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061-300-026
061. `300-02 6 PERMIT#95-04.10 SAUNDERS, Randy `69-Ka-el_in Rd Brush Criielk Util..for Travel -Trailer '% •Oly r :.,,QAS -LINE COMPACTION TESTYREQ SUPPORT, STRUCT -REQ j,061-300-026 _991727_ N SAU_ bEhiff,—Ra-9- er�' , �ell 69 Kaelin Roa rush Creek/1 lyk CMobile Homer ] ontr: B & .,. ,M F MIR, ��te cl J l . 0 CIO NOTES RESIDENTIAL _ 061-300-026 99-1727 PERMIT NO. SAUNDERS, Randell ix 69 Kie-lh Road; Bi=ush Creek'— Contr: B & B Mobile Home MHI, ex site Y ll(;/A6d Y' E-2 e, e t 1 JOB FINALED (Date) Signature — V = 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./ PLPG 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 ME INSTALLATION (Plans) OK except #'s 2. . Zo 'ng Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Gas est -Demand -Valve -Connector 4. . Ele i y; MH.Test-Crossovers-Breakers-Clearances Drai Test -Fall -Flex Connector ater; MH Test -Regulator -Connector Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures tea. Water and Sewer Connected -C/O to Grade -HD Approval 6. Carports; Windows -Doors ie ns -Type -Installation Cert. Electric E ' ; Insp.-Sketch 8. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date WA Date 11, Card B-1 Date Card B-1 Card B-1 Date Card B-1 S6�sz1_ 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- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures i 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh f 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 t 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 t 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 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single ,& Duplex) Date Underfloor (Plans) OK except #'s , w Date 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 51. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Card B-1 Date Card B-1 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Ext. Steps -Door & Sidelight Protection -Landings 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 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q 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 w Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. 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 85. 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 -Mach. 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.)-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 Q Yes 82. Following Instld./Drive J Yes ❑ No/Walks 7 Yes Q No/Planters Q Yes :1 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: CERTIFICkTE OF ANCHOR INSTALLATION Title 25 CCR MoMehome Parks Act Section 1326 (bH3) I certify those portions of the tiedown system installed below grade were not damaged prion to or as a result of the installation, were not modified prior to or -during the installation, and were installed in - accordance with the manufacturer's installation -instructions, plans and specifications of the engineered - tiedown system referenced on this certificate. Tiedown System: Manufacturer. Model: -- Installed. by:f-a Date: Cont ./Owner. o -Y _ license No.: S� g . `f ! COUNTY•OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE -172 7 OWNER PERMl1rN1& A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date 91-7 / Inspector REV 10/9/2 j`P".'`,�"T'v^Mv^.+`..'^s.✓'^1•,� N`^++"^+•�,.'"'t•''�' �1.'*i' r'"�r+�„Yf`•'�irK"�.r++_..�..,�'�.*n1..''�i•r�7vlrn'Inynri""`1171ti{Y*""`,rr"+t�..�--��1'�Y'�` MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: �vD _ ��� PERMIT NO.: ��_ / Z Owners: Name: S[7"`QG� 1L 0� c c c- r I - ddress: Se �; o ! v t Mobilehome ! r Year o1 91 f 'Manufacturer *""� ' —s -'-'Manufacture- ^�^+�•^�•^� r Serial number� �` r Insignia or ��� 93►.. 3 or V.I.N. HUD number: / / Official approving installation: Date: 7� If the mobilehome is mov d or rel cated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor "COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) ` APPLICATION AND PERMIT ASSES D AR NU B ZONING U BUILDING PERMIT OWNFAAND,(LL SAUNDERS TELEPHONE SO, FT, OCC. BUILDING VALUATION OWN%S MAILING ADDRESS 190 SODA BAY ROAD, SPACE 20, KELSEYVILLE CA 95451 CONTRACTOR'S NAME Ad- ryLn(-e- 1Th Uyri Ile - TELEPHONE WS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20A0 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.0' BUILDI GADDRESS KAELIN ROAD BRUSH CREEK Energy Plan Checking Fee $ $ PERMIT FEE S 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN 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: MOBILEHOME INSTALLATION/EXIST SITE Gas piping sy2tern 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..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 � � y`7 Lic. No. '% % / y� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 5' h�+ trI /--"12.,11 Main Service 200A TO +000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. s0 3.5QFT. T. ,,DµgESID. MULTI -OUTLET @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BA L p .50 FIXED APPLNS. OR Ex. Occup. Dun.ETs REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number j S 3 "t''r'1 9 -� 9 ?_Mobile (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. �) / __ r, XDate / Signatu of Applica - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Home Installation Fee $ r Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. I P FLOOD �— COF PARC HD SU 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. f% j / �I 9 /Date (t0 / 7 (� ate LReceipt No. WHITE -D. -B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' f' ae t j.y.-r- .r• • .. . 4 ,. ..�1 n -r .r r:`. int �. ,� ',.ter.,' ,.n r ;y:4 `' ,'l .. •e , • .. ,,�_ w' �:`y. ry.-�'i�•• 'M• yr*. t --r .' r l�;w��'u.�-.. .•�-w ky ti W r ^''�..r►a ,�,. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 �\ M t./ PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCIU, NUMBER: Qin �- Proposed Building Use: YAftle4 Building Inspector: Date: At time of permit application, f was advised the following data must be submitted prior to pernift pr6cessmg and/or issuance: Date Received By ❑ 1. 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. ----------------------- =----------------------------- ❑4. 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! ------------------ 06. Energy Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- y ❑ . Hazardous Material Form. --------------------------- ----------------------------------------------------------- k. �aclrmding Tie Down Specifications ------------------- 0 10. Fees of $------------------------- -------++--------------------------------------------------- 1. Impact fees as shown on the attached schedule.` 4-------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ------- ----------------------------------- El 13. Flood elevation certificate. -------------------+--------------------------------------------------------------------- 4. Sanitation and plot plan approvalDQ 1 Health Department. ------------------------------------------- 1115. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ------------------------------------- - ❑ 17. Planning approval for (A) Use: Q K `--2 (B) Parking: �R(G -=_�-' ----------- ❑ 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). ----------------------------- 0 22. Workers' Compensation carrier and policy number. -------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. ------------------------------------------ ❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- 027. Manufactured Home utility clearance. ------------------------------------- 028. Existing violations and/or expired permits. ------------------------------- 0 29. 043 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: _ (Date) n you issue the p t, r cess! follows 11 Mail to owner, ❑Mail to �f ontractorRlephone . J� T and hold for pickup at ���!e office. ❑ Deliver : th inspector. Applicant:" - Date: 7' 7 - 77 Copy of Haz-Mat form sent ❑ Health Department, Fire Department, 13 Air Pollution By: Copy of plans sent 11Health Department, ❑ Fire De artment, ❑ 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: 49 Sets of plans on hold in ❑ Plan Cabinet, 1:1A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. : _. ft "TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. US 'Y Plot Plan Attached Floov Plan Attached Sant to S.D. Owner Location AP# Plan Approved for: Sewage Disposal �� Water Supply: Public Private Well Clearance for dwelling. Other. 4( a jAod ;r/i ; � Hold final for: Final clearance O.K. for: NOTE: Environmen Health p �cialist Date 8/96 Attention Property Owner: l . An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. i - 1. I personally plan to provide the major labor and materials for construction of the ,proposed property improvement: YES[ ] NO[ ]. ' 1. r 2. I HAVE[ j HAVE NOT[ ] signed an application for a building permit for the _.. proposed work. 3. I have contracted with the following person (firm) to ` provide. the proposed construction: NAME: �, •,•,,� ADDRESS: — CITY: PHONE:a23 )'. / %��'a' CONTRACTOR'S LICENSE NO. 7Si i If 9- 4. I plan to provide portions of this work, but, I have hired the following person to coordinate, supervise, and provide the major work: NAME: _dJ rte' ons ADDRESS: %Y. 33 V-7 JW_ CITY: .615_104-o!-, ee r PHONE: CONTRACTOR'S LICENSE NO.. ;7'5/ y VS - 5. I will provide some of the work but I have contracted (hired_) the following.persons to provide the work indicated: - NAME ADDRESS PHONE TYPE OF WORK SWAI-e- -41T SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 0.B.-1, Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks ' for you if you do not carry -out these obligations,* and these risks are especially . serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial C Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildee, building permit,. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27. 13 til J`I XWE: All Materinlr, a Ilurkmanship Shall Be in Accordant© with�,:-, ' �8 and of a Quality Pre '; iesd for the SpeeLfted use in the Unifo* .n BuRd+ng, Plumbing & I+aectie.nic:,-. Codes said ho Na�iona? EieclTical Code set of plans and speciflawons MUST be kept o the,job at all times and it is unlawfW to make changes or alterations on same without writ n permission from the Department of public work County of Butte. ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT ' PLAN CHECKED SHALL COMPLY WITH CURRENT EDITI W-� OF NEC, UMC AND UPC. ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF ao FT. FROM THE SIDE AND FT. FROM THE REAR PROPERTY LINES AND FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG——-, �33- a V tS j 1 N P°w I APPROVED Butte County Environmental Health �r' c n° 4 B Eivirt�� 't l Health UILD 7 omy n Or e go f�� Mobilehome Manufacturer: -Manufacture Year: If other than single wide, furnish Setup Model Number: Width: O (ft.) Iq Length: I --(ft.) (ft.) Tagalong or Expan.do Size. ' On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressuretr9sed or foundation grade[ y�] Other: SUPPORTS: Concrete block[el Other: Provide Tie Down Specifications for A Mobilehomes: C61VI:94 L PL( U-11 /A - Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I Line I Line 2 ........................................... ................................. Ljne .............. Main Beams Line 1 ................................................................................................. Line 2 2 Lim 3 Line 2 ................................................................................................ Main Beams Lino 2 Line J."'. ................................................. 5 Tag or Triple 4 ine I Line 1 Piers: Size minimum: r 1 X r I Spacing maximum: I I :::] From ends -maximum: l & Line 2 Piers: Size minimum: 1 x I -W I Spacing maximum: From ends -maximum. Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line I Openings Size minimum: x I -W I Each side of openings F 'q d with width over: Line 4 Piers: Size minimum: J x I Spacing maximum: From ends -maximum: I 1. Owner's Name: I V4/Jde& StgUW RAI. C 2. Assessor's Parcel Number: — o 3 3. Installer �R ht b i L � 's Name 4. Is the site currently under permit? Yes[ ] No[OfPermit No. 5. Is the site an existing site? YesNo ] (If yes, furnish two)lana lot . P plans). 6._ What is the electrical rating of the mobilehome? ' ;Old ' Amperes. 7. What is the mobilehome site circuit breaker rating? 2-60 Amperes. ,. . `s-1 8. What is the electrical rating of the mobilehome site? 0-00 Amperes. ;t 9. Is the main service remote from the mobilehome site? Yes[✓J No[ ] If it is, what is the rating? 100 Amperes. q 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[4No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas, service at mobilehome site: Natural[ ] Propane[ ✓None[ ] 12. Size of, . gas pipe at the mobilehome site from the meter. or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (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 May 1995 8,5 o� \c'_l o o U r. APPROVED <-b Butte County Environmental Health v Vnr 5 '� ni iTTE w ., �1l ental HenRh Sul IN D P J6t,%�!fEN 999 r e7 Count (er�IM f lle rdt�d, d E; Kd)rcivi- r'/2 -C) A� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM w (One form per Building) School District ��V� I �fj Building Department No. A.P. Num``ber'—��-n� �„o Jurisdiction:. City County OnmA n l)O .Jr_ /1 _ u C— Property Location/Address Subdivision Lot No. Residential Development representing ........... Sq. Footage g �� No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection); :.................................................................................................................. I Commercial/Industrial Department New Addition moor rians reviewea oy acnooi uistnct rersonneo District Identification No. 000018 A' w School District certifies that (StreAX.Address) (City) has complied with the requirements of Resolution No. t representing square feet. &At4L School District Representative Paid by Check # Remarks- Notice: eemarks: (State) d Sq. Footage (Including Exterior Roofed Areas) Date' (Applicant) 101 111- 7ok?) (Phone Number) (Zip Code) by payment of $��,, AB 2926 S FULL MITIGATION $ Datell Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA). this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/9e)dmm P, ,1• 06 /- 3 RESIDENTIAL 061-300=026 PERMIT#95-0410 SAUNDERS, Randy 69 Kaelin Rd., Brush Creek Util for Travel Trailer I\JDTIC ; Y%,/S i6 a. spark', lWed-j2Q OFFICE COPY LM ress ECTRICer By Date JOB FINALED (Date) �l1 Signature r J=OK O = Not OK Not Applicable MOBILE HOMES Date Mqe1LE HOME UTILITIES (Plans) OK except #'s -1. ;Pilling Requirements-Setbacks-Easements . §p4; Special MH Support Sketch S ; Location-Test-Fall-C/O Concrete W Location-Test-Easement Needed (Sketch) Electricity; Location-Clearences-Grn mp-Concrete I 6. Gas; Location-Test-Wrap: / /" L" ft. .. / /'Nat. or PG Well Clearance & Disconnect B-Utility Clearance DatCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit t 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----- ----- - - --------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------- ------- ------ - ----------------- 19. Shower Pan: Test, First Floor -Tub Access ------------------ ---------------------------- 20. Test Tub & Shower, Second Floor -Tub Access -------------------------------------- 21. Gas Pipe: Size & Anchors ---------- --- ----------- ------ -------------- --------- --------------. Date Card B-1 Date Card B-1 -- --------- -------------------------------- ------------ ---------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection -------------- ----------- --- --------- ----- --------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- --------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------ ------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------------------- --- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --------- ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------------------- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / ga. Cu or At ------------- -------------------------------------------------------------- ---- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ---------------------------------------------------------------------------- 30. ----------- ------------ - -- - - - - 30. Service -Riser Conductors & Ground -Main Disconnect -------- -------------------------------------------------------- -- ----------- - - -- 31. Equip_Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------- -- --------- -- --- ---- -- - ------ - - -- ----- ------ ------- 33. Smoke Detector ------------- -- -- - ----- - - - --- --- - - --------------------------------------------- Date ---------------------------------------- Date Card B-1 Date Card B-1 --------------- ---------------------------------------- ------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34.- A. -C.- Ducts Insulation & Support ----------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------ ----- - ---- --------------------------------------- -- 36. Conden=ate Drain & Overflow: Size & Grade ----------------------------------...........- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ ------------- -------------------------------------- 38. -----------------------------------38. Attic Access & Platform if Furnance in Attic ---------------------------------------- ------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- ------- ------- -------------------------------- ------------- ----------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- - - - -... ----------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ----------------------------------------------------------------- ------------ 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ------ ---- --------- ---------------------------------- ----- 44. Headers & Beam -Size & Bearing single & Duplex) Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. -Siding -Nailing Veneer - 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings ----------------- 60. Infiltration -Walls -Windows -------------------------- - Date Card B-1 Date Card B-1 ------------------------ Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection --------------- 64. Bedroom Exiting --------------------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ------------- --------------------------- --- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Gap-CookingClearance --------------------------- - - 71. Elec. Outlets & Receptacles at Kit. Counter -------------- ------ 72. Garage Fire _Door Swing -Landing -Closer 73.--A.C.-Duct in -Garage -Damper -------------- -------------------- -- - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ----------------------------------------- 7i. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- -- - 78.. Guard Rails & Deck -Construction -Post Caps ------------- -------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth -----Clearance Looked -under Floor-- ❑ Yes ----------------------------------------- - 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish 82. A.C. Unit Disconnect Electrical, Plumbing ------ -------------------------- - -- - ----- --- - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing - - -- - - ----------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House -- --- ------ ---------------------------------- 87 Glass Protection ------ - ----------------------------------------------- 88. Corrections from Previous Inspections .. - - - - --- ---- --- --------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric - .....--- -------------------- ---- ----------- 90. Water &_ Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ---------------------------------------- - Date Card B-1 Date Card B-1 ---------------------------------------------- --- -- Date Card B-1 Date Card B-1 ----------------------------------------- ---- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 -County Center Drive - Oroville;' Calif6rrYia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ?? o ASSESSOR PARCEL NUMBER 061-300-026 ZONING U BUILDING PERMIT OWNER RANDY SAUNDERS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 5725 LIVE OAK DR #12 KELSEYVILLE 9561 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION (ENDER UNXNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20..00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 6 KAELIN RD PERMITFEE $ BRUSH CREEP. PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOTNO. SUBDIVISION'S NAME PARPYL 419P 440( Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities EK Installation ❑ Other ❑ Describe Work: TTTTT. FOR TRAVEL TRAILER Mobile Home G @20.00 40.00 PERMITFEE 60.00 g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service ( eoov OR OR LESS LEss ) 200A 23.00 23.:)0 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law ,r the following reason: f� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( a ACC. BLDS. ) SO. 3.5Q FT. CNS. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( &PS NGLE WER APPLET ARATUS R. ) Ex. Occup.( OUTLET OR FIXTURES ) 20 Q 1.00 BAL .30 EX. Occup. FIXED APP WS. OR p• ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE ; Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: .❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation /�f one hundred dollars ($100) or less.) 98' 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 rovisions of section 3700 of the Labor Code, I shall fo hwith com with th a rovisions. X ___ Daty4vsif Signature of Applicant Owner ❑ Contractor ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oer CONST. TYPE TOTAL FEE $ 146.00 / HAZ. M..• D. FEES ,.,- IMP F C PD HD ISf'U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do wont indicated ab for which fees have been paid. By Date �p• Z r gs- PERMITEXPIRESON_ (p - Z t ` WP (Date) Receipt No. 175531 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to rovide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name I\ Address City Phone _ Contractor's License No. 4. I plan to provide portions of this work, but I have hired the followipg person to coordinate, supervise, and provide the major work: Name Address \ City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicaL-d: Name Address Phone Type of Work Signed Prope Socia Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. { This verification must be completed and returned to our office before we are permitted to issue the permit. �SZ'V i i+�.�Y'7v,�N.-9,�4�t^f'�'kry7/�`�v�'`f "9�+�.��t••�••-�uAh�... �i"'� ,.".tnit�'iMjC� #':"�G'�'1Ti= P;• -,.r. r:.+�•Y ••I.r• w.....-n+rr r -1n .:� �+;.� 'w'>'vcsr.7`Eir1�'('-T, 'cv:^.sr��^ .. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 1�)P. No. (o1-3 p ba Cf Propospd Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: _ DATE RECEIVED BY 1 All items have been submitted. . 2. Plot plans03A sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... g. Mobilehome data and manuf cturer'sYs llation instructions, 2 sets. ........... 10. Feesof$ 14b. 6u t � .. _ .. .................. . 11. Impact fees as shown on attached schedule. .. _ 12. California Department of Forestry plan approval ees .....3�7? .... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy)....Pre�I��ec�o; regeeat 20. Pre -inspection for required. . to Building Inspector Dae) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Whe? you issue the permit, process as follows: Mail to owner Mail to contractor. ✓ Telephone 533 and hold for pickup at moll I office. Deliver with inspector. Other Parcel Creation 34, 19 3 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dep . Other Date By The following data must be submitted prior to permit i Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by ( DateJ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works n TO: ' Building Department E.H. USE ONLY Plot Plan Attached Poor Plan Amehed Seat to B.D.:r, iZ / FROM: Environmental Health SUBJECT: Sanitation Clearance Owner LI/ Location . dX6----7e, Plan Approved iifor: Sewage Disposal Water Supply: Public _ Clearance for I bedroo mobile ome. Other l2 Final clearance O.K. for: NOTE: L -- Environmental Health S 'alist 8/92 AP# Private Well --a - ?7/a,- _ 9 ,5 Date Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. Theproperty described herein is adjacent to land or included P�� I_ 95-00621 within an area zoned for agricultural purposes, and residents AO3 G _ of this property may be subject to inconveniences or ' discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations 11 j� 21 �95 including, but not limited to cultivation, plowing, spraying, J V pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for produc- tive agricultural purposes and residents within said zones and'on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 02 4L t X -'c •` . �,.JL' .C',1. . CL����il�jyi 1 /NJ•/�k Z� ti :..��1 G.tCt�.. 7� � J��� i�.�'L_ /t � ji xf�10+ .o h� iS vet i d.u�,,.✓ /4�1V�'>>�R ��, 7, ��/���. PaG�c %%t1:4 plwce Date: ? -2 �' PROPERTY OWNERS: State of California County of On & before me, 50 // 'T - E%" : J Z' personally appeared A.,he'_ Slu n dem r -S e - Ai I Y' (4, // .(J. 'i d -e r- S personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. SALLY J. SMITH COMM. f 989241 'Votary Public — Calltoml0 Signature �LC�'� �, ,� c-�s;. Seal: BUTTE couMY Ny Comm. [ Wires APR 26.1997 ` A.P. a C)6 c) 00 (f)o. 6� ,.� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751' 7 91-2751- 7 County Center Drive, Oroville, CA - (916) 538-7541 ;r 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE -�% OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or.need additional explanation, please contact this office immediately. Date tP d Inspector REV 10/962 M I 0 ALL STRUCTURES AND EQUIPMENT S� UDIN 5V NC;S'SIMALt CLE "` 3FT. FROM THE :SIDE AND A SET 13ACK OF' _--- ` LINES Ar. 3� FT, FROM THE REAR PROPER' R-0 FT. FROMTHE ROAD CENTERLINE SHAL SE OF STRUCTURES AND EQ'� PMENT EX 'EP FOR A 2 FT. Ep,to VE G1VE►R - E IEWED BY BD`i i Z- CO. FIRE DEPT. CALI . DEPT• of FORESTRY appro' cd as submitted 0, prove rrtQh conditions pej- atfacheO a?et•SS. rj 540 ae yrith P,e Accor ty preacril 0.Aa V and tue pato ca oat �g e48cifl d i a �� Get of ob � termoll °nt,�enti SeSae of t on t11A� ges or the De'P me e ch salon �o� Environmental Health itteU Perin Of Butte. woTIO c � MAR 0 1 1995 Oroville, CQ#grnia F�viro e ecticesa- Good Pr --- theSpec �eC�ica1 b `r -------------- s CDF-FIRE--SAFEREQUIREMENTS a �. v ���o � s ��,✓o y AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [ 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 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app1rte-iant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. "\] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius ] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet.and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [ 2. The length of veY_i^tel curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�} 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [yJ 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 traf f is lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of :?.-, (-3240 AP # PERMIT # NAM 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. [)(j 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 fj(] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [)(j 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction ,r fi_ial inspection. of a building permit. Page 2 of 3 /- 3D - 2-6 . AP # SIS-O�iy PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback —Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Page 3 of 3 gnature FOR OATS .� TI M E KA PHONE �2p57S-r • "AREACOOE - 'NU 8ER- -EXTENSION O FAX ❑ MOBILE. .AREA CODE. ,.NUMBER. TIME TO CALL lm ELEPHONED� PLEASE CALL CAMETO SEE YDU yW�€ILLlaG/alNc f� �a���� OVER= RUSH aseG g ams � $r.-�r.,iaw��`�'��aZ RETURIVEDYOUR CALLS a SPECI4LA1TbENTION NOTES �z--Q:�---/� 2� J I� � I . NEnvlr©"f"'Wal Health � R 61 1995 Qroville, Ca lifomia .0o� D 3 on i rzcyyl Poop J 0 LAND DEVELOPMENT - BUILDING PERMIT CLEARANCE Building Permit No. / s— oq/- OWNERS A.P. /, NAME: /'S NUMBER: 0ly PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: LL FLOOD ZONE: Sc FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS 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: PARCEL CREATION BY MAP DATE OF RECORDING J✓,,- '7 , l ?5Z LOT l7 BOOK 2 2 PAGE 2 5/ a VA-0At-i4 T?lA<-,— 61A,", r / COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES _I,-'- NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: - A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a building setback from right-of-way/centerline of _ 3. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 4. 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. 5. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 6. Maintain a 100 ft. leachfield setback from,all existing wells. 7. Maintain a ft. leachfield setback from 8. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. 9. 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. _ 10. 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. 1 1. Deer Mitigation fees ar : to be paid, if such fees have been adopted by the Butte County Board of Supervisors. CHECK APPROPRIATE REQUIREMENTS YES OR NO OR CONDITION NUMBER. LD 12/94 - CAWP511F0RMS.KWLDGPERM.CLR 2.1/GAC. y 1.24s�0.1 ?4GGA 1 sem'• \`e �`VyI�'• �� O O r \ coo AND RB °tom c S� • 1 . I 2 1. a 2aA�. c eo•.ra a - ss.ao•1 1;. ' e ® 1.53/ Ac. ply a 2.046Ac. 0' ®1 2.00 Ac. uIF - t 1372 Ac. L - -f 4• l-1 •'1 EA7T- 434 1 $ ® 2.0/6 Ac. 4; �' 7557 Ac. Qy- x' 1.928 Ac. 191 1.679 Ac. "er 'e - 576.&2' , s' 'e - szs.se' 1 A ® 1.64Q Ac. Z i -•V' IAW Aaa. _ —T _ I L a,a.a7' 1- 01 LAST - Jr 1-9.7' I q ® 1.816 A. I 21: �j 1.662 Ac. -s .2s' vl-,1 L'Asr-s 9.40' I n ® I.B45Ac. .1.616 I eAsr - ss -Td LL1-1 -J .a[' 1 ® LIMCAC' ,� ul 1-700 Ac. ®. e sr -.".Z ' , , AST -Z7,. ' 1 ® 2_148 Ac. o" s1 1.550 Ac. i 200 (0 n -A 0 wtaT• lw�c.?s• );s _iubdivis;on are true 11 aA'� dis><PncCs are fo //)&- ©Fi3UTYE \y` _7dJoin;ng rood. fAUT1'N BUILDING DEPT • ' . _ . 'oald R/Wwill be deeded Service. JAN 0 3 1995 lc� f corncrs cxccp> whcre :nts are shown �Aua o not lobe. mainJ'ained by BALD ROC- TRACT UN1T N41 BEING A SUBOIV I S ION OF A PORTION OF THE NORTH HALF OP 5 ECT10 H 17 - T 21 H - R 6 M - M.0.8.4N1• PAG EE 29 C t,� � � t t �`Y �„ ; '. ' s . 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