HomeMy WebLinkAbout060-110-077NOTES
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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, .. _
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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)
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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
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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.
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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
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Line oo<Lo.
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