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Home My WebLink About058-520-051058-520-051 PERMIT#97-2519 MALDONADO, Francisco 117gC Capricorn Way, Oroville Cont: Executive Homes Mobilehome Utilities �6 ELECTRIC 9Oo bo -Le vh/fig COMPACTION TEST �(p SUPPORT STRUCTURE 058-520-051 PERMIT#97-2520 MALDONADO, Francisco II'740 Capricorn -Way, Oroville Cont: Executive Homes Mobilehome Installation F1 For urgent Lj Date �� Time Z '. Z% While You Were Out M Of Phone AR CODE NUMBER EXTENSION Telephoned Please Cal —, Came To See You ❑ Will Call Again ❑ Returned Your Call ❑ Wants To See You ❑ Message �- Signed 9711 ru ADAMS BUSINESS FORMS (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OFIDEVELOPMENT SERVICES - BUILDING Z 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-T NO. APPLICATION AND PERMIT 6XI ASSESSOR PARCEL NUMBER ZONING BUILDI PERMIT �'V OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION DWNEA'S MAS PO 961 4014 YANKEE HILL, CA CONTRACTOR'S XECUTIVE HOMES TtP,tiDNE992 l b CONTRACTORS 3042 ESPLANADE CHICO CA CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee . $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 23.00 BUILDING ADDRESS CAPRICORN WAY Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LOTNO.,3 SUBDNISION'S NAME PARCEL PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IR Other M0_1Water SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Nl Installation ❑ Other ❑ Describe Work: MHU NEW SITE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 60.00 PERMIT FEE $ $0.00 ELECTRICAL PERMIT Fling Fee 20.00 000V OR LESS Main Service 200A OR LESS 23.00 23.0 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 C.—Lic. No. `py '0 5 � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC, BLDS, s0 3.50FT. NEW CONST. MULTI -OUTLET NON-RESID.BRANCH ANC CIRCUITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES so @ 1.00 BAL Q .50 Ex. Occup. OUTLETS REESSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ 63.00 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.) ❑ 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 rthwith comply with those provisions. M-0Date A �- � _ Signature of Applicant - ❑ Owner $.Contractor ❑ AgentAn OSHA permit is required for excavations over 5'0" deep and demolition or construction/of structures oveer 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 14 nn HAZ. I D. FEES IMP FL 00 CDF PAR Po HD SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work inlcdl*aCve which fees have been paid. B _ ` Date / _ PERMIT EXPIRES ON 00 Dere Receipt No. 23 Z /0 WHITE-D.D.S.-B.D. CA RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -�` -'-'^.Yap'-�,.t--�<+.-.�,ti�;.lr,..i'�r-r��cFv�ri:'=�-.r.s-.ai�+iFi:l'�.r.�hY til{„�s+'�.�^rrv+...,f�.y..t.Mr1+•y);.,,yy,,.,y,i4 r COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI 7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 5,36 PERMIT APPLICATION DATA SHEET OWNER► D No.0 5-S' 5c)0-051 Proposed Building Use AM U Building Inspector - g:sc Date L t T 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 . .................. est Ment 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 $ ............... ................. ix Impact fees as shown on attached schedule. . . 12. California Department of Forestry plan approval/ es. ........... . 13.Flood elevation letter (100 year fl odd ) by California n ineer................... 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. . Jx ` C�x�//19. Driveway permit (construction approval required prior to occupancy). .. t* 20. Pre -inspection for Preanspecfion requ s� 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 . .................. l -�-`l7 ✓! 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. ..................................... . 30: Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements ................. 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . ti 33 34. When you issue theei , p c, ss as follows: Mail X owner. Mail to contractor. Telephone 1- Y and hold for pickup at office. Deliver with inspector. Other Parcel Creation \N -c Acreage _ V -Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Copy of plans sent Health Dept. Fire Depth Other The following data must be submitted rio� to permit issuance: 1. Index permit for above items Na 2. Additional items required: f Air Pollution Date Date checked above). X 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 / '9- 7 Sets of plans on hold in . File cabinet AP folder Copy - Department of Public Works / f r n V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSES ORWCP,, L4UMBER 1 zD G BUILDING PERMIT Ow ' OWN 5 MAIUNG ADOWS • r Ox LEPHONE SO, FT, OCC. BUILDING VALUATION CONT CTOR'S NAME • TEL PHONE ' IV CONTRACTORS MAILING AD ESS /`ter, tA1 CONSTRUCTION LEN ER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ ZQ.,98 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Permit Fee $ Plan Checking Fee $ Aa 3 .Q BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE : .QQ IAT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20:00 USEOFSTRUCTURE y� SF ❑ Duplex ❑ Mobilehome Other ' 1 ` SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New 0 Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S @20.00 PERMIT FEE $ .(�O ELECTRICAL PERMIT Filing Fee 20.00 Main Service ioon oa LE 23.00 1 {J LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business Professions Code, on ) s anessons and my license IS In full force and effect. t...l D �� License Class Lic. No. ��777 '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, do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( n ACC. EI.S. 3.50FT. NEW CONST. MULTI -OU CLET @7,50 NON•RESID. POWER APPARATUS 6 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BA��'. o Ex. Occup. ouiLEETS Ao .1 ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 co Misc. Wiring 23.00 PERMIT FEE $ ,('Q 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. I have and will maintain workers' compensation Insurance, as required by Section ( 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' pensation igsurance comer a? d�•polic�y� n�um� r are: Carrier OLQ i � r_A,T-Q iN MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ �� Policy Number V\ �•y�— 14 (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 co ly with ose pr;isns. ,,I h� `�— X Date �1��' Signature of Applicant - ❑0 nerontractor ❑ Agent An OSHA permit is require for excavaover 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 $ HA2. D. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code end/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Da te ReceiptNo. 2. WHITE-D.D.S.-B.D. CANARY- ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. OWNERS / A.P. �"�� r -S ? NAME: ��/�/f%C/D /t l //! ``-' �%gM0 NUMBER: PRINT LAST NAME FIRST G . ADDRESS / LOCATION.e CG til oCe V1/ p Y COUNTY ZONING DESIGNATION: �-� FLOOD ZONE: FLOOD MAP: 2 i APPROVED: CONDITIONALLY APPROVED: V RESOLVE PROBLEMS PRIOR,TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP ✓/o�J" DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: r MAP INFORMATION: DATE OF RECORDING LOT 3 `15— 72 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 BUILDING DIVISION 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. Comply with Zoning code for building setback from road. -= _ 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. _ 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. 9. Connect to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department 1 specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Paymwt to be made to the PAwmang Divisiaa. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21 22. 23. 24. 25. 26. :AIO 1MS 10 0 kiN Qp{lj17.,3Wd013A34 4Nd1 3 W18 �01�iNf1 31M8 JO UN665 1661 1 1 A01661 8 1 A O N a3n13038MA133311 LD 5/97 C A W R51 %F ORMS. KUBLOORERM.CLR IF- AND F- AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 DEC p 1 w 97-045794 — 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. All that real property situate in the Count, of Butte, State of California, described as follows: Date: PROPERTY OWNERS: 41, ��ki Mal oc�cidtj State of California ) County of -5L;A i2. ) On IQ I Gd Qr% before me, %)OM L _I personally appeared `R�ke. CIL&nadc) personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. umumtanutnuunuuuolomanuonnwuwnnlWfle� OFFICIAL SEAL = S7 1016978 D N •� WENDY M. AUER Signature Seal: NOTARY PUBLIC - CALIFORNIA N Q COUNTY OF NUTTH GJ February 13,1998= IIIIIIIIIIn111It11t111111111UU111tUttll1111111111 W 111t11Ut111W! A. P.# �� ,baa, og'/ ORDER NO. BU -155252-3 DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND I8 DESCRIBED AS FOLLOWS: PARCPARC_EL it PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 21, 1989, IN BOOK 115 OF MAPS, AT PAGE(S) 72 AND 73. RESERVING THEREFROM A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT AS SHOWN ON SAID MAP. EXCEPTING THEREFROM ALL COAL AND OTHER MINERALS AS CONTAINED IN THE PATENT FROM THE UNITED STATES OF AMERICA TO FRANK BARTON, JR. RECORDED APRIL 8, 1926, IN BOOK I OF PATENTS, PAGE 143, BUTTE COUNTY RECORDS. A RIGHT OF WAY AND PUBLIC UTILITY EASEMENT AS SHOWN ON THAT CERTAIN PARCEL MAP L RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 21, 1989, IN BOOK 115 OF MAPS, AT PAGE(S) 72 AND 73. AN EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITYPURPOSES OVER TWO EXISTING DIRT ROADS SITUATED ON THE PARCELS DESCRIBED •AS THE WEST HW THE.SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 26 AND THAT PORTION OF THE WEST HALF OF LOT 4 OF THE NORTHWEST QUARTER OF SECTION 35, LYING NORTHERLY OF THE NORTHERLY LINE OF THOSE CERTAIN PARCELS OF LAND DESCRIBED IN PARCELS 1 AND 4 OF THE DEED OF THE STATE OF CALIFORNIA, DATED MAY 14, 1957 AND RECORDED FEBRUARY 11, 1958, IN BOOK 927, PAGE 6, OFFICIAL RECORDS, ALL IN TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B. i M., AND ALL THAT PORTION OF THE EAST HALF OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 26, AND ALL THAT PORTION OF THE EAST HALF OF LOT 4 OF THE NORTHWEST QUARTER OF SECTION 35 LYING NORTHERLY OF THE NORTHERLY LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN PARCEL 1 TO THE DEED TO THE STATE OF CALIFORNIA, DATED MAY 14, 1957 AND RECORDED FEBRUARY 11, 1968, IN BOOK 927, PAGE 6, OFFICIAL RECORDS, ALL IN TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B. i M. RESIDENTIAL SPA ,5� 7. ,J_ -2-6j 058-520-051 PERMIT#97-2519 6 MALDONADO, Francisco ` -PERMIT NO. 117t�UCapricorn Way, Oroville..-- - Cont: Executive Homes PERMIT EXPII • Mobilehome Utilities - - _ _ _ . OWNER CONTR. 'ASSESSOR PARCEL LOCATION s Temp. Pow OFFICE COPY Called Address - I Temp. Elec GAS Meter By Date::]R� Called ELECTRIC r Meter By Date j Temp. Gas Called PG&E JOB FINALED (Date) 2 Signature V=OK 0 = Not OK Not '=Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES lana OK except #'s r� Requirements - Setbacks - Easements t-2!5oils; Special MH Support Sketch ge'Sewer, Location -Test -Fall -C/0 -Concrete Dat /77/ Card B-1 Wff Date Card B-1 i Date Card B-1 Date Card B-1 t Date MOBILA HOME INSTALLATION(Plans) OK except #'s ! AI yng Requirements- Setbacks Easements ) ZZefootiDga-tos-Spacing-Marriage Line 3 as; sM)ernartd•VaNe-Connector t 4 ec ' •ty; MH Test -Crossovers -Breakers -Clearances r5ooEt rain; MH Test -Fell -Flex Connector 6 er 'T -est -Regulator -Connector I 7. ater and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 17 Pgrmanprit Fn1,r daUa mly,• License Decal Date41 is Card B-1 Date Card B-1 Date I Card B-1 Date Card B-1 77 p '4��o g C� MISCELLANEOUS Date DECK% COVERS, CARPOR .GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSine Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Jcsts4Jecking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps-Doorskandings 12. Braced WaII.Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtq. Boxes-Enclosures-Panelboards4ns. W Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card 0-1 Date Card B-1 ✓ = OK 0 = Not OK = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s RESIDENTIAL (Single & Duplex) 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ i Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ N Fig. Depth 4. Fig. Porches & Decks; SoilsSteel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.Sted 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. LIE Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Orippies 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 #'s 17. Water Hir.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except Ws 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date . FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdr m. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77.Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoNJalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ION 7 County Center Drive - Oroville, California '95965 - Telephone (916) 538- 41 PERMIT NO. (Rev. 12'/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONIN_e 5 BUILDING PERMIT OWNER FRANCISCO MALDONADO lffl-a`1648 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS RO BOX 4011, YANKEE H11-1 -CA CONTRACTOR'S NAME TELEPHONE c"'76I}JT ADEDLANADE CHICO CA - - CONSTRUCTION LENDER Fireplace - LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS CAPRICORN WAY Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome §7 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublifies ❑ Installation lX Other ❑ Describe Work: MHI NEW SITE Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20:00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class S Lic. No. � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service To 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR AD DNS. ( _ a ACC. BLDS. SO 3.5¢FT: NON-RESNEW NDT SULCI OU CLUEIT @7.50 APPARATUS 8 SINGLE OUTLET C1 R. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 er,L @ .50 Ex. Occup. oUTLEETS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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 fo hwith comply with those provisions. q X Date _�� = \� Signature of App icant - ❑ OwnerContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in ighht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOT L FEE 1 .0 HAZ. I D. FEES I . P FLOOD C P C PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By �Dp PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. / to ( _ 2 IDate Receipt No. D I K9'. c J WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .,,,,.«.srrl.�vrr+3Y ^`4Ms'nri"aJ':.i�'*S�'T'i't'"y�{i..er.�..,�,.�r.,�+tiiver'�ltr►�s,4A'�t'?(�i�`"''tf.FOf"-' v tsr COUNTYOF BUTTE - DEPARTMENTOF 1366--, PM ENT SERVICES - BUI.LDING DIVISION J .„ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE1101m 538-7541 PERMIT APPLICATION DATA SHEET OWNER ��Z�-C7 P. No. Proposed Building Use M 4L Building Inspector V. Date I t . At time of permit application, I was'advised the following data must be submitted prior to permit processing and/or issuance: r DATE RECENED By 4 1. All items have been submitted . ........................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ............... ............................ . 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehom_n� f�irer's installation instructions, 2 sets . ........... 10. Fee s of $ ......... Impact fees as shown on attached sched"ule:-�� t ............... . 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 P'e4"�°"';q°� 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. 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ............................. ......... . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan ch�cuist. �i„ J� . 33. 34. Wh n you issue the ermit p ocess as follows: Mail owner. Mail to contractor. Telephone -11401 and hold for pickup a, office. Deliver with inspector, Other Parcel Creation l Acreage pplicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By `The following data must be submitted prior to permit issua cle n e . of bove). 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�p Counter by _ Date Plans checked by Date Plans approved by CC, -Date - Sets of plans on hold in File cabinet AP folder Copy Department of Public Works. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538=7541 SCHEDULE OF FEES DUE OWNERA.P. # PROPOSED BUILDING USE DAT) C4 REC # DATE REC BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $- -- Additional Fees Due ......:.... $ -- evised Plan Checking Fee ....... $ LK2. SCHOOL DISTRICT FEES nro — id at District Office) SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $%ice v� Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION., AND PLAN CHECK $89.00 (paid at Building Diviion) 8. WATER TENDER FEES (Battalion # ) „ $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. PPLICANT \ DATE Original -Owner Copy -Building Div. (Rev. 12/96) r 0 00,5 .'' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ";r Pa f - (One form per Building) � K School District ;� — �- r, Building Department No. k , �^f73 a st �� Jy` A.P. Number �' V� t� Jurisdiction: ,Ci`J County Property Owner Property Location/Address Subdivision Lot No. i Residential Development ® Sq. Footage I 1.10 Tex l No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Sq.; Footage .New Addition (Including Exterior Building Depa has domDlie Roofed Areas) 40 Date (Floor Plans reviewed by School District Personnel) 9'800 8 2 n No. School District certifies4#a (A� plicant k with the requirements of Resolution No. School District i!* Paid by Check # (/ square fat. Remarks: J J/ (Phone Number) v t ` • (State) (Zip Code) 14405� by payment of $ OAU(i0""' Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition.of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) ' feeform.xls (2/97)dmm A. P. # , � � -- 5 - cy OWNER ` �ori1 ,� df C� PERMIT # MH UTIL. CLEARANCE DATE INSPECTOR ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE YES NO YES NO SIZE LOAD TYPE SIZE. LENGTH ZIP0 C / � � w �• � ... .. .. � ..y_vw._ ,. ,� ay:_�.._a,s.��.,'.�.^.,�Y.,..,n,.""e�aw�./"*�'v'..-�.r+-.^:-'1...^..*,.�-...rr'��—�.✓"'.-*:..�Yr��\�`�3f�'`t_��fY�`�-..�"'„'��. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: Owners: � ; S �-, � 1�I - c>!� Name: Owners: / �7 � �� Y � � � �` � Address: � "t t' �• i'" f � Mobilehome / Year of Manufacturer (r, p 0 t •' Manufacture: Serial number d :[HUD C4 F`LStJ Z J3 ; ? �`� £'� signia or �+ , A /- 3 3 7'1 or V.I.N. number: ` Official approving installation:Date: " %i r 11-2 `ice J: ��— / If the mobilehome.is moved o relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 51313. - White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor - ti ... .�,�� • ^T+-'./'Y�gi'T^..v.+(h�T' F re ' `�ay,.�yr ''„'-'�-„t�ryt' ; ...�.—V+ -..-.. COUNTY OF BUTTE r BUILDINGODIVISION DEPARTMENT 9F DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891*2751 7 County Center Drive, Oroville, CA - (916)K538-7541 'F I CORRECTION NOTICE AL Id, OWNER PERMIT NO. i A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. / f �a f�� G+, }v► l� Q(y�aciS a1KO 2 �btrLcQ i Date 2 Inspector REV 10/ 2 v COUNTY OF BUTTE , BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chicb, CA - (916) 891-2751 - '^ 7 County Center Drive, Oroville, CA - (916) 538-7541 Y 6.` CORRECTION NOTICEf. OWNER PERMIT No.:.'.'zY A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 's �S S� Date zF Q Inspector REV 10/ 2 E.H. USE ONLY Plot Pho Attached Floor Plan Amtched Seal to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance LZA tic iSOn Owner Location AP# Plan Approved for: Sewage Disposal_ Clearance for bedroom mobile home. Other Hold final for: Water Supply: Public Private Wei} Final clearance O.K. for: NOTE: (�h Environmental. Health Specialist Date 0 /M Lh cr ALL STRUCTURES ��'CL��'� MmETVIEUINTS- OVERHANGS SHALL OF ALL E.AS FRp - GIDE AND A!SE:T -DACK OF ---CEPT F0RA2,l-T,f-="E xr, Gin4vAls '�e I e -441P;9H Mu'aU�UWAU:1 A44no:) +nIg (31AONdldV C, J-1 tL r �DO r E APPROVED Butte County Environmental Health --21_ F94�._ Date Signature -------- kh "/f BUJ -TE GO. FIRE DESTRY CALIF. DEPT. of FORE apprcved as s�rct�itted �j \,rith conditions apProVed rieet. er a tachPd s ! ' I Date nature jC h°p�S16 £ T 7s --, i.2 o t ALL STRUCTURES AND LEAN OF ALL EA��ENTS. DING OVERHANGS SHALL S A SET SACK OF3t7 FT. FROM THE SIDE AND o FT. FROM THE REAR pROFEKT`! LINES AND � FT. FROM THE R CLEAR OF STRUCTURESAND EQUIPMENTEXCE'F'°T F®1l A 2 FT. EAVE OVERHANG- 'N" VERHANG- �K: ;7- - - -) �- r - mss) CDF FIRE SAFE REQUIREMENTS," AP# PERMIT '# NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [Yy 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 [D�] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-_,rtenant structures which supple- ment the roadway bed er shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. ] 2. The length of vertical.curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [� 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 oaf - 3- , AP # -7— 2—S'19 n1I+c.DOAJ*40 S@v PERMIT # N E [�] 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 singl.e traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ic] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �,r fi:ial inspection of a building permit. Page 2 of 3 AP # -7 - z s/g PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAM [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no.doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic spri:zkler system per NFPA 13D - Glass area not to exceed 1-0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 ri AP # -7 - z s/g PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAM [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no.doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic spri:zkler system per NFPA 13D - Glass area not to exceed 1-0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 1. Owner's Name: 2. Assessor's Parcel Number:—L5C,�o — C5 I 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No Permit No. 5. Is the site an existing site? Yes[ ] No[� (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? (60 Amperes. 7. What is the mobilehome site circuit breaker rating? 2"00 Amperes. 8. What is the electrical rating of the mobilehome site? Z'01�3 Amperes. 9. 1s the main service remote from the mobilehome site? Yes FK ] No[ ] If it is, what is the rating? \t� Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? YesLXI No[ ] If yes, please identify the load and size: a) The mobile home site: Load- \1416u- Amperes- 3a b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[] None[ 12. Size of gash pipe at the mobilehome site from the meter or tank: �1 inches. 1 13. What is the gas pipe length from the meter or tank to the mobilehome?3v (ft.). 14. What is the mobilehome gas demand? WI -0, 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 PERAUT APPLICATION May 1995 8.5 xVt Mobilehome Manufacturer: ( .l / 1iy 0� Manufacture Year: 1 "( If other than single wide, furni h Setup Model Number: Width: 2 �(ft.) Length:(ft.) Tagalong or Expando Size (ft) x$(ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[,14 Other: SUPPORTS: Concrete block[X] Other: Provide Tie Down Specifications for all Mobilehomes: PnT4%'"cttEa Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line 1 Main Beams ....................................... Fine ine S Tag or Triple ine 4 1 ,ine 1 Line 2 ,ine 2 Line 3 Line 2 Line 2 Line 1 Line 1 Piers: Line 1 Openings Size minimum:x Size minimum: ] X, ]. Spacing maximum: A Each side of openings From ends -maximum: with width over: ` Line 2 Piers: Line 4 Piers: Size minimum: [ I- -] x [P51I ]. Size minimum: x [ ]. Spacing maximum: 3 to Spacing maximum: From ends -maximum: Q From ends-maximu7t'E�]� Line 3 Roof Loads: 17 5,10 1� F�'�r•, ��ua ��►� Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from OVER BUML° 6J V