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HomeMy WebLinkAbout058-320-007--......... qz 58-32-07 CARLAN EPLEY On Hoffman Rd W of Cocicow Rd inters'." Certificate of Compliance/with cond. A_/22/82 r 058-320-007 �'�' ,PERMIT#95-2251 MALCOLM, Jackie, 13253 Astoria.'Way, Oroville Mobilehome Utilities ELECTRIC ' GAS LINE COMPACTION TEST REQ SUPPORT STRUCT REQ 058-31C 7 USE PERMIT NO. 92-06 to allow C)l n Jackie'Malcolm, in FR -10 Astoria Way,,, Concow _0g P RESIDENTIAL 058-320-007,, PERMIT#95=2251 MALCOLM, Jackie 13253 Astoria Way, 'Oroville Mobilehome Utilities -- JOB FINALED (Date) Signature J=OK O = Not OK Not -Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------------- ---------------------------- 17. Water Pipe: Test & Anchor -Nail Protection --------- ------ ------------------------------- - - -- 18. O.W.V.; Test -Fittings & Anchor -Nail Protection -------- --------- ------------------ 19. Shower Pan: Test, First Floor -Tub Access --------------------------------------- 20. Test -Tub & Shower, -- Second Floor -Tub Access ------------------ - ---------------- 21. Gas Pipe: Size & Anchors ---------- ----------------- -- ---------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------ ----------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's 22. Fixture & Transformer Clearance -Ins. Protection -------- ------ --- - -- ------------------------------------------------- 23. ------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------- ---------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------ ---------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------- ---------------------------------------------------------------- 26. Equip. Ground made "up w!Mech. Fastners-Bond Gas & Water -------- ------------------------------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------------------------------------- ---'------------------------ 28. Subfeed Wire Size / ' ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --- ------------------------------------------ - ----- ------------------------ 30. - ----------- - - --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect --------------- Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector -------------------------------------------------------------------------------- Date Card -B-1 Date Card -B- 1 ---------------- -------------------- ------- --- ------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except fr's 34. A.C. Ducts Insulation & Support ------------------------------------------------ 7 --------------- --------------- 35. Vent Fan: Exhaust above insulation -------------------------------------------------------------------- ---------- 36. Condensate Drain & Overflow: Size & Grade ---- --------------------------------------- - ----- ----- - --- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- -------- -------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ---------- --------------- ---------------- ------------------------------------- Date Card -B-1 Date Card B-1 ------------------------ ----------------- --------- ----------------------------- ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except f+'s 39. Sils. 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. Headers & Beam -Size & Bearing R jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brae-Truss-Shthng.-Ring. 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 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: -Nailing -Bolts 59. Insulation -W al Is -Ceilings 60. Infiltration -Walls -Windows ---------------- -------------------------------- Date ----------- _ Card B-1 Date _ Card B-1 Date Card B-1 - Date Card B-1 Date FINAL (Plans) OK except tf's _61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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. ---------------------------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 -Meth. Protection ------------- 75. Plb. Elec. & Mech Equip. Listed for-Location- 76. orLocation76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. -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 ------------------------------------- 81. --------------------81. Stucco: Brown -Finish ------------------------- 82. --------- ---------82. A.C. Unit: Disconnect. Electrical, Plumbing -------------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - - - - - - - -- --------------------------------- -- 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -- - - - -- - - - ----------------------- ----- 86. Ventilation Throughout House -- - - - - - - - - - - -- - - - - ------------------ ----------------- 87. Glass Protection ...... --------- -------------- 88. Corrections from Previous Inspections - - - - - - --- -- - - -- -- ---- -- -------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ---- -- -------------------------------------------- 90. --Water & Sewer Connected -C/O to Grade -HD Approval --------------------------------- --- 91. Energy Compliance Certificate -Other Certificates ------------------------------------------- ---- Date Card B-1 Date Card B-1 --------------- ------------------------ -- - Date Card B-1 Date Card B-1 -------- ---------------------------------- Date Card B-1 Date Card B-1 Comments at Final: 'µmstWF^rty;*lrr3 COUNTY OFBUTTE -DEPARTMENT OF. DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Orov le, California 95965 - Telephone (916) 538-7541 PERMIT NO. w- > ":'APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER tri -' • . 58-32-7 ZONING .r FR16 BUILDING PERMIT OWNER `JACKIE MALCOLM !;,_!.E 7' 47 SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS. 13253 AST ORIA WAY - OROVILLE, 95965 CONTRACTOR'S NAME M,�..,,.� �'�1(��'�( TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER S LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ ,.�. BUILDING ADDRESS 13253 ASTORIA WAY PERMITFEE $ 413 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑' Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 " TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublibes OZ Installation ❑ Other ❑ Describe Work: 2_ BEDROOM Mobile Home ,S G. 920.00 PERMITFEE PERMITFEE 80.00 Contractor ELECTRICAL PERMIT Filinq Fee 1 20.00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: �f 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 NEW CONST. DWELLING OCCUR SO. OR ( a ACC. BLOB. ) 3.5Q FT. CNS. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 B Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43,00 Contractor ' WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier —be MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor PoIicy'rZmr (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �R1 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 .eo-W rkers' compensation provisions of section 3700 of the Labor Code, forthwith comply with those provisions. �n ( _ Date X I' �S Signatu! a of Applicant t Owner O Contractor ❑ Agent z— An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HA2. D. FEES IMP FLOOD , CDF PARCEL pD HD ISSiIE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By v( r 1 1i Date PERMITEXPIRESON V Ille- "7 (Date) ReceiptNo. 85521 WHITE-D.D.S.-B.D:. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C' 058-320-007 PERMIT#95-2252 MALCOLM, Jackie 13253 Astoria Way, Oroville �,' Mobilehome Installation COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 58-32-7 FtR.1ZONING . 0 BUILDING PERMIT OWNER $X TELEPHONE 532-1747 SO. Fr, OCC. BUILDING VALUATION jACKIE OWNERS MAILING ADDRESS 11951 AsTnRTA WAY OROVILLE. 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOVOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ 43.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome q� Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation)b Other ❑ Describe Work: Mobile Home I S I GI W @20.00 PERMITFEE I g Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service EOOV OR LESS ( z00A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ) with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: �I I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( a ACC. BUDS. ) so. 3.50 FT, CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FIXTURES ) BAL 20 ® 1.0050 FIXED Ex. Occup. OUTLETS (RESID.OEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _Date _C Signatu of Applicant - Owner O ontractor ❑Agent An OS permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 00. Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES MP FLOOD CDF ARC PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON app Ica a provisions Resolutions to do work been paid. Date (Date) receiptNo. 185521 I HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - COUNT1 OFBUTTE-DEPARTMENTOFDEVELOPMENTSERVICES - BUILDING DIVISION NO ounty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT t' ti ASSESSOR PARCEL NUMBER ! ara -.;&; _. 58-32-7 ZONING FR10 BUILDING PERMIT, 3GvNERr ` ;, +_XX_ TELEPHONE 5ONE 1 • ' r 747 OWNER'SF_„y1AlUNG 4DDRESS t� -, 11251 ASTORIA WAY V SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS ! Fireplace CONSTRUCTION LENDER �y UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER f, LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS 33253 ASTORIA WAY PERMITFEE $ 43.00 ' LUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump Water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CK Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK yy� New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation)b Other ❑ Describe Work: Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20.00 Main Service aoov oR LEss ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: l 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. ) so 3.50 FT. CONST. MULTI.OUTLENS. NEW CONST. NON-RESID. ( _.RANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE R FIXTUCIS. Ex. Occup. (OUTLET OR RES) 20 ®1.00 BAL a0 NS. EX. Occup. OUTLEEDTSPR SE ID.) OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier i MECHANICAL PERMIT Filing Fee 20.00- Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �1 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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 Signat of Applicant - JtOwner ❑ Contractor ❑Agent An OS permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. 1 D. FEES /IMP FLOOD I CDF 115A`RC79bj,,PD I Ho I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON app Ica a provisions Resolutions to do work been paid. Date (Date) Receipt No. 185521 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ll � s COUNTY;OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7k.County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. °`- APPLICATION AND PERMIT-��5 ASSESSOR PARCEL NUMBER58-32-7 ` ZONING FR10 BUILDING PERMIT OWNER -,/ XX TELEPHOONE'1747 532 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS - .+.�Y 1119.51 A.97nRTA WAY OROVTT I E, Q51965 CONTRACTOR'S NAME I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOVOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 113253 ASMRIA WAY PERMITFEE $ 43.00 CROMIE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome OF Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installationy❑ Other ❑ Describe Work: Mobile Home I S I GI W @20.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service ( 0,00A 0-R LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ] I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BLAS. ) SO. 3.5d FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS d SINGLE OIJTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 00 BAL .50 Ex. Occup. oFIXEEDrs PPLNS..j ERA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) f8 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. (� X `t' rr L <:3t 'x 0, _ Date QA>�f ' T / Signatufre of Applicant -) Owner ❑ Contractor ❑ Agent��—�—– An OSHA'permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ 100.00 Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES /IMP FLOOD CDF -`PARCEL Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (pate) Receipt No. 1?J:)521 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �.�ri re.°.� .y"�ai'� �`.1" .3.'3� s�+;3't-'S - ;�: ,�:"fzT:� � l:.;w,}'Lt !•y'.:,Y`,_`'�._ :.itii�G"i�3'��'R �Ri"'�; ?,Y_}�TTI;F,r�l:�``��+_� .e:t�� 058-320-007 PERMIT#95-2252 MALCOLM, Jackie 13253 Astoria Way, Oroville Mobilehome Installation n COUNTY�OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT �'--�--Z ASSESSOR PARCEL NUMBER 58-32-7 ZONING FR10 BUILDING PERMIT OWNER zz TELEONL.-1747 SO. FT. OCC. BUILDING VALUATION OWNERMAIUNG ADDRESS - S 1-1251 ASMRTA WAY OROV11 TA, 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNa+OWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 13251 AS", TA WAY PERMITFEE S 43.00 V PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑I Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation TO Other ❑ Describe Work: Mobile Home ISI G W @20.00 PERMITFEE _ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service(oR LEss ( zooA oR LEss ) 1 23.00 Main Service 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter with Section 7000 of Division 3 of the Business and Professions Code, 9 (commencing ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: d 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. ❑ f, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLAS. ) so. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS a � SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FOCTUREs ) BAL 209 1.0050 EX. Occup. OUTLEEDTS(REs o.j ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 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. � ��n^�,�. > ,p X # �T t 4 Yom : (_ Date ' .A?�f 1 tet _ Signatur a of Applicant - ( Owner ❑ Contractor ❑ Agent I An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ OCC CONST. TYPE I TOTAL FEE $ 143.00 HAZ. D. FEES, -IMP FLOOD CDF .PARCEL-� HD i/ ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applibabf provisions Resolutions to do work been paid. Date (Date) 033 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 Y PERMITAPPLICATION DATA SHEET OWNER . P �� O �2 ^ U07 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ " 6. Energy Design Compliance and supporting documentation . ..................= 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan -chec ® Mobilehome data and manufacturer's installation instructions, 2 sets. -. 10. Fees of $ .......................................... Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. . 20. Pre -inspection for to Bussing Ins re for p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27 Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... 29. Documentation of legal'access...................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34 �r When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pi �Wpt office. Deliver with inspector. Ot Parceleation 9i I 95 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted paor to per it issuance: (Circle new item not checked above). 1. Index permit for above items No. Z 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works q COUNTY OF BUTTE — DEPARTMENT OF DEVEMPMENT SERVICES — BUUMING DIVISION _ =-7 COUNTY CENTER. DRIVE, OROVILL-E CA 95965 = TELEPHONE. -(916} 538-7341. - OWNER - - - - -_ A.P. # S 3� 'PROPOSED BUILDING USE //jl, t7 DATE REC. DATE REC I SCHOOL DISTRICT FEES (paid at District Office) ......................... T 114M6 2. SHERIFF FEES (paid at Building Department) Residential...... x =$ � 2- unit- unit amt. Commercial (sgft) x sq.ft'. amt. ' . � 3.- URBAN AREA FEES (paid at Building Department)'j Residential (per unit) LAX =$ # unk'�' amt. Commercial (per sq.ft) x =$ sq.ft. amt. �i 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance -of the permit. .APPLICANT- COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER —39 -- BUILDING PERMIT OWNER "E Z-1 7 SO. FT. OCC. BUILDING VALUATION OWNERS NG ADDRESS CONTRA PIS NAME S 4� TELEPHONE CO RS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BULDO GADDRESS PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex", Mobilehome Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 21' installation Other ❑ � Describe Work: , 9 y1 ,$-F-A 1 1No ;n O`� yn(-N h j0 Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,( and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to, construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. BLDS. ) sO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 Ex. Occup. ( OUTLETS (p SE o.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee 1$ 01 7 Energy Inspection Fee Is OCCCONST. TYPE TOTAL FEE $ HAZ. 1 0. FEES I IMP I FLOOD I CO PARCEL PO I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. /�_ 51�2_/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 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: YESN 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: . • . CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should,be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject -to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A, frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Snclrel. Micha41 C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe conspicuous place. Do not remove until all required Inspections are made and building is approved for occupancy. Plans must be available on the job site. 058-320-007--.—.-.--.....-PERMIT#.9572252—,.— 1 .r, MALCOLM, Jackie 1. 13253 9storia Way, Oroville" ,Xmobilehome Installation--- -. --_ r ,.... . PERMITTEE MUST CALL FOR INSPECTIONS Piers Underground Conduit Pre-Gunite unaemoor riumomg Underfloor Electrical Underfloor Mechanical Underfloor Framing Sewer Service Water Service Pool Final Plumbing' Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY re .....OS,es Information 24.;Hr.lns Oroville 7 County Center Dr. 538-7541 538-7636 Chico 1469 Humboldt Rd. 891-2751 891-2834 Paradise 747 Elliott Rd. 872-6307 872-6307 Revised 7/94 TRI STATE TESTING - MEMPHIS, TENNESSEE A CALIFORNIA APPROVED LISTING AGENCY 'TIE DOWN ENGINEERING CALIFORNIA APPROVED ANCHORING PRODUCTS MANUFACTURED HOUSING AND COMMERCIAL COQ INCLUDES SCHEDULES, DIAGRAMS FOR SINGLE/DOUBLE/TRIPLE/QUADRUPLE WIDE UNITS �.- ..` r1•,i,- �'. :. moi, ~;.. ,. r V f 1. PRODUCTS DESIGNED FOR r[•_ A. SOIL ---1,000-4,000 AND UP PSF SOILS. ' (CLASSES 1-4, 200-550 INCH POUNDS AND UP TORQUE VALVE (CLASSES_ 1-5, UBC -CALIFORNIA) Solt. CLASSIFICATION r4p 7 GENERAL DESCRIPTION OF SOILS ALLOWABLE PRESSURE (Pounds Per Square Foot) SOIL TYPE No allowance made for overburden based on the unified pressure, embedment depth, water classification system table height or settlement problems rock or hard pan 4.000 and u Sandy Gravel or Gravel 2.000 Sand, Silty Sand, Clayey Sand, Silty Gravel, or Clayey Gravel 1 500 Clay, Sandy Clay, Silty Clay, or Clayey Silt 1 000 Uncommitted Fill Special analysis is required. Peat or Organic Clays Soecial analysis is reauired. B. WIND—ZONE 1, 85 MPH EXPOSURE "C" ,,!5it/G/1,1,0AVZW T/EODwiv APPROVED SUFIr•CT TO CORRECTIONS NOTED Approvrtl dr)t,s no!-thorize or approve any omission of dewiction. from rey•:irorann7; o! applicable State lows and •er)ulciicns. Siato of California Delscriment of Housing and Community Development OIV:SIO 4.07 COQES ArhD STANDARDS . . -------- ----- v Date_ta11,1 (SiaRa rv: e) SPA NO_..' -11� ",Nis Plan Apr r -YC! Exr)-ires-f C. SEISMIC—ZONE 4 Type: of Soil Blow Count Test Probe I (ASTM DIS861 Torsi— Value 2 1 Hud roc4 NA NA 21al Very -dense and'or cemented sands. coarse grave( and cobbles. mase than peel -dad silts, and clays 40vp S50 IDs, Inc!, mo t then (b) Corals 40 -up 550 than Inch 3 Nliaum.d­ cause sands: sandy Brawls. vasty- 350 c,stiff ".2a & trays 2:39 $49 lbs, Inch 4 Lcoie to medium d­ : rone sands. r .. to still clays & 200 to sin. alluvium fin 1423 339 firs. Inch 5 Conga slab Tensioning device for use in tsuhaeu pad, nunrha, stc, shall be tested (same m anchors) and specifications as o PSI and we time of tonere, reinforcemtnt. stag, and thiimess of conatte, size and depth of bob We. type and kind of shield if permissible. Minlmrm distance as which tensior:hsg device can be irwalied bons edge ae end of i6b. P.d. runner. etc. shall be speciW boueoons shipped with each tensioning device shag indudt the above. la) The test probe is a dv*a for mess—sit the toNut value of soils to assist In evaluating the hoidrgcapability of the soils Is h+ich the anchor is placed. The test probe has e helix on it. The —all kngth of Lt. h<'k.; section Is 10.75 inches: the major dianetes 4 125 incha; the minor diameter is 0.83 inches: the pitch 1.75 Inches. The shalt must be of suitable lahgth for anchor dep:h IN A measure synonymous with mount of a forte when dntdbuted around the shaft of the test probe. (c) Below that valva. a professional ogre should be consulted or addlionel anchors added. Design Wind -load Zones:, Standard Wind Zone I Hurricane Zone II Hurricane Zone III Note -- psf: pounds per square foot 15 psf Horizontal 9 psf uplift' _39 psf Horizontal 27 psf uplift =47 psf Horizontal 32 psf uplift net uplift Reference -- Manufactured Home Construction and Safety Standards (MHCSS) 24 CFR 3280.305(c)(2), latest edition 2. CAPACITY OF ANCHORS - EACH GROUND ANCHOR, WHEN INSTALLED, SHALL BE CAPABLE OF RESISTING AN ALLOWABLE WORKING LOAD AT LEASE EQUAL TO 3,150 POUNDS PLUS A 50 PERCENT OVERLOAD (4,725 POUNDS TOTAL) WITHOUT FAILURE. 3. CAPACITY OF STRAPPING - TIE DOWN ENGINEERING GALVANIZED STEEL STRAP MEETS OR EXCEEDS THE NCSBCS/ANSI 225.1-1994 AND THE ASTM -D 3953-91 SPECIFICATIONS FOR 1-1/4"X.035 (MIN.) TYPE 1, FINISH B, GRADE HOT DIPPED GALVANIZED STRAPPING. CONFORMS TO SB -750 REQUIREMENTS SECTION 1336.3 OF THE CALIFORNIA CODE OF REGULATION TITLE 25, 18613.4 OF THE HEALTH AND SAFETY CODE. PAGE 1 Side Frame Ties Must Be No More Than 2' From Each End Of Unit, Other Ties Spaced Evenly Thoughout The Length Of Unit. Side Ties —I I— 2' Mnx. —I I— 2' Max. Single Wide Unit End Ties Wind - Zone I (85 MPH - Exposure "C") Seismic - Zone 4 Required Number Of Tiedowns For Each Side And Each End Unit Length 20' 30' 40' 50' 56' 60' 62' 66' 70' Tledown Locations Side End Side End Side End Side End Side End Side End Side End Side End Side End Single Wide 4 2 4 2 5 2 6 2 7 2 7 2 8 2 8 2 8 2 Total Number OF 12 12 Tledowns 14 16 18 18 20 20 20 N W Q a Side Frame Ties Must Be No More Than 2' From Each End Of Unit. Other Ties Spaced Evenly Thoughout The Length Of Unit, Side Ties —I I— 2' Max. —I I— 2' Max. Double Wide Unit End Ties. Wind - Zone I C85 MPH - Exposure Seismic - Zone 4 as*] Required Number ❑f Tiedowns For Each Side And Each End Unit Length. 20' 30' 40' 50' 56' 60' 62' 66' 1 70' Tiedown Locations Side I End Side End Side End Side End Side End Side End Side End Side End Side End Single Wide 4 4 4 Total Number Of 4 5 4 6 4 7 4 7 4 8 4 B 4 8 4 Tiedo�ns 16 16 18 20 22 22 24 24 24 M C4 Side Frame Ties Must Be No More Than Z' From Each End Of Unit. Other Ties Spaced Evenly Thoughout The Length Of Unit, " Wind - Zone I (85 MPH - Exposure "C") Side Ties Seismic — Zone 4 —I I— 2' Max. —I I— 2' Max. z Triple Wide Unit End Ties Required Number Of Tiedowns For Each Side And Each End Unit Length 20' 30'40' 50' 56' 60' 62' 66' 70' Tiedown Locations Side End Side End Side End Side End'_,- Side End S►de End Side End Side End Slde End Single Wide 4 6 4 6 5 6 6 6 '` 7 1 6 7 6 8 6 8 6 8 6 Total Number OF 20 20 1 22 Tiedo.ns 24 26 26 28 28 28 i Side Ties -I I— 2' Max. —I I— 2' Max. f f f t Unit Length i Side Frame Ties Must Be No More Than 2' From Each End Of Unit, Other Ties Spaced Evenly Thoughout The Length Of Unit, i Side Ties -I I— 2' Max. —I I— 2' Max. f f f t Quadruple Wide Unit r .End Ties Wind — Zone I (85 MPH — Exposure "C") Seismic — Zone 4 Re uired ,Number Of Tiedowns For Each- Side And. Each End ' Unit Length i ""� 20' " `' " ""30""' j' 40' ' s0'56' Frame 66' 70' Tiedown Locations Frame End- • Slde - End• •! Side Frame Side h Frame I End Side End Side End Quadruple Wide Unit r .End Ties Wind — Zone I (85 MPH — Exposure "C") Seismic — Zone 4 Re uired ,Number Of Tiedowns For Each- Side And. Each End ' Unit Length i ""� 20' " `' " ""30""' j' 40' ' s0'56' 60' 62' 66' 70' Tiedown Locations Sfde . End- • Slde - End• •! Side I '.End, Side I End Side I End Side End Side End Side . End Side End Single Wide r ti 8 4 r 8 .,5 9 6' 8 7 8 7 8 8 8 8 8 8 8 edoens n-ber OF I , ' 24 s, , . 24 P,6 28 30 30 32 32 32 Engineering Calculations 85 MPH Wind EXP 'YC" 85 MPH Wind EXP "C" Vs. Seismic Zone 4 P LAT=(1.06)(1.3)(17)(1)=25.6 PSF 333 PLF=0.186 C(32.5)( Ler Or W LAT=(25.6 PSF)(13')=333 PLF ` r =50.8'=D 51' vkm Seismic Zone 4' V=0.186(DL) ` V=0.186 CC10 PSF)(y; )+(�� +10 Psf)C;;,Or )+(2 WALLS)(8')C10 PSF)7 Wind - Zone 1 (85 MPH - Exposure ."C') Seismic - Zo.ne 4 Width Length Load /Loud Trans Trans Total Lind (Trans) Total Load (Long) H Trans T.D. Side Ties H:Long T.D. End Ties Single Wide To 14' 40 FT. 333/333 13,320 LBS, 4,662 LBS. 5 2 50 FT. 333/333 1.6,650 LBS, 4,662 LBS.6 2 60 FT. 333/392 191980 :•',- as; 5,488. LBS. 7 2 70 FT. 333/453 23,310 LBS. 6,342 LBS. 8 2 40 FT. 333/333 13,320 LBS. 90324 LBS. 5 4 Double 50 FT. 333/333 16,650 LBS. 9,324 LBS, 6 4 Wide To 28' 60 FT. 333/392 19,980 Lbs, 10,976 LBS. 7 4 70 FT, 333/453 23,310 LBS. 12,684 LBS. 8 4 40 FT, 333/333 13,320 LBS. 13,986 LBS. 5 6 Triple 50 FT. 333/333 16,650 LBS, 13,986 LBS. 6 6 Wide TO 42' 60 FT. 333/392 19,980 Lbs. 16,464 LBS, 7 6 70 FT. 333/453 23,310 LBS, 19,026 LBS. 8 6 Quad 40 FT. 333/333 13,320 LBS. 16,650 LBS. 5 8 50 FT. 333/333 16,650 LBS. 16,650 LBS. 6 8 Wide TO 50' 60 FT, 333/392 19,980 Lbs. 19,600 LBS. 7 8 70 FT. 333/453 23,310 LBS. 22,650 LBS. 1 8 8 TIE DOWN ENGINEERING INDEPENDENT TESTING RESULTS NOTE: ALL ABOVE TESTS WERE CONDUCTED BY ATEC ASSOCIATES, PRODUCT TESTING, INC. AND GALLET & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE MADE AVAILABLE UPON REQUEST. PLEASE FORWARD YOUR REQUEST FOR THIS INFORMATION TO: TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 PAGE 7 ULTIMATE MODEL NO. DESCRIPTION OF TEST STRENGTH TEST DATE M12H VERTICAL PULL-OUT IN MOIST SILTY CLAY. 6,133- 9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS• MI22 VERTICAL PULL-OUT IN SILTY SAND AND GRAVEL . 5,733# 9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE 550 INCH POUNDS (AVG.) AND MORE-,__ MRA VERTICAL PULL-OUT IN LABORATORY FIXTURES 5,567# 3/2/93 FOR SIMULATION. UNCONFIRMED ROCK WAS NOT AVAILABLE. MICS2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200# 3/24/94 - CONCRETE. TEST STOPPED AT 5,200 POUNDS. MU2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200# 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. ; MIT2, VERTICAL PULL-OUT IN 2,500 PSI CUi;ED 5,200# ,3/30194` CONCRETE. TEST STOPPED AT 5,200 POUNDS. MLH64 VERTICAL PULL-OUT IN SILTY CLAY. TEST PROBE 5,200# 10/6/93 (59250) TORQUE VALUE BETWEEN 200-340 INCH POUNDS ML 45 DEGREE PULL ON STABILIZER PLATE IN SILTY 6,067# 8/5/92 (59292) . CLAY. TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS - NOTE: ALL ABOVE TESTS WERE CONDUCTED BY ATEC ASSOCIATES, PRODUCT TESTING, INC. AND GALLET & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE MADE AVAILABLE UPON REQUEST. PLEASE FORWARD YOUR REQUEST FOR THIS INFORMATION TO: TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 PAGE 7 TIE DOWN ENGINEERING ANCHORING SYSTEM MI2H (5/8"-3/4") 48" LONG ANCHOR NERAL STABILIZER PLATE MI22 (5/8"-3/4") 30" LONG ANCHOR as to 50* a ' tea* nniaW 1 ` °o BUCKLE/W STRAP (SIDE FRAME TIE) MRA (ROCK ANCHOR) MUT (END FRAME TIE) SIDE FRA7)4 t (MBU)MBU7= I �2' R FRAME TIE (MLFT) PAGE 8� 1� ° WARNING .-v BEFORE BEGINNING GROUND ANCHOR INSTALLATION, MAKE SURE THE ANCHOR LOCATIONS WILL NOT BE CLOSE TO ANY UNDERGROUND ELECTRICAL CABLES, WATER LINES, SEWER LINES OR GAS LINES. FAILURE TO DETERMINE THE LOCATION OF ELECTRICAL CABLES OR GAS LINES MAY RESULT IN SERIOUS INJURY OR DEATH. 1. PARTIALLY INSTALL APPROPRIATE GROUND ANCHOR ALLOWING TENSION HEAD TO MAINTAIN APPROXIMATELY 14" TO 16" MINIMUM GROUND CLEARANCE. 2. USING OVERSIZED HAMMER, VERTICALLY INSTALL STABILIZER PLATE BETWEEN FRAME AND ANCHOR. THE TOP SECTION OF THE STABILIZER PLATE MUST BE DRIVEN FLUSH WITH THE GROUND TO INSURE SURFACE SOIL COMPACTION. 3. FULLY INSTALL GROUND ANCHOR UNTIL TENSION HEAD BOTTOMS OUT AGAINST STABILIZER PLATE. INSTALLER/CONTRACTOR CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING STRUCTURE. COMPANY NAME: <t DATE: CONTRACTORS LICENSE # SIGNATURE PAGE 9 TES G SERVICES, INC. September 28, 1994 Mr. Locke M. Jones Tie Down Engineering 5901 Wheaton Drive Atlanta, GA 30336 Dear Mr. Jones: LISTING NUMBER: TIE -942609 Having completed the in-house audit of quality control, quality assurance, procurement, welding procedures, etc., Tri-State Testing Services in compliance with the rules and regulations of the Department of Housing of California lists the following products: MODEL NUMBER PART NUMBER DESCRIPTION Mf2H5/8 59080 5/8" X 58" DOUBLE HEAD ANCHOR W/6" AUGER M121-13/4 59085 3/4" X 48" DOUBLE HEAD ANCHOR W/6" AUGER M1225/8 59090 5/8" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS M1223/4 59095 3/4" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS MIT2 59115 3/4" X 8" DOUBLE HEAD THREADED ROD PATIO ANCHOR MIJ2 59120 5/8" X 12" DOUBLE HEAD J -ROD SLAB ANCHOR MICS2 59125 PATIO ANCHOR W/EXPANSION BOLT 59250 59250 3/4" X 36" DOUBLE HEAD ANCHOR W/6" & 4" AUGER �MRA� 59110 CROSS DRIVE ROCK ANCHOR 3/4" X 30" ROD MIC2 59096 5/8" X 30" CORAL ANCHOR 59292 59292 LATERAL STABILIZER PLATE MGRB 59145 GALVANIZED ROOF BRACKET MIDH 59100 DOUBLE HEAD ONLY MIS2 59105 SWIVEL ADAPTER HEAD 6756 BUCKLES COVE M=mpHis, TN 38 1 33 90 1-385-1 1 99 FAX 901-386-66 1 4 PAGE 10 Tie Down Engineering Page 2 September. 28, 1994 BCS MBU MBUS BISB MS33 MS35 MS37 MS42 MS60 MS600 MHT6 MHT7 MHT8 MHT10 MHT12 MHT15 MBU6 MBU7 MBU8 MBU10 MBU12 MBU15 59175 CRIMPING SEAL FOR 1-1/4" STRAP 59140 GALVANIZED STRAP BUCKLE 59139 SPECIAL GALVANIZED STRAP BUCKLE 59135 SLOTTED BOLT AND NUT 59149 1-1/4" X 33' GALVANIZED STRAP 59150 1-1/4" X 35' GALVANIZED STRAP 59.155 1-1/4" X 37' GALVANIZED STRAP 59160 1-1/4" X 42' GALVANIZED STRAP 59165 1-1/4" X 60' GALVANIZED STRAP 59170 1-1/4" X 600 GALVANIZED STRAP ; 59185 1-1/4" X 6' FRAME TIE W/HOOK 59190 1-1/4" X 7' FRAME TIE W/HOOK 59195 1=1/4" X 8' FRAME TIE W/HOOK 59210 1-1/4" X 10' FRAME TIE W/HOOK 59211 1-1/4" X 12' FRAME TIE W/HOOK 59050 1-1/4" X 15' FRAME TIE W/HOOK 59137 1-1/4" X 6' FRAME TIE W/BUCKLE 59141 1-1/4" X 7' FRAME TIE W/BUCKLE 59142 1-1/4" X 8' FRAME TIE W/BUCKLE 59138 1-1/4" X 10' FRAME TIE W/BUCKLE 59144 1-1/4" X 12' FRAME TIE W/BUCKLE 59143 1-1/4" X 15' FRAME TIE W/BUCKLE If you have any questions or if we may be of further help, please call us. Sincerely, TRI-STATE TESTING SERVICES, INC. 44t. • William E. Jacson Manager -tet, TRI-STATE TESTING SERVICES, II PAGE 11 STATE OF CALIFORNIA - BUSINESS. TRANSPORTATION AND HOUSING AGENCY PETE WILSON. Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT '°'AT�`" DIVISION OF CODES AND STANDARDS m 1800 THIRD STREET, Suite 260 P.O. Box 1407 t SACRAMENTO, CA 95812-1407 �•�``a (916) 445-9471 FAX (916) 327-4712 TDD 800-735-2929 September 29, 1994 William E. Jackson, Manager Tri-State Testing Services, Inc. 6756 Buckles Cove Memphis, TN 38133 Dear Mr. Jackson: n(-�) 11LOCTO'C-T ..1 9 T_ Fr, 0 5 1994 I ---------------- .This is to confirm that the California Department of Housing and Community Development has approved your firms application to become an approved Itesting and listing agency for load bearing supports and structural -components used with manufactured homes, mobilehomes and commercial coaches. This approval is for the listing and labelling of structural components used in the manufactured housing industry in accordance with the standard established by your firm. Please note the Department may require design calculations and test data be submitted to substantiate a design when the listed system or component does not appear to conform to your approved standard. We may also request this .information for the purpose of routine monitoring or complaint investigation. Revisions to your approved standard as well as listed designs may be necessary in the future as a result of amendments to current statutes and/or regulations. Thant: you for choosing to become an approved listing and testing agency. If in the future you have any questions or need to discuss a particular issue, you may contact either myself at (916) 445-9471 or Mike Rosenberg at (916) 255-2501. S incerely, Chris L. Anderson Mobilehome Parks Program Manager cc: Mike Rosenberg PAGE 12 6q./e1/- /-/v,-(--Kk4�— n LAND DEVELOPMENT a....c-an.�,�^,nasit�,'M`:;°1'.:�:9R*`:na..�•an;en.uce•_r-, ..._ ._....._.�_..__,._.__.._. BUILDING [1,NVIRONMENTAL kALTH --PERMIT CLEARANCE Swung Permit No. OWNERS A.P. NAME: Ma ni1'1r1 NUMBER:��' PRINT LAST NAME FIRS COUNTY ZONING DESIGNATION: �2 7U FLOOD ZONE: )C FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS �_ OR MAP DEED INFORMATION: DATE OF CREATION: LEGAL ACCESS PROVIDED: I/ YES NO DEED REFERENCE: LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO. COMMENTS/CONDITIONS: C,-.4 C- fS 5 vr> MAP INFORMATION: DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DN/S/ON UNLESS OTHERWISE NOTED.. _ 1. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft.building setback from right-of-way/centerline of —3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from _ 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 7. Connect to a public water supply. 8. Connect to a public sewer system. 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 12. Obtain approval. from the Department of Fish and Game for vegetation removal. Contact..Fish &. Gama at. 916-355.7010. _ 13. A traffic mitigation fee for each new or.additional living unit shall be paid... Pay the .amount, of S - as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payne to jw nnch to the PAww* g Diviskm. _ 14. All new residential buildings shall be constructed to comply with the requirements of the uniform Building Code for seismic safety. Mobile homes shall -be constructed on a permanent foundation system which .complies Vvith the. Seismic Zone 3 requirements of the Uniform Building Code. 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. _. 'X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. 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. 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20. 21. 22. 23. 24. 25. 3.11(1810 AIN665 96614 1 d3S a3AI333a LD 9/95 - C:\WP51\FORMS.K\8LDGPERM.CLR II \AA 0-0-6 P -OR ja/ \ 4 . � { � . • f\ .! . . . � � .\k ! � • � / ggj »© 1. Owner's Name: , A� �'2_ YA AI.Co I w�, 2. Assessor's Parcel Number: S $ — 3 2 — Ud 7 3. Installer's Name:, r7eDen �es�. 4. Is the site currently under permit? Yes f q No[ ] Permit No. 5. Is the site an existing site? Yes[4 No[ ] (If yes, furnish two plot plans).- 6.. lans):6.. What is the electrical rating of the. mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating?Amperes. 8. What is the electrical rating of the mobilehome site? lab Amperes. 9. Is_the main service remote from the mobilehome site? Yes[ ] No[ Vj"If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[A If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ I-]' None[ J 12. Size of gas pipe at the mobilehome site from the meter or tank: 3/u ' inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?G�.r� 14. What is the mobilehome gas demand? A B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 Mobilehome Manufacturer: UA l Manufacture Year: crb-a o --7Z If other than single wide, furnish Setup Mod 1 umber: �V A— Width: / /_/ (ft.) Length: -7 1�6 (ft.) Tagalong or Expando x�($.) On all mo ilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure tr�eat ;or foundation grade[ her: SUPPORTS: Concrete block[,,I' Omer: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 ' I Line 2 Line 2 ................................................................................................ • Main Beams Liao 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ............................................................................................. Line 2 Line 1 .................................................e S Tag or Triple e 4 ine 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: [ ) x [ ]. Spacing maximum: ` From ends -maximum. ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541P MIT NO. APPLICATION AND PERMIT �- a ASSESSOR PARCEL NLMBER 54_32_7 ZONING FR10 BUILDING PERMIT OWNER JACI�IE MALCO114 TELEPHONE 2E 147 SO. Ff. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 13253 ASTORIA [JAY OROVILLE, 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 13253 ASTOMIA WAY PERMITFEE S �� PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 IAT No. SUBDNIS ION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑Y Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: 2 BEDROOM Mobile Home P IOilXV 920.00 60.00 PERMITFEE $ 40.00 Contractor ELECTRICAL PERMIT Filina Fee 1 20:00 Main Serviceeoov oR LE ( zooA oR LEssss) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing on with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) SO, 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 Ex. Occup FI%ED APPS. OR (OUTLW ETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43,00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) )ln I Certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. � X _Date �� Signa re of Applicant -_ Owner Contractor ❑ Agen An OSMA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE OTAL FEE $ 146.00 HAZ. D. FE P O C F p C HD LIE This permit is hereby issued under the the Butte County Code and/or in indicated above for which fees have B y PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Q /A4 D ;'7 9 Date) Receipt No. 145521 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . � . .. , � �r .�, , ., .;u.,-•t'ra.0 :�'dr,;% .,..-�:..-�y�.r1r+�'=..: a«Tw^�, _r�,y .. u t.,rH, .. r - �� � . ,.- : r � _ . -.- ., R 'r. x •... fir•'. r r - � � C'OUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION JA 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 �Y'��aZY 1iN 11V1V UH1AJIlCC1 j Proposed Building Use At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY I. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... �- 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... , 1. mpact fees as shown on attached schedule. California Department of Forestry plan approv /f s/Q / CC' 1 Flood elevation letter (100 year flood b California Enpine** . ................. . Sanitation and plot plan approval 0 Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 'r 16Contact Land Development about (A) Improvements (B) Drainage. .......... . ?. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -ins -inspection for Pre-Inspea4°n r6q"�- p required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner , Mail to owner �. ........ . > Recorded copy of Agricultural Acknowledgement Statement . .................. - �o ^25. Letter -of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance. ...' ...................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and B Parcel meets zoning area and frontage requirements. ............... istinviolations expired permits. ..... 32. Plan check list. ............................................ 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Parcel C ation ,^teLf Acreage Applicant O &QAMDate 7i�s Copy of Haz-Mat form sent Health Dept. Fire Dept. it Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to p r u nc - (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone_ mail unter by _ Date Plans checked by (Y\t- '0b s45 Date Cj -T l -w Plans approved by Date Sets of plans on hold in File cabinet 3 AP folder Copy - Department of Public Works r, TO: Building Department FROM: Environmental Health SUBJECT:. Sanitation Clearance f ',Z. H.H. USE ONLY � Plot At &'W' Floor Plan AMkcbod S4 to B.'w- Wa-u, �z�g— -76:2 Owner Location 0 APAP Plan Approved for: Sewage Dis Clearance for c� bedroo mobile home. er Hold final for: Final clearance O.K. for: NOTE: P/V Environmental Health Specialist Water Supply: Public Private Well_, Date O.B.- I Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1: I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES] NO[ ]. 2. I HAVEN] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified- For pecifiedFor your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sin,clierely. Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER y F mw BUILDING PERMIT OWNER �oL // n T°UDI"OQNE SO. FT. OCC. BUILDING VALUATION % OWNERS MAILING ADDRESS 775 (p CONrRACTOFrS NAM TELEPHONE S /''lliV/// . CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ . o LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBING PERMIT II ng Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS MME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 UUS�SEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome,�Other // SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: Mobile Home S @20.00 PERMITFEE s D Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( a00V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, 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 NEW CONST. DWELLING OCCUR OR ACDNS. ( 6 ACC. ) 50. 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POW OSINGLWER AE OUTLET TUI ) d TLECIR. EX. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 SAL .50 Ex. Occup. ( OUTELETS (a IESIEs O.) OR) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Q Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compertsation, 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 (rhe 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 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES I IMP I FLOOD J COF P CEL PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I me applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. z— WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Thi -set-of jAna and Rneciflcation8 MUBT be�ITorkmanal p ghall Be in kept obi the job at all tirnes and it is �tila�vftil to A,eeordance with pecognized�ood prac a r-altor tions on @&Ms without Prescribed for the Specified use CRY- g - -- - --- -- _of a qualitX __ written permission from the Department of In the Uniform Building, Plum'. Work4�Cou_=y-of Hotta- -- -- - _ _-_--.—..._-. —__ .__ .. . — a�.tuad.the rational ElectrioaT Code. t t ). REVIEWED BY �� �= � •�:��:-;:��:�-eta-r`-t�E�;a-F-t�€-e�-PT- . _ __ ----.. �._..- �--.---- _ .CALIF. DEPT. of FORESTRY a rows- aaprouedwiib_ conditions. _..._: .per pttached sheets ! no Signature Date T ` The attached Fire Safe=-�--.• requirements must be'com eted - .._. - as specified and approved I- wd_ ALL STRUCTURES AND OVERHANGS SHALL 13E C A SE BACK OF 2.0 p FT. FROM THE RE -- ---- -- - --... _60 FT. FROM THERO CLEAR OF STRUCTURE FOR A 2 FT. EAVE OVER] BUILDING DEPARTMENT APPROkl D 058, 3ec)-a37 UIPMENT INCLUDING R OF ALL EASEMENTS. . FROM THE SIDE AND R PROPERTY LINES AND CENTERUNE.S.HALL DE AND EQUIPMENT EXCEPT FI� ctal�t � E� OPS' �S_-22sI t_ 1 CDF FIRE SAFE REQUIREMENTS Al,fr PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these.standards, annual maintenance must be provide for by the land owner. Driveway Standards �1 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apF srte:tant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to.40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of ver-ti^.:�1 curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�9 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. ] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length.Bp BUTTE COU Iry �`° � Page 1 of ' BUIL®I ®SPOT M EN A PfLAP � E AP # PERMIT # N E [)0 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. [X] 1. All parcels 1 acre arid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or fi�ial inspection of a building permit. Page 2 of 3gq, E ASMIEW � - 3Z- 7 AP # ,i,�- - )--z S/ /h+(_ CQLM . -, �yZK-(' E PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof wi.tr enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed i0% 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 q,2 D �cI Date Signature Page 3 of 3 BUTTE CINTY BUILDING DEPARTMENT ft n Et pots ? L::—�e-pl 7�1,c ' •�rc1 dJ Do lool BUM --.zBUtL[ DEPAR A P P -n o v Ely , d e (s e! SUILDNG DEPARTMENT AN5- e +2 '6gC'k too w\ 13Th I i ' PP ROVED A County Butte ental Health En vironm i g ql� I .I .� � p - f c 4 1 � I And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 ,96-033677 NOT CO_MP ARED.WM4 ORIGINAL DOCUMENT AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including. but not limited to herbicides. pesticides, and fertilizers. and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise. and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. X11 that real property situate in the County of Butte, State of California. described as follows: Date: j'e,PROPERTY OWNERS: State of California ) Countv of ) On Vii- �� r� ., ✓�%� I� i �` �.�c(\��C (� `L before me j personally appeared k )(. ((- I J j y I C cit_, personalh known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted. executed the instrument. WITNESS my hand and official seal fa SIlsBn SaraCl®rl® SignatureSeal: A.P.# ase- Sao c?c�� Comm. 01082799 OTARY PUBLIC - CALIFORNt BUTTE COUNTY Comm. Exp. Jan. 15, 2000 2 MOTE TO RECORDER: DO NOT RECORD THIS SIDE Instructions for recording Agricultural Statement of Acknowledgement: A.A.- 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and. have the form notarized. 3. Make a copy of thrm and then take the original and. copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday). ? 00'f -L, on o�, ` S.¢ 1 -Ori 1-1 I . .S h ; 10 Z 2- 4)L�0_�l �n� Al � 5", i0 • 1i� Q• ��1.. G` i sc-a- IC1aJ A5 a�Cin� e a 6 ")c -t-, Ce"IC-EA6e WICAUa-en4,fAj�tc� a��i3� n�Rkin l✓u;5e" soc;El- i✓e_6-r COA►-\.�t;� U4' 6'►., AJc4-kk EA,•g4 9 C/Ait.-t-ff o� + 6cxAk-0_A5-F -then CR_ -Soo-(: k O U a6 157 Ba , .rl�S-I- v ¢.'rQ►Z + 9 A �/ Po i )t •f- r, - 1 /�n i' n r .a�''�a.x�l o-�� R n S R i�" •�i..�-ri c� ERarh 5�dd Er'�v4e__ 't✓ i' /� v i � � 4anc���;n 1L'"Qe& Socs►�, dd fL In Q?.O F 00�� �`f9•y5 Few+ o n ! Ge In _ZYZ 0 i Yom. o C� !�O foo+ RO�A5 1 P ' ��t,d��or��.n� leno OO O° t�5�14 a��' ��Sta30z. ��.� t� ivn9 4Voa L o% �o i n ¢- r3 5 5�✓d 17 .7g� ' S j `� �5�- �rLn �ri ,K ��u� �o o C- � n � C� hl0.a fih 7$ a 35" 15) 4-A t QJ '*15 "q 7. 51 !'Zt-+ -to 4 p o i / + o a' OVER ,�,. ,:.;� s� z• r�.,�v .+ •«y��tw . , r �W_} t x .r. F., ... � ,._. ­ ' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building),r--: School District C) Building Departm Ott No..- A. P. Number0,��� .370 047 Jurisdiction: City County PropertyOwnerG- � - �%/ Jr LLoe,/ Property Location/Address .-°Subdivison Lot No. Residential Development 0 L .. J Sq. Footage No. of Living MHI Addition (Group R) c Units Commercial/Industrial Sq. Footage m (Includin Exterior Roofed reas) / 9 Date' (Floor Plans reviewed by School District Personnel) Identific 'on No. 9 00029 �(XXDUAI'th%J) OAchool District chit /� a 1J ifieess that Q (City] (State) has cQpa ' d with the requirements of Resolution No. �0 representing 70240 square feet.AB 2926 n _ /J � FULL—MITI L MITI Represe (Pyne Number) (Zip Code) by payment of $ 01 Date 0 Paid by Check # Rem ^�/(L Q Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fullv mitigate its school fees to fullv mitigate its impact on the school district's schoolson the school district's schools White (applicant), Yellow (building department), Pink (school district) ' feeformmkl (11l94)dmm CERTIFIED MAIL - RETURN RECEIPT REQUESTED Jackie Malcolm c/o Mother 414 Lincoln Creek #7 Millbrae, CA 94030 RE: Illegal Mobilehome, Shacks, and Refuse Accumulation - W/S Astoria Way, Oroville, CA/AP# 58-32-007 Dear Ms. Malcolm: This department has received complaints alleging illegal camping or occupancy of a mobilehome, construction of shacks, and accumulation of refuse on the above listed property. The Butte County Assessor's records indicate you are the owner of the property. On March 27, 1986, I visited the area with Tom Hughes of this Department to investigate the complaints. During our visit we were able to observe a mobile - home, several shacks or sheds, and garbage accumulation which had been deposited on both sides of Astoria Way. The trailer was occupied. A review of the Butte County Department of Public Health and Public Works' records revealed no permits for a sewage disposal system, domestic water well., utilities, mobilehome installation or building construction. These conditions are in violation of the Butte County Code, Chapter 19, Sections 19-3, Sanitary Sewage disposal system required, 19-4 Unlawful sewage disposal methods, 19-5 Permits required, Chapter 31 - Section 31-8 Refuse Removal; and the California Administrative Code, Title 25, Chapter 2,'Sections 1248, 1270 and 1704 (b)(3) and (11). To comply, take action within THIRTY (30) DAYS from receipt of this notice to complete the following: 1. Remove all trailers, shacks, sheds, etc. from the property. Do not return trailers, shacks or other structures until an approved sewage disposal system, water supply, and utilities are provided under permits and inspections from the Butte County Departments of Public Health and Public Works. 2. Remove'all refuse including junk, rubbish and garbage from the property and dispose of. the same at a• licensed disposal site.. 3. Remove any illegal pit privy or other illegal sewage disposal facility and backfill pits or tanks. county LAND OF NATURAL W EAI III '.f i AIII Y DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 196 Memorial Way [�' 7 County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95926 Oroville, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/872-2961, Ext. 58 April 10, 1986 CERTIFIED MAIL - RETURN RECEIPT REQUESTED Jackie Malcolm c/o Mother 414 Lincoln Creek #7 Millbrae, CA 94030 RE: Illegal Mobilehome, Shacks, and Refuse Accumulation - W/S Astoria Way, Oroville, CA/AP# 58-32-007 Dear Ms. Malcolm: This department has received complaints alleging illegal camping or occupancy of a mobilehome, construction of shacks, and accumulation of refuse on the above listed property. The Butte County Assessor's records indicate you are the owner of the property. On March 27, 1986, I visited the area with Tom Hughes of this Department to investigate the complaints. During our visit we were able to observe a mobile - home, several shacks or sheds, and garbage accumulation which had been deposited on both sides of Astoria Way. The trailer was occupied. A review of the Butte County Department of Public Health and Public Works' records revealed no permits for a sewage disposal system, domestic water well., utilities, mobilehome installation or building construction. These conditions are in violation of the Butte County Code, Chapter 19, Sections 19-3, Sanitary Sewage disposal system required, 19-4 Unlawful sewage disposal methods, 19-5 Permits required, Chapter 31 - Section 31-8 Refuse Removal; and the California Administrative Code, Title 25, Chapter 2,'Sections 1248, 1270 and 1704 (b)(3) and (11). To comply, take action within THIRTY (30) DAYS from receipt of this notice to complete the following: 1. Remove all trailers, shacks, sheds, etc. from the property. Do not return trailers, shacks or other structures until an approved sewage disposal system, water supply, and utilities are provided under permits and inspections from the Butte County Departments of Public Health and Public Works. 2. Remove'all refuse including junk, rubbish and garbage from the property and dispose of. the same at a• licensed disposal site.. 3. Remove any illegal pit privy or other illegal sewage disposal facility and backfill pits or tanks. • iL Jackie Malcolm April 10, 1986 Page 2 4. Obtain a septic tank permit and domestic well permit from Butte County Department of Public Health and utility, mobilehome installation permits, and/or building from the Butte County Department of Public Works, 7 County Center Drive, Oroville, California for the one dwelling unit permittted on this property. If you have any questions concerning this notice, contact me at the above listed address of telephone number. Failure to comply with this notice will result in this matter being referred to the proper authorities for further legal action. Sincerely, 7o�wa�JSn de R.S. Division of Environmental Health HJS/kf cc: Public Works - Jim Glander Tom Hughes 18-B County Center Drive Oroville, CA 95965 (916) 538-7282 FAX (916) 538-2165 May 25, 1993 El 1469 Humboldt Road Chico, CA 95928 (916) 891-2727 FAX (916) 895-6512 Jackie Malcolm 13253 Astoria Way Oroville, CA 95965 Dear Ms. Malcolm: LAND OF NATURAL W E A L T H AND BEAUTY A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH ® 7 County Center Drive Oroville, CA 95965 (916) 538-7281 FAX (916) 538-2140 Cpyjv euILD,,,op 7f ANY 2 6 1993 747 Elliott Road Paradise, CA 95969 (916)872-6308 RE: Sewage Disposal at 13253 Astoria Way (AP# 58-32-07) Our files indicate that in addition to the sewage generated by a one bedroom house, as indicated on your recent application to construct a sewage disposal system, that you have a kennel in operation on the parcel. A condition of your use permit application of 1991 was to provide adequate sewage disposal for your kennel. Does your recent application for a sewage disposal system plan to include the kennel waste? Do you plan to construct a seperate system for the kennel wastes? Please clarify. If you have any questions regarding this letter, please contact me at the above listed address or telephone number between 8:00 - 10:00 a.m. weekdays. oy tru yours, Doug Fo 1, R.E.H.S. Division of Environmental Health DF/sg. cc: Planning Department/D.S. Auilding Department a RETURN TO: Public Works =Ft;;:k_ `, Land Development Section rj;:T'E CC!014T:.A` •N:? I, ZZ 2.2i P► Ma CERTIFICATE OF CO.M[PLIANCE ELEANOR ti.;�CF.�R CLERK- RECORDEIa .�� Issued to: GarJ-an Epley FEE 1143 Kimberly Dr. Yuba City, CA 95991 This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel -of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: on Hoffman Rd.* weet of Concow Rd. intersection. 2. Assessor's Parcel Number: 58-32-07 Description: All that certain property located in the County of 'Butte, State of California, more particularly described as follows: A portion of the Southeast quarter of the Southeast quarter of Section 4, Township 22 North, Range 4 East, M.D.B. & M., described as follows: _ Commencing at a 6 inch concrete monument, tagged L.S. 2843, marking the Southwest corner of the Northeast quarter of the Southeast quarter of. said Section 4; thence. South 09 26' S7" West along the West line of the Southeast quarter of the Southeast quarter of said Section 4, a distance of 401.50 feet to the true point of beginning for the parcel of land herein described; thence from said true point of beginning, continuing South 00 26' 57" West, a distance of 302.00.:_'feet; thence South 78° 35' 51" East, a distance of 699.45 feet to a point in the center line of a 60 foot road reservation; thence along the center line of said 60 foot road .reservation, North 00 05' 14" East, a distance of 302.38 feet to a point that bears South 780 35' 51" East from the true point of beginning; thence North 780 35' 51" West,. a distance of 697.51 feet to the true point of beginning. Together with rights-of-way of record recorded in Book 1465 of Butte County Official Records at Pages 285 and 286. Together with rights-of-way of record recorded in Book 2367 of Butte County Official Records at Pages 600, 601, 602 and 603. Together with rights-of-way of record recorded in Book 1465 of Butte County Official Records at Pages 281 and 282. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-166 and Government Code, Section 66499.35 (b), to protect the public health and public safety. NONE LD 1400 . END Of DOCUMEN) County of Butte Subdivision Violation Committee Fnm nr T1nr' MITVINrm u u • Planning Department JUN 10 1993 � Zl Oroville, Ca?;;Qmla ..,.t�".. .e..+.a4h,,R, ,.-.'�,�,.5 %r..�x,•�+�.:.:-J.`.i S.,.k u,"=L ].�;�,. �'�1ite a= Rt "'='� �i� ,/P58.,i,rG, �f, 1 , Q _-i`. 58-32-07� y CARLAN EPLEY - dri Hoffman Rd W of Concow Rd inters. Certificate of Compliance/with cond.` 122182 — a e _ a i 9 � i t, c 4 � ' Y- ' 1 1 COMPLAINANT: ADDRESS: PHONE NUMBER:. OTHER COMMENTS• COMPLAINANT:y� ��%� F (� •- F) i-,f� ADDRESS: PHONE NUMBER: OTHER COMMENTS: • '7 AS .! r u 3 0 Planning Department JUN 101993 Orovllle, Caj ,amia �. ..,gym.....,,. kff9 - Eu iteount PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 August 3, 1993 0OUNTy OF BUILDING DE AUG; Jackie Malcolm 13253 Astoria Way Oroville, CA 95965 CERTIFIED MAIL Re: Use Permit, AP 058-320-007 Dear Ms. Malcolm: Enclosed is your validated Use Permit No. 92-06 to allow a kennel on property zoned FR -10 located on the west side of Astoria Way, Concow. Should you have any questions regarding this matter, please contact this office. Sincerely, Paula S. Leasure Assistant Director of Planning PSL:lr Enc. cc: Land Development sion Building Division Environmental Health Department of Forestry J USE PERMIT BUTTE COUNTY PLANNING COMMISSION AUG 0 3 1993 DATE: (Certified Mail Rec.) 92-06 PERMIT NO. AP 058-320-007 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Jackie Malcolm is hereby granted a Use Permit in accordance with application filed: 10/12/92 to allow a kennel on property zoned FR - 10 located on the west side of Astoria Way, Concow. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-62. 2. Unless otherwise provided for in a special condition to this use permit, all conditions must be completed by the Permittee within 12 months of the delivery of the countersigned permit to the Permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the Permittee, the permit shall become null and void and reapplication and a new permit shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. There shall be no increase in the number of dogs that are currently on-site and as dogs die or are removed from the property, they shall not be replaced until the number reaches 10 dogs. 2. Install a septic system under permit from the Butte County Environmental Health Department suitable to handle the wastes generated by the current number of dogs (41). 3. Dog runs are to be kept clean so as not to create an odor or fly problem. Removal of fecal matter is to be done on a daily basis and disposed of in a manner acceptable to the Butte County Environmental Health Department. 4. All pens shall be fenced to insure that no dogs are allowed to roam or run free. ;F Chain link fencing is preferred, however, other suitable types of fencing material may be used. 5. All dog runs shall, at a minimum, have gravel floors to a depth of 2". 6. The applicant shall, at all times, have a valid kennel license issued by Butte County Health Department, Rabies Control. 7. All dogs shall wear a collar and tag identifying the kennel owner and applicable Butte County kennel license number in accordance with Section 4-4 of the Butte County Code. 8. This Use Permit shall not run with the land and shall terminate upon the lease, rental, or transfer of ownership of the property. 9. Kennels shall be located a least 50 feet away from any drainage swale on or off- site and at least 100 feet from any year-round creek. 10. Minor changes may be approved administratively by the Director of Development Services upon receipt of a substantiated written request by the applicant. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. CC: Land Development Division Building Division Health Department Department of Forestry Butte County Planning Commission Chairman n - c ..5 z.A CA 1214� P4,R t To: Building From: .'rviromenit":!] llio-hh Subject: Sanitation CI -1, _j e - (.;;mer Plan Approvod fo.,,: 11old, final for: Final clearance 0.;,,. .:L"c,j-: Clearance for an it �_.i rr; Loczit.ion v..,it,er supply .. . . .. I ... . .... I - , . I , T,ff . . : ­ , - , .. - � I .I..' I .,g,-'�.'i.,..­-.- ;4. 4".., - :.;,t $F"$- - - 1:�-;­ ,�,,f�,g,,5 I - .'-.. , I I I - I i,V.�.j,-;,�..,�._f.;-..;;-� , " - . 1�' * '" , , -;'....t� - , : - .: '. :--. -., �. i"... II'-'i'�"-�".'�.::.. - � , .� � , k; .. "q - , ..; -1 .1-� ..'..'.."', t'j�r.I-A-1-�,.­r;, -1 .-X,;".%��L� ,t4),�:­-,,,ii _.� .. li� . -.,-!-­.jy0" I. 5gk?f�;, - ;­�-­0:­,-­. - . ,5, .!:�,_ .gj Y�,-t .- �-llj�.' '-' f�i,,,,.,-;-,�"f,��it-44,.,;�l�, dt- "m ­_ :-. -7$ k . . '. ., . 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