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HomeMy WebLinkAbout060-110-077NOTES I l<v RESIDENTIAL PERMIT NO. 0,60-11-"77 00-0973 ­ - ' ; WKEW DIANE — LTHEOBALD 'u yl 7548 ABNER LN., BUTTE MEADOW GARAGE ERIFY a. USE PERMIT CONDITIONS SUB -STANDARD_ *' -HOUSING LETTER YIN JOB FINALED (Date) tn� .Signature L -Z g p, '.SiiECIAL CONDITIONS CHECKED Imo:. CERTIFICATE TE REQ. fiAE PRINKLERS,REQ: )RECIAL INSPECTION "'ITEMS F Z_ 4. 4 v ERIFY a. USE PERMIT CONDITIONS SUB -STANDARD_ *' -HOUSING LETTER YIN JOB FINALED (Date) tn� .Signature L -Z g p, V= OK 0 = Not OK - = Not Applicable =Not Ready MOBILE HOMES Date t MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Elec.; Receptacles and Lighting, Distance-GFI 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Plumb.; Cir. Test -Water Supply Test 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Vatve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cent. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCEL OUS (J �� .Q+; Date DECKS, COVERS, CA GARAGES tans) OK except #'s n eme asements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Electric F g.; Sills-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. V-1 Steps -Doors -Landings 12,Araced Wall Panels i Date Card B-1 ate Card B-1 Date Card B-1 Date Card B-1 Date CFINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ./= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL R (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-RHr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs•& C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subteed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral C) Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card 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. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date 80. FRAMING (Continued) 9 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-RHr. Ties- Purlin-Rolf 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. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings Date 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. 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 ❑ Yes 82. Following Instld./Drive 'J Yes ] NoMalks ] Yes :1 No/Planters ❑ Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 AN Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 o (Rev`12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 ZONING U BUILDING PERMIT OWNER MIKE & DIANE THERRALD TELEPHONE R71 -979n SO, FT. OCC. BUILDING VALUATION 576 U 10,368 - OWNERS MAIUNG ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ 81.90 BUILDING ADDRESS SAME Energy Plan Checking Fee $ PERMIT FEE $ 227.90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CARAI?R _ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00OR LE Main Service 200A VORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 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. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING DOC P. OR ADDNS. ( a ACC. BUDS. SO 3.5QFT. 20.16 NEW NON-REESID. MULT1 CIRCUT 97.50 APPARATUS 6 SINGLE OUTLET CIR. DR Ex. Occup. OUTLET OR FURES 20 @'.50 BAL @ .SO Ex. Occup. DUT rs aFIXED L DD) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 46.16 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provision r _ Date �� �d Signature of Applicant - Qq Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee I $ Energy Inspection Fee $ Occ U CONST. TYPE VN TOTAL FEE $ 274.06 HAZ. ,�.. D. FEES IMP FLo coPAR Po 1-1 HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By7D�te PERMIT EXPIRES ON 14 the applicable provisions Resolutions to do work been paid. z 0f Date ReceiptNo.,Zq Li13 - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT l d. 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754147 �/j _ 7f-3. (Rev.12/96) APPLICATION AND PERMIT &L /�. s OR ,,, _ i y ZONING ; ,/ BUILDING PERMIT OWNER e- lI'1l �1 Q� �N Q 4 TELfPHONEv� g73- g72m SO. FT. O_CC. BUILDING VALUATION -- — - OWNER'S MAILING ADDRESS!�� L,� _ v oro AeAlvw5 9s5 �.- CONTRACTOR'S NAME TELEPHONE � CONTRACTORS MAILING ADDRESS 1 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ lc>306 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ /26 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 001 S� BUILDING ADDRESS ^ / ,n /I �n ^ // 7 ,lY%n �VN CJS�✓ Energy Plan Checking Fee $ $ e o 2 FEE $NS LAT No. SUBDIVISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 1 15.00 Each as water heater or vent 15.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �I �� Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMITLES I Fling Fee 20.00 OOOVMain Service 2D.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO IDDOA 46.00 NEW CONST. M=I* occUP. �( NEW 3,5¢S0. a•22,W CONST MLI �oLI NON-RESID. C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDrrURES @' ' 50 BAL O .30 Ex. Occup. o Ds(REa.1 EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 6,�b MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations ov r 60" deep and demolition or construction of structures over 3 stories in ight. ReceiptNo. 7)1 Mobile Home Installation Fee $ Energy Inspection F e $ occ v c�o"� T. TY ��� p V TO AL FEE $ HOZ. D. FEES M FLOOD COF PAR PD HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Dere1 WHITE -D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT "PLICA TION DA TA SHEET OWNER: V-hfoi3nl,1>ASSESSORPARCELNUMBER: .6O - /'0- 3&— Proposed Building e: .� Building Inspector: C - Date: - 57 - . 2 C:2 -a At time of permit applica on, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ All iiems have been submitted-------------------------------------------------------------------------------------- P,ns, 3& sets, signed by the preparer of plans.-------------------------------------------------------------� ❑3. "Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. --------------------------------------- Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------ ❑ 1 . Impact fees as shown on the attached schedule. --------------------- California Department of Forestry plan approval/fees.-�---• ❑ 13. Flood elevation certificate. --------------------------------------------- �anitation and plot plan approval �CO iealth Department. ❑ 15. City of Chico plumbing permit.---------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: _. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- -y -0() El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. - ------------------------------------------------ E126. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- (Date) E330. Other: ZeleypohonesL uise permit, process as follows Mail to owner, ❑Mail to contractor. �i' p7� o and hold for pickup at office. ❑ Deliver with inspector. C-' Applicant. Date: �� �l-a a Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departme t, 13 Other: Date: By: 1. Index pemiitapplication for the above items numbered: El Plan Check List -y , 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ p) one, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑`phone;pimail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phoned .d'inaill ❑ Building Division counter, by Date: Contractor, designer, owner, was .adyised of the above Ted data by ❑ phone;; p trail; ❑ Building Divis' n counter, by Date: - Plans reviewed by: Date: Plans approved by: Date: ,<-j� Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: E.H. USE ONLY Plot Plan Attached Plan Attached T— Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -�n�;b 2 tae6k Al -Z& Owner Loc tion AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling_ Other Hold final for: Final clearance O.K. for: NOTE: 7 W—w / Z, Environmental Health Specialist 8/96 -Z:Z11,,11ad Date J Al { o ��q'LV- e W ! . � Michael A. Theobald . s 7548 Abner In. Butte Meadows, CA 95942 n Ao `� c3Butte ' APPROVED County Environmental Health au L. 7 f {j t , ENVIRONMENTAL HEALTH MAY n 4 9000 v2 , Chico, Callomia Michael A. Theobald 7548 Abner Ln. ;;,*:,.Meadows, CA 95942 Michael A. Theobald 7548 Abner Ln. Butte Meadows, CA 95942 APPROVED Butte Countv -------------------- EMONMENTAL HEALTH MAY n 4 )nnq . Chia, California f 060-110 99-0435. 'a i Theobalds Michael�y�1�9 y' 7550 Abner�Lane, i Conti: D & D'Contracting ` New main -lot development i - '. i . . i cam- Q / � 6 S• 3 - s q �� . OFFICE COPY Address'- ' Met��_ 4 ate ELECTRIC 1/ Meter By "'Date ♦ •1 �h t.. .. a __� . ,. ,.. '� A, .. _ � ♦. cam- Q / � 6 S• 3 - s q �� . OFFICE COPY Address'- ' Met��_ 4 ate ELECTRIC 1/ Meter By "'Date ♦ COUNTY OF BUTTE - DEPARTMENT -OF -DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 PERMIT NO. (Rev.i /96) � APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 060-1110-077 ZONING U BUILDING PERMIT OWNER THEO D+ MI�AU* 1 �1CA1172LL L1L+L TELEPHONE _ ' SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2257 MARISPOSA AVENLTj CHICO CONTRACTOR'S NAME D & D CO.WMCTING TE LEP89HO11! E6869 CONTRACTORS MAILING ADDRESS P.O. BOX 3294 CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS7550 AIRNER I ANEL/, Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MAIN SERVICE FOR LOT DEVELOPIF.NT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service zoOA OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /� License Class / O Lic. No. 5�� 0 1/ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO +000A 46.00 NEW CONST. DWEUJNGoccUP. ORACC. AD DS.RESID( 3.5QSo M UDIET NON-. @7.50 PowEL APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 ®1.50 BAL O .SO Ex. Occup. OUTS A61D.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 O% e -1 , � PERMIT FEE $ 66.00 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 'policy Number f(The above sections need not be completed if the permit is for work of a valuation ndred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith complywith those provisions. f X/ - Date n _ Signature of Applicant - ❑ Owner Contractor ❑ Agent i An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. y, �,� BY Date PERMIT EXPIRES ONITE•D.D.S.-B.D. (Date) rReceiptNo. `� CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 41 PERMI No. 01ev.1T�/96) APPLICATION AND PERMIT S '09%52 (ASSESSOR PARCEL NUMBER 060-110-077 ZONING U BUILDING PERMIT OWNER THEOBALD, MICHAEL TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAIUNG ADDRESS 2257 MARISPOSA AVENUE, CHICO CONTRACTORS NAME D & D CONTRACTING T-891- 6869 CONTRACTOR'S MAIUNG ADDRESS P.O. BOX 3294 CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 7_550 ABNER I ANE Energy Plan Checking Fee $ $ RTITTF- MEADOWS PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MAIN SERVICE FOR LOT DEVELOPMENT Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G w @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "OOV OR LE Main Service .AORLESS 23.00 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 full force and effect. Q License Class C'/� Lic. No. 6 % OWNER -BUILDER DE�ATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project., ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 46.00 NEW CONST. DWEWNO OCCUCUP. G OR ADONS. 8 ACC. BLDS. SO 3.5¢FT. T. �NJOµRESID. MULTI -OUTLET 97,50 POWER APPARATUS .11N. OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.SAL 20 @ 1.00 @ .50 Ex. Occup. pFlxuTEiAPP OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 5490 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith compl with tho visions. } X Date J Signature of Applicant -6 Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE U TOTAL FEE $ FEES IMP I FLOOD 1 C& PARCEL PoI IID I ISS LLt This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w ' less have been paid. 99 By 7�,IgMll PERMIT EXPIRES ON Det ReceiptNo. WHITE-D.D.S.-B.13. CANARY - ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 �PEa l o. &v..12%90) APPLICATION AND PERMIT g ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER )W;c- 1z a e. LiE� TELEPHONE 9-61 �5 SO. FT. OCC. BUILDING VALUATION OWNERS IUNG ADOBESS CONTRACTOR'S NAME TELEPHONE d� TOS COR UNG ADDRESS Z9 z C_ 0 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation s ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 1 $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILOINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUSDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECS Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition Cl Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work./yyJlli Se/ Ll c P 49 f Sa � / Y,n4nw Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W (@20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 200A OR LESS 23.00 , 0'0 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 it the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 10CU00A 46.00so NEW CONST. OWELJNG OCCUP. SO OR ADONS. a ACC BLOS. 3.5¢Fr: INION-REOT.MULSID. 14 NQEUITS T Ca 7.50 POWER APPARATUS a SINGLE oLmEr cIR .00 EX. Occup. OUTLET OR FIXTURES eAL O L.S0 Ex. Occu . ovTlETS (=16 )EA 5.00 Temporary Service 23.00 &0 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ O� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: S Mobile Home Installation Fee s Energy Inspection Fee s occ CONST. TVPE TOTAL FEE $ 66, 400 HAZ. D. FEES IMP FLOOD 1 COF PARCEL Po MD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date polo Receipt No. 5 WHITE-D.D.S.-B.D. CANARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: /'%� ASSESSOR PARCEL NUMBER- -- Proposed uilding se: Building Inspector: ate: At time of permit app ca 'on; I was advised the following data must be ubmitted prior to per=it pproce g nd/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------ 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- D 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------- 1110. ------------------❑10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------. ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Con ct Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. ncroachment Permit for driveway construction approval prior to occupancy). --------------------- 20. Pre -inspection fort -e C� required Request to Building Inspector on 02 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ D 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization.-------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. ---------------------------------. ❑27. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- 0 29. 1143 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) When you issue the permit, process as follows ❑ Mail to owner, Mlla l to contractor. ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. /�- Applicant: Date:. Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: i60' 120' 100, 1 OWNER: LOCATION: SL/1z' CONTRACTOR: PRE -INSPECTION FOP- S E'/ LI,-, C P / iP;17 ,. / b 7L a toy PERMTr HISTORY: (M"0 TYPE OF OCCUPANCY: 0 ]AS FOLLOWS: DATE: ZONING: 1 DATE TO INSPECTOR- [ BUILDING INSPECTOR'S REPORT ilding Description: [ J Cbmmercial/Usage: [ �,J`Residential/# of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. [ J AbandonedNacant. w*ww v• [ ] Yes [ LYNo Electric is currently : [ ] On [ ] Off Condition of electrical? Natural [ ] Propane[ ] None[ -- Currently On[ ] O&[ ] Obvious problems: 124Cs7,Q tion: Plumbing working Yes[ ] No[ Well: Yes[ ] Nopl — Potable water: Yes[ ] No[v]a Obvious Sewage Proble n Recommended: [ ]Issue [ ]Hold for: Spector: Date: May 1995 4. ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMSER — ZONING / BUILDING PERMIT OWNER TELEDNON! SO. FT. OCC. BUILDING VALUATION OWNER'S RING ADDRESS �1 C f / �L CONTRACTOR'S NAME 134 1) TELEPHONE 199 6 CO TOR ND ADDRESS a 60'e 2- i C_ U CONSTRUCTION LENDER Fireplace LENOER.s MAILING ADORE" Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Alina Fee $ 20.00 Permit Fee S ARCHITECT OR ENGWEER S MALNNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS _ Energy Plan Checking Fee $ S PERMIT FEE s LOT NO. SUBDMBIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE SF O Duplex O Mobilehome O Other Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities O Instigation O Other O Describe Work• / -C— zy e l" IL/ S2/UL: c P l �� t y� / Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 '*' OR LESS Main Service zo. oR LEss 23.00 � , p2• LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License,Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ` ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. O 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 forthwith comply with those provisions. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 50• deep and demolition or construction of structures over 3 stories in height. Service �A TO +�A 46. 00 NEW C so OCCUP. SO NEW CONST. DWELLING ACC. OR NS +ACC. BUD B. 3.50x; NEW G NO"ESID. MULTNOLm.FT @7.50 POS+ AARATUS 6 9ENOLE OUTLET CI", O1ORFDCT"'� Ex. Occup. alis ® +:w Ex. Occup. oLi'n rs E A"LoOeL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 6a MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee S OCC CONST. TYPE TOTAL FEE $ HAL o. NEEs IMP NLO00 1 COP PARCEL PO Ho SSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. ReceiptNo. 5 WHITE•O.O.S.-B.O. CANARY-ASSE SOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) 65 3@I.5 381.5 381.5488 381.5 348.35 A n VL • IC 6.26 AC 5.58 AC 5.64 AC 7.30 AC 5.7/ AC 85 S 87 5.2 O 88 O 89 2 m h m � a p40 10 b h 2 b 3 4 5 6 7 a BIGGERS GLEN SUB. 381.97 381.41 487. 381.54 339. 404 28 MADDRILL LANE .00, 3@3.32 3�9'j9 487.0 /• 339. 95 3.54 AC � 3.07 AC h 3.40 ACN 2.87 AC ,� 2.674 2.73 AC 97 96 v 94 14 /3 /2 I < 1/J /O W/ I S 4 02.48 I 9 , 227..03 208.57 /s /78.77 41 33/.63 194 II loo loo 381.200 210 36 1 100 330 MO T O 10 /1 I O aO O a 1.53 AC a 2.04 AC 1. s 21 O e 46 45 44 1 6 I 7 e p 9 1e I/ a m ^ 47 b 1pn y3 5 n N 'r ill 7 (03 G S?3 7S% ,e: q /7 /9 :..:8 17 sy„3 194 1 /so I 0 0 ,;' �y 1 330 14 157.x1 4 HUMBOLDT RD ��so � 2 zl< Z 2 I 7S6 %T(o S .45Ac .<sAe 7 :.89ACh its I /1i60 232 1 � r44 .:30 1 ZC /9 ll! 17/S ,4 /3a '_ /// 7@AC SO 37 Tj� 3! <I 4Y <3 as t r'Q 3 a V PLACE 3a SS` 4NE ,/ tl �= a 14 125 26 27 2e 3! 34 1 33 132 '132132 1 !- 1 7 I t�OIY0 O 3/ TO I s8--7I 22 n 30 iaa2 go. 2.37AC 2.; PM 89-5996 13 61 630 0 1.43AC w a r 100 - 0 9.29 AC 29 2 o \ ss l3 j9s --- 11.9.33 - \I/ 40.23 AC=in 30 200�4�CRE -8 - ou PM 107-83 ` --- �i 2719.19 ACT, 9 M.O.R. ll, I-16-1922 ;LEN SUBDIVISION M.O.R. 130-51/58 so-08 And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 1 999—Gb0208Z5 Recorded Official Records CoBRIE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:31PM 17 -May -1999 REC FEE 10.00 CONFORM .00 Cindy Page 1 of 2 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 foi 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 includirig, 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,bg prepared toaccept such inconvenience or discomfort from normal. necessary farm operations. All that real property situate in the County of Butte. State of California. described as follows: Lot 27,* as shown ort" that certain Map entitled, "Revised .Official Map of the First Subdivision of the Davis Tract, being part of.the Northeast quarter - of Section 29, Township 26 North, Range 4 East, M.D.M. which Map was filed in the Office of the Recorder of the County of Butte, State of CaIifolundia, on February 3, 1922, in Book 9 of Maps, at Page 11. Ddtc: l/ PROPERTY OWNERS: State of California County of .3u+t2 On MQ,4 1-5,before me, Ma jr rnda w t t GliWl s personally appeared f f r Aalt A11,01611 7l n A a- l d 4mew*4e-me-(or proved to me on the basis of satisfactory evidence) to be the person, whose nameW ishwe subscribed to the within instrument and acknowledged to me that he/shekb" executed the same in his/herA#*iwr authorized capacity(hmO, and that by his/herAheir signatures; on the instrument, the person(*or the entity upon behalf of which the person( acted, executed the instrument. WITNESS my hand and ofricial seal.MALINDA M. WILLIAMS� U COMM. 01217052 (� ti ; NOTARY PUBLIC -CALIFORNIA 1BUTTE COUNTY A Signature /1 p , / G�i7ra Seal: COMM. EXP. APRIL 25, 2003 9 60 — /lO — 07 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners -must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just'bring the copy back to the Building Division at 7 County Center Drive. • ...'• .�b:.�'' ' • • ..a••....... ,. .. ....... ., a !. . _ , -r _.r ._ RECORDER'S FEES', S6.0d'-•isf.:Pa9e r $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday). 0 OVER CALIFORNIA ACKNOWLEDGEMENT STATE OF CALIFORNIA COUNTY OF G' On Me44 /!51 m before me, Lna.'" a K. ot'lmal . , DATE NAME, TITLE OF OFFICER • E.G.. -JANE DOE. NOTARY PUBLIC" personally appeared, 1�1 cin a- � , _Tk'2 06d. (or proved to me on the basis of satisfactory evidence) to be the person( whose name) is/-afs subscribed to the within instrument and acknowledged to me that hEvshe/ " executed the same in Nsfher/tl authorized capacity(i , and that by h sfher/their signature*on the instrument the person(), or the entity upon behalf of which the personN acted, executed the instrument.. WITNESS my hand and official seal. (SEAL) NOTARY PUBLIC SIGNATURE v MA coMaAi.M.�WI�a TAMS NOTARY PUBLIC-CALIFORNIAG) .BUTTE COUNTY- 0 COMM. EXP. -APRIL 25, 2003 OPTIONAL INFORMATION TITLE OR TYPE OF DOCUMENT DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE NUMBER OF PAGES ALL-PURPOSE ACKNOWLEDGEMENT STATE OF CALIFORNIA COUNTY OF G' On Me44 /!51 m before me, Lna.'" a K. ot'lmal . , DATE NAME, TITLE OF OFFICER • E.G.. -JANE DOE. NOTARY PUBLIC" personally appeared, 1�1 cin a- � , _Tk'2 06d. (or proved to me on the basis of satisfactory evidence) to be the person( whose name) is/-afs subscribed to the within instrument and acknowledged to me that hEvshe/ " executed the same in Nsfher/tl authorized capacity(i , and that by h sfher/their signature*on the instrument the person(), or the entity upon behalf of which the personN acted, executed the instrument.. WITNESS my hand and official seal. (SEAL) NOTARY PUBLIC SIGNATURE v MA coMaAi.M.�WI�a TAMS NOTARY PUBLIC-CALIFORNIAG) .BUTTE COUNTY- 0 COMM. EXP. -APRIL 25, 2003 OPTIONAL INFORMATION TITLE OR TYPE OF DOCUMENT DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE NUMBER OF PAGES LAND DEVELCIiIVIiEN f r OROVILLE / CHICO 99-0951 BUILDING / ENVIRONMENTAL HEALTH -PERMIT CLEARANCE Building Permit No. OWNERS THEOBALD, MICHAEL A.P. 060-110-077 NAME NUMBER PRINT LAST NAME FIRST 7550 ABNER LANE, BUTTE MEADOWS ADDRESS / LOCATION: COUNTY ZONING DESIGNATION: FLOOD MAP: FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP Z - 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: LESSTHAN 5'�4- MAP INFORMATION: �` ` Y �S v / DATE OF RECORDING: Z LOT BOOK PAGE COMPLIANCE WITH OLD SU5DIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: >_G0 0- /3alL?- 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. X1. Maintain a 50 ft. building setback from centerline of road. —2. Maintain a ft. building setback from right-of-way/centerline —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. _T 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 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. Payment to be made to the Planning Division. —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 Wltidt: -WQ� ") vA 31Lflf' •!^ . . 666 4AI 31►� N013A30 4Nn 3 J-1JJ0 A1Nn00 �66l Z I LD 6/98 AN FORMS\BLDG$.3NCE NOTES RESIDENTUL 060-110-077 99-095 PERMIT NO. THEOBALD, Michael' 7550 Abner Lane, Butte Meadows Contr: D & D Homes MHI on perm fnd 9�y3s _��� 7,�vad E 'l SPECIAL. CONDITIONS CHECKED BY r SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY 1 OFFICE COPY Address GAS Meter By Date y ELECTRIC Meter By Date i �Uv •r 4{. �K JOB FINALED (Date) -7/76J - Siggnn ature i� ✓=OK 0 = Not OK = Not Applicable MOBILE HOMES • = Not ,Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1_,-' Date Card B-1 Date MOBILE WYME INSTALLATION (Plans) OK except #'s Line 3. Gas; MH 4. Elegy 5/Draiw..,MH Test -Fall -Flex Connector 71."Water and Sewer Connected -&C -to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cent. 10. Exits; Insp.-Sketch 1. Cert. of ncy 1 manent Foundation Only; LicenseaDecal -d ., Date(an y- 4q Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 y i� Lop MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater ` 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Liaht Niche i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 f I CA F L Y U1011a tyo Rye A l L 7>711 TL"_�W,C,od /� ,/ = OK 0 = Not OK - = Not Applicable = Not Ready Card B-1 Date Card B-1 RESIDENTIAL (; Date Date Underfloor (Plans) OK except #'s 35. 1. Zoning -Setbacks -Easements -Flood -Slope Vent Fan, Exhaust above insulation 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 38. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access & Platform if Furnace in Attic 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; 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; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 80. 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 81. 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 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. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties- Purlin-Rolf 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. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance _ 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive :J Yes ] No/Walks' Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �f INTERDEPARTMENTAL MEMORANDUM TO: BUILDING DMSION, OROVILLE FROM: ae� /� .TY , ENVIR. HEALTH, CHICO DATE: 7- -7- S5' RELEASE ENV, HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME' 7,eoLlol,SEPTIC: X WELL: = AP#: 6 > -1/6 - 072 _ ADDRESS/LOCATION: 75'S6 s�J,bner L -I cam: GL/memoshvka:abold COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA •*(530) 538-7541 CORRECTION NOTICE 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, plejLse A6ntact this office immediately. F t a>--� M.4 . I Date Inspector REV 10/92 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 13 -Jul -1999 1999-0029471 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MICHAEL A. THEOBALD & DIANA K. THEOBALD REAL PROPERTY OWNER/LESSOR 2257 MARIPOSA AVENUE MAILING ADDRESS CHICO, BUTTE, CA 95926 CITY COUNTY STATE LP 7548 ABNER LANE INSTALLATION MAILING ADDRESS, IF DIFFERENT BUTTE MEADOWS, BUTTE, CA 95942 CITY COUNTY STATE ZIP SAME UNIT OWNER (dalso property owner, write "SAME") BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE LP 99-0951 (530)538-7541 DINR2E N TELEPHONE NUMBER 7/7/99 SIGNATURE OF LOCAL AG OFFICIAL DATE D & D HOME , INC. DEALER NAME (if not a dealer sale, write'NONE') 13730 MAILING ADDRESS DEALER LICENSE NO CRT Comm SEAM 7ffi UNIT DESCRIPTION FLEETWOOD 1999 VOGUE MASNION 544-3A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER CAFLXI7A/B22324 44'X 25'8" Itdnl > 7� 4n�� SERIAL NUMBER(S) LENGTH X WIDTH MSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #060-110-077 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept LEGAL DESCRIPTION A.P. #060-110-077 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: LOT 27; AS SHOWN ON THAT CERTAIN MAP ENTITLED, "REVISED OFFICIAL MAP OF THE FIRST SUBDIVISION ON THE DAVIS TRACT, BEING PART OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.B. & M.", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE; STATE OF CALIFORNIA, ON FEBRUARY 3, 1922, IN BOOK 9 OF MAPS, AT PAGE 11. AP NO. 060-110-077 PARCEL H: A NON-EXCLUSIVE EASEMENT FOR WELL, SEPTIC TANK AND LEACH LINE PURPOSES 10 FEET IN WIDTH LYING SOUTHERLY OF AND ADJACENT TO THE SOUTH LINE OF LOT 27 OF THE DAVIS TRACT. BUILDING PERMIT NUMBER: 99-0951 ' Address or location of unit: 7548 ABNER LANE, BUTTE MEADOWS, CA 95942 Legal Description'of Real Property: A.P. #060-110-077 ; SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551: Owner's name: MICHAEL A. &•DIANA K. THEOBALD Owner's address: 2257 MARIPOSA AVE., CHICO; CA 95926 • _ INSIGNIA OR HUD NUMBER: M117140/1 SERIAL NUMBER OR V.I.N.: CAFLXI7A/B22324 ; MANUFACTURER'S NAME: FLEETWOOD_ YEAR: 1999 OFFICIAL APPROVING INSTALLATION: - 't DATE: 7/7/99 PHONE: (530)' 538-7541 ; H.C.D. 513C , STATE OF CALIFORNIA ,NA Tool BUSINESS, TRANSPORTATION AND HOUSING AGENCY ,4 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DMSION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM `"'rV '4 SI'AITIAENT OF FACTS This unit is a: rx7x Mobilehome El Commercial Coach Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) I/We, the undersigned, hereby state: The above described manufactured home has been placed on an approved foundation system in accordance with Section 18551 of the Health and Safety Code... I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify un er penalty of perjury th the fc 9 Executed on t 1 p� (Date) Si ature(s) is true and correct. (City) Printed name(s) v (State) Address - City HCD 476.6 (REV 9/'91) State ' 03/04/99 16:46 Escrow Wu. 9J 91123 !C Lcan No, WKEN P.ECOAOEO MAIL TO: wr. b It's. Itmba d 2257 mariposa Ave. i Chico, CA 95926 { BIDWELL TITLE CUSTOMER SERVICE 1 530 529 4665 fMID VALLEY TME CO. 0 F® -8 M 11168 COACE 14ROUS ani- rk ®7— 4950 ! l SPACn 0e0VQ THIS UNa PCR IIGCOItot,t'a USS h a MAIL TAX STATEMENTS TO: =JM MARY Twimu TAx tt 20 90 _?S. formulas Car then ar vdma as wwafty otln►ayao: OR ' .»».GblltlardOaA tstlrlwLslilst<rlaurnEnwom ) SAME M ABOJE synaw Warm m GownlMryos— f scan: {--, ICD VALLEY TITLE AMID PSCKN COTANY APC060-11-0-035-0 GRANT 011D NfjSFz;V FOR A VALUABLE CONSIOERATION, receipt of which is hereby acknowledged. .410 MEN E. BIGL; M AMID 9 -WH BIG[i"iS, husband and wife hesebir GRANT(S) to , PMCl1AIL A. ZMMM AND DlAtgl R. SID, huaband and wife an Joint Itrants the real prol.eny In the City of County of Butte State of California, described as Tot 27, as shorn cm that certain Map entitled, "Revised official Iftp of the First Subdivision of the Davis Tract, being part of the Northeast quarter of Section 29, Township 26 North, Page 1 Flet, H.D.M. e, which Map was filed in the Office of the Recorder of the County of Butte, State of California, on Etbauary 3, 1922, in Book 9 of Maps, at Rage Il. A non-eIGclusive easenmt far well, Septic tank and leach litre purposes 10 fart in width lying Southerly of and adjacent to the South line of Lot 27 of the Davis Trart. Oetad Decarber 26_1986 STATE OF CAUMMIA I� Coullm Oi :mfms me, tomm aralQneQ s plow) Addle bt ftr Cold BterA pm Conal!! NO.959 P004 paraamtly L/om to nye Iv pre,aa•{b,� an IMI bam CO Copal cry oleamm) to to me pemanle) woots mm�mltuere-d—ff,ed is IN WoMi lnsUu~t am aekreir;"W to me mal%naAhty aaeeaAad WIT"Em nA fwd and dfkas gad / MIR awe em o+llutr imo.rr .n,) ' abnelleR 1002 (M2) MAIL TAX STAWMEIM /19 OIRWMD ABOVE: Order No. 5-187153 SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: LOT 27, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "REVISED OFFICIAL MAP OF THE FIRST SUBDIVISION OF THE DAVIS TRACT, BEING PART OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.B. & M.", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 3, 1922, IN BOOK 9 OF MAPS, AT PAGE 11. AP NO. 060-110-077 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR WELL, SEPTIC TANK AND LEACH LINE PURPOSES 10 FEET IN WIDTH LYING SOUTHERLY OF AND ADJACENT TO THE SOUTH LINE OF LOT 27 OF THE DAVIS TRACT. Exec[ Comp/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California, 95965 • Telephone (530) 538-7541 PERMIT N (Rev:12/9e) APPLICATION ANDVERMIT _ !!Z5! ASSESSOR PARCEL NUMBER 0&0,- 160-077 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING DRESS M ar i Osw A trC. G tGo q512 2 Y CONTRACTOR'S NAME IF V 4-D TELEPHONE 9- yd l CONTRACTORS MAIUNXa ADDR SS rC'I`�I CONSTRU ON LENDER ce LENDER'S MAIUNG ADDRESSFireplace _�k W 11A 1� CIXA AD Cudga I Q Total Valuation $ ARCHITECTRENG EER u S LICENSE NO. C383o6 Filing Fee $ 20.0 Permit Fee 68.5 $ ARCHITECT OR ENGINEERS MAIUNG AD SS _S41 Plan Checking Fee $ 2 �. BUILDING ADDRESS S -yo A 1_�qJ� � Y Energy Plan Checking Fee $ $ PERMIT FEE $ `Z.77- Z.57 LOT NO. SUBON510NS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome d( 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 N( Addition ❑ Remodel ❑ Utilities ❑ Installation,, 04 Other ❑ A� Describe Work: a �n /01, M -4, S Gas piping system 1 - 5 outlets 15.00S - -Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ row L) ✓ ELECTRICAL PERMIT Fling Fee 20.00 O Main Service zoEUUvOA ORR LESSLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full,fQy and effect. 3 License Class �' `J 1 Lic. No. -I tJ � 1 1 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier r—Ir, GArV.1%.»411-rt Sa- rr Policy Number n9L — 'O / (The above sections need not be completed ifthe 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 thos rovisio s. X Date Signature of pli ant - ner kc tractor ❑ Agent An OSHA permit is requi d for excavation over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service zooA TO lOooA 46.00 NEW CONST. DWE711NG OCCUP. s0 OR ADDNS. ( a acc. BLDs. 3.5¢FT: NON•RISID. MULT I.OUTLET 97,50 POWER APPARATUS aSINGIE OUTLET CI R. 20 Q 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ •50 Ex. Occup. ounFrs(RRES16.oEw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20 Misc. Wiring23.00 Ro PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE T TAL,FE ` HAZ. ,� D. FEES MPI OD D PAR D UE This permit is hereby Issued under the of the Butte County Code and/or indicated above for which fees have ByD PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. lJ� to /y j� / /0 (� Dw- Receipt No. � LI WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE— DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER M J CNA E L TN Eo 1911 L D PROPOSED BUILDING USE AIH PoAt h 1. BUILDING PERMIT FEES -- Balance Due ........ $ -- Additional Fees Due ........... $ -- Additional Fees Due ............ $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES P OS n' p 'd at District Office) MAI L P'- - 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ 3 6 O 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. THERNALITO DRAINAGE DISTRICT FEES $ 10. O'(paid at Building Division) 7. SRA FIRE INSPECTION' AND PLAN�HECK $89.00 (paid at Building Division) 19 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) '9. CSA 877RAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # Goo- 00- 077 DATE S- 7' `19 RECEIPT # - DATE REC �.�41V0 7-1;7,iy 1773 2 6y6y/ 7-1&4Y'ct9 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. APPLICANT DATE 3 Pursuant to Governme ode ectio 66020, you are hereb notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the ate of approval of project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in ovemment Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) Ll OIITY OF BUTTE - DEPARTMENT OF DEVELOP 1{ 1 T 'SERVICES -BUILDING DLVISION� 7,COUNTY.&NTER DRIVE - OROVIIlLE'CALIFORNIA 95965 - TELEPHONE (530) 538-7541 ck "PERMIT_APPLICATION DATA SHEET OWNER: ftl I C I A Q I T'N F 0 64 L O ASSESSOR PARCEL NUMBER: 60— I O- 0-7—) .Proosed Building Use: yqH u PE'RM 3i4 (1. Building Inspector: LDate: 7 - ih n �! J 9 �9 At -.time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 04. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ❑ 3.. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- E17. . Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8Iazardous Material Form. ------------------------------------------------------------------------------------------ ❑�'Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fest ------------------------------------------------------------------------------------- lC pact fees as shown on'the attached schedule. -------------------- - - ------------------------------____-- 12. California Department of Forestry plan approval/fees. La-��--------------------------------- 414. Flood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approval C i// /L Health Department. ------------------------------------------- 5. City of Chico plumbing permit. ----------------------------------------------------------------------------------- 7 l ❑ 16. PZn plan and business license approval from the City of Biggs. ---------------------------------------------- ning approval for (A) Use: 0! (B) Parking: -------------------------- Contact Land Development about improvements,)❑ Drainage, i Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Reauest to Building Insnector on 021. Contractor's license -information. (Number, Name Style, Classification). 1122. Workers' Compensation carrier and policy number. ----------------------- ❑23. O -B 'der Verification (Giveri to owner ❑, Mailed to owner ❑). -• 0241,Le of signature authorization. --`-----------------------------------____-- / " lf5Recorded co of Agricultural Acknowledgment � PY . !� Statement. -------------- F/026. ------------•` , ❑26. Letter of intent on building use. ----------------------------------------------• ❑27. Manufactured Home utility clearance. ----- --- ---------------------------------------------------------------- ❑ 28. Existing violations and/or expired permVts��__, ------------------------------------ ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Titleeck to H.C.D $ p�Q, �. _______________ ❑3'0. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. Telephone f 00 655' • 2I9/ and hold for pickup at CNl G 0 office. ❑ Deliver with inspector. _,(Date) FApplicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Mution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: Pam," #,,,,+" r 1. Index permit application for the above items numbered: ❑Plan Check List 2. Additional items required: ` Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division+couriter, by Date: . Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi 'on counter, by _ Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: -.r E.H.iJSE ONLY Plot Plan Attached 'Y% Floor Plan Attached e Sent to B.O. J TO: Building Department .S / FROM: Environmental Health SUBJECT:. Sanitation Clearance -k Tkeo ba, l el -y 55D Abner L. 6,o - //0 -- a7 7 Owner. Location Ap# Plan Approved for: Sewage Disposal Water Supply:- Public Private Well Clearance for Wig. Other.. ?Hold_final_for.: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 r�rr.�,4y' ,--fir �.f ��� r*-- r...,.,rc �.F " �„_�,,�.,�•y.y- �t..�"yr„�,�,.w'^.r•�.�'v-�'V`-e7"„�.�'K�4.n 7^Rr.i!'nti�iy.`-o,/�(yi••`--4r. f`l.�"4y1.. :rte-N'��hr•r-4� BUTTE COUNTY SCHOOLS IMPACT FEE C RTIFlCA ION FORM (One form per Building) School District Building Department No. A.P. Number Ot—� I� _O�7 Jurisdiction: City County, Property Owner Ok �b I ,n ' l Property Location/Address O 4--�/ (. Subdivision Lot No. ...................:............................................................................................... Residential Development— j Sq. Footage No of Living Mobile Home Addition/ •Supplemental to (Group R) Units installation Conversion Permit # '(No foundation inspection): Commercial/industrial (FloorPlans Jreviewed by School District Dis i - t Identification No. g � —// 7 School District certifies that 2lv safe - (Street Address) (City) has complied with the requirements of Resolution No. representing yl/ square feet. School District Representative (State) )� D Sq. Footage (Including Exterior sRoo ed Areas) a � Date (Applicant) ►Phone Number)) 0s ►Zip Coder -7�,✓ by payment of $ AB 2926 $ FULL MITIGATION $ Date Paid by Check k "— Remarks: 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 660201a), 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 ICEQAL this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm -T 4-leoepZ�b BUILDING PERMIT ` SITE PLAN CHECKLIST APN: OLD- l 10 0'-)r) Building Permit No.: Proposed Use: SFD O MH 0 Res. Accessory O Ag. Bldg. 0 Commercial 0 Industrial O Other. Zone District: U General per: L—`^ /\ The Proposed Use Is: Permitted: Not Permitted: Requires a Use Permit:._ Requires a Minor Use Permit: Requires an Administrative Permit: Accessory Bldg. Use: Parcel Created By Map? No: Yes: Book/Page Map Conditions? No`s: Yes: , See reverse side Use Permit: Variance: Dev. Agreement: Applicable Setback Zoning Code Streets & Hwy. Fire Prevention Subdivision Map Front Side S 3 Q Side, street Rear Height Parcel in Land Conservation Agreement? No: 2' Yes: , Check Use Parcel in North Chico Specific Plan? No:7:!� Yes: , Check NCSP Zoning Parcel in Floodplain? No: Yes: , Zone: Panel No.: Q6 oo I Parcel in Enterprise Zone? No: Yes: , Check Use CommerciaUIndustdal Uses Parking Requirements: OK as shown Other. _ Landscaping Requirements: OK as shown Other Comments: Or. Reviewed By: —V-4� Date: S ) "-) - 93 0 folio Is —1. Submit a plan of the existing on-site mature trees, located in the proposed for building and driveway area prior to grading or vegetation removal. Minimize the removal of mature trees, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced by planting . replacement trees of equal number and not less than _ gallon size. . • t . f _2. Prior to the commencement of grading and/or construction activity, all individual or groups of oak trees which are to be ' retained as part of the project. shall be fully protected through the use of root protection zones (RPZ). During consftucdon, RPZs shall be established using protective fencing enclosing an area with a radius 1.5 times the distance from the Hunk to the dripline. Within this protective buffer, no grading, trenching, fill, or vegetation alteration of any kind shall be allowed. The RPZs shall be maintained after the completion of construction in order to continue to protect the oak trees, but the fencing shall be removed. • . _3. Fencing for areas other than residential areas shall be limited to a maximum of 5 wire strands. The lower strand shall be at _ least 16" above the ground and the upper strand shall be no higher than 48" above the ground. . _4. Pay the required CSA 87 Traffic and Drainage Mitigation fee of $2,500. _5. Prior to any clearing, grading and/or construction in a Federal or State identified 100 year floodplain and/or streambed the following entitiknxnts must be obtained: a California Fish and Game 1604 Streambed Alteration permit and an Army Corps 404 permit or exemption certificate. _6. Pay the current West Chico Fire Station Fee of $75. —7. Pay water tender fees in the amount of $200 to Battalion Number of the Butte County Fire Department. —8. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 9. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish tit Game at 916-355-7010. —10. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $750 as stated in the Orovt'lle Area Traffic Mitigation Fee Agreement. Payment to be made to du Planning Division. It. Provide information showing that proposed construction will mitigate exterior sound levels to a 45 dB interior level. —12. —13. 14. KA8LDGC f14.FR.t 7 The010A-Gl . O�oO- 110- o-71 9.S-50 -�jher Lu�v�2 � S 29, ± MH (?) is 9 x y54 ►ye 0 Environmental Health MAY - 7 1999 Chico, California H O M E S VM/17/DEC97 Vogue Mansion Series Model 5443A 3 Bedrooms • 2 Baths • 1,146 Square Feet APPAWED Bllttr' �^f.1Rij/ Enn*6- imental Health '611. INSWING i�. ••/. - - -I .--- __ ��e7 1999 ' rODOR- OPT. OVAL Tues°I.. _UTI CITY-'; '- - -'- - t -5HOWER- kl.-.?.._�...._.�_.._��(.....�._...._?..:.._.KITCHEN- ;- ----': VINING 'AREA 6'-5" x 9' BEDROOM �1 GnuEY� . i', �' O ....... �. 0 M --- BAtFi- Y 1 " ��� .1 lUil "SNACK WALK-IN'—.�i' SNACK BAR - " Y " CLOSET{ 1 BOOKCASE LINEN 25'-8" MASTER LIVING ROOM BEDROOM 16-0'x12'-6" OPT , DEN '-10" X 12 M 11 -10"X12 -4"B -D 12E OPT. INSWING DOOR OPT. OPT ENTRANCE WDW. WDW. a / �.i/ O . O Mo vier 410 l 2l t+ 2-5� 9 IV I OL u I'�a r �s r- C g N," �� ia�'Ci.-��' �e�- A ' ' 1. w9� NIES a� ori �• 'a��«`�a ss •F Ertl A. IFT �� '" ---CSMALL o t,°i�:n: mas Lz Cas vubM ha vv 0 , i^r �` e 61f I TT P a - CDF FIRE SAFE REQUIREMENTS ff 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 j local regulations which equal or exceed these standards. Field inspections will be made by the `Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail - ability, ;access and utilization of the defensible space provided :for in these standards, annual maintenance must be provide for by _the land owner:' Driveway Standards 3 - �(j 1273.02 Surface. All driveway surfaces and 'structures (bridges, 1273.07 culverts and other appartezant 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 j. 1273.03 Grade. Not to exceed 16 percent unless paved. l I 1273.04 Driveway Radius A' [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shallbe '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 t of gutters, ditches and drainage structures; designed to hold or divert water shall be not less than 100 feet. 5 1273.05 Turnarounds. If required, will have a minimum' turning w _radius of 40 feet from the center of: the road. 1273.05 Turnouts. Shall be a minimum of 10 'feet wide and 30 feet long with -a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 ,foot ' traffic lane and unobstructed vertical clearance of 15 feet 'along its entire length. Page 1 of 3 - Ike — AP # PERMIT # NAME ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall ;provide -a turnout near the midpoint of the driveway. Where.a driveway exceeds 800 feet, turnouts :shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be'`within `50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it 'serves . 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 1276.41 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 ull property lines and/or the center of'the 'road. [] 2. For parcels less than 1 acre, local jurisdiction i shall provide for the same practical effect. See other Requirements below.' C�l 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, load and driveway construction and fuel modification shall be completed prior to completion of road construction :,r f__ial inspection of a building permit. Page 2 of 3 1 I May -04-r99 10:53P P.01 M.I2.L 2 01 - I ^ .. .... ;. ..v .. ... .Y. :.. :L;•:•:,LC•:v: '•};Y'.'::4 w .} �: 3r.bY. .fY' ..?' 1. Owner's Name: [At fi1�Q�h. 1 �2o�`f� II • 2. Assessor's Parcel Number: 00 o— O-7 1 3. Installer's Name: A D v,, o s i h G 13 uF 4. Is the site currently under permit? Yes[Xj Not ] Permit No. q ' r0�3S 5. Is the site an existing site? Yes[ ] Nok] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 100 Amperes. 7. What is the mobilehome site circuit breaker rating?Amperes. jl 8. What is the' electrical rating of the mobilehome site? ?00 Amperes. 'I 4. Is the main service remote from the mobilehome site? Yes[(] No[ ] If it is, what is the rating? Z aU Amperes. I site electric service 10. Is .there any other electric load to be served by the mobilehome e (i.e. well, garage etc.)? Yes['}(] INo[ '] If yes, please identify the Ioad and size: a) The mobile home site: Load- Amperes - b) ,The main service: �. Load- 4 1 Amperes- 20 11. Type of gas service at mobilehome site: Natural[ ] PropaneM None[ j 12. Size of gas pipe at the mobilehomesite from the meter or I tank: I& inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 20 (ft.). 14. What is the mobilehome gas demand? B.T.U. *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION t BUTTE May 1995 77777777,T � May-04-99 10:54P P-02 a M.H.I.- Z �I .•.::: rVIY K-•:�..•: C 2 •. .i?,y.;•x. :r,v: �ri2:Y.•:..i-.:..., ;.: Y - Mobilehome Manufacturer: ��-L Manufacture Year: If other than single wide, furnish Setup Model Number:_S V 9 3 8 Width:i5 L_(ft.) Length:Y y (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. .a FOOTINGS_-Wood pressure treated or foundation grade[ ]Other: E?F ouM SUPPORTS: Concrete block[('} , Other: Provide Tie Down Specifications for all Mobilehomes: I I I Pier Footings Sizes and location MULTI-WIDE SINGLE WIDE e i Line I Lime 2 Lau 2 maimBeams ...................................... .._........ e2 Lim 2 Line 3 Line I Line 2 ............................` .... Main Beams Line 2 .._ ........ Line 1 -_ ...__.. rine e 3 Tag of Triple 4 e L • 1A Line l Openings �i�.t' �. S Line 1 Piers: t, Jp por�Pcl �m ir»e�er - Size minimum: [ } x [" t6f.mq �W11- If Size minimum: x - ;Spacing maximum: Each side of openings From ends-maximum: J with width over: Line 2 Piers: Line 4 Piers: Size minimum: 2W x o Spacing Size minimum: x ` Spacing maximum: �? P g maximum: From ends-maximum: ` From ends-maximum: ` Line 3 Roof Loads: Size minimum l5 X '' t ixZi 2 l z9 36,3("yoXyr� Z 29N Location (from front): / , ,� ,� �,,, z „�IZ� y $l/ NA re ulhpci -.SSE ro�'e • mn �nvh�ldi'Nti �J�iY+. Line oo<Lo. 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