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Home My WebLink About061-310-032«,061-310 `032; �t." PERM T#96-0'462 �� T 'SWANK,` ' ,, {�Jamesl�a W �,"" i� X2629 `'Bald -Rock"Rd.:,k,-. i erryZ.Cre -k,, M6bileliome;Utilities, ,, ;;j a "' 061=31-0=032 97-0020 A. JAMES,,W SWANK • ELECTRIC BERRY CR dOC�-lf� /Le1c-�/�E� �� 2629•"BALD ROCK ROAD, 3 PERMIT #97-0020 A(AGRIC EXEMP- ' ^'GAS LINE.- .�� .�5 s ' EARM JBZLEMENTS) 'COMPACTION TEST REQ SUPPORT STRUCT REQ /UD `w06�1=310=032` w ''r-PERMIT#96=04 3 z SWANK, - Jame W 2629„BaldtR-6 k R`d' , ” Berr Creek Y / M66ile+hoine' Installation. Cfll Ci RESIDENTIAL 061-310-032 PERMIT#96-0462 �SWANK, James W. 2629 Bald Rock Rd., Berry Creek Mobilehome Utilities 3� y/97 f V=OK Shthg.-Rfg.-Bracing O = Not OK 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures —NoAppl`=Nott Ready - MOBILE HOMES , Date MOBII.E HOME UTILITIES(Plans) OK except #'s n' Requirements - Setbacks - Easements ,.ael5oils; S 'al MH Support Sketch pcabon-Test-Fall-C/O-Concrete ater, Location -Test -Easement Needed (Sketch) g. 5. Electricity; Location-Clearances-Gmd�(p-Concrete Date 6. Gas; Location- s!AY62 / n2ft. Date at. or "ft2&G Date Well earance & i nnect lity Clearance Date` Card B-1 Date Card B-1 Dat Card Date Card B-1 Date MOBI OME-INSTALLATION Plans OK except #'s Zo ' u' ements-Setbacks Easements elfoop!g5SizeSpacing-marriage Une as Test -Demand Valve -Connector lec' ; MH T stCrossovers-Breakers Clearances 5 rain; est- all -Flex Connector er• T PRegulator-Connector a nd S wefConnected-C/O to Grade -HD Approval Ga Electricity" Tagged Tie ns -Type Installation Cert. Exits .-Sketch ert of Occupancy DatI Card B- Date Card B-1 Dat Card B-1 Date Card B-1 lv��CL,�eU Aa j� d�soD i> J5 G� ri rye MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders 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-AnchorsStuds-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 1 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining r 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed I 7. Elec.; Bonding; Metal w/6 -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 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 (1 ' = Date UNDERFLOOR (Plans) OK except tit'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- Bloc kouts-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 ft'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 DateCard B-1 -------------------------------------------------- ---------------- ---- ------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except u'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 wrMech. Fastners-Bond Gas & Water -------------------------------------------------- - ------------ --- _-- -- 27. 2 Appliance Circuts in Kitchen & Conductor S1zerGFI -------------------------------- - --- - -... --- --- .. 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. r / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------- --- ----------------------------------- ...... .. 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 Card B-1Date Card B-1 - - ---------------------------------- -------------- ......... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ---------------- ---- ----------------------------I...... .... ... ... . 35. Vent Fan: Exhaust above insulation ----------- ------ --------._.... ------- ------ - .. 36. Condensate Drain & Overflow: Size & Grade - - ---- - . - . .. ._..... ....... . ....... .. .. .. . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - -- - ----- ....... ....... ... . 38 Attic Access & Platform if Furnance in Attic --- --- -- ---- - -- . - - - - - - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except rr's 39 Sits. 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 jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. ----------------- ------ 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ----------------------------------- - 51. Property Line Firewall & Openings _ 52. Ext. Doors -One T -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 a's 61-.- Ext. Steps -Door & Sidelight Protection -Landings --------------------- -- 62. Smoke Detector ------------- ----------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection .....---- ------------------------- 64. Bedroom Exiting --------------------------- 65 G.F.I.& Bath Fixtures & Tub Access -Spa -------- ---- __ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels - ----- ---------------------------- 67. Slags & Rails - - - - - ------------ - - ----- --- - --------------------- 68. Fireplace or Stove: Clearances -Hearth .. -- ------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. . --- ------------------ ------------ ---------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ...... _------------------ 71 - - - ------------------------------------ -- - 71. Elec. Outlets & Receptacles at Kit. Counter - - - --- --- ---------------------- 72. - - - --- ----- -- - -- --------------- ------ --- 72. Garage Fire Door: Swing -Landing -Closer .....----------------- 73. --- ----------- ------------- ----- 73. A.C. Duct in Garage -Damper .............-...._-------------------------- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ..... ----------------------------------------- ----- 75. Plb.. Elec. & Mech. Equip. Listed for Location ...... ....... - ---------------------------------- 76. --------------------------------76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------- -------------•------------------------------ 7, 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 Cl No: Planters ❑ Yes ❑ No --------------------------------------------- ---------- 81. Stucco: Brown -Finish .. .....-. _- _..-.._...------------------------------------ 82 A C Unit: D sconnect. Electrical. Plumbing ... ... --- ..... ----------------------------------- -- ----- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ....... . - ---------------------------- 84 ---------- --------------84 Water Well: Disconnect. Electrical. Plumbing 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground - ----------------- --- - ----------- 86 Ventilation Throughout House . .. .._. --- ---------------------------------- 87 ------------------------------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, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATIONAND PERMIT 9/ -ag(15_1;- ASSESSOR PARCEL NUMBER 061-310-032 0 ZONING BUILDING PERMIT OWNER JAINIES W. SWANK 707 TELEPHONE 584-8886 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 421 BEJAY AVE SANTA ROSA, 95407 CONTRACTORS NAME o14rjER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS ,2629 RALD ROCK RD PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 BRRRYr, Each Trap 7.00 LOT NO. SUBDN510N5 NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY 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 F] Installation ❑ Other ❑ Describe Work: 3 BEDROOM — Mobile Home W 920.00 PERMITFEE $ 80.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service,000V OR LESS ( 200A OR LESS ) 23.0023 00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION L 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 aw 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLOS. ) SO. 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.WER50 us (a SIINGLE OUTLETT CIA. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL Q .50 Ex. Occup. FIXED APPLNS. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor 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 Filing Fee 20.00 9 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 of one hundred dollars ($100) or less.) l� 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 comply with those provisions. X ___ Date 3=J-- 9 Q 9— nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent n 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 Is Occ CONST. TYPE TOTAL FEE $ 166.00 HA2. D. FEES IMP FLOOD MP _ DF CPARCEL PD HD .— SSU This permit is hereby issued under of the Butte County Code and/or indic ab ve for which fees have ` B y /� PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date �) ✓ �� (Date) ReceiptNo. 194735 WHITE-D.D.S.-R.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .w v...,; •-i4�'�'x. "C: Y`f:.+`w"r+'�•. r i1111 1�►�"'E44..�pc, (y.; jPl+�.www--rr�-"-..n Ikl W+ V "` COUNTYOF BUTTE - DEPARTMENT.®itVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916)538-7,541 PERMITAPPLICATION DATA SHEET OWNER Si 0-/ AP. No. Oto� Proposed Building Use 1(11 Building Inspector Date S r 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 hpf� been submitted. . Plot plansUA sets, signed by preparer of plans . ......................... . 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. ........... T... �. 6. Energy Design Complianceandsupporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C,Buildings. ..................... . 8. Engineered truss details and layout iri duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ...................... Impact fees as shown on attached schedule. California Department of Forestry plan approv %fees. ...... p.� ..-��-��, Flood elevation letter (100 year floo by C lifo.rnia ngineer................... --� ` 14. Sanitation and plot plan approval My 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 Developme4 about (A) Improvements (B) Drainage. wor 19. Driveway permit (construction approval required prior to occupancy).&z�/.�.%. if 20. Pre -inspection for required. .. o Build g Inspenspection ctor r' (Date) 21: Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner _ )............ 24. Recorded copy of Agricultural Acknowledgement Statement ................... 25. Letter of signature authorization . ......................................... ...................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits . ...................................... ' 32. Plan check list . ..................................................... �- 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Allt q t Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by C.: t aer,,j 5 Date Plans approved by G t a san4sDate Sets of plans on hold in File cabinet Z AP folder Copy - Department of Public Works 12 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance H. U� SB ONLY -- 4` Plot PI= AnacLad Ploor Plan Athe6ed Sent to B.D— L2 / TA-o-4eS 54. ASK LC) It.c� Ic . Owner / Location Plan Approved for: Sewage Dis sal ✓ Water Supply: Public " Clearance for _3 bedroo mob'er Environmental Health S'eci 8/92 Cotr-313 ' - AP# Private Well , �j , 9��, , Date B.H. USE ONLY Plot Phn Att�cLed Plow PLn AftcbW Set to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location APAP Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date R/9,) 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. (',.)I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES[X] NO[ i. Q.2I HAVE[ K ] 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: CONTRACTOR'S LICENSE NO. b 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: 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 indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY UMBER: 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. OVER U 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 posstble 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 5300 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 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 o%yn employees, «athout a licensed contractor or subcontractor, only under limited conditions. A frequent practice- of unlicensed persons professing to be contractors is to secure an "ownerbuiider' building permit, erroneously implying that the property owner is providing his or her oNyn 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. 95314. 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. Sinclrely; ` Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code. • •7 REVIEWED BY BUTTE CO. FIRE DEPT. ,CALIF. DEPT. of FORESTRY ❑ approved As su' ✓muted aliproved with conditions p,ar attached sheief. mate 49 m a E g Co o 7 . zA, , 8 0 WL/C fbL� ML E c uj > Dr o. 1 OU N l a. m E aL 3=� M I I C I yco w E.5 LL •� REVIEWED BY BUTTE CO. FIRE DEPT. ,CALIF. DEPT. of FORESTRY ❑ approved As su' ✓muted aliproved with conditions p,ar attached sheief. mate 49 m a E g Co o 7 . zA, , 8 0 WL/C fbL� ML E c O— — _ sEPrc. Ti4N� w E.5 LL •� L8j a) �WU a 0. N ffi I 7441 sQ ' `- f ALL . STRUCTURES AND EQUIPMENT* INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS, A ,SET- BACK OF a FT. FROM THE SIDE AND ---10 FT. FROM THE REAR PROPERTY LINES AND --ZD FT. FROM THE ROAD CENTERLINE SHALLCLEAR OF STRUCTURES ANDE'QUIP44E)VT a�-cep-v FOR A 2 FT. EAVE OVERHANG. O we 'Ll. l� I m a t' CDF FIRE SAFE REQUIREMENTS ?6 -0L(L Z &fJej)):� q;�eS AP# PERMIT # NAM 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. NCJ 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, 1 1273.07 culverts and other app irte: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. [0 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 vert -i: -:l curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�1 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�} 1273.05 Turnouts. Shall be a minimum of -10 feet wide and 30 feet long with a minimum 25 foot taper on each end. ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of :?.-, BUTTE COUNTY IBUji nINGDEPART ENT APPtivVED 61-3 i 32_ 9 -0"2 �w �1-- AP # PERMIT # NAME [Y] 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 C�] 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 aid larger shall provide a mini- mum 30 foot, setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site *approved by the local jurisdiction, of flammable .vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction ,r fi_ial inspection of a building permit.. BUTTE COUNTY Page 2 of 3 BUILDING DEPARTMENT APPROVED Z/ -3 f- 3Z lcl, -,!� 4 2 S�� J ate - AP # PERMIT # NAME Other Requirements [ ] If _Building Setback is 15 to 30 Feet: Class A or B roof Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed _0°s of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 13uE COUNTY t'"G. DEPARTMENT BUILD A P P R 0 � E And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 96-009402 MAR 13 I9�6 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 propem described herein is adjacent to land or included within an area zoned for. agricultural purposes, and residents of this property may be subject to inconveniences or.discomfort from the use of agricultural chemicals, including, but not limited to herbicides. pesticides, and fertilizers: and frorn the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke• noise. and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. All that real property situate in the County of Butte. State of California, described as follows: BEGINNING AT A POINT ON THE NORTH -SOUTH CENTERLINE OF SECTION 31, TOWNSHIP 21 NORTH, RANGE 6 EAST, M.D.B. & M., FROM WHICH THE NORTH QUARTER CORNER OF SAID SECTION 31 BEARS NORTH 00 DEG. 361, 35" WEST 1396.69 FEET, SAID POINT BEING THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE SOUTH 86 DEG. 01, 43" EAST, 116.58 FEET; THENCE SOUTH 62 DEG. 49105" EAST, 436.59 FEET TO A POINT IN THE CENTERLINE OF BALD ROCK COUNTY ROAD; THENCE NORTHERLY ALONG THE CENTERLINE OF BOLD ROCK COUNTY ROAD, 168.42 FEET; THENCE NORTH 55 DEG. 35' 50" WEST 609.64 FEET; THENCE SOUTH 71 DEG. 12'0011 WEST, 96.54 FEET TO A POINT ON THE NORTH AND SOUTH CENTERLINE OF SAID SECTION 31; THENCE ,SOUTH 00 DEG. 36'3511 EAST ALONG SAID CENTERLINE, 250.00 FEET TO THE POINT OF BEGINNING. A RIGHT OF WAY AFFECTING THE PORTION OF SAID LAND AND FOR THE PURPOSE STATED HEREIN, AND INCIDENTAL PURPOSES FOR: ROAD AND UTILITY PURPOSES RECORDED: NOVEMBER 2, 1970, IN BOOK 1642, PAGE 166, OFFICIAL RECORDS. THE EXACT ROUTE OR LOCATION OF SAID EASEMENT/RIGHT OF WAY IS NOT DEFINED OF RECORD.- Date:44Za,J/ /� / yY� PROPERTY OWNERS: % State of California County of sO/1 044''4 - On 10L before me, personally appeared V� M & c,— Lo - sW Ido r\p.j 3ofw f sW 6 N 1,z` — personalh known to me (or aLoygA to me on the basis of satisfactory evidence) to be the person(s) whose nameWtsr/are subscribed to the within instrument and acknowledged to me that.ht 3 e/they executed the same in WSILcr/their authorized capacity(ies), and that by 46hn-?/their signature(s) on t ,r strum. , the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand • i• seal. LEONARD CEDENO [ COMM. # 993214 Z Z Notary Public — California n SONOMA COUNTY Signature Seal: My Comm. Expires APR 28, 1997 A.P.# / alb-03a-- NOTE TO RECORDER: DO NOT RECORD THIS SIDE Instructions for recording Agricultural Statement of Acknowledgement: 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. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday). OVER LAND DEVELOPMENT ' ;x_.�...•a•�arr��'nRi�r�n`,'�'�o�ij'�,.�-, BUILDING /TNY.JRONMENTAL"HEAL-TH PERMIT CLEARANCE Building Permit No. OWNER A.P. NAME: I�rQ NUMBER: OI 0. -� c-) ' C<3 a— PRINT LAST NAME FIRST COUNTY ZONING f DESIGNATION: u- FLOOD ZONE: %C FLOOD MAP: Z % S /.3 APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: I Z / Zi 1712 DEED REFERENCE: LEGAL ACCESS PROVIDED: _� YES NO LEGAL ACCESS REQUIRED COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: Cu'i ci T VG - .3 O CI ze MAP INFORMATION: YES NO DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft.building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from 5. Pay water tender fees in the amount of S to Battalion Number of the Butte County Fire Department. 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 7. Connect to a public water supply. _ 8. Connect to a public sewer system. _ 9. 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. _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 13. A traffic mitigation fee for each new or additional living unit shalt be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the P!< vmkg DiviWw. _ 14. 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. _ 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. 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. _ 19. 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. 20. 21. 22. 23. 24. 25. 'Ala 1N31Nd013A3a aN111 311ns in A1Nf100 5661 8 Z ON (13AI303H LD 9/95 - C:\WP51\FORMS.K\8LDGPERM.CLR Y . �arnfrart --Drordn. 1881 A Robinson S1. P.O. Box 1576 CIVIC ENGINEERS 0-vociate� Oroville, CA 95965 916/534-1911 LANDSURVEYORS RELATIVE DENSITY:TESTS FOR Client Owner Location _ 2�O tl-1 Type of Construction Equip. for Compaction Personnel Present ZC114 ZA0 R, L6 W�'�"L'Crl. RQL�. AP No. Operator Sketch: . �4 N �J A�a —eV— I 96035 SOIL Opt. Wet Opt M Opt DryL08%b _ Opt M% 14,3 MS COUNTS DS. Prev. M Av •S 9 Test No.: { Blw. FG 1 2 3 4. 5 6 7 g p Time Depth`110)T MC DC WD DD 91.E I M % M Rel. Wet Rel. Dry I q0 '� CIZ 0 Comme.nts: (' -5. Y T�-'►v �L0 Approved. Comments: IZ%I I)..Y I -II -q(, Approved: ht#%) &Wf--j -Darnhart "-Bro0n. 1881 A Robinson St. P.O. Box 1576 CIVIL ENGINEERS //yy & (.1.9.10ClateJ Oroville, CA 95965 916/534-1911 LANDSURVEYORS RELATIVE DENSIT.Y:TESTS FOR Client Owner 0, Location 2b Z 1 Type of Construction Equip. for Compaction Personnel Present �'R.� Z C-14 a,lV AP No. Operator Sketch: T 96035; SOIL Opt. Wet Opt M Opt Dry+� Opt M% 14.3 COUNTS MS DS Prev. M Avg.,S Test No.: 1 2 3 4. 5 6 7 8 0 Blw. FG Time Depth t��..% �'`Qj �1iQ i "�! b'101 MC DC WD ?o 121, 3, v DD 011.1 M % M Rel. Wet Rel. Dry I Comments: IZ%I I)..Y I -II -q(, Approved: ht#%) &Wf--j COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469'Humboldt Road, Chico, CA - (91 6) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE N 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 c"ctjW.office immediately. 1. _ _ // — _ _ /; i i � 4 �� ") ,r 1L' f // D -te �% b Inspector REV 10/ 2 COUNTY OF BUTTE BUILDING DIVISION s, DEPARTMENT -OF DEVELOPMENT SERVICES 1469,Humboldt Road, Chico, CA 1 (916) 891-2751 4 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 - - F` GORRECTION� NOTICE l OWNER rPERMIT NO. A' 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. ,r e . h, t• ;Y :i. F Date Inspector REV 10` 2 ` .i ,. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ---PHONE (916) 538-7541 APN:� � � (/tea' ,....., PERMIT NO.: G� k/%•-, �r � � Owner's: Name: Owner's: " Address: ( ! /A� r 1 Mobilehome / Year of / �r Manufacturer V l� y1 /'I 7 / Manufacture: / Serial number or V.I.N. S 75 Insignia or HUD number: / Official approving installation: Date: 'If the mobflehome,is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall, not be used when the mobilehome is installed on a foundation system. 513B White-Ownei, Yellow -Installer, Pink -Bldg., Gold -Assessor AP fir` (�/ `-3�C-) OWNER PERMIT" M UTIL.CLEARANCE DATE INSPECTOR v ELECTRIC GAS Support Compaction Struc. Test eq. Service Other Pipe YES NO YESi- NO Size Load "Type Size Length COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDIN G 7 County Center Drive - Orovlle;-�Califorrfia 95965 - Telephone (916)_ —PERMIT NO.00.. APPLICATION AND PERMIT0L1 ASSESSOR PARCEL NUMBER 061-310-032 ZONING U BU LDING PERMIT OWNER JAI -IES W SWANK ( 707) TE pNE8886 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 421 EEJAY AVE SANTA ROSA, 95407 CONTRACTORS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS BALD ROCK RD PERMITFEE S 43.00 PLUMBINGPERMIT Filing Fee 20.00 BERRY CREEK Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mcbilehome IN Other SPECIFY 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 ❑ Installation M Other ❑ Describe Work: — Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Mein Service EOOV OR LESS ( zooA OR LESS ) 23.00 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 for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. ) SO. 3.5¢ FT. T NEW CCONST. MULTI-OUUTLETLE NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 aAL Q .50 Ex. Occup. I FIXED Ts PLNS OR ) 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 9 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 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 rthwith comply with those provisions. Q Date 3—S %�F�— ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent n OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is 100.00 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 I H� D. FEES .- IMP v FLOOD -- coy V PARCEL PD HD SSUE — This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON < the applicable provisions Resolutions to do work been paid. fit/ Dat %6 ate) Receipt No. WHITE-D.D.S.-B.D. Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .-,y _ • /ri+�Y,�./F".+.M1.�' M/:-` tee. ^; T-� COUNTYOF BUTTE - DEPARTMENTOF D v �% LOPMENTSERVICES - BUILDI G DIVISION 7COUNTY CENTER DRIVE -OROVILLE;.CALIFORNIA95965-TELEPHONE (91. 538-7541 �Nl PEWIT APPLICATION DATASHEET OWNER swa-,Je- Proposed Building Use Building I P. No. b 60 I 310 - co :to Date 62 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: y DATE RECEIVED BY 1. All items have been sim itted. ...... ................................. 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3> Complete plans, 3/4 sets; signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets,v'ith wet signature on plans . ............. 5. Hazardous Material Form . .........:.................................. 6. Energy Design Compliance and supporting documentation . .................. T., Statement of•lntent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. q 10. Fees of $l 4 -1 Impact fees as shown on attached schedule. ``" — California Department of Forestry plan approval/fees. . . 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. ............. a' 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. F.. edion,req/ reanspuest 20. Pre -inspection for required. .. to u"ding Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to ownerMail 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 .. ........................ . . . .............� 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. PI a checklist...................................................... . .33. i2 Q0UJnS 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel CreationS— Acreage Applican Ll� �' Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). 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 Cy k ►,Lt►� arm S Date - (. Plans approved by Date�� Sets of plans on hold in File cabinet , .AP folder Copy - Department of Public Works H COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - - - 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 - OWNER �( t�C - A.P.-# L -(o1 }03a PROPOSED BUILDING USE 11A A �r_ DATE 3 7 /� - SCHOOL DISTRICT FEES YD 4�1 (paid at District Office) - 400000 00o �2. SHERIFF FEES (paid at Building Division) - Residential.. ... . x =$ unit. _ amt. Commercial (sq.ft.). x =$ 3: URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.). x =$ sq.ft.. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND - PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER ' FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER REC. # . DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 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 provide the major labor and materials for construction of the proposed property improvement: YES[ NO[ ]. 2. I HAVE[ HAVE NOT[ ] signed an application for a building permit for the proposed work. 1 I have contracted with the following person (firm) -to. provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 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: 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 indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: /01 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. OVER 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 5300 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 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 "ownerbuiider' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Buildin, 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. 95314. 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. Sin'&rely' ' Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code. OVER n'�57 <�w•'#-�: NBUTTE COUNrTY,SCHOOLS IMPACT, FEE CEATIFICATION FORM (One Form Per Building) School District VI I1 \ Building Department No. A.P..Number Jurisdiction: City � County Property Owner- JJ . Suuaj,, Property Location/Address Subdivison '`� Lot No. Residential Development 0 Sq. Footage No. of Living MHI Addition ( roup R) Units Commercial/Industrial 0 New Addition (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. 9 6 Q 1 o o School District certifies that (Applicant) G/ ? �J N o7 -yr (Phone Number) (Zip has complied with the requirements of Resolution No. Jr U by payment of $ representing �(eC) square feet. AB 2926 $ PULL MITIGATION $ School D t Mer)resentative 14 Date Paid by Check # Remarks: Bank Number Paid by Cash-e----- If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (1 t/94)dmm Mobilehome Manufacturer:y4L 501 Manufacture Year: If other than single *wide, furnish Setup Model Numb dth: (ft.) Length: (ft.) Tagalong or Expanlo: Size. • (ft.) x On all mobilehoines manufactured. after October- 7, - 1973; furnish -manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ Other: SUPPORTS: Concrete block[Pl'-'Other: Provide Tie Down Specifications for all Mobilehomes:AaSco Com oe f- M/1 rtt0/V Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I Line 2 ....:...........:............................................................................... Main Beams Line2 .....................:........................................................................... Line Main Beams .............................................. e5 Tag or Triple e 4 ine 1 Line 1 Piers: Size minimum: r i x Spacing maximum: 1 4` From ends -maximum: 4` Line 2 Piers: Size minimum: [ ] x [ 30 ]. Spacing maximum: 6 ` 6 ` From ends -maximum] O ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 2 .ine 2 .: Line 3 Line 2 Line 2 Line 1 Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` OVER Fio, Co lay 176- C) y6.3 1. Owner's Name: 2. Assessor's Parcel Number: 3.. Installer's Name: 4. Is the site currently under permit? Yes[ 1,rNo[ ] Permit No. 5.. -Is the site an existing site? Yes[ v1 i1o[ ] (If yes, furnish two plot plans). 6. What* is the electrical rating of the. mobilehome? .3C9 . Amperes. 7. What is.the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? 0 _Amperes. 9. Is the. main service remote from the.mobi.ehome site? Yes (li o[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ tjr1No[ ] If -yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - Type g 11. T e of as service at mobilehome site: Natural[ ] Propane[ None[ ] 12. Size of 3 ast� pipe at the mobilehome site from the meter or tom: 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 lengt 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 LL' J1171V LVHUJ. ABESCO.., ENGINEERED COMBINATION TIE -DOWNS ANUFACTURED HOME TIE -DOWN CALCULATIONS Ar SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES DESIGN & GENERAL NOTES * WIND --------- 15 PSF dF SOIL BEARING — — — — 1000 PSF * TIE DOWN STRAPS— 3150## WORKING LOAD TIE—DOWN STRAPS MEETS FEDERAL SPECIFICATION QQ—S-781H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1 /4" x .035 ZINC PLATED. * EARTH AUGERS -------- 2962# TESTED TO 4750## MIN.) -1F CROSS DRIVES -------- 1727## CALCULATED) * CONCRETE SLAB ANCHORS — 1390## (CALCULATED) GENERAL NOTES: 1. THE CHARTS SHOWN HEREON ARE THE REQUIRED NUMBER OF TIE—DOWNS ON THE SIDES OF THE MANUFACTURED HOME. 2. TIE—DOWNS ARE REQUIRED AT EACH CHASSIS BEAM, EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME AND CAN BE ANY OF THE TYPES SHOWN HEREON. 3. COMBINATIONS OF THE DIFFERENT TYPES OF TIE—DOWNS CAN BE USED. 4. IN THE EVENT AN EARTH AUGER CANNOT BE INSTALLED DUE TO AN OBSTRUCTION, USE OF CROSS DRIVE ANCHORS IS PERMITTED, PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH EARTH AUGER THAT CANNOT BE INSTALLED. _ 5. FOR ALL TIE—DOWN INSTALLATIONS, THE MFG'D. HOME CHASSIS MEMBERS ARE SHOWN AS "I" BEAMS. (FOR ILLUSTRATION PURPOSES ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OF RFC SHAPED. 6. END TIE—DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM AXIS AS SHOWN. CHASSIS BEAM o0 (ONE END TIE—DOWN MANDATORY ao AT EACH END OF "I" BEAM) 7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY ABESCO MAY BE USED AT THE SAME SPACING & LOCATIONS SHOWN. ENGINEER APPROVAL f STATE APPROVAL ,dfrA481V1FAW-66` 7 _e1WAW 3 s.,eolrr P. APPROVED J• SUBJECT TO CORRECTIONS NOTED Approval does not ou!horize or approve any omission ar deviation from requirements of applicable State laws and regulations. 0.17918 Expo 3 * qrE o OF 0 CAS\E0�` y. W • 0 THIS TIEDOWN SYSTEM MEETS THE REQUIREMENTS ;I a OF SECTION 1336.3, SUBSECTION (a) `! r PACIFIC CONSULTING ENGINEERS 4 2150 BELL AVE. SUITE 145 SAC. CA. 95838 PH: 916-564-6028 - f STATE APPROVAL ,dfrA481V1FAW-66` 7 _e1WAW 3 s.,eolrr P. APPROVED J• SUBJECT TO CORRECTIONS NOTED Approval does not ou!horize or approve any omission ar deviation from requirements of applicable State laws and regulations. ABESCO -TIE' DOWNS CABESCO NAME STAMPED IN) HEADS OF TIE -DOWNS // ff V V I l 11 V 0 0 DRIVE ANCHOR #606 STEEL STRAP W/BUC #406 PIER BOLT -ON TOP "-v #601 30" #614 STEEL T.D.A. STRAP W/HOLE #604 CONCRETE #602 48" SLAB ANCHOR W/ #615 CONCRETE T.D.A. #SH 5822 SLEEVE SLAB ANCHOR ANCHORS (DRY) (WET) SIDE TIE -DOWNS (SEE NOTE BELOW) SINGLE WIDE 2'� EVENLYI SPACED 2' LENGTH 1 VARIES SIDE TIE -DOWNS (SEE NOTE BELOW) DOUBLE WIDE I I ► ► 2' EVENLY SPACED EVENLY SPACED EVENLY SPACED 2' o LENGTH VARI Z SIDE TIE—"DOWNS. 2 MUST BC, ITHIN 4" OF THE o END-'OF''`CHASSIS BEAM.`„ W END ;TIE=DO.WNS:..:CAN +BE,LOCATED WITHIN 18" c OF' EITHER_ SIDE -OF CHASSIS BEAM:�O4t,,TIE-DOWN N IS MANDATORY AT EACH END OF "I" BEAM. W ,(SEE PAGE #1, GENERAL NOTE #6) .. ...,a.` w.vrw•.:..4r�.,_a,..r...>y..arror.'.. w.r.+.r;�w..-„r,•. •.s... «._w..,. e.. SIDE TIE -DOWNS (SEE NOTE BELOW) o < J \ W \ m W H Z TRIPLE WIDE �► ► ► ► ► 2'1 EVENLY�SPACED � EVENLY�SPACED �2'� �� r LENGTH V�5 I I I ..EARTH AUGERS MAX. LENGTH OF 36' S4' 72' -k,'. 73' MFG'D. HOME -M• �• -• •• MINIMUM NO. OF 2 3 4 6 7 SIDE TIE -DOWNS CROSS DRIVE ANCHORS MAX. LENGTH.OF 32' 42' 52' 62' 73' MFG'D. HOME - -M• �• -• •• MINIMUM N0:<OF , " �'� = 4 a. 5 6 7 SIDE TIE -DOWNS" CONCRETE* SLAB -ANCHORS MAX. LENGTH OF 34' - 42' . 50'. 59' 68' MFG'D.' HOME - -M• �• -• •• MINIMUM N0. OF 6 7 8 SIDE TIE -DOWNS ..,,. �. .. ww+•n.• .••+^>.wwtl•��.�...v.w...:.:..�.�.4.z, �+AY!M�Mw.�•.irr..w...x.w, wr.. ...� �.,. � ...-_/.per ti r. L''•� - •.tom•-. _..Z.e-. . c ',•'. e`:... - .. ..yy.. f� ...... .. ,.a- .... +. A. ;... ... . _ �. #616 STABILIZER PLATE o 777 h li. rt3 END TIE -DOWN #406 PIER BOLT -ON TOP #614 STL. �' o. STRAP 6� CROSS DRIVE ,TIE -DOWN CHASSIS SIDE TIE -DOWN INSTALLATION INSTRUCTIONS #608 SPLIT BOLT & NUT CONCRETE: - 12" SQUARE x 12" DEEP GROUND LINE #607 CROSS DRIVE ANCHOR (TYPICAL CROSS DRIVE 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN. WITH CONCRETE BLOCK) 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH CONCRETE AS SHOWN IN DETAIL "A". NOTE: IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN TWO CROSS - DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE -DOWN. BOTH CROSS DRIVES MUST BE__ ENCASED IN CONCRETE AS SHOWN IN DETAIL "A", WITH EACH ONE BEING INDEPENDENTLY CONCRETED. ................................................................................................................................................................................. CONCRETE TIE -DOWN INSTALLATION - END TIE -DOWN -� INSTRUCTIONS W o W m _ CHASSIS 4604 DRY SIDE TIE -DOWN 1. CONCRETE MUST BE A MINIMUM OF 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY EDGE. �� #615 WE SUE C®U 1. PLA( C r I lbic.rttk R, '3 'N'CTETE_ 2. ALLO OC#96 YJJ�, � • D `. CHASSIS C TRETI 1. ATTACH 'STRAPS TO CHASSIS BEAM IN MANNER SHOWN.." . `; ;•."� . - 2. INSERT. STRAP THROUGH SPLIT BOLT. --"CUT OFF EXCESS STRAP AND THEN TIGHTEN•.BOLT UNTIL,i'i r STRAP IS SNUG. ,a END TIE -DOWN #406 PIER BOLT -ON TOP SEE DETAIL (TYPICAL) TIE -DOWN "I" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION DE TIE -DOWN DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2" A307 BOLT "C" BEAM CHASSIS "RFC" BEAM CHASSIS SEE "I" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION TIE -DOWN INFORMATION 00o O .l t> INSTALL GROUND ANCHOR INTO, GROUND, LEAVING 0 T-12" OF'SHAF -EXPOSED. SPLIT BOLT & NUT GROUND LINE #616 T.D.A. STABILIZER PLATE NOTE: VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL DETAIL "A" (TYPICAL) INSTALLATION INSTRUCTIONS 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTILL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABIUZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. CONTRACTORS VERIFICATION - 1 CEPTIF-Y THAT I+" HAVE IN THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE. NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE - COMPANY NAME: _ �__ _- CONTRACTORS CIC.# DATE:---- . SIGNATURE:_-----.'' A. lau I SU DEPARTMENT LV APpFJ-O� ED CERTIFICATE OF ANCHOR INSTALLATION Title 25 CCR Mobilehome Parks Act Section 1326 (b)(3) I certify those portions of the tiedown system installed below grade were not damaged prior 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: t ?ZZ Q5 Model: Installed by: Contractor/Owner: Date: ;�'= l `1— License No.: BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT f�PE MIT NO. 22- QO Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. T _ n o - ZONING OWNER PHONE NOcu� l� OWNER'S ADDRESS Q 49K cz 6 a LOCATION OF BUILDING USE OF BUILDING �iwfm zm pj,,g /S b 6 t.v SIZE OF STRUCTURE ' X OQ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL _�� CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED CCLST OF CONSTRUCTION $ r AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County - Ordinances as follows: , - , f '20 �'�"'"� 2-10 FRONT _ -5 SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. : AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. • —;-1 declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 3—-�1�Q� Permit Fee - $60.00 Receipt No. IU(1 Signature of Owner The above describe? AG Building is exempt from a building permit. FLVO I PAROL I P.D.J ROOF AG ISSU Manager Building Rivision By l Dafe� '?/1 / , White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant I-�,_:..� `t^.'�.�.`�"H �t�.��•M.r-�1�..Tvii�Jw'�iJ-c-"'-J`ti.+x�'.*yr�1�'M��.."`��'xr't..:C'.-,.,�,,.�y;...=..'Q'1•�..�--.v. .. .. ..-.. 1.,. .. .' .. " "COUNTY OF BUTTE'_ DEPARTMENT OEDEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, rALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: Proposed 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 111. All items have been submitted. ❑2. 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.---------------------------------------------------- ❑ 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. ❑ 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. ---------------------------------------------------------- v ❑ 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). --------------------- El 20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 022. Workers' Compensation carrier and policy number. --------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑24. Letter of signature authorization. ------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ❑ 26. Letter of intent on building use. ---------------------------------- 027. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit,.process as follows 6 Mail to owner, []Mail to contractor. ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. 1 (Date) 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: Yellow Copy - Department of Development Services, Building Division.