETE POURED IN PLACE 16xl6x -L=_t rt` ; o�ir� iir.11 �[LG8` jc-]► _tt 111c"'c FOUNDATION • G Sir G LIGH- HEAVY -WEIGHT PLASTIC PAD C�G INSTALLATION 36" MAX mmm—wwz UK= SINGERliUNrrS T ILENGTH OF PAD r 01/2"x 3" CR. i OF HOME 24 1 VADTH OF HOME 29 1 28 LENGTH OF 1 ROME 10 WIDTH OF HOME 12 14 16 UP TO u' B 1 8 8 1 JM70 44' 1 6 1 6 6$ 41'-1- to 66' 12 12 12 18 "-1 to wl $ I 8 8 8 6i'-1' in 8D 2{� 20 20 24 d5'-- -- __ 10 TD f0 10 LOCK PIN WITH I NUMBER OF TUF-i REQUIRED NUMBER OF TUF-1 REQUHED 01/8- BRIDGE ! SINGLE WIDE UNITS REQUIM (4) E -Z TIE PADS. OUS GUARD TVF-1 PIERS ARE PIN 70 BE PLACED AT APPROXIMATELY EQUAL W EIZIALS ALONG EACH FRAME RAJL E STATE APPROVAL J �@�pFES310 MANUPACnMt!D IMMUMORTU xONZ (� • FCUNDATIONS S'M ANC SAFETY COQ, SSCTM 9111 18 112- E - Z TIE PAD 00 r� , Will, 14CL 1791 Exp.6. OF CAL' 37 TUF-1 PERMA4ENT FOUNDATION SYSTEM ABESCO-GUS CWTARDCOWANl 5851 FIARIN - PERKINS RQAD SACRANIMM, CA 95823 PH: (800) 382-8831 FAX: (910) 383-5207 suBIECT TO OORRBcn0NB NOTED 491' APPROVAL DOES HOT AUMORSZB DR APPRWE ANV C' OMISSIOMS OR DEVIATION FROM RSQUIREMENTS O? APPI: CABLE ETATE LAWS AND Rima.Anom .-SosleofCx7ifotnis"' ... AIS STA144EDAIWyy c �/ SPAlYO,- / A b ThIs PlenAppmvat P.MIM WAYNE T. POLVADO, PE-:_ISTING NO- F94249 SHEET 3 of 3 09/20/04 16:48 FAX 10 002 aus, < �N U.S. SMALL BUSINESS ADMINISTRATION 200 w. SANTA ANA QOWLEVARD, SHITE, 7Q0 SANTA ANA, CALIFORNIA 92709 v z o 1953 1\0 p P Sen-,— h=_ 00's Attn: Karen Jones Butte CountlLDept-o.£. D.euelopmenr servx&s Building Division 7 County Center Dtive 0mxi11eTCA-.95965 Re: SBA Loan Nb.: 496540-40-02 Bormwer.N n:e7 C-xr$orY E.. Dauuung, Dear Ms. Jones: The U, Sr.Stnall Ruaiuess_Administrarinn (SBA) -man Intere-A in-die.-M=ufactm-cd-F1omu rocated� at 4370 Paiute Dtive, Oroville, CA, 95965 and being more specifically described in the Certificate of Title, exec-uted-in €ave --o€ SMV. - It is our understanding the owner, Gregory Downing, is requesting a building peraut to permanently affix Ame sub*zLcallateral to the real. proper located -at 4-370- Pairite Drive- Oroville, CA and the . SBA's written concurrence is required, prior to issuance of said permit. The SBA has no objections to the bot->sarer's- fequest tcraf&x saidreayproperty APN: 058-210-170-000 located at 4370 Paiute Drive:, Oroville, CA. I-fy< .need_anyadrlitinnalinformation pleas-r–givedx r di Ree - SurViso Loan Nixeciabst (714) 550 566 Ex913 cc Gregory Downing PHONE: 714-5'50.7420 1 FAY:,714�-55.0-0.1_9l SITE PLAN REVIEW APPLICATION Date: / oZ� 0 y AN QS��� / 0 l 7 Q Permit Number (if applicable) 7y6-- APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: 1. 4 Situs Address: Proposed Use: S3�-(78"D S�A Parcel Size: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ® Mobile Home &i3r M ;4 ❑ Residential Accessory u ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer " ❑ Multi -family Non-residential ` ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition .. ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): 0 �Irt r DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) I$ Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 11 Site Plan Stamped Approved By 04_ Date oy�� ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) ched) i Flood Zone: • Flood Panel No.: •D2oQ67 C&&o 00C. Index Date: q ❑ Sacramento River Reclamation District (Approval must be obtained from the C ifornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: r K (SP- FRrz Applicable Building Setbacks: ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Zoning Code Streets & Highways Fire Prevention Subdivision Map Front , Side �U , Side Street Rear , Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. 0 W Applicable Development Fee`s:' ' Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Formula ---------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: o /qzz f -z — , 1�Pa4 9 Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone • El - Meet current Environmental Health Department requirements J1 Subdivision Map/Parcel Map: I'; t.L, -Pry) Map Date of Recording: j Z w a;U d O / `7 o Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page, Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butie County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required ❑ Class A roofs are required. ❑ Property owners responsible for roa El Summary of Specific Requirements: a This information provided in this summary is based on the application information of review. and on the best available data at the time C.\Lzrrys\Building Permit Site Plan Reviewl.doC BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENVOF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.O 7 -0 ©,� ZONING OWNER fe C4 1.4 ` PHONE NO. OWNER'S ADDRESS A VGr (% t LOCATION OF BUILDING " 3 % V_ USE OF BUILDING - Im Q& -r- < .,. r SIZE OF STRUCTURE �, ^L ' ' x _ SQ. FT. 4t!�X—_ 9- B . o- - TYPE OF CONSTRUCTION: WOOD FRAME _X__ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE zi. ESTIMATED COST OF CONSTRUCTION $ .3 (D 00b AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: r FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. 1 Date —a' �d � Signature of Owner PermitFee - 560.00 The above described AG Building is exempt from a building permit. LOO PARL P.D. ROOF G ISS Receipt No. Manager Building Division l5 2 20 2 By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant y _ NOTES RESIDENTIAL �( . 058-210-170 , ' -02_ - - PERMIT NO. ..DOWNING, GREG 4370 PAIUTE DR., OROVIL CONT: D & A CONST.'z. } MHU r 1 j1 I ti .�t i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f FINALE t JOB FINALED (Date) 2 A� Signature V=OK 4 a= Not OK = Not Applicable MOBILE HOMES = Not Ready Date MO LE HOME UTILITIES (Plans) OK except #'s oning Requirements -Setbacks -Easements ils; Special MH Support Sketch 3 wer; Location -Test -Fall -C/O -Concrete at ocation-Test-Easement Needed (Sketch) ectricity; Location-Clearances-Grnd..%_OA p-2oncrete 6. Gas; Location -Te t• ap;-LQ /" L'ft.• / /'N or / /"L"jt /'LPG W learance & Discorineef Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL OME INSTALLATION (Plans) OK except #'s ning Requirements -Setbacks -Easements footings; Size -Spacing -Marriage Line ; MH Test -Demand -Valve -Connector lectricity; MH Test -Crossovers -Breakers -Clearances D in; MH Test -Fall -Flex Connector ter; MH Test -Regulator -Connector er and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged ie Downs-Tvoe-Installation Cert. CIRC. Exits; Insp.-Sketch 11. Cert. of Occupancy Permanent Foundation Only; License Decal. Date Card B-1!120!2�Date Card B-1 Date Card B-1 Date Card B-1 r MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,/ = OK 0 = Not OK ' Not Affable Not Ready RESIDENTIAL (%c= Date 46. Underfloor (Plans) OK except #'s 47. 1. Zoning -Setbacks -Easements -Flood -Slope Fireplace Ties or Type A Flue -Fireplace Throat Clearance 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 50. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Garage Fire Protection Framing 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth 53. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 56. 6a. Hold Downs and Special Anchors Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 7. Slab, Steel -Wrapped 59. 8. Piers -Fireplace Ftg.-Steel Brace Interior/Exterior Wall Panels 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 62. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Card B-1 Date Card B-1 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground FINAL (Plans) OK except #'s 13. Plenums & Ducts; Clearance -Material -Support -Ins. 64. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 15. Access & Ventilation 67. 16. Insulation Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter PLUMBING (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 17. Water Htr.; Vent -Access -Combustion Air Baffle 76. 18. Water Pipe; Test & Anchor -Nail Protection Plb., Elec. & Mech. Equip. Listed for Location 19. D.W.V.; Test Fittings & Anchor -Nail Protection 79. 20. Shower Pan; Test, First Floor -Tub Access Guard Rails & Deck Construction -Post Caps 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Following Instld./Drive ] Yes 0 NoMalks ] Yes :1 No/Planters ] Yes J No 83. Stucco Brown -Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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/Mach Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearino jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll 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 Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive ] Yes 0 NoMalks ] Yes :1 No/Planters ] Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: CONTRACTOR'S VERIFICATION I / WE CERTIFY THAT I / WE HAVE INSTALLED THE ANCHORING (TIE DOWN) SYSTEM AS PER MANUFACTURE'S INSTALLATION INSTRUCTIONS AT: d2O'GI,v/k� C12 ry �'� �✓ LOCATION I / WE HAVE MADE NO MODIFICATIONS TO THE ANCHORING (TIE DOWN) SYSTEM OR TO THE BUILDING STRUCTURE. CONTRACTOR'S COMPANY NAME �/1/S LIC. # L/S7 3zo SIGNATURE DATE MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: 5 -Sl- 2i-- -0 PERMIT NO.: Owners: '•.��� Name: `. Owner's: Address: Mobilehome Manufacturer &44 t d Year of Manufacture: Serial number / r or V.I.N. Q G'1 Z -�'�/ G? r' �C/ (jlZ Insignia or HUD number: Official approving install Date: t If the mobilehome is moved or rel'ocate'd the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER O. (Rev. 12/96) 1 - APPLICATION AND PERMIT ASSESSOR PARCELN M1 ZONING BUILDING PERMIT OWNER TELEPHONE 370-5055 SO. FT. OCC. BUILDING VALUATION . OW41TT T DR. OROVILLE CA 95965 CONTRACTOR'S NAME D 2. COi'ST. TELEPHONE 533-9643 cO 1 /46RE F,TEADDRESSIVEBLVD. OnOVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 4370 PAIUTE DR. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 8 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities b Installation ❑ Other ❑ Describe Work: HE ( POE FIRE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 60.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service "..AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is �i cn /full force and effect. o License Class C-4 Lic. No. � 1-6 lB � 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' corne sation insurance carrier and policy number are: Carrier ff}} Policy Number ' G`J (The above sections need not be completed 'rf the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _of X DateG 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. Main Service 200A TO 46.00so CCU000A NEW CONST. DWEIIING Occup. OR ( 3.5Qso. FT. NEW CONST. MUAicrcau�TLEST NON-RESID. 97.50 POWER APPARATUS b SINGLE OUTLET CIR. 20 @ 1'50 EX. Occup. OUTLET OR FD(TURES 6AL @ .50 Ex. Occup. ouxTrs AESID.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20 On Misc. Wiring 23.00 PERMIT FEE $ 63.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE OT FE $ 11/66ZOO D IMP O C0Z00rPAtyLD E This permit is hereby issued under the Butte County Code and/or ind' at ab for hich fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date l0 0� % I0 0.T s e ReceiptNo... exempt WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT AI��� COUNTY OF BUTTE -DEPARTMENT OFcEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: awn 1nq ASSESSOR PARCEL NUMBER cs�,_ cr�' O O Proposed Building Use: 1 Counter Technician: Date: �Poa/ca Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ Plot plans, 3 or 4 sets, signed by the preparer of the plans. VJComplete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4.. Engineered truss details and layouts in duplicate. No faxes! y ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan; -(D) Tie down3or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate: (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. <<E r Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the'City of Biggs ............................: :...... ❑ 10. Letter of intent for non-residential buildings.................j. •. ". ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other f , Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 4. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... • :., _<,<..� ;... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. +' ❑ 16. Sanitation and plot plan approval from the Environmental Health Depart ent i 17. City of Chico Plumbing permit ...................... F California Department of Forestry plan approval ❑ paidE%S ...................lip y ❑ 19. Planning approval for (A) Use:(B)Parking: (C) Parc 1 Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). +i ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification)...... ............... ❑ 24. Worker's Compensation Carrier arid Policy Number ..............:..:. "- ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement:..............................�. . f �¢. ❑ 28. Manufactured home utility clearance .......................::.:, ........ �......................'... ❑ 29. Existing violations and/or expired permits ...............................::......:..........." ❑ 30. ❑ Grant Deed,,❑ M.H. Title/Statement of Facts, ❑ Letter frbmLegal$&r, ❑ Check to H.C.D. $ 3 Other , . . n issued Telephone a hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. q� 5/' Applicant: ��k,.0���- Date: f { 1. Index permit application for the above items numbered: P1anCheck Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by El phone, ❑ mail, ❑ counter, bye Date: . Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ co er y, ..*bate: Plans reviewed by: Date: Plans approved by: 2y. 3'1`Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division • E.H.^ E ONLY Mot Plan Attachod Floor Plana chad, :Sans to ®. --,> /CJ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposa Water Supply: Public -)Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: t �I Environmental Health Specialist Date 8/96 .j' A.P. # 0 j:�R -- 2-10 - 1 `7 0 OWNER . y\ PERMIT #- 02-- (3 ,? MH UTIL. CLEARANCE DATE -7 o Z INSPECTOR ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE SIZE OTHER LOAD TYPE PIPE SIZE LENGTH YES NO YES NO 1006 I /4, �s' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE IT O. r (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCEL NUMBER 058-210-170 ZONING BUILDING PERMIT OWNER D0JR\TIiTG G0 la TELEPHONE _ SQ. FT. OCC. BUILDING VALUATION .5055 OWNER'S MAIUNG ADDRESS 4370 MaTTIE CONTRACTOR'S NAME D & A CONST. TELEPHONE -964 CONTRACTORS MAILING ADDRESS 1740 FEATHER CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $2-3-00 BUILDING ADDRESS 4370 P .IUTE DR. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE .00 $43 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: MH1 (POE FIRES Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 H] @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800VOR LE Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect./ , J' License Class O—LO Lic. No. i S131A 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO +000A 46.00so W:L200A NEW CONST. DWEWNG UP. ( ADDNS.EW 3,5QF°: NOR CONST. MUICOu�TLEi NCN•RESIo. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FD(TURES 20 Q +.00 SAL @ .SD Ex. Occup. oF1TxLE ,S RLN o.oERw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number C.3 -110 00 (The above sections need not be competed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. , �^0) X "'' tl k\ Date Signature bf Appll ant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ r Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP FLOOD C p0 HD This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date 34 z ` 1 d -33 fe Receipt No. exeM'Dt WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEI 7 County Center Dr. i ti .NT OF &VE�MENT SERVICES -BUILDING DIVISION A ille, CA 95965 Phone (530)538-7541 Fax (530)538-2140 APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER bS i- ",9/0 7 Proposed Building Use: Iv ` Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ,.3 Plot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! +❑ 5. Energy compliance design and supporting documentation in duplicate. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie'own or t >•. foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will'be indexed and returned to the plan review line-up when required items are received. r Date Received By ❑ 8. Flood Elevation Certificate,wet-stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs ..................................... 41 ❑ 10. Letter of intent for non-residential buildings ...............................................: `.. ..... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous, Material Form............................................................................... ❑ 13. Other ' Rem •ning items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fees as shown on the attached Schedule of Fees Due Sheet. .... .............. ❑ 1 Statement of Intent for Non -heated and A/C Buildings ...... :.................. 1 Sanitation and plot plan approval from the Environmental Health Departmen in City of Chico Plumbing permit................................ {Cly ........................................: .; .,•• -, 0r18. California Department of Forestry plan approval ❑ paid. Sent by: ❑ 19. Planning approval for (A) Use: D IC (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 0❑ 1. Encroachment Permit fordriveway from�e Public Works Dept. (construction approval prior to occupancy). 2. Pre -Inspection for f / f2� required :............... 23. Contractor's license information. (Number, Name Style, Classification)........`..............:,. , ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner).........: .......... gLetter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... Existing violations -and/or expired+permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone 5' and hold for pickup. • r' I have been informed of the above items and requirements for obtaining a building permit. 9 cant: Ham: 5 k'w ;ten e 1. Index permit application for the above items tiered: _ r Plan'Check Letter 2. Additional items required ntra r, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by:W Date: LE phone, ❑ mail, ❑ counter, b it o phone, ❑ mail, ❑ count by ir;Date: Plans approved by: Date: _Structural approved by: Date:.. Note transfer by: Date: Yellow: Building Division " 1 School District A.P. Number Property Owner Property Location/Address Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) = ' City Building Department No. County Lot No. Residential Development No of Living Mobile Home Addition/ *Supplemental to r Units Installation Conversion Permit # f *(No foundation inspi ............... )....................... ..................................................... 0 0 Commercial/Industrial ^y/ New Addition V tv .r Sq. Footage 1OU.i� (Group R) �0-� Sq. Footage (Including Exterior Roofed Areas) Date A — , (Floor Plans reviewed by School District Personnel) District Identification No. -0130011 School District certfies that (Applicant) 9-7 C�._�a +il_.� /L _-X� (Street Address) ,�. -� `•. (Phone Number) 2) , I �� 1 C�1- (City) has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check # Remarks: (State) Q /� (Zip Code) V by payment of $ ' 1 11 AB 2926 $ FULL MITIGATION f o�-a9-oa Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm CDF FIRE SAFE REQUIREMENTS -�[ r (?D D`Z -/ off 9�All�C AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart 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. Drivewav Standards )(J 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. �] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius t 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. j 1270.10 Width. All driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3--, 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. /' 1273.10 Turnaround . A turnaround shall be provided at all /_ building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [! 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [JjJ 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] 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. Page 2 of 3 AP # PERMIT # 14AME r Other Requirements [ ] If Buildinct.Setback is 15 to 30 Feet: —Class A or B roof Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3°lof 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 10k of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal .Other Butte County Fire Department approved materials Date Signature Page 3 of 3 • Master Bedroom ICoat 12--0" ------- -------- Model #216 800 Square Feet 13' -4"x60' Bedroom # 2 9.-8,. Infiniti Champion Home Builders Co. of Lindsay, California Wi li I � Dining Living Room 13'-3" Kitchen n Opt Lino Master Bedroom coat 12'-0" n -------- Model #216 800 Square Feet 13'-4"x60' Opt Ins—Ig EBedroom Infiniti Champion Home Builders Co. of Lindsay, California li I Dining H 9 . Living Room jU m 13'-Y Kitchen r -j Opt Lino % t MOBILEHOME INSTALLATION DATA 1) Owners Name: 2) Assessors Parcel Number: 3) Installers Name: INTEGRITY HOMES, INC. 4) Is the site currently under permit? Yes [ ] No [%e] Permit No. 5) Is the site an existing site? Yes Wj No (If yes, furnish two plot plans). 6) What is the electrical rating of the mobilehome? lan Amperes. 7) What is the mobilehome site circuit breaker rating? ac�,CZAmperes. 8) What is the electrical rating of the mobilehome site? g60 Amperes. 9) Is the main service remote from the mobilehome site? Yes [ ] No [X'] If it is, what is the rating? Amperes. 10) Is there any other electrical load to be served by the mobilehome site electric service (ie well, garage, etc.)? Yes [7c] No [ ] If yes, please identify the load and size: a) The mobilehome site: Load- (AZ 1A Amperes- 2� b) The main service: Load- Amperes - 11) Type of gas service at mobilehome site: Natural [ ] Propane [)o] None[ ] 12) Size of gas pipe at the mobilehome site from the meter or tank: 3/4" . 13) What is the gas pipe length from the meter or tank to the mobilehome? ae (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 then 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION or Ar V KU V Rcx, I MOBILEHOME SUPPORT DATA Mobile Manufacturer: C I�a,rvt t Un Manufacture Year: 200a If other then single wide, furnishSetup Model Number: Width: 1344 (ft) Length: UO' (ft) Tagalong or Expando Size X On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's Installation manual and structural setup sheets. - FOOTINGS: Wood pressure treated or foundation grade. [ x] Other: SUPPORTS: Concrete block [,c] Other: Provide Tie Down Specifications for all Mobilehomes:a t Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 1 Line 2 e 2 ......................................................................................:TL. Main Bewu Line2......................................................................................Line I 2 3 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line 1 ............................................... dine S Tag or Triple e4 ine 1 Line 1 Piers: Size minimum:]XI I Spacing maximum: " From ends -max: " Line 2 Piers: Size minimum: x 1701 Spacing maximum: Ir O " From ends -max: 1.09 Q " Line 3 Roof Loads: Size minimum Location (from rear): Line 5 Roof Loads: Size minimum Location (from rear): Line 1 Openings Size minimum: 12 x Each side of openings " with width over: ' Line 4 Piers: Size minimum:]XI I Spacing maximum: From ends -max: ' MLDING DEPARTI IMg , . - n I A !Nvev:,, Z096 Z99 60Z !*00 Sd301If19 3WOH NOIdNVHO :A6 luaS IN A� -A . fl 3 � 6 u � a jr i e i rn � •Tl s 3M i n I A !Nvev:,, Z096 Z99 60Z !*00 Sd301If19 3WOH NOIdNVHO :A6 luaS IN 058-021=170 01-2336 DOWNING, GREG 4370 PIAUTE DR, OROVILLE CONT: ZINKS REMODEL POWER POLE NEW SERVICE OFFICE COPY Address _ Me (� ELECTRIC Meter By Date U COUNTY OF BUTTE - DEPARTMENT OF DEVELQPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Carifornia 95965 • Telephone (530) 538-7541 Or �T No• (Rev.12/96) APPLICATION AND PERMIT 1bSSP2r_LT?(r ZONING BUILDING PERMIT MVING9 CRW TELEPHONE SO. FT. OCC. BUILDING VALUATION i 3"- =T2s DR. OROVIi .E, CA 95955 ! C►OONiMCTO,KSR'S NAME 4 lYDL TELEPHONE iZ� "� 15 CONTRADDRESS ACTOR'S MAILING PO PDX 9281 CHICO, CA 95927 - CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUI INGADDRESS 497 ='0 HAUTE DR. OROVCA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECS Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [lot' Installation ❑ Other ❑ Describe Work: 200 9? ELW SEMCE P01,F. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full 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 Main Service 200A To ,000A 46.00 NEW CONST. DWFiLM1G OCCUP. OR ADDNS. ( a Acc. erns. so SO 3.5¢FT; NON p610. MULTI.OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FORURES @ I.00 ea .00 Ex. Occup. OFIXEDTS as OR 5.00 Temporary Service 23.00 23.CO Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 66. WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure foi 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 I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier % 14 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= $ Policy Number l / 7.7 r (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ '' �'' Date ' i Signature of Applicant - ❑ Owner `-Q- Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigh . Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE X00 HA2. D. FEES IMP I FLOOD I CDF I PARCEL PD HD ISSUE, v This permit is hereby issued under the applicable provisions Of the Butt!JCounty Code and/or Resolutions to do work indicated'ebove for which fee,ci�have been paid. T l / By ._'' ._ Date f f PERMIT EXPIRES ON BTa Receipt No.'s 1 19 .+A. (/Q WHITE•D.D.S` CANARYi ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive . Oroville, California )5965 • Telephone (530) 538-7541 T NO. (Rev.12/96) APPLICATION AND PERMIT �1 tgOR _dTrylBER 0 ZONING BUILDINGPERMIT TIMING,GREG - TELEPHONE SO. FT. OCC. BUILDING VALUATION V3�`%'®''1?MVTF-DR. OROVILLE, CA 95965 CONTRACTOR'S NAME Z NKS TELEPHONE 898-8135 CONTRACTOWS MAILING ADDRESS PO BOX 9281 CHTCO, CA 95927 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ - ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4370 PIAUTE DR. OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PM MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome N Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 1:X Installation ❑ Other ❑ Describe Work: 200 AMP EIEC S . ERVTC POT.F. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service "A oR LESS 23.00 23.00 11 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. X- I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comp nsation i�rurance carrier and policy number are: Carrier I70AI ?d, Vp Policy Number g (The above sections need not be c6mpleted if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date �� =0 _ _ ez Signature of Applicant -CAO Owner Contractor ❑ Agent An OSHA permit is required for excava Ions over 60" deep and demolition or construction of structures over 3 stories in heigh . Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. so OR ADONS. ( a ACC. sins. 3.5¢Fr: NON-RESIU ULT UT @7,50 MI.OU CIRCUITS OWER APPARATUS a SINGLE 0UTI-ET C.. Ex. Occu ounFr OR FIXTURES �0 @ 1;00 Ex. Occup.. oFuTlFiAP o .oEsw 5.00 Temporary Service 23.00 -23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE& , 00 HAZ D FEESI IMP I FLOOD I CDF I PARCEL PD HD IssU This permit is hereby issued under the applicable provisions Of the Bu County Code and/or Resolutions to do work indicate ova for which have been paid. By Date PERMIT EXPIRES Oe ` ��J ata Receipt No. WHITE-D.D.S.- .D. C NAR ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OP BUTTE Oroville, Califomia GENERAL CLAIM LAIMANT: ZINKS REMODEL DDRESS: P.O. BOX 9281 CHICO CA 95927. ITY & STATE: CHICO CALIFORNIA 95927 ATE OF CLAIM:3-1-2002 UBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE ,TE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT INV. NO. INV. DATE POE Fire exemption due to board of Supervisors GROSS AMT. ( AP # 058-210-170 BP # 01-2336 & Tecej2t :332193 Dated 9-18-2001 OWNER:Greg Downing.) TOTAL AMOUNT PAID 66.00 TOTAL AMOUNT REFUNDED $66.00 -------------------------- • / TOTAL a undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim Is true correct as stated. !d this 11 th day orMarch • Xg__U at Oroville Calif. e undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delkwed and there is a Budget Appropriation ( I or Specific Board Approval ( I (Check one)JRE the same. A this 11th day or March, text Oroville Department Head or Authorized Deputy :t. Code 440-002 Exp. Code 4210500 - f or 66.00 PAYABLE FROM Con c tri it t i nn permi t z — FUND A. Code Exp. Code PAYABLE FROM FUN )t Code Exo. Code _ PAYABLE FROM FUN DO NOT WRITE BELOW THIS LME • AUDITOR'S USE ONLY EPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMS. GROSS AMT. -------------------------- • / 0 i PERMIT NO. 831/90 PERMIT EXPIRES i f OWNER STEVEN DEAN CONTR. owner i ASSESSOR PARCEL 58-21-170 LOCATION 4370 Paiute Dr, Oroville •S Y 1 J ' J L Temp. Power Pole Called PG&E # } A.-Elec. Service Q Q Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) 3— Signature = OK 0 = Not OK ' = Not Readyable MOBILE HOMES ' MISCELLANEOUS Date M08_JL1 HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Zomig Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements oil pecial MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel e , Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails Location-Test-Easement Needed tSketch 4. Wood Awn.; Posts- Beam s-Rftrs.-Con nec.- Shthg.-Rfg.-Bracing lectricity; Location-Clearances-Grnd. mp-Concrete 6. Gas; Cation-Test-Wrap: / P1 ft. /"Nat. or/ PV ft./ /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors loof Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-B Dat rd-B1 Date 10. Roof; Shthg-Roofing Card-B1 Date Card-B1 Date 11. Ext.; Steps-Doors-Landings Date MOWeEHOME INSTALLATION (Plans) OK except #'s *-toRequirements-Setbacks-Easements Card-131 Date Card-131 Date o ings; Size-Spacing-Marriage Line Card-131 Date Card-B1 Date H Test-Demand-Valve-Connector 4,1_lectoeity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s , MH Test-Fall-Flex Connector 1. Setbacks-Easements H Test-Regulator-Connector 2. Soils; Compaction-Structure Stability "per and Sewer Connected-C/O to Grade-"HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining a� Electricity Tagged i xit sp.-Sketch i 4. Elec.; Receptacles and Lighting, Distances-GFI 1 ert. of Occupancy 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.;Groundin Equip. w/5'-circulatingEquip.-Pool L ht g' q p' g g' Boxes-Encl osu res-Panel boards- Ins. to Main in Conduit Card-B1 Date and-B1 Date i Card-131 Date and-131 Date 9. Health Department Approval 1 10. Plumb.; Cir. Test-Water Supply Test Card-131 Date Card-B1 Date Card-131 Date Card-131 Date = UK 0=Not OK - = Not Applicable f = Not Ready RESIDENTIAL (Single and Duplex) t Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Sup prt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'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. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -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-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Pib., Elec. & Mech. Equip. Listed for Location 76, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Si. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CAtIFORtt1A — 534-4541 . PERMIT NO. ' Address orloc Owner's name Owner's address,.v�r7__/ ,* �J g4 Z .} Insignia or,hud number— Manufacturer's umber Manufacturer's name `—AA 'f Serial nuMber o jV�lN, /,. i �( G°� Year of manufacture _L � (Official Approving Installatio IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION , `ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. i k 513B C.. Z.4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND 'PERMIT IIS ASSESSOR PARCEL N B — — f ZONING BUILDING PERMIT O� TE EPHONE SQ. FT. OCC. BUILDING VALUATIO OW RrAI LI ADDRESS 10 k^ J 9 ^^ 1 CO RACTOR• NAME TELEPHON C TRACTOR'S MAILING ADDRESS Fireplace CTRUCTION LENDER O$ UNKNOWN Total Valuation $ ua LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARC,rIJrECT COR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , Penalty $ BUILDING ADDRESS , r D eL -^ , Permit tee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 7 / Solar or heat pump water heater20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities W Installation❑ Other ❑ Describe wo N Q CF — Penult Fee $ t6l, 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 1 NEW CONST. DWELLING OCCUP.ei OR AODNS. ( ACC. BLDGS. , /20sgft NEW CONSTR. '.OUTLET NON•RESID BRANCH CIRCU, TS2.50ea POWER APPARATUS d (SINGLE OUTLET CIR. I Ex. OCCUp(OUTLETS OR FIXTURES ALO 30 e2Lo FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notce to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 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 ke p armless the County of Butte against all liabilities, ju nts, costs, a - penses which may in any way accrue against said C :ons the granting of this permit. X � �6 _ �`� Date / Signature of Applicant— Owner Contractor ❑ Agent ❑ n OSHA permit is required for excavations over 5'0" deep and demolition or construct- rn of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCU P. CON ST.TYPE SCHOOL FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work ated above for which DIRE F PUB PERMIT EXPIRES Date the applicable provi- resolutions to do fee have been paid. ORKS Data 6 , A/O Receipt No. Y���S WHITE-D.P.W.. YELLOW-A359330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Depart' tment of Public Works " 7 County Center Drive., Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-'538-7541- An 16-'538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2.' I (have/have not) signed an app ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number . Date O NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER � � �/ �, ���� �. A P. No. kS'R— — / 7 o Proposed Building Use �/YI �-( (A Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ................ 9. Fees of $ . ......................... . �M 10. Chico Urban Area fees paid ........................................ 11. Park fees paid.......................................0............. 12. School District fees paid ............ 0 .... 13. Sanitation approval from Health Department ... 14. City of Chico plumbing.. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......:.. 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ..... Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. -G het 4/.370 /9a rrr.,.-ie 77 r, -),—,," I/— e- tA 4 �' <Appl ica �,— - Date — r Copy of plans sent Health Dept., Fire Dept., Other Date 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 —mal l_counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date t OWNER �1G PERMIT , MH UT IL . CLEARANCE DATE - 7a INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size -Other Load T e Pipe Size Length YESI NOI YES NO V _ COUNTY OF BUTTE-"OEPAIRTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-75_41 APPLICATION AND* PERMIT PEFjAAIT, 1t0. 1 AS SSOR P�j}i EL N BE Cj`) ZO 1 G BUILDING PERMIT ow R - v & TE E Ho �` SO. FT. OCC. BUILDING VALUATION OW R' MAILI ADDRESS _ r C TRA TOR*S NAME TELEPHONE C NTRACTOR'S MAILING ADDRESS Fireplace CO RUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ AR ITECT OR ENGINEER LICENSE NO. Plan Checking Fee V Energy Plan Checking Fee $ ARCHITECT OR ENGINEE 'S A LING ADDRE Penalty ; BUILDING ADDRESS Permit tee ; PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 (/1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationK Other ❑ Describe work: i I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service S00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- X'sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a ,h¢sgft New CONSTR.(A ULTBI OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e\ (SINGLE OUTLET CIR. / 0509 Ex. OCCUp(OUTLETS OR FIXTURES 30t. FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify a d eep harmless the County of Butte against all liabilitie udgments, cost , nd expenses which may in any way accrue against s unty in cons e e of the granting of this permit. �v„$� Signature of Applicant — Owner4? Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DButte TOTAL PERMIT FEE , $ Oc cup' CONST.TYPC scNooL FLOOD PARCEL PD Ho 159 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date S Receipt No. V,5 -0/s WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY.OF BUTTE - Department of Public Works 7 CountyCenter Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541" An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until thisverification is received. 1. .I personally plan to provide the major labor and materials for construction of the proposed -property improvement (yes or no) 2. I (have/have not) AMI signed an application for a building permit for.the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name - ---- Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owne t ti Social Security Number Date IVr- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. . BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: E�6 00 r Ve 2. Installer's Name: — 3. Is the site currently under permit? Yes No (If yes, furnish permit number c.2 OR Is the site an existing site? Yes El 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 No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- �Q nn Amps 7. What is the mobilehome site circuit breaker rating? ----- U 6 Amps 8. Is there any other electric load to be served by the ,. mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------/& (in.) 10. What is the type of gas service? ------------------- Natural LPG jZ 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. nC; natural gas or less than 50 ft. on LPG.) a�- 1 . T MOBILEHOME SUPPORT "DATA If other chasinle wide.,, � , ���Mobilehome Mfr. A0.6z��_ furnish SetupModel No. Year lJ Width (ft.) Box Length --(ft. ) Tagalong or Expando Size 3---f c, xft. 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) 1. SUPPORTS (check one) 1. Line 1 Piers: Wood -pressure treated or foundation grade. a 2. Other (specify) Concrete block.❑ 2. Other (specify) Pier Footing Sizes and Locations S1NCLE-WIDE MULTI -WIDE I h— 1 _ Line Line 2 _ _ _ — — Main Beams Linc 2 Size -Min. ------------ 'k ' Spacing -Max. --------- , Fr„w Ends=Max. ------- Lfoc 1 Piers: Slxc-Min.------------ „ ^JVh� Spacl.,g-Max.--------- 1- �� From Ends -Max.------- t'- O Line 1 Roof loads: Size -Min. ------------ Main Beams LIn — — ——Line Tag or Triple Line 1 Openings: Size-Min.------------------� "x Each Side of Openings With Width Over --------- " Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- x Spacing -Max.--------------- r_ From Ends -Max .------------- "x 11 "% .11 "X 1.1 "x "X .11 "X .11 "X N _-A Location (From Front) _ 11 1- _ _ _ - - - Linc 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Sizo-Min.------------ 1 �/ „ Size -Min ------------------- "x Spaciog-Max---------- , O „ Spacing -Max .--------------- From Ends -Max.------- Q From Ends -Max -------------- Li lje -------------Line 5 Hoof Lada: Size -Mill. --•--------- location (From Front) "x .x "x "x 'tic "x "x 1."x MUST NOTE-:—iAll Materials & Wor4rnonship Shall Be in ans Peci�icrii1e�' kccordcn-e with Rccovru , .i ;,;! Pru;_i•:-es and s ,. Invf�F�ilm •>.. i is an ,�ithotal of a qual:�'r r.-.scr..✓ s:. ' .`_ in the i.. µ �,Itt..t.,..�; ,;,s o� z� Uni�forrn Cuii-dina, E':vvn; �,:. `; {,;cuc::i�ical Codes and `w rnr&;� ani'' ,n ;fie U�� s the�latronalctriel Ccxde.-, Elitti .':�t� iro, �. e o -- -- — r - Y CP 1 \ ` �x r �l o S` d Vic-- °k"o �`eN � ok II 5 a as t ok ao� \\fie �e e c, e� ti �y 4 ec,A k�o<• `o J�Q� Q h3 X\� °� Je p okGe�cS, �41 r31 0 N 1/ (I� U J \ NCS S ��9/ II')- — -✓ _ - C� t J( 3 4 OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: ADDRESS: P.O. Box 605 CITY & STATE: Durham, CA 95938 IMPORTANT: DATE OF CLAIM: July 17, 1989 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT Permit applications have expired. (Bldg Permit Appin, 220-88P,E, Receipt #17479, dated 7/12/88, A.P. #58-21-170). .Total utility permit fees paid------------------ , Retain plumbing permit filing fee -------- $10.00 Retain electrical permit filing fee ------ $10.00 Retain plan checking fee ----------------- $15.00 Amount retained ------------------------------- $35.00 Refunddue ------------------------------------------------- $59.50 (Bldg Permit Appin. #2207-88MHI. Total installation permit fees paid ------------- $70.00 Retain filing fee ------------------------ Retain plan checking fee ----------------- $15.00 Amount retained ------------------------------- $25.00 Refund due ------------------------------------------------- $45.00 ------------------------------------------ $104.50 $104,50 TOTAL $104.50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been Performed or de 'vex d, end th his C is true and correct as stated. t ....... / de of .............. ............. 19 et , U l c i Dated this ................. Y CJLIt/Il f ...41. G. Calif. Z``:.'� ...................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval a (Check one)for a em Dated this ............l.7.t.11............ day of ,.July ............... 19tq„9, at „.Oroville Cellf. ................... . .......... P.................... .................. .._... ............ artment He d or Authorized Deputy. Dept. Exp, Code ..................4.4f =002...... Code .................. PAYABLE FROM.........Con . • Permits FUND ......................................................................... DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. r Iry Xly a r -.y t • � X l� i y • �" � it � Sate Fount LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: RONALD D. McELROY Deputy Director RE: Building Permit No. Expiration Date (A. P. No. With reference to the above subject, our records indicate that your Building Permit on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date'of the permit,' the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any questions concerning this matter, please contact the office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be c q pleted and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. Yours very truly, William Cheff Director of Public Works Glander JFG:aj Chief Building Inspector Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd./872-0307 ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS M T 0. 7 County Center Drive - Oroville, �9liforni1� 95965 - Telephone: 916/538-75 X APPLICATION AN6 PERMIT lJ ASSESSOR PARCEL NUMBER /-7 ZONING BUILDING PERMIT OWNER UE N Q [ A fJ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW1 R'S MAILING ADDRESS- DDRESS r� Y - 0. CONTRACT R'S NAME TELEPHONE CONTRAC OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS vl. Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1 L L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCELMAP.Water 1 0 7 piping 5.00 Each qas water heater or vent 5.00 USE 0 STRUCTURE SF ❑ Duplex[] MobilehomeK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home -JS' MGR W I 10.00eg' TYPE OF WORK New ❑ Addition ❑ Remo(r�del ❑ Utilities � Installation❑ Other ❑ Describe work: �t-.�+� . / \ d Permit Fee $ 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 O� Main service EA. ADO'L 100 AMP 2.50 also CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ r I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a` , OR ACDNS. ACC• BLDGS. / /z¢sgft NEW CONST R. MULTI -OUTLET 2,50 ea NON.RESID BRANCHCIRC S POWER APPARATUS tr\ SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES eA G30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 `'�j 00 Misc. Wiring 15.00 g ? Permit Pee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notce 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to s ve, indemnify and keep harmless the County of Butte against and expenses which may in any way accrue against s t in cone of the granting of this permit. all liabilities,s' dgments, �'s �-- j�� Date Signature of Applicant — Own Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 7 7 � S� oeeuP. CONST.TYPE eeNooL cLoo PA PD ND Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which C OR PUBLIC BY/P PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS %Date17` I ` ~ 1 Receipt No. % 7 `� -7 WHIT[-D.P.W., YlLLO W-AeeLl3011, PINK -IN SP CCTOR, GOLDENROD -APPLICANT t � COUNTY OF BUTTE - DEPARTMENZ_OF-.,PUBLIC WORKS - BUILDING'DIVISION w 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 5k- .21 _ /?O Permit No. 'G ' OWNER D CUe-�. L) G.+�J A. P. No. Proposed Building Use 141 14 C-4 Building Inspector N• Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED j1. All items.have been submitted, �2. Plot plans in duplicate. /triplicate, signed by preparer of plans. 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $' , . , , , , 9. Letter of,,signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12, Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . ~` Pre-Inspec. request to 1r2. Pre -Inspection for Required, Building Inspecto ° 18. Recorded.copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. When you issue the permit, process as follows:_—Z Mail to owner, Mail to contractor. Telephone •5_39-0�WQ and hold for pickup il-1 rGffice, —Del iver w/inspector. Other Applicar} %�/� /��'y-�Date %_ lZ 4e ,Copy of plans sent Health Dept., Fire Dept., Other Date 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: r' Contractor, designer, owner, was advised,of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised'of above required data by—phone —mal l—counter by date Plans checked by Date Plans d approved by cK � Date Sets of plans on hold in File cabinet AP folder CODv—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner, Location AP Plan Approved for: Sewage Disposal _ Water Supply` Hold final for: Final clearance O.K. for: Clearance for =—bedroom mobile?Ome. NOTE * * * Sanitarian Other Water Supply Water Supply Dat Return to DPW1`40TC.O.k�P 10,\V, IH AGRICULTURAL STATEMEPJT. OF ACKNOWLEDGEMENT FOR RFSIDFJNT ['AL -DLVELOPMENT Section 26-8.1 ul. the Butte County. Code requires Lhis acknowledgement be recorded pri.or to .issuance of a building permit. °1- la Bi�- w111 The property described herein is adjacent g.C)I & M . to land or included within an area zoned ('or agr:i.c:u I.Lural purposes, and residents of this property may be subject to incon- veniences or discomfort arising 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 esLab.lishc�d ngricul t.ura.lzones which have as a priority use for productive agr:icuaLuru l purposes, ;ind wi-thin sa i.d zones and on adjacent property should be prepared Lo ;tccept such i nc,nivc n i c ncc or d-i.sconform from normal, necessary farm operations. All. that. real properly situate in the County of. Butte, State of Cal.ifornio, dcscrihcd ;,: fol.l.ows: Parcel 4, as shown on Parcel Map of a portion of Section '35, Township 22 North, Range 4 East, M. D. B. & M., which Map was filed in the Office of the Recorder of the County of Butte, Stat e'of California, December 22, 1986 in Book 105 of Parcel Maps at page 41. ALSO TOGETHER WITH, a right of way for road and public utility purposes over Paiute Drive, a 60 foot roadway shown on said Map. RESERVING THEREFROM a Right of way for road and utility purposes over the Northerly 30 feet of the Westerly'1096 feet.of said Parcel 4. Said right of way is reserved for the benefit of and appLirtenant to Parcel 3 as shown on said Parcel Map filed in Book 105 of Parcel Maps, at page 41. TOGh`THER with a right of way for road and utility purposes over a strip of land 30 feet in width lying Northerly of and adjacent to the Westerly 1096 feet of the NnrthArly line of snid Parcel 4. State of ) On this the day of 1I,cfc,re mc, County of SS, the undersigned Notary Public Pers ally appeared ) 1D... A Personally known to me. Proved to me on the b;,s i s lk ?:n?r:._;�. CUTSLER of satisfactory ev:idencc. �;WJWu >'GhUC-CALIFORNIA o be the person(s) whose name(s)county aayromr,issiont xpires ubscribed to the within instrument and acknowl edged Lhat _ Sept. �, �s9i xecuted the same for the purposes therein con to i ned . IN W I'I'Nl,:SS HEREOF, I hereunto set my hand and offic.i.al seal. Present A.P. No. c.2o -L - IN� t;ary Puhl i c COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted -with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: G�✓` Property Owner Social Securit Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT ND. 7 County Center Drive - Oroville, California 9965 Telephone: 916/538-7541. APPLICATION AND PERMIT ASSESSORPARCE'a IL -N BER 7(�Jl ZONING BUILDING PERMIT OWNER r'u TELEPHONE s - � 5'Q. FT. OCC. BUILDING VALUATION _ OWNER'S MAILING ADDRESS , • en ox O 9- C.a. f ft -w. CA CONTRACTOR'S NAME TELEPHONE CONTRA TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Y Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Ouyu i-,5 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea L TYPE OF WORK NewX Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ j Describe work: aX Y%-I� W e 2,10 �I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 5o0v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.al) , OR ADONS. ACC. BLDGS. / /2,tsq ft NEW CONSTR. I.OUTLET '2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS IN (SINGLE OUTLET CIR. ( EX. Occup\OUTLETS OR FIXTURES 200506 e AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. to the W. C. laws of California. Not�I shall not employ any person in any manner so as to become subject ce�to Applicant: If after making this statement,: should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions, or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to sage, indemnify and keep harmless the County of Butte against all liabilities gments, cos and expenses which may in any way accrue against sal n copse nce of a granting of this permit. Date �_��� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ �- Energy Inspection Fee $ TOTAL PERMIT FEE -70,00 OCCUP. CONST.TTPE SCHOOL FLo PARCEL PD ND S9UE This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 1-71-7 d WHITE-D.P.W.. TELLOW-ASSE33011, PINK -INSPECTOR. GOLDENROD -APPLICANT ti M COUNTY OF BUTTE - DEPARTMENT=O_f%PU.,BLIC WORKS BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET / Permit No. OWNER ��� UL XV/ 'DEf?A-) A. P. No. 5 S-- �,l— 1-20 Proposed Building Use 7 /� Building InspectorTly�— Date _2-4a `�� At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 8. 9. 10. 11. 12. 13. 14. l; 17. 18. 19. 20. 21. 22. All items.have been submitted. . . . . . . . . . . . Plot plans in duplicate. /triplicate, signed by preparer of plans. . Complete plans in duplicate./triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . School District "Fees Paid" Stamp on Floor Plan. Statement of Intent for Non -Heated and AC Buildings. Fees of $ , , , , , , , Letter of signature authorization. . . . . . . . . ' Sanitation approval from Health Dept. Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner0, Mail to owner ❑•) Improvements -may be.required. . . . . . . . . . . Mobilehome Installation Data. . . . . . . Pre -Inspection for Required. Pre-Inspec. request toBuilding Inspector (Date) Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of Engineered trusses in duplicate (required prior to plan check). When you issue the permit, rocess as follows: Mail to owner- Mail to contractor. Telephone 53.E `��U and hold for pickups affiice, Deliver w/inspector. Other / ,/ APPlicant%C :��ate Copy of plans sent Health Dept., Fire Dept., Other - Date The following data must be submitted prior to permit issuance, Cir le new item not checked above). 1. Index permit for above items No.(��/1� 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date �l Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541. OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) &Lf signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property. Owner Social Security Number Date 1�7— /,,- -- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. J kA 00 I 'IV p tA fs V) ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHECKED ) SHALL COMPLY WITH CURRENT EDITION OF NEC, L*AC AND UPC. NOTE: Sw the aftsched ConstEugtig Re uirements Page f - ----- 'Wll VlU BUTTE COON I %ILDtNG DEPARTME 0i P P R 0 V 17 441 .0 QVIC J kA 00 I 'IV p tA fs V) ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHECKED ) SHALL COMPLY WITH CURRENT EDITION OF NEC, L*AC AND UPC. NOTE: Sw the aftsched ConstEugtig Re uirements Page f - ----- 'Wll VlU BUTTE COON I %ILDtNG DEPARTME 0i P P R 0 V 17 N, 40 0716- ki-:-- EL2CTRICAL, MECHANICAL, AND PLUMNIM CONSTRUCTION ( NOT PLAN CHECKED) SHALL COMPLY WITH CURRENT EDITXM OF NEC, LAOIC AND UPC. tz J'lz� NOTE: Sea the attached dent'al Construction n ent, —Pages -7,.-m__`_ ,.-m_1 1 BUTTE COUN 14 RtJILDING DEPARTME Ot P P R V _Rund cub . X4 lo Lj LAI I Pte, of crMi- ........... LA LD 10 U, 0 11,14 7n c syvv" 14� If fix tool M;::6 �O&te ;;6e- 01 O 60 - TAO Pte, of crMi- ........... LA LD 10 U, 0 11,14 7n c syvv" 14� If fix tool M;::6 �O&te ;;6e- 01 9 Q1 r N n o� e• 70 12' Y WAY n x e -12'. z O 0 O P A tz I� l l z l 1 z U) SL 32 a e•70�z� N N FOR: CENTRAL PIERS, INC. THARP & ASSOCIATES, INC. - � I ,, It aa� l � � d n f r GEOTECHNICAL CONSULTANTS o X yN H fn 284 N. 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