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Home My WebLink About058-830-170=m in I a 4 '2975P, _E "058-834-1-70 -92- Viol 1-6992 `Bunk ro ke L i,cl E GAS ACOMPACTION T Q .,SPPPORT;ST, ;94'-0582P,-IE(MH)' jKOUSA`ANNELI N. .5,�6992 BUNKER r-HILL`MINE ! RD' ,,-OROVILLE,;-^ itE_D2 B-iCEf6W--CONST- '� ��,.�OILEHOME: UTILITiES(REPI;AdES#92- '5975) E L E C " dis /* COMPACTION NEST '`SUPPORT STRUCT.,,REQ KOUSA ANNELf-:1 690 "BUNKER -HILL MINE. RD OROVILLE.�'.,,,, "CONT: AL CARL MOBItEHOME' ' INSTALLATIO'N,.,. 0 RoA RESIDENTIAL S '. 058-830-170 94-0582P,E(MH) KOUSA, ANNELI 6992 BUNKER HILL MINE RD.,OROVILLE CONT: TED BIGELOW CONST. MOBILEHOP -UTILITIES( OFFICE COPY Address t GAS Meter By Date ELECTRIC I Meter By Date i i JOB FINALED (Date) Signature V=OK O = Not OK - = Not Applicable Not Ready MOBILE HOMES ' = 3. Req u i reme n ts-Setbacks-Ea sem e i Special MH Support Sketch Location -Teat -Fall -C/O Concrete Location -Test -Easement Needed 5. Electricity; Location-Clearences-Gr 6. Gas; Location-Teat-W.qp: / /" L"ft. `' /',Nat. o /'L"ft.%5,((J'LPG II Clearance & Discohnect if Utility Clearance a.(/[_,/ D to/Initials MOBJCE HOME INSTALLATION Plana OK except #'a King Requirements -Setbacks Easements PTFattings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector { ctricity; MH Test -Crossovers -Breakers -Clearances Dr n; MH Teat -Fall -Flex Connector eter; MH Test -Regulator -Connector W ter and Sewer Connected -C/O to Grade -HD Approval . Gas and Electricity Taaaed Cert. of 111-1 ��- MISCELLANEOUS Date/Initial DECKS. COVERS. CARPORTS. GARAGES. (Plans)OK except #'s 1. Zoning Requirements-Setbacke-Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-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/Initials POOLS (Plana) 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. 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-PaneIboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Mein; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. 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 Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except Jrs 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date_ /Initials FRAMING (Plans) OK except #'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 (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlln=roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 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-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Wells -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Win Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 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 0 Yes 0 No; Walks 0 Yea 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg:Appliance-Flreplace: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 Comments at Final: / COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION VVV 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9q` D T ASSESSOR PARCEL NUMBER 058-830-170 FR -10 ZONING BUILDING PERMIT OWNER ANNELI KOUSA 408 TELEPHONE 997-6128 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 20541 MCKEAN RD SAN JOSE 95120 CONTRACTOR'S NAME AL CARL TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6992 BUNKER HILL MINE RD PERMIT FEE $ 43.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome PX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition 1:1Remodel ElUtilities O Installation Other 1:1Contractor Describework: MHI FOR UTIL f#94-0582 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 2 n� Main Service ( BODAORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) SO, 3.5C FT. NEwCONST. MULTI -OUTLET -N N.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occu FIXED APPWS. OR P• ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities,gments, costs, and expenses which may in any way accrue against said County c nsequen ohe granting of this permit. Date G 9 ignature of Applicant - O Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPETOTAL FEE $ 143.00 HAZ- D. F S IMP FLOOD CDF ARCEL PD HD E This permit is hereby issued under the applicable provisions of the Butte Co my Code and/or Resolutions to do work Indic ove or which fees have been paid. By Date 2 p PERMIT EXPIRES ON C /Date/ Receipt No. _ WHITE-D.D.S.-B. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA = (916) 891-2751' 7 County Center Drive, Oroville, CA - (916)• 538-7541 747 Elliott Road, Paradise, CA (916) 872-6307 CORRECTION NOTICE - CA- I OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this.office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation; please contact this office immediately. i 1 —yG C% l vd of X9'1 r -e—< 1 - 4:y Date q Inspector REV 101'2 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE - '5-8 z PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleaseygntact this office immediately. %2 c/ � // YC-A60r Date e( Inspector REV 10/92 XOUNTY•OF BUTTE BUILDING DIVISION -. DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER / ' — — PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date/ Inspector REV 10/ 2 ,t r4•. ,.,...--.,-.. ..-..�..�...-...r..,,�..•.-....,.s..,; ..r�;...rr. .`, ri.-•,a..t�r.�..�,,,i,.��.r,.j,yt�.I'"KTr'"F�i�,.�M�'i'�/e�"�^r"ir�ti'�n�T,.d..v,.r-r,.,•r,n,��Y�M<..��q;,�,};�;�j�:.i..dxtt�:"r ..-.-..M�.r`��a'-. r COUNTYOPBUTT,E - DEPARTMENTOF DL LOPMENTSERVICES - BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE. CALIFORNIA 95965 -TELEPHONE (916)538-7541 OWNER j!t:=0 � Proposed Building Use PERMIT APPLICATION DATA SHEET A . No. U 0 ilding Inspector Date x`30-17 D At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). . 9.Yeoes ilehome data and manufacturer's installati ons, 2 sets. ...... 10. of $ . .......... $Q ... . Impact fees as shown on attached schedule.?�soe... . 12. California Department of Forestry plan approval/ ees. ....................... . 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). ...F;,;4;sego; requesT 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... FIYY 28. Mobilehome utility clearance-- ....................................... L 9 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When ou issue the er it, process as follows: Mail to owner. Mail to contractor. Telephoneand hold for pickup at �if,Z� office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be subm 1. Index permit for above items N 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer, own , was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, e , was advised of above r ire d by _phone _mail Counter by _ Date Plans checked by Date / Plans approved by �C', Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Wo*s COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER PROPOSED BUILDING USE / l +:T- 3. SCHOOL DISTRICT FEES (paid at District Office)....... ................ SHERIFF FEES (paid at Building Department) Residential...... ( x , C7 -$ unit amt. Commercial (sgft) x 1 =$ URBAN AREA FEES sq.ft. amt. (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. .4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER A. P. # 05$ - 030 -17� DATE 3� REC. # DATE REC :r At time of permit application, I was advised the above fees are required to be.paid prior to issuance of the permit. APPLICANT DATE ��/ ♦ ,v`�' 91i['iA'3 TN (U .;, BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District ►'� ► f �� aij (9,0 S Building Department No. A.P. Number �� " �'�' �%O Jurisdiction 0 City [] County n n ► Property Owner . U2 Property Location/Address . �Xrlprl /'o v Subdivison Lot No. Residential Development Sq. Footage No. of Living HI Addition (Group R) Units ac� y Pa �d - 9 016 7 1)0 0 Commercial/Industrial 0 . 0 Sq. Footage New Addition (Including Exterior A Roofed Areas) r Building Department e r sentative Date (Floor Plans reviewed by School District Personnel) District Identification..No. 940 1 _ �. ' • � School District certifies that ImAi • ;�� (Applicant) (Street Address) (Phone Number) r (City) (State) (Zip Code) has complied with'the requirements of Resolution No.by payment of $�'- representing square feet. 471 A V11 CA School Distract epresenta ivkj. Date Paid by Check Number Bank Number Paid by Cash Remarks: 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.wkl (4/92) . , r ,.T._ , •....,-,�.tl,y_�,. �� r :; s a+v r-' . �c . r „nnny��z��. a'§'�l'•Yfp�'��'°��+"7gF�"x... fir•+ r,.,i:•�e ..r;+.. .; ♦: f .. �— M cr BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School Districtomv l ftSBuilding'Department No. A.P. Number'' gam" /-%(� Jurisdiction Cfty F. County Property Owner Property Location/Address (o-f'J'o( UU-k Subdivison Residential Development ' 0 No. of Living Units Commercial/Industrial D New Lot No. Sq. F( Addition Sq. Footage (Group R) 70-0 AOT Addition I (Including Exterior Roofed Areas) 149 V Date (Floor Plans reviewed by School District Personnel) District Identification No:.;,;' 940127. •..:Alm School District certifies that (Applicant) An (Street Address) (Phone Number) i ll LA (City) (State) (Zip Code), has complied with the requirements of Resolution No. by by payment of $ representing r square feet. School District Representa ire I Date Paid by Check Number �s.� Remarks: Bank Number �- Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) ,feeformmkl (4/92) NO All Materials & Workmanship Shall S,.in Me ce with Recognized Good Practices and:" scale 1': SQ � d: for. #)e Specified -use-4 , * echan 1 i x_ This set of plans and specifications MUST' be kept on the job at all times and it is unlawful ' make any changes or alterations on same w thout written permission from the Department of P iblic ' Works, County of Butte. _ Siope.= 10'%oLk:�� 1 ALL STRUCTURES AND EQUIPME INCLUDMIGI OVERHANGS SHALL BE OF EASEMENTS. 10 - A SET BACK OF ! FT. FROM SIDE AND FT. FROM THE R PROPFJTY LINES AND! FT. FROM THE R AD CENTER JNE SHALL BE' ,.! R g STRl1Cri'U AND EQUIP ENT -EXCEPT 5' + 0 -\ k -N APPR.O'VE_D. I Bul"re cbu ntx EinVironmentaf HealtE, 63 BUTTE COUNTY BUILDING. DEPARTMENT A-PPR0V,,E'p Tec ko Tee. 11C 1 T ite ..' t ,.,� ii.l �1 :^.if li`,i'.�'r!r .� t.'`�i r�; �+.r •r1'+� � pp, is r:~f.J�V+I IS; tI's,�7tr•,�a - � '.: � •t, S� ."�� Ir .'* r .t•J i ..r11 stl 11 ! t.y:. Yet . .i-(.�/�a .:.'-rev-Lb�—lrJ{ r�: i�a��'� t,,�'-;C� �� u..l•..'� M w-M►.t s • t .i-(.�/�a .:.'-rev-Lb�—lrJ{ r�: i�a��'� t,,�'-;C� �� u..l•..'� M w-M►.t s BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's -Name:-- - G A 2. Installer's Name: CA /S - 3. Is the site currently under permit? Yes No (If yes, furnish permit number _ i%lily ) OR Is the site an existing site? Yes No a (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach) fields and clear of all setbacks and easements? Yes F No -F-1 kt (If no, clarrify , 5. What is the mobilehome electrical rating? --------------- g'd Amps 6. What is the mobilehome site service rating? ------------- y ` Amps ,T eti0�1, ----- .� 1 What is the mobilehome site circuit ibreaker rating? Amps S 8•.• Is there any other electric load to be served by the r - ------------------------------- mobilehome site service. Yes � No El s (If yes, identify the load and size: Well (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- - (in.) 10. What is the type of gas service? ------------------- Natural LPG a 11. What is the gas pipe length from meter or tank to the nn mobilehome?------------------------------------- ------ J (ft.) * 12. What is the mobilehome gas demand? ----------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50'ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. . BUTTE COUNTY BUILDING DEPARTMENT - AP P R O V E D A MOBILEHOME SUPPORT DATA -If other than single wide, '9 / Mobilehome Mfr. /7/G'� furnish Setup Model No. �fv Year—,/�l Width % (ft.) Box Length_.S'O (ft.) Tagalong or Expando Sizeell ft. xAZ / ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheet's (if -not on -file with the County of Butte.). FOOTINGS (check -']l,"-']i." Wood -pressure treated or foundation grade.2: Other (specify) SUPPORTS (checkone)�1: Concrete block.�2. Other (specify) Pier Footing Sizes and -Locations SINGLE -WIDE MULTI -WIDE une c _ Line 2 I Main Beams ne2 --— — i.ine 2 —• — — � Main Beams Line 1 Piers: Size-Min.----------- Spacing-Max - --------,;Spacing-Max. --------- From Ends -Max .------- Line 2 Piers • �+� Size -Min. ------------ J Nov „ .�� Spacing -Max .--------- From Ends -Max .------- Line 3 Roof Loads: Size -Min ------------- Location (From Front) Line 4 Piers: Size -Min.------------ Spacing -Max.--------- , Q o From Ends -Max.---`---- Tag or Triple Line 1 Openings: Size -Min. ------------------ „x „ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Spacing -Max._______________ ,- From Ends -Max .------------- Line 5 Roof Wads: Size -Min. ------------ Location (From Front) . (Under Bear Size -Min,------------------ Spacing -Max.--------------- From Ends -Max.------------- '- �•i.'F �-�'�;. fl �'�`-' � �I�•.�.�1� Zia. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 RE: KOUSA, ANNELI DATE: 4/11/95 A. P. # 058-830-170 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcis, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. -=Impact fees paid. SEE BELOW California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Workmans Compensation Insurance. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. =Mobilehome utility clearance. Documentation of legal access. Documentation of 50o subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Other: SCHOOL FEES WERE PAID ON 700 SQ FT THE MOBILE HOME IS 7 Should you have any questions concerning the above, please contact of.this office. Y rs very tr ly, ZL9 , BART Mic ael C. ieira, C.B.O. MCV:ahb Man ger, Building Inspection OWNER [ 0 C SI -1 - GENERAL RESIDENTIAL PLAN CHECKING -GUIDE (S.F., DUPLEX & MISC. ONLY) 8/91 Bldg. Perr{it # Da `-� A. P. # v O - Plan Checker 1. Zoning requirements: (sideyards and number of permitted living units). 2. Valuation. 3. Plans signed by designer. 4. Proper description of work on application. 5. Existing violations on property. 6. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). 7. Recorded notice of violation. PLOT PLAN 1. Complete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. 3. Other buildings or structures. 4. Grading, fills, drainage. 5. Flood hazard. 6. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). 7. FAU & FAS road setback. 8. Building or utilities across lot lines (Record form). FLOOR PLAN 1. Complete to scale plan with dimensions. 2. Required windows for light and ventilation .(S'ec. 1205)3. P 3. Required windows for second exit (Sec:. 1204). 4. Skylights (Chapter 34 & Sec. 5207). 5. Human impact glass (Sec. 5406).. 6. Required room sizes, ceiling heights (Sec. 1207). 7. GFCIs in baths, garage, kitchen, and exterior outlets (Article 21078). ~ 8. Light fixtures, switches, receptacles, and exterior receptacles for -main- tenance of mechanical equipment. 9. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. 10. Garage firewall, door size, and closer (Sec. 503(d)(3)). F 11. 1 - 3'0" exterior exit door (sec. 3304 (f). 12. Fireplace and wood stove location, alcoves, and clearance. 13. Smoke detectors (Sec. 1210). 14. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS I. Standard bracing or engineered design (Table 25V) 2. Unusual shape, size, or split level house requiring lateral design. 3. Clerestory requiring balloon framing and/or engineering. 4. Three story building requiring engineered calculations and plans. 5. Foundation plan complete enough to construct building. 6. Floor construction details complete enough to construct building. 7. Elevations and wall construction details complete enough to construct building 8. Roof construction details complete enough to construct building. 9. Fireplace construction details and talcs if necessary. 10. Rafter ties or bearing ridge beam. 11. Garage door or porch header sizes. 12. Stud heights. 13. Adobe soils - special foundation design. 14. Retaining walls requiring design. 15. Special Inspection required. 8/91 RESIDENTIAL -PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR 1. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 2. Guardrail details (Sec. 1711 & 3306(j). 3. Brick or stone veneer (Chapter 30). 4. Exterior plaster - weep screeds (Sec. 4706). 5. Proper roof pitch for roof convering (Chapter 32). 6. Roof covering type - (fire hazard). 7. Foam insulation - protection. 8. 36" halls and stairways. 9. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 10. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 11. Attic access and ventilation (Sec. 3205). 12. Underfloor access and ventilation (Sec. 2516). 13. Combustion air for fuel burning appliances - L.P.G. requirements. 14. Noise requirements on duplexes. 15. Energy design. 16. Flashing at all exterior openings. 17. CDF responsible area requirements. -MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE• DEPARTMENT OF PUBLIC WORKS '— 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541, PERMIT N0. ��" SSS Address or location of mobilehome b 7f2— Z3cic elf Owner's name 44,14 e,/, f� Ju.SGs— Owner's address Insignia or hud number 4 Manufacturer's name Serial number of V.I.N.2_. O Year of manufacture %/Z I Approving Installation) / "(Dote) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM'SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541_NO, •�-�S� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-830-170 ZONING FR10 BUILDING PERMIT OWNER ANNELI KOUSA 408 TELEPHONE 997-6128 SQ- FT- OCC. BUILDING VALUX10 OWNER'S MAILING ADDRESS 20541 MCKEAN RD SAN JOSE 95120 CONTRACTOR'S NAME TED BIGELOW CONST. TELEPHONE 533-9187 CONTRACTOR'S MAILING ADDRESS 1250 ROBINSON ST 0 OVI LE 65 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6992 BUNKER HILL MINE RD PERMIT FEE $ OROVILLE, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO.1 SUBDIVISION'S NAME PA(bL M (+U Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome (.X Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 60,00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitie �� Installation ❑ Other ❑ Describe Work: REPLACES *92=29= PERMIT FEE $ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 2 BDRM Main Service ( 21111 01 LESS I 200A OR LESS 23.00 Main Service I 200A TO 1000A I 46.00 "1 NEW CONST. DWELLING OCC UP. OR ADDNS. ( 8 ACC. BLDS. I 3.5Ig0, -. FT - CONTRACTORS LICENSE LAW I deFI re under penalty of perjury (check one) ram a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force ago effect. (/ LicenseNo.6 2-y 0,' -3 Classification gyp' ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET NON.REsID. ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS I B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES I BA20 @ 1.000 .50 Ex. Occu p' ( FIXED iRESI .OR OUTLETS RESID.) EA. I S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. k�have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 3.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cons P ence n of this permit. Date 3 77 Signature of Applicant - ❑ O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA 0. FEES I IMP ryooD A C PARCEL PD O Ip/SSII� 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 .�✓'L�' " � ate :y, PERMIT EXPIRES ON /D 7-5 l etel Receipt No. 156601 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IM COUNTYOF 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 NUMB ZONING/- — BUILDING PERMIT OWNERZI (2 //, �� S L E' //` SO. �, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESSjEt (D1dONCTOSNAME1�yCO /TL'--- CONSTRUCTION LENDER LENOER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS . A r LOT NO.,, I SUBDIVISION'S NAME UNKNOWN OCENSE NO. 111 n� r v' P CEL MAP "n - i USE OF STRUCTURE SF O Duplex ❑ Mobilehome A Other SPECIFY TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities Installation ❑c Other ❑ Describe Work: �' IQ /� C� �' 7 — Q PS— CONTRACTORS S+ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Qode and m license is in full force effect. License No. 5/041 Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. A -A have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. I certify that I.have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse ce of th ing of this permit. !� . X Date Signature of Applicant --❑ Ownerontm for -O Agent An OSHA permit is required for excavations over -5"0" deep and demolition or construction of structures over 3 stories in height. - Receipt No. WHITE-D.D.S.-B.D CANARY -ASSESSOR PINK -INSPECT GOLD ENROD-APPLICAN Fireplace Total Valuation $ Filing Fee $ Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ PERMIT FEE S Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 5 outlets Building sewer Mobile Home tl SCG AW PERMIT FEE 1 $ Contractor Filing Fee 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 20.00 •.VLV I I.IVML rcnmrr Filing Fee 20.00 Main Service BOOV OR LESS ( 200A OR LESS ) 23.00 d , Main Service ( 200A To IOGOA ) 46.00 _ NEW CONST. ( DWELLING OCCUP. OR AOONS. 6 ACC. OLDS. ) 3.5C F°. NEW CONST.MULTI.OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 (POWER APPARATUS & SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL. .50 Ex. Occup. ( OUTLETS RESID.Oft EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 01 Misc. Wiring 23.00 PERMIT FEE $ Contractor MECHANICAL PERMIT Heating Cooling Hood Ventilation Filing Fee 1 20.00 6.50 PERMIT FEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST' TYPETOTAL FE 1 W 1 HAZ. I D. FEES I IMP I FLOG I CDF I PARCEL I PO This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Cf.,)UNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION t:r 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER h /I 6L A. P. No. QS e- (M.9 -00 Proposed Building Use Building Inspector Date A1910 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... JA 11. Impact fees as shown on attached schedule. ...... .." 12. California Department of Forestry plan approval/fees... 13. Flood elevation letter (100 year flooO) b C ifornia Engineer. �17Department .. : : 14. Sanitation and plot plan approval C/r�C- 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.a bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... Fre-Inspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Ma' to owner. Mail to contractor. Telephone and hold for pickup at ►� office. Deliver with inspector. Other Parcel Creation Acreage Applican . Date Copy of Haz-Mat form sent Health Dept. Fire Dept. - Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ 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 6a. Date `�/ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 4, Flour Him A+welwd I3iildiiib l�eliarinieiit FROM: Envirotiiiiental Health SUBJECT: Sanitation Clearance -170 Amej/,4 Tit✓o )�ou_s a Mil, ��.r4�li NA47- 0 - �� Owner Location AP# Plan Approved for: Sewage Disposal ✓/ Neater Supply: I'ublic Private Well Clearance for bedroom mobile home. Other Hold final for: 1 ®n f.A l Final clearance O.K. for: NOTE: Environment ealth Specialist Date 8/92 At time of permit application, I was advised the above fees are required to be.paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (9.16) 538-7541 OWNER A n 77 el / p t4 S 6c A.P. 0 PROPOSED BUILDING USE /V �j� DATE 9192-1 REC. # DATE REC I. SCHOOL DISTRICT FEES 2 (paid at District Office) ......................... SHERIFF FEES -- (paid at Building Department) Residential...... x =$ unit amt. Commercial (sgft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x # units amt. -- Commercial (per sq.ft) x _$ sq.ft. amt. .4. RECREATION DISTRICT FEES (paid at.District Office).............. .........' 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 454�<6 SRA FIRE INSPECTION AND PLAN CHECK = $89.00 ...... (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be.paid prior to issuance of the permit. APPLICANT DATE . 10 bid W.1a N 00?C= I0 %0 k}h Cale 1: 50" G This 80t &Plms and kept on thajob at. all times and it IB uni, ji bo any changes or Ulterations on same vp written pormission ftta the Dem of Work&, Gmintu 0-f Ruth& IT - 0 93 ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHA'�GSZh—itt;DE C-1__94e_0F A_L_LE A . SEMENTS. 7—A ,6,5,<. qff—SACK-jap— F T F HOryl THE- SIDE AND T. FI: O -M 1HE REAP PROPc!R'TI-LiNES AND TIC$ FT. FROIUl I'H Ez ROAD_ CENTERLIN ` SHALL BE 5EM OF' STRUCTURES AND EQUIPr EXCEpT ZO FOR A 2 FT. EAIVE OVERHANG. - 'Z14111 ter O R'EV1EW6§!BY BUTTE CO. FI'Re DEPT. CALIF.. DEPT. ofj FORESTRY approved -as, si bmitted 5-4-annroved with -onditions .hed sl ieet.S. ."r 1?01� I Date 11 Tref 40 Tf e 4 6 1C scale 1: 570 0o?e-:: 10*sovVh I 4- LO' -4 ARP-RQV% Bone CWnv, gwfronmeal A Tet ko e c to bogy d„ sic j`CDE_ FIRE SAFE`REQJIREMENTS AP # PERMIT # NA F 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 provided for by the land owner. Driveway Standards [V 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [)4 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius. l] 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. [h 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. [>Q 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from center of the road. [ / 1273.06 Turnouts. S::a' 1 h-. a minimum of 10 feet wide and 30 feet long with a mir ;.:nu,n 25 foot taper on each end. [I 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 -1 ?'D I -os oust 1q_-AJtiJC-_LJ AP # PERMIT # -NAME K, 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. [ 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all 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. �U 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 1�7-JI-3-170 AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed _Oo 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 Return to DPW AGRICULTURAL STATEMENT OF ACXNOWLEDG] `= 92-377 1 3 FOR RESIDENTIAL DEVELOP.`TNT Section 26-8.1 of the Butte County Code requires 'this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 92-0,37713, Rec Fee to land or included within an area zoned I Cash for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte i but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations including, 11:04am 21 -Aug -92 I PUBL but not limited to cultivation, plowing, spraying, pruning, and harvesting which X 5.00 5.00 occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive 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 reil.property. situate in the County of Butte, State of California, described as follows: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANAURY 11, 1972, IN BOOK 40 OF MAPS, AT PAGE -67. Date: August 21, 1992 State of CA ) County of Butte ) PROPERTY OWNERS: On this the 21st day of August , 1992 before me, the SS. undersigned Notary Public, personally appeared MICHELLE A MILLER NOTARY PUBLIC -CALIFORNIA Principal Office in BUTTE Co. MY COMM. Exp. OCT. 20,1995 • Ellis Widener Personally known to me. 0 Proved to me on the basis of satisfactory evidence. to be the personM whose name(M3 is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 58-83-170 .votary Public Michelle A. Miller EN® OF DOCUMENT 1 0 Ll I LOCATION W I maul: C.a—. /65V 0.R.se.3 .A YLw.✓//K/ .IJ .IK+Ia/o w nHI'w4__v N � - - apa!•• K{f al. Ko, /A a/ K/ao, rte{ K• I/a �► .. s n. a G 6.1 —.�1 �— z a o. I ' ' i •9. Oa'S2'G ' . /G 9/ O•R. S/6 • L E6C/VD • •— 39Ta/A' I.P. Lf3784 .•• 0-7 ' � aH..N IM 1at�O M aw.+aY A/iMaas rN 10MhM.h Nda is At `•.:: SURVEYOR S< CERTIFICATE ._ . ' THUS MAF WAS PREPARED BY X[ OR 1NOER YY ' DIRECTION AND WAS COMPILED FROM RECORD DATA ' ' AND IS.OA390 UPON A FIELD SURVEY IN CONFORMAWA ... WITH THE REQUIREMENTS OF THE ffiW ISKIN YAP . AG7 AT THE REOUE3T.OF MAY ' W �� IB71rt;XLREBY CLRTIFY THAT IT '. CONi0RY3 WI�M 7NE.APPROVEp TENTATIVE MAP AND ' THE CONDITPHS OF -APPROVAL THEREOF. THAT ALL • PROVISIONS OF APPLICABLE., STATE LAW AND LOCAL •ORDINANCES HAVE AU ED WITH. C��z JUE. 'Jo:v /COUNTY ENGINEER'S CERTIFICATE ,' O• .' TMf YA/ N1f K[N LKAYIN[0 T1O31L_IDAY OF !I_,N7C,FON0DWO MANCE WITH THE REOtAREMENT3 A W SECTION 113T3 OF THE AWKSION YAPA67. iia I .r )Nd . • � ,Li CLAY (TASTLEURRY R .E. 14224 DIRECTOR OF PUBLIC WORKS RECORDER'S CERTIFICATE OASIS of BEARIMo: TILE WEST LIME OF VMS a Va FILED FOR RECORD THIS.JL_OAY W 19R, or sacra TAKEN As AT t� '✓� A.M IN BOOK .AIt_0 3 AGE• IN 0Wo.•aa'w As SHOWN ._ice_, AT THC REWEST OF oN RECORD of ONRVBV - SERIAL NO. ME .0011196o IN 914.13, IAA.O, PAGE s•, ' ....5 off aa<eac.► s.sliav Aawloso ,w alter► wYs,Il[a. pL�W�QSSA _ SGWMTY RECORDER J J n + aB ; BY 09PUTT Z D t G 0 -lJ Z PARCEL MAP FOR ' Mc KAY NEILSON . .1691 O.R.520 'I PORTION OF THE -.E-1/2 OF THE N.E. 1/4 OF SEG12,T.21N.,R.4E.. — 14D.B. 8M—. BUTTE' COUNTY CALIFORNIA KENDALL' • ENGINEERING ',OROVILLE CALIFORNIA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlllet California 95985 - Telephone: 918-'538-7541 APPLICATION AND PERMIT ,> PERMIT NO. —ASSESSOR PARCKL. NUMISCR 058-830-170 ZONING re- 10 BUILDING PERMIT owNeq ANNELI KOUSA (408) T99E7P 6128 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 20541 MCKEAN ROAD SAN JOSE 95120 CONTRACTOR'SNAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ 20.o0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD�9925 BUNKER HILL MINE ROAD OROVILLE .95966 Permit tee20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 ,MAP Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME POAIRCEL -7 �� Water piping . 7.00 Each qas water heater.or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home G @ 15.001 U-UU TYPE OF WORK New ❑ Addition ❑ Remodel L_: Utilities [ :i Installation❑ Other ❑ Describe work: U Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service T00V OR LESS OGA OR LESS 18.501 18.59 Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):NEw 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 01I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUF.11) OR ADONS. ACG. BLDGS. 3.66sq.ft. CONSTFL '•ULTI-OUTLET VON - REST D. BRANCH f.IRC 'ITS @ 5.00 /POWER APPARATUS a (POWER OUTLET CIR. ) (( EX, OCCUptOI:TLETS OR FIXTURES 20 76d RA APLN5. OR Ex. Occup. OUTLD TS (RESI0.1 EA.) 1 3.001 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating 1 Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgment , costs, and expenses which may in any way accrue against said County i nse uence of the granting of this per it. X �� Date 2/ Le? $igneture o{ Applicant — Owner Contractor Agent ❑ ❑ An OSHA over 5'0" deep and demolition or construct. ion of structures over required sorn height. Mobile Home installation Fee S Energy Inspection Fee $ Occ I CONST TYPE TOTAL FEE $ 113.5 ir1A110 FEES j IMP FLOOD ICDF PARCEL PD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicted above for which fees DIRECTOR OF PUBLIC By _ PERMIT EXPIRES Date applicable provi- I resolutions to do have been paid. i WORKS Date i Receipt No. 122905 , 141TC•D.P.W., TCLLOW-ASeL330R. PINR•INSPItCTOR, GOLOCNROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive -O�rovllle. California 95985 - Telephone: 918,'538-7541 ►cP4&& 901MICATION AND PERMIT —ASSESSOR PARCEL NUM A LS -E33-(70 ZONING BUILDING PERMIT OWNER e - �10�5 TELEPHONE 3q6/ 2 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C eats _ 0 �06e- Ca. 9 20 CONTRACTOR'S NAME WYE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee '$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 2 u rye 2 Permit fee $ - PLUMBING PERMIT Filing Fee 15.00 O 0— Each Trap 5.00 Solar or heat. pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping .7.00 Each qas water heater or vent 7.00 USE STRUCTURE SF [IDuplex❑ MobileOther 7SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G @ 15.00 TYPE OF WORK New❑ Addition[] Remodel)❑ Utilitie$, Installation❑ Other ❑ - 14 - Describe work: , �V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0V OR LESS 2000A OR LESS Main service 200A TO 1000A+ 18.50 -Sv 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ADONS. ACC. SLOGS. 3.6d sq.ft. NEWCON5TR '-ULTI.OUT LET VON -R ESID BRANCH CIRC U. @ 5.o0 POWER APPARATUSe SINGLE OUTLET CIR. EX. Occup( OUTLETS OR FIXTURES 20 7S i RA Ex. Occup. OUTLFIXEETS IPRESID IREA.1 I 3.001 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. twin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g LHcod 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XDate Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA ion of structuresover3gsrories inehe excavations over 5'0" deep and demolition or construct. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE i TOTAL FEE $ // `� SO /'J. I I J'HAZ 10 FEES i IMP FLOOD I CDF I PARCEL I PO HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicted above for which fees DIRECTOR OF PUBLIC By — PERMIT EXPIRES - Date applicable provi- resolutions to do have been paid. WORKS i Date i Receipt No. M(T7 NN1TC•D. P. W., TCLLOW—Se C3s011, PINK -INSPECTOR, GOLDENROD -APPLICANT r-,-7•r,.viW .ti a+\.. •y.•'k ��N._.. .,),yam.,, �,f 4j1-.-.��*ri,db �t"r'.t'�1�'�{�!°t,).�,�'•.,.-A-�-.�.ns.fy«j+..ij�...�e�Y-•` n-s'j.3�("��..-r,�iti�.r�l� "7 r. ', ... .T,_ r COUNTY OF BUTTEDEPARTMENT OF PUBLIC WOF - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A P1 Proposed Building Use c 16o-sc., A. P. No. S-8 /'jd Building Inspector = Date 1" 2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ........................ 1 . Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 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. ........... aC 19. Driveway permit (construction approval required prior to occupancy). .....e.request .. rp* / -i �` 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. e222. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner )............ 4. Recorded copy of Agricultural Acknowledgement Statement . ..................� 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... " > 31. Existing violations/expired permits. .................................... 32. Plan check list. 33. 34. When you issue the permit, process as followsi Telephone and hold for Other Parcel Creation Acreage flail to owner. Mail to contractor. office. Deliver, j.-.5., '..: Applicant Date A c _ S inspector. 1, 4, 1 Y A/ 0 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 p ' r to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date a ? Plans approved by Date 5 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Encroachment Permit Section RE: Diiveway Clearance owner location Driveway permit Pzeee4l n b ev7L� sign re AP # has been issued for the above property. t. S7 date