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HomeMy WebLinkAbout061-590-012 I I FEATHER RIDGE WAY,L i)ANNY & DIANNA CHARESTr't B07-1809 061-590-012 MISCELLANEOUS Demolition DEMOLITION OF EX MH I I FEATHER RIDGE WAY . ``'�h` .. --• i-', • S i.. i, t YV t... � CHAREST, DANNY & DIANNA, a ' •is - . � ''�'�.!' k A { '•�' �'�'a�'i' ti. #t. a r,+ ���. aY;_ 'S �. A"F�..�� +�' 'a, ,x.. ) N. ..F+� ., ,� 4�?�f�ei�:�GE.�A'S1:.:�i•.:. _ .,... .. .... ._ s... .. l..H. �iii•�4��5�H�%��S`AS���^�� a�GV .. .ri ... ,. . �_ �r r v •� � �yr»ti,wtx ra,: ..� .,.r�. �.�: �� �� . !!!!!! BUTTE COUNTY MAY 16 2005 DEVELOPMENT SERVICES . ........ old Irn lP�s_�� ,il , a/� Cars w 4 u1 RESIDENTIAL - L61 -59-12 3188-90MHI MORROW, Robert r 11 Feather Ridge Way, Oroville j j j (MHI/existing site) Address GAS Meter'B q EL M t k JOB FINALED (Date) Signature Date J=OK O = Not OK ' = =Not Applicable ' =Not Ready RESIDENTIAL (Single h, Duplex) ' Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors ' 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng. -Rfng. 3. Ftg., Garage; Soils-Steel-Elec.'Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles P 1:C4 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. &.Dimensions 6. Stemwalls, Garage; Steel - Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection' -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation _ 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1' Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting - 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B71 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive O Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No. Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain &Overflow; Size &Grade 86. Ventilation Throughout House 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card 8-1- 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size &Bearing each time you visit job site) (NOTE: An entry must be made v=Ok O = Not OK = Not Applicable Not Ready MOBILE HOMES ' = 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/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /' L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOB HOME INSTALLATION (Plans) OK except #'s Zoing Requirements -Setbacks Easements Footiads: Size-Soacina-Marriaae Line LB.—GamrMH Test-Demand-Valve—Connector le icity; MH Test -Crossovers -Breakers -Clearances MH Test -Fall -Flex Connector W ; MH Test -Regulator -Connector er and Sewer Connected -C/O to Grade -HD Approval Gas` and Electricitv Taaaed /`J ts; Insp.-Sketch Cert. of Occupancy. Date q Card B-1 Date Card B-1 Date Card B-1 Date Card B-1. �S 60 ► q 2- /-7 g35 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.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sits-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 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 ti,•�i i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' ' i 196 Memorial Way, Chico— Phone: 891-2751 a 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 7 EMIT NO A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately'. ,YfR Sol Date SAY inspector r MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIC-E- OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-75414 cG f /PERMIT N0. W-516_ Address or location of mobilehome "'� ! � i"w"r�but, `i Owner's name,) 01y 4-� Owner's address // r ,;,JZ Insignia or hud number F/ Manufacturer's name Serial number of V.I.N. [� �/� l j' Year of manufacture Y " (00i Approving Installation) / ! (Date) ME IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FO UNDAT ION. SYSTEM. D. P,. W... COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATtION AND PERMIT t� PERMIT NO. -9n r 1M / ASSESSOR PARCEL NUMBER 61-59-12 ZONING U BUILDING PERMIT OWNER Rohprt Morrow TELEPHONE 425-1352 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ';'19 Tqrk,-,on St. Fairfield 94933 CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT N 12 SUBDIVISION NAME Feather Ridge Estates #1 PARCEL MAP 35-62 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal latio Other ❑ Describe work: MHI (MHU#1613-89)4/, _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered �jfor sale. (Sec. 7044) L� I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. f 2/20sgft NEW CONSTR. ULTI.OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 2AL SOS eoso FIXED APLNS Ex. Occup. OUTLETS PR RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mise. bVirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. dI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains sa' CVnticonsequence of the granting of this permit. X t, 6 �/' Date Signature of Appl, anf — Owner�j Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 70.00 HAz ..-- cuA PARK scH FLD PAR PD HD Issu Th's permit is nereby issued under sions of the Butte County Code and/or work indicated above ..for which fees IR TOR PUBLIC B 4Date PE MIT EXPIRES Date .•O the applicable provi- resolutions to do have been paid. WORKS `� Receipt No. 73648 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL ARCEL NUMBER rJ _ 2 ZONtXG BUILDING PERMIT OWNERTELEPHONE )2oh + myrouj 4z�-13s2 S0. FT. OCC. BUILDING VALUATION' OWNER'S MAILING ADDRESS 532 :2 r"' d 94M CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee 5 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 9166MP-A 071. Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. IZ SUBDIVISION 1N�A�ME ' 1,,. �• _ f2Gl t►�vt tuCL �S1G�WJ 4 PARCEL MAP 3�,`6,Z Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex[] Mobilehomej[2 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G JW 1 0.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1NON-R£SID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. /DWELLING OCCUP.ai OR ADDNS. % ACC. BLDGS. I yz¢sgft NEW CONSTR. ULT'-OUTLET BRANCH CIRC ITS 2.50 ea /POWER APPARATUS (SINGLE OUTLET CIR.S ) Ex. Occup( OUTLETS OR FIXTURES e• 0 Ex. Occup. OUTLETS FIXED P(RE SID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $4-S Energy Inspection Fee $ occ CONST TYPE FEE TOTAL ALSCHL HAz CUA PARK FED PAR Po Ho IssuE This permit is hereby issued unser the applicable provi- sions of the Butte County Code and/or- resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No f -7364 $ WHITE-D.P.W., YELLOW-ASSESSOR. PINK-INSPECTOR. GOLDENROD-APPLICANT NX COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Lhf � WAfrdW y A. P. No. 6l-55)- 12 Proposed Building Use )01 H Building Inspector 15W Date 9-12-96 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup as office. Deliver w./inspector. Other I V,�n Applicant ,� I1G�f Date Fd 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---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma l,e__,e)ounter W-4— date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date 1. All items have been submitted . ..... ................. .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. W.-.9-96 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. 13. 14. Park fees paid .. 0(U (U i4ti H S School District fees paid .............. Sanitation approval from 0196 Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................. . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup as office. Deliver w./inspector. Other I V,�n Applicant ,� I1G�f Date Fd 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---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma l,e__,e)ounter W-4— date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance r` / n a r fin OwnerLocation AP# ay Plan Approved for d Sewage Disposal _ Water Supply Qe(III Hold final for: Water Supply Final clearance O.R. for: Clearance for -.-bedroom mobile home. NOTE *** Water Supply Other (��} CA . to e/ -- Zl Dat® Sanitarian M BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. Number. &I- 5R-12 Building Department No. School District 020. OAIIoN )-I.E. City County 0 Jurisdiction Property Owner `Piheyf 1' oraW Project Location/Address II Fer,41 A P-t&U.WU.U. Subdivision f_,pa.fJ t t 12.JW 1C5+A.U4 -4 Lot Number. 2 Residential Development: Sq. " Footage 560 # of Living MHI Addition (Group R) Units Commercial/Industrial: a a Sq. Footage New Addition (Including Exterior'. *� Roofed Areas) , Building Department Representative 9- Date (Floor Plans reviewed by School District Personnel) strict Id No. 910066 fZ0Vd-).b School District certifies that (Applic nt Name) (Phone Number) Street Address) ( Cit ) (State), (>>Ziip Code) has complied with th!e requirements of Resolution No. by the payment of $ y1f,4, o o representing �lp Q square feet. chool Di rict Ren-esentative Date PAID BY CHECK NO. / a(D REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) _ ad' 48S 1- _ d setoac k WC) trom TrIt property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ff...eave oYerhang. q-' clear . oS dd ea _ to ye,kj, J a-t-� It- / v This set of plans and specif;'crvtions MUST br kept on +he -.lob at 11 times and it is unlawful tc make any changes r alterations on same without written permission f om the Department of Public of Works, County of utte. �; ............ i� tv9arrt �iFC�P K�rlCin5�9P SOiD1 . ccordance wit Re-.0,7sized wood Practices ;a quality prpQribc d for fhe Specified use in Uniform Building,`Plun Ging & Macl.vinicrxl Cad .R 8�t< �nnrxl Pt)Arira Code. q- 31008-, 3l88'- FO . BUTTE COUNTY BUILDING DEPARTMENT PPRO ED, to�io /q o n BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive; Oroville, CA PHONE: 538-7541, MOBILEHOME INSTALLATION SHEET 1. Owner's Name: d 6 Q ►z ! /-� S' f Al o/ee C' w ' 2. Installer's Name: 0 W n Ir 3. Is the site currently under permit? Yes No F] (If yes, furnish permit number 3 % t ' 1 0 ) OR Is the site an existing site? Yes No (If yes, furnish'two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes © No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- 6"'0 Amps 6. What is the mobilehome site service rating? ------------- -:2 O U Amps 7. What is the.mobilehome site circuit breaker rating? ----- to O Amps 8. Is there any other electric load to be served by the mobilehome site service? ------------------------------ Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- J (in.) type g ------------ 10. What is the t e of as service? ------- Natural � LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * g ?-------------------=- ��4 12. What is the mobilehome as demand, - / (BTU) *(This information not required if pipe length less than 6 ft. on .,natural-gas. or less than 50 ft. on LPG.) it BUTTE COU N1 Y „.0 BUILDING DEPARTMEN APPROVED a MOBILEHOME SUPPORT DATA A If other`'than_single wide, Mobilehome Mfr. �Y / furnish Setup Model No. Year eo 3 Widthy (ft.) Box Length G (ft.) Tagalong or Expando Size ft. x — ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)kr1. Wood -pressure treated or foundation grade. 2. Other.(specify) ,SUPPORTS (check one) 1. Concrete block.M2 Other (specify) Pier Footing Sizes and. Locations SINGLE -WIDE MULTI -WIDE Line 1 Main Beams Line .. — — — — = - — — — - — — — — m a —Line Line 2 Main Beams ® ins Line — — — — — — — — — — — .s -Line Tag or Triple Line 1 Line 1 Piers; Line 1 Openinge: Size -Min - ,k Size -Min. ------------------ ,k Spacing -Max. --------- „ Each Side of Openings From Ends -Max- ------- With Width Over--------- Line-2 -------- Line2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min. - - -- ^ u ©n Size-Min------------------- Spacing-Max - ------------------Spacing-Max---------- ,_ „ Spacing -Max---------------- From Ends -Max.------- �_ © '� From Ends -Max .------------- Line _3 Roof Loads: Size -Mia.- y-' X Location (From Front) I_ Line 4 Piers: Size -Min.------------ ,k „ Spacing -Max.--------- From Ends -Max.------- „ Line 5 Roof Loads: Size -Min .------------ _x Location (From Front) _ k u ux a ux e 5 Piers: (Under Bearing e e UNTO Size -Min .------------------ Spacing -Max.--------------- ,_ a From Ends -Max .------------- - BUTTE COUNTY BUILDING DEPARTMEN .. APPROVEh . j 3- � P A O T P4 Q v, r �- A GN o6 # -.1. C ig- -- �kA kA y • � o �C CO l% A i 3- O Q� -- �kA kA y • � o �C CO l% A i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 11 FEATHER RIDGE WAY Owner: Permit No: B07-1809 APN: 061-590-012 CHAREST, DANNY & DIANNA Issued Date: 08/23/2007 By KCG Permit type: MISCELLANEOUS P O BOX 173 Subtype: Demolition BERRY CREEK, CA 95916 Expiration Date: 08/22/2008 Description: DEMOLITION OF EX MH (530) 589-3448 Occupancy: Zoning: U Contractor Applicant: Square Footage: CHAREST, DANNY & DIANN, Building Garage Remdl/Addn P O BOX 173 BERRY CREEK, CA 95916 Other Porch/Patio Total (530) 589-3448 FEE INFORMATION DBMSC Demolition $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4359 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 08/23/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractor's Signature Date 911, 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is oris or on�dred dodollars ($100) or less. ❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason: 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 the Workers' JUI Compensation laws of California, and agree that if I should become subject to the workers' - 08/23/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those O ner's Signature Date provisions. 08/23/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signat a Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY S FEES. County to enter the above entioned property for inspection purposes. I hereby certify that I am the pro y owner or authori d ;toron property owner's behalf. CONSTRUCTION LENDING AGENCY /2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency f r Name of Permitt IGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. �ZAgent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip I I �e 5�, 00 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REO UIRED AT TIME OF APPLICATION 7-1$c Website: www.buttecounty.net/dds BIN # . **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE I PROJECT LOCATION APc�k Property Address WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name / Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living by Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: OWNER INFORMATION Last Name } First Name Mailing Address U f City State State Phone Phone Fax Fax _ 33' E-mail W - GHQ APPLICANT SIGNATURE I PROJECT LOCATION APc�k Property Address WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name / Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living by Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name N IR Flood Zone Address SRA City Occ. State Zip Phone Fax E-mail Phone 0 Lic. # Class APPLICANT SIGNATURE I PROJECT LOCATION APc�k Property Address WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name / Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living by Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name' Flood Zone Addtess SRA City Occ. State Zip Phone Fax E-mail Phone 0 State License Number APPLICANT SIGNATURE I PROJECT LOCATION APc�k Property Address WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name / Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living by Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Flood Zone Add ess SRA I Yes I No Occ. Type Const. St Zi% Phone 0 Fax E-mail APPLICANT SIGNATURE I PROJECT LOCATION APc�k Property Address WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name / Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living by Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. i � `'Aug, 2.3, x,007"' 4:28PM N W S P C A No 8500 P, 1 P-2 Butte County. Department. of Development. Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIREC;IOit 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER -INFORMATION An application for a building permit has been submitted in your name listing yourself as ilia builder of the ptopetty improvements specified. For your protection you should be awNre thatbe , "ownetrbuilder" you are the responsible party of tecord oa such a permit: $wilding permits•arc nobruquired to iye sigfled by property owners unless they are personally performing their own work. If your work is being perfomted by someone other than yourself, you may protect yourself from possible, liability if that person applies for the proper ptnnilin his or her hame- Conuactors arc required by law to be licensed and bonded by the State of California end to have a business license, tiom the city or county. Titcy arc elso required by law to put their license number on oil 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.mfonnation for your benefit and protection: ° if You employ or otherwise engage any persons other than your immediate family,.attd the work.(including.matetielt andothet. costs) -is. SiOA of more for. the entire project and such persons ate not licensed as contractors or subcontractors, then you may be an cmploytsr. to If you etc an employer, you must register with the slate and federal govamment as an employer and you arc subject to several obligations Including sure and federal income tax withholding, federal social security taxes, workers/ compensation insurance, disability insutatce costs, and wtemployment compensation cnnuibutions. ° Them may be. financial risks to you if you do not carry out thele obligations, and these risks arc especially setious will) respect to workers' compensation insurance, Q For more specific information aboul your obligations under federal low, contact the littemaI Revenue Service (and, il'you wish, the U.S: Sit+alt business Administration). For more specific infnrmation about your obligations under state law, contact the Dopartment of Benefit Payments and the Division of Industrial Accidents. R'thc structure is intended for sate, property owners who we tint licemed contractors art: allowed to perform their work personally or through Thier own employees, without a license conlrector or subcontractor; only under limited.conditiom. A frequent practice of unlicensed per6ons professing to bo watrasior is to scoure an "owner -builder" 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 propeny owners unless they are performing their own work personally. Information about licensed coniracrore may be obtained by contacting the Contractors' Slate License Board's automated telephone information system at 1-800.321 •CLSB (2752) of by accessing tltiet website at www.CSLB.ca.gov. PLEASE ComPLETC AND RETURN IHE ENCLOSED.OWNER-BUILDER VERIFICA mini_FORM-SO-THAs. We-CANCONF.IRM.THAT YOU ARC AWARE• Or THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BVILUER V6RIFICAT'ION PLEA5F, COMPLETE THIS FORM AS KEQUiRED BY 114E STATE OF CALIFORNIA (SENATE BILL NO. 931 EFFECTIVE JULY 1. 1910), NO BUILDING PERMIT WILL BE ISSUED UNTiL TKIS VERIF-ICATION-15 RGCEIVBD.. L I PERSONALLY PLAN TOPROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PKOPERTY IMPRQVCMeNT. oR140) 1�1HAVC- NUT) S10NED AN APPLICATION FOR A BUILDING P.kRMITYOR.THF, PROPOSED WORK. 7. 1 HAVE CONTKA -TED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE 1.14E PROPOSED ('ONSTRUCHON: NAME ADDRESS CITY PHONE CONTRACTORS -LICENSE -NO 4, 1 PLAN TO PROVIDp, PORTIONS OF THC WORK, BUT I HAVE 14IRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE_ CONTRACTORS L{CENSE NO _ 5. t WILL PROVIDE SOME Or THE WORK BUT t 14AVC CON'rRAMED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS mo -a. TYPE UJ: wuKK Description: DEP'IOLITtON OF EX MH Reference Number: 807-1809 Applicant Name: CHAREST, DANNY ,& DIANNA Owner's Name: CHARES'r. DANNY & DIANNA. AP it : 06I_S Q-012 --� Signature of Property Owner: �� � �' Dace: P- -2 Q August. 21, 2007 Danny and Dianna Charest, with our signatures below, give permission for Penny England or Tommie Rinehart from Tom's. Mobile Specialties to pick. up the permits for the following job site: Parcel #: 061-590-012 Address: 11 Feather Ridgeway,. Berry Creek When the permits are ready for pick up please call Tom's Mobile Specialties at 533-9117. zd,-,J! /.2 /, Danny 044ist Date Dianna Charest Date �- BUT' , COUNTY AUG 2 3 2007 DEVELOPMENT so,_ SERVICES DEMOLITION PERMIT ASBESTOS NOTIFICATION STATEMENT Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this term. "19827.5 A demolition permit shall not be issued by any city, county, city and county, or state or local agency which is authorized to issue demolition permits as to any building or other structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in wriling, or it may incorporate the applicants response on the demolition permit application. Compliance with this section shall not he deemed to supersede any requirement of federal law." _ Attached is a copy of the Asbestos NESHAP Notification of Demolition and Renovation form for the project located at (Address) (City) (Zip Code) Assessor's Parcel Number Date Signature of Applicant I hereby declare that a written asbestos notification to the United States Environmental Agency is not applicable to this demolition project located at (Address) (City) (Zip Code) Date 0 of 6 Signature of Applica BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 11 FEATHER RIDGE WAY Owner: Permit NO: B07-1770 APN: 061-590-012 DANNY & DIANNA CHAREST Issued Date: 9/26/2007 By GLB Permit type: RESIDENTIAL P O BOX 173 Subtype: SFD-Mobile Home PFS BERRY CREEK, CA 95916 Expiration Date: 9/25/2008 Description: MH PERM FND EX SITE 1620 SQ.F' (530) 589-3448 Occupancy: R-1 Zoning: U Contractor Applicant: Square Footage: TOM'S MOBILE SPECIALTIES TOM'S MOBILE SPECIALTIF Building Garage Remdl/Addn 6366 LINCOLN BLVD 6366 LINCOLN BLVD 1,620 OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)533-9117 (530)533-9117 1,620 FEE INFORMATION DBEH Building Review Fee $75.70 DBF MH Plan Check $233.56 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Mobile Home Permit Fee. $350.34 DBOMSCF Fire Safe Standards Re $115.98 DBSMIP Residential $10.53 Total Charged: $1,094.21 Fees Paid: $1,094.21 Balance Due: $0.00 Receipt No: B4764 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License TOM'S MOBILE SPECIALTIES 865359 / C47 / 10/1/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Div' ' 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force ffect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 9/26/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contr ctors Signature Date ❑ 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are notintended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued, improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number:461-0000653 Exp. Date:3/1/2007 Contractor's License Law.). (This section need not a completed if the permit is or one hun re ollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 9/26/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X9/26/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Tignatuk Date WARNING: FAILURE TO SECURE ERS'COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEYS FEES. County toe the above mentioned roperty for inspection purposes. I hereby certify that I am the grope er or am author' act on a pr arty owners behalf. CONSTRUCTION LENDING AGENCY 9/26/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for N of Permittee I Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR.Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip �. :i. � r:�- �i ` BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530} 538-7541 FAX #: %.530).538-2140 A P'EE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.butteco.unty.net/dds "PLEASE PRINT CLEARLY" .__.AF,Ff_. ,:A rINFORMATION — __......._� �A _ ! t:ity 11 State Zipe — P1�a Le- �. �._...M_ !!!! Phone Fax - V APF°_ICy'NT SIGNt- `URI: PERMIT NO. j?69 - � 7,� BIN # PROJECT LOCATION AP# o b d— o Property Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name o e - Address DESCRIPTION OR SCOPE OF WOPK: M Vr-e �o oto y. a 'r7 FT _ivir^ � 11 G?rage — �C?pen _ C. - r..; 'P.;'•' without P•. rmits ✓ of Occupancy I (No, pt ^a. use): l .v_ ttrrz iSE iFi ' _ i nCr:. i'ype Const. i OWNER INFORMATION Last Name \ First Name Mailing Address PO o ,) Cit Zi qS5b State L',A Zip Phone_ CA Fax ._.. E-mail -3q C ass 1t� .__.AF,Ff_. ,:A rINFORMATION — __......._� �A _ ! t:ity 11 State Zipe — P1�a Le- �. �._...M_ !!!! Phone Fax - V APF°_ICy'NT SIGNt- `URI: PERMIT NO. j?69 - � 7,� BIN # PROJECT LOCATION AP# o b d— o Property Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name o e - Address DESCRIPTION OR SCOPE OF WOPK: M Vr-e �o oto y. a 'r7 FT _ivir^ � 11 G?rage — �C?pen _ C. - r..; 'P.;'•' without P•. rmits ✓ of Occupancy I (No, pt ^a. use): l .v_ ttrrz iSE iFi ' _ i nCr:. i'ype Const. i CONTRACTOR Name \ Address L CityOCO ,) State CA Zi qS5b Phone Fax E-mail Lic. # C ass 1t� .__.AF,Ff_. ,:A rINFORMATION — __......._� �A _ ! t:ity 11 State Zipe — P1�a Le- �. �._...M_ !!!! Phone Fax - V APF°_ICy'NT SIGNt- `URI: PERMIT NO. j?69 - � 7,� BIN # PROJECT LOCATION AP# o b d— o Property Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name o e - Address DESCRIPTION OR SCOPE OF WOPK: M Vr-e �o oto y. a 'r7 FT _ivir^ � 11 G?rage — �C?pen _ C. - r..; 'P.;'•' without P•. rmits ✓ of Occupancy I (No, pt ^a. use): l .v_ ttrrz iSE iFi ' _ i nCr:. i'ype Const. i ARCI-II TECTIENGI NEER Name N Address City State Zip Phone Fax -mai:. State License Number .__.AF,Ff_. ,:A rINFORMATION — __......._� �A _ ! t:ity 11 State Zipe — P1�a Le- �. �._...M_ !!!! Phone Fax - V APF°_ICy'NT SIGNt- `URI: PERMIT NO. j?69 - � 7,� BIN # PROJECT LOCATION AP# o b d— o Property Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name o e - Address DESCRIPTION OR SCOPE OF WOPK: M Vr-e �o oto y. a 'r7 FT _ivir^ � 11 G?rage — �C?pen _ C. - r..; 'P.;'•' without P•. rmits ✓ of Occupancy I (No, pt ^a. use): l .v_ ttrrz iSE iFi ' _ i nCr:. i'ype Const. i 0 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttec6unty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1770 Date: 08/20/2007 Location: 11 FEATHER RIDGE WAY By: TMP Parcel Number: 061-590-012 Sub Type: SFD-Mobile Home PI Owner Name: DANNY & DIANNA CHAREST Phone: (530) 589-3448 Description: M11 PERM FND EX SITE 1620 SQ.FT The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ E] LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS ❑ ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ E] Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 E] ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 C-y/!'t7 ,Plaradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 M OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: A l'mg, i .OrrmI4 g( Other: ❑ ❑ Other: Signature of Property Owner: Date: 08/20/2007 er FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE I Reference Number: B07-1770 Location: 11 FEATHER RIDGE WAY Parcel Number: 061-590-012 Owner Name: DANNY & DIANNA CHAREST Description: MH PERM FND EX SITE 1620 SQXT Date: 08/20/2007 By: TMP Sub Type: SFD-Mobile Home PI Phone: (530) 589-3448 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 08/20/2007 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1770 Job Address: 11 FEATHER RIDGE WAY Contractor: TOM'S MOBILE SPECIALTIES 6366 LINCOLN BLVD OROVILLE, CA 95966 Printed: 08/20/2007 8:02 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 08/20/2007 $75.70 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $102.70 08/20/2007 $102.70 0100-450001-4617240-1010 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 08/20/2007 $102.70 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010 $350.34 DBF MH Plan Check 0010-440001-4210500-1010 $233.56 08/20/2007 $233.56 DBSMIP Residential 1001-0-280-1011298 $0.50 Printed By: Tammie Powell 19084.18 $514.66 Balance Due: $569.52 At the time of p mit application, I was advised the above fees are required prior to issuance of the permit. The e s may cha du 'ng the plan checking process. Signature:. Date: 08/20/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-1770 Location: 11 FEATHER RIDGE WAY Parcel Number: 061-590-012 Owner Name: DANNY & DIANNA CHAREST Description: MH PERM FND EX SITE 1620 SOFT Date: 08/20/2007 By: TMP Sub Type: SFD-Mobile Home PI Phone: (530) 589-3448 To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requir ments. 08/20/2007 Date Signat e All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/FireDrevention/proti)lan/protnlan.html Rev'd 5/7/07 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: O Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. , Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid, at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1770 Date: 08/20/2007 Location: 11 FEATHER RIDGE WAY Parcel Number: 061-590-012 Owner Name: DANNY & DIANNA CHAREST Phone: (530) 589-3448 Description: MH PERM FND EX SITE 1620 SQ.FT Signature of Property Owner: Date: 08/20/2007 FILE Mar 03 06 02:17p p.2 MOBILEHOME / MANUFACTURED HOME SUPPORT DATA SHEET Horne Manufacturer: -t) -\c (-'Q _ Manufacture Year: Q -o o Setup Model Number: Width: Q7' (ft.) Length:_ toO ft.) FOOTINGS: Wood = pressure treated or foundation grade[ j Other:ales SUPPORTS: Concrete block P4 Other.[ j Provide manufacturer's installation manual, structural support requirements and state approved / engineered foundation or tie down specifications for all mobilehomes / manufactured homes. SINGLE WIDE MULTI -WIDE Line 1 �; — --_ __ ���Line 1 Line 2 Transportable section 1 . Line 2 Line 3 Transportable section 2 ` N Line 2 -- ------------- --- --Line 4 Line 2 Transportable section 3 Line 1 Piers: Size minimum: '1' X M" Spacing maximum: " From ends maximum: " Line 2 Piers: Size minimum: X bbl" Spacing maximum: " From ends maximum: D" Line 3 Roof Loads: Size minimum: Location (from front): Size minimum: Location (continued): Line 4 Roof Loads: Size minimum: Location (from front): Size minimum: Location (continued): Line 1 Openings: ' Size minimum: va-" j X 1j'q " j Each side of openings with width over: I ' o ' u " fi r 2"x 2"x 3/16" STEEL ANGLE A.••._ 1 DETAIL "A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 STEEL FRAME SEE DETAIL "A pt I 3/8" CAD PLATED BOLT, NUT & WASHER COACH "C" FRAME COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 2" CHANNEL 1/4" STAND BASE .1/4"x1-1/4" TEK STS ABESCO ABS PAD #503 (2) REQUIRED 1/4" GRIPPER — BASE 36" MAX TO BOTTOM OF PAD 01/2% 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN rif�.f �N'e 1/4" GRIPPEF PLATE 1/2" A307 BOLT--/ (2) REQUIRED 3/8"x 6"x 6" STEEL PLATE 1/2" A307 BOLT C BEA (2) REQUIRED ATTACHMENT 0 0 10.00O o 09/16 HOLE (TYP) STAND BASE TOP VIEW J -BEAM ATTACHMENT ,,QUIRED a - 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED 8" 1/2" DIA. HOLE (8) PLACES _r `f L 30" STEEL FRAME TOP VIEW MEssi®,�,�� STATE APPROVAL DA Aw MANUFACTURED HOME/MOBILE HOME a! FOUNDATION SYSTEM > HEALTH AND SAFETY CODE, SECTION IMI APPROVED TUF-1 PERMANENT FOUNDATION SYSTEM ABESCU .: 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 SUBJECT TO CORRECTIONS NOTED APPROVAL. DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPI.ICABI.E STATE LAWS AND REGULATIONS Stnto of California Dopartmont of }lousing and Community Development BYAzMOF CODES AND STANDARDS j't-fy-t . DATE Q /�—gnatare) SFA NO.. • l� This Plan ADptovqtExpiros_ .:� .. WAYNE T. POLVADO, PE—LISTING N0, F94249 SHEET i of 3 �7'�` %►�,`+.=r«r -. iw�'�,T� h +Rr'�+t� ��P��"!� �t`..'` ,}...,..-e,t*s�r.y- •'n�--.+)C°L•F�Y'.: :e-'`''wri5-�w6'�FW ?s.,«.r'�,�i1'�Y'+1 �+tv-; tiP"'Ir^iy.,rr_..: ,r r �r•. -. ..:r,,, , . r 1 i BUTTECOUNTYSCHOOLSOMPACT FEE CERTIFICATION FORM (One form per Building) t School District ��Qj// l 1 /� (�/) Building Department No. 7 r%D Tax Rate Area No. f O A.P. Number (.�t0/ '��� Jurisdiction: City ©County Property Owner b6nna, r-hao?oLr Property Location/Address F/•A_ r c/ Subdivision Lot No. ................................................................................................... Residential Development 0 Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation �Con.3 rrs`ion Permit #� ) Cr. Demo - *(No foundation inspection) existing sq. ft. see attached ................................................................................................... Net total sq. ft. M ��� 0 Deed Restricted Sq. Footage (Attach a signed copy of. Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Q Sq. Footage ew Addition (Including Exterior Roofed Areas) Building Department Representative Date District Identification No. 0-80031 ��VVz 1 �l VIY►i �,-� }'ir,:� School District certifies that (Street Address) (city) (S has complied with the requirements of Resolution No. . / os-- 9 D representing J 060 square feet. School District Paid by Check # / Remarks: (Payor) f v (Zip Code) by payment of $ (Phone Number) B 2926 $ FULL MITIGATION $ El 9/k,0- Date 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(a), 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 (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm i Butte County Department ofDevelopment Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile July 22, 2003 Ms. Dianna Horner P.O. Box 173 Berry Creek CA 95916 11 RE: Formal Warning Notice Address 11 Feather Ridge Way, Berry Creek CA 95916 AP# 061=590=0�1�2 :�� __ Dear Ms. D. Horner: Through our courtesy notice on May 13, 2003 you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property.- According to our records, the courtesy notice has not resulted in abatement or correction of unauthorized camping activities, the accumulation of junk in public view, the keeping of inoperable vehicles in public view. Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice. As of this date, our records indicate that the following violations to the Butte County Code still exist: Butte County Code, Chanter 24 Section 24-230 - The U (Unclassified) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the U zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Butte County Code, Chapter 24 Section 24-260 (a) Camping Limitations and Prohibitions. No person shall place or park or allow the placing or.parking of any trailer coach, recreational vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping (as defined in Section 24-305.095) on public or private property within the County for a period in excess of 9 days in any one calendar year, excepting an outdoor recreational facility, campground, recreational vehicle park, or hunting/fishing camp, lawfully established and maintained pursuant to this Chapter. Ms. Dianna Horner July 22, 2003 Page 2 The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte County Code Chapter 24 Section 24-305.240 - Junk Any'wom-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. Butte County Code Chapter 24 Section 24-305.095 - Camping. Occupying or maintaining for occupancy any place for temporary living, sleeping or other human occupancy purposes. . "Camping" does not include: The parking or storage of an unoccupied and otherwise unused trailer coach, recreation vehicle,, or tent trailer on a privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or recreation vehicle, connected pursuant to county permit.to permanent sewage disposal and water supply systems; or occupying a trailer coach or a recreation vehicle for any accessory use allowed in the applicable zoning district. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 2. Remove all inoperable/junk vehicles from the property. 3. Cease and desist camping activities on the property in accordance with the Butte County Code, Chapter 24, Section 24-260(a). This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Ms. Dianna Horner July 22, 2003 Page 3 Should you have any questions concerning this matter, please 'contact me at the address or telephone number listed above. Sincerely, Scot Johnson Code Enforcement Officer SJ: tp cc: Department of Development Services, Code Enforcement ':tom 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On June 22, 2003, 1 served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the beparfinent of Development Services where mail is collected for mailing with the United States Postal Services on the same day. In the United States Postal Service Mail in Oroville, California. Ms. Dianna Horner P.O. Box 173 Berry Creek CA 95916 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on June 22, 2003 at Oroville, California. TAMM E POWELL PERMIT NO. 1613-89P.E(MH) PERMIT EXPIRES s � ®/go OWNER ROBERT MORROW .CONTR. owner ASSESSOR PARCEL LOCATION 11 Feather Ridge Way, Blnomer m Temp. Power Pole Called PG&E Temp Elec. Seryl ry Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature ? �v = UK = Not A plicable 'RESIDENTIAL (tingle and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s . 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel='/ - IP' Ftg. Depth A. Ftg., Porches & Decks;,Soils-Steel-/' /"Ftg. Del 5. Stemwalls, Main; Steel=Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped - 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground '13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe: Size & Anchors Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Lioht-SDa Liaht Card -Bi Date Card -61 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace In Attic Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing 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,Eziting 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-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. 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-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) = 0K 0 = Not OK ,� •,.... - = Not Applicable ' = Not Ready ROSOLE HOMES ,h _ a � , ., ' MISCELLANEOUS 'r Date .. MQJKLE HOME UTILITIES (Plans) OK except #'s • - Date DECKS,COVERS,CARPORTS,GARAGES,- (Plans)OK except #'s .,Zwifng Requirements-Setbacks-Easements 1. Zoning, Requirements-Setbacks-Easements . S • ;"Special MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel wer; Location-Test-Fall-C/O=Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails - ded Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing , •5. ectricity; Location-Clearances-Grnd.-/. , / Amp-Concrete . Gas; Location-T st-Wra • / -• /" L"ft• /"Nat. orA)I"L"ft./j /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports-,,Windows-Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses . 9. Siding; Nailing-Veneer-Stucco-Mesh Card-Bi at6 Card-131 Date t 10. Roof; Shthg-Roofing Card-B1 ate: rd-81 -, Date 11. Ext.; Steps-Doors-Landings Date iiACY11311 EHOME INSTALLATION (Plans)'OK except #'s 1. Zoning Requirements-Setbacks-Easements Card-131 Date Card-131 Date 2. Footings; Size-Spacing-Marriage Line - + Card-81 Date Card-131 Date 3.-Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Cros$oJers-Breakers-Clearances . Date POOLS (Plans) OK except #'s- 5. Drain; MH Test-FalkFlex Connector - 1. Setbacks-Easements 6. Water; MH Test-Regulator-Connector j 2. Soils; Compaction-Structure Stability 7. Water and Sewer Connected-C/O to Grade-HD Approval, i 3. Pool Structure; Steel-Connections-Thickness- " Dead Men=Lining 8. Gas and Electricity Tagged ( 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI p 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed I 7. Elec.; Bonding;-Metal w/5" Circulating Equip.:Heater I 8. Elec.;Grounding' Equip. w/5'-circulating Equip.-Pool L ht 9:Card-B1 Boxes-Enclosu res-Panel boards- Ins. to Main in Conduit Date Card-B1 Date Card-131 'Date Card-131 Date 9. Health Department Approval ' �> { 10. Plumb.; Cir. Test-Water Supply Test ' Card-B1 Date Card-B? Date Card-81 Date Card-131 Date - � 1-S'P /a V COUNTY OF BUTTE,: DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviile, CalifoKila 95965 - Telephone: 916/538-7541 APPLICATION AND PERMITI / - PE IT NO.�� /,-2, AS ESSOR PARCEL NUMB R ZONI G BUILDING PERM O TE... �s=lHON a SO. FT. OCC. BUILDIN VALUATION OWNER'S MAILING A RESS113�_ n 'tS� CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Q Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee E Z6Z 1925 Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS \0 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 p d `off Solar or heat pump water heater 20.00 LOT NO. 1 Z SUBDIVISION NAME 1_3�r- PARCEL MAP // l�Each Water piping 5.00 qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomey Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 4Q 1 5.00191 Mobile Home nVGJ1fJJO.00ea TYPE OF WORK New F] Addition El Remodel Utilitie Installation[] Other ❑ Describe work: T >, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DODv OR LESS 100 AMP OR LESS 10.00 / Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE )cense No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1,a (Sete owner, am exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.DI\ yzQsgft OR ADDNS. ACC. BLDGS. NEW CONSTR TI -OUTLET 2,50 ea NON.RESID .BRA CH CIRCUITS) POWER APPARATUS e OUTLET CIR. Ex. Occu zo a Doe Occup(OUTLETS OR FIXTURES 5AL930 FIXED APLNS.I, Ex. Occup. OUT LETS P(RESID )REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): he permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. VI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, j dgments, costs, and expenses which may in any way accrue again ai Co my sequence of the granting of this permit. XDate 6 Signature of Appl cant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE , $ OCCUP. CONST.TYPL ISCHOOLIFloo PARCEL ,r PO i" N Is5 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY / PE IT EXPIRES Date------ the applicable provi- resolutions to do fees have been paid. WORKS Date L ���'d'% Receipt No. ®� 1 WHITE-D.P.W.. YELLOW -Ase Ce SOK. PINK -INSPECTOR. GOLDENROD -APPLICANT Al T 7 COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. i Date Inspector._/ 1// "7.r ;liw •'" I. •�'{ .x. r. • Pl. . -": T+. .r �.. i . {C r'..:.- , �. ' �. _ y .t�.:'_.. ..., 10e+ r. - �,i.. L�+ti,-.....,:!'�"t, 'Lr- r' n r COUNTY OF BUTTE - DEPARTK4 NT OFkPUBL4C WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ,' Permit No.---/ / OWNER A. A. P. No. 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 APPROVED 1. All items have been submitted 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... So.hooI Distr: ' fees paid .......... . --��. Sanitation approval from ✓1 t Health Department 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ... . Pre-Inspec. request to • Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 3. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ...................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. D.ip,liver w/inspector. Other Applicant JOAM&AA-2 Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issua eA Circle new item not checked above). 1. Index permit for above items No. r 2. AdditionaC'items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —Mai I—counter by date Plans checked by Date Plans approved by s Date Sets of plans on hold in File cabinet AP folder Copy—DPW 1 klk owner Location�1 AP# . �L[Jz�ia2 �• Plan Approved for: Sewage Disposal y Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply. Clearance !or Not'. 22L4��6- Date San i arian COUNTY OF BUTTE Department of -Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 provide the major labor and materials for construction of the proposed property_ improvement (yes or no) Ve..S 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 /V n N Q_ Address City Phone Contractors 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 .f/ o N Address City Phone Contractors 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 Securit Date n; 0 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 per- mitted to issue.the permit. WikbF * ACKNOWLEDGEMENT y GaL-QEVELOPMENT L0=0:'�DIiLL@ 'L011nLy itrOa�„i” RE �14jH. t r 4 req re• ttiis: acknowledgement . be record LornD�CuMEN� T prior to issuance of °a -building permit. _� : �j�01N�+� MAY 3 Q 189 ' kk..•..i The .property described herein is :adjacent to Aand or.included within an area zoned �. for agricultural purposes, and residents �y_014727 ! �' of this property may be subject to incon- . veniences 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 including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared,to accept such inconvenience or disconform from normal, necessary farm operations. I All that real property situate in the County of Butte, State of California, described as follows: JOY /-2 *46 cS'it e w IV 0 ti Zh�i} � CtT2 �R i.; /p^ c ,v �� E �c C4 t( r -CA,_/ -#e e 2I V Z:�,_ "C', KI � Gam- C s t� J- c - S s0 so4o,;Avol, lit/ %1 G Lj / �' /4p ki 4S �i L ted' , ,% Git orf f=^/ -i G L- 0 /c ,e, rz- ci o c-, T� 44V vof- r2 [' /3 J / rl7el /A od�' 3 S� Date : -2(hAu arg PROPERTY OWNERS: State ofL.AJiT1:khL0 SS. County of )QJ ang ) 1 ti I(KIE LION011 M- )!MY'PLISUC • CALIFORNIA 3OL4N6 COUNTY fir,"'.`Expires Ayre 2. 1993 aZ,,&� /_ - M a,ez0-y � 1 p TT t/ C, �ro,e,ec mac/ On this the Qu% day of 19_99, before me,' the undersigned Notary Public, personAlly appeared �� r�' �-• MOrrOCAD Personally known to me. V Proved to me on the basis of satisfactory evidence: to be the person(s) whose names) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNE S WHEREOF, I hereunto set my hand and ficial seal. n . : '*—V - '� /1 Present A.P. No. (D ( �/ —(p` Cot ry Pub is Ir2 0I1` I ('L k/0G ion n•L � _ 1 9 �' 69 plf C) z ROSS P..SHOAF, Civil Engineer Phone: (530) 749-0142 ENGINEERED 5ft. CANTILEVERED RETAINING WALL For . Danny &Diana Charest, Owners . Location: 11 Feather Ridge, Berry Creek, California APN 061-590-012 Permit Number B07-1770 Job No. 07-668 Report Dated 12/17/2007 (Total 5 sheets) BUTTE COUNTY T �oQR "�le, BU:O� 0MG MOON SS Sy0 Nde9� EZ APPROVED, �, 00 9 pr 2009 IVi OF CALIF BUTTE 'COUNTY D��p�� O{�200p77T k PROJECT: &a i R s¢ 6e rro, Cpet� Ross P. Shoaf, Civil Engineer Phone: (530) 749-0142 Job No.: Date: 11)17jyoo*7 Sheet 4 of -5 co � c0crAz po I&I10f, vcvf' tM (p (e) oc 10\�- liravel �ocVA o4 V)& -t V-4 �"?. m rA� A WA Fac+ Cw � 11 /S Y. rV I `�,C-d '? j r m rA� A WA Fac+ Cw � 11 /S Y. rV I `�,C-d '? j PROJECT: G�tgftC4(3e rr� CI`lG1�- Ross P. Shoaf, Civil Engineer 'T Phone: (530) 749-0142 Job No.: 0 Date: 12-117 140 Sheet 7i6f S -0 J 4-4 Deana off' ZotA 1 � 1 ;;*tA r o No L LkA t T Of tcry K -Ay K-ey -� 1 0 0dere L�- I o HOCI 1 = o Wilt a p 6.in Conc w/ # #0@0.in @Toe Designer select #0@0.in all horiz. reinf. @ Heel See Appendix A ' e' To specify your own special title block here, use the "Settings" screen and enter your title block Title • : Charest Page: Job # : 07-668 Dsgnr. Date: DEC 20,2007 Description.... Information. This Wall in File: c:%documents and settingslross shoaf%det Retain Pro 6.1f, 01 -October -2004, (c)1989-2004 Cantilevered Retaining Wall Design Code: 1997 UBC Registration # : RP -1136605 Criteria Retairied Height = 5.00 ft Wall height above soil = 0.00 ft Slope Behind Wall = 4.00 : ' Height of Soil over Toe = 0.00 in Water height over heel = 0.0 ft Wind on Stem = 0.0 psf Surcharge Loads 648 psf OK Surcharge Over Heel = 0.0 psf Used To Resist Sliding & Overturning Surcharge Over Toe = 0.0 psf Used for Sliding & Overturning 680 psf Axial Load Applied to Stem Axial Dead Load = 0.0 lbs Axial Live Load = 0.0 lbs Axial Load Eccentricity = 0.0 in Design Summary Sliding Calcs (Vertical Component NOT Used) Wall Stability Ratios 563.0 lbs Overturning = 2.82 OK Sliding = 1.55 OK Total Bearing Load = 1,572 lbs ...resultant ecc. = 1.41 in Soil Pressure @ Toe = 648 psf OK Soil Pressure @ Heel = 401 psf OK Allowable = 1,500 psf Soil Pressure Less Than Allowable ACI Factored @ Toe = 680 psf ACI Factored @ Heel = 421 psf Footing Shear @ Toe = 4.3 psi OK Footing Shear @ Heel = 5.7 psi OK Allowable = 85.0 psi Sliding Calcs (Vertical Component NOT Used) Lateral Sliding Force = 563.0 lbs less 100% Passive Force = - 459.4 lbs less 100% Friction' Force = - 412.6 Added Force Req'd = 0.0 lbs OK ....for 1.5: 1 Stability = 0.0 lbs OK Footing Design Results Soil Data Allow Soil Bearing = 1,500.0 psf Equivalent Fluid Pressure Method Heel Active Pressure = 30.0 psf/ft Toe Active Pressure = 30.0 psf/ft Passive Pressure = 300.0 psf/ft Soil Density = 110.00 pcf FootingIlSoil Friction = 0.300 Soil height to ignore for passive pressure = 0.00 in Lateral Load Applied to Stem Lateral Load = 0.0 #/ft ...Height to Top = 0.00 ft ...Height to Bottom = 0.00 ft Stem Construction I _ Design height ft= Wall Material Above "Ht" _ Thickness = Rebar Size = Rebar Spacing = Rebar Placed at = Design Data Actual 1 -Way Shear fb/FB + fa/Fa = Total Force @ Section lbs = Moment.... Actual ft-# = Moment..... Allowable ft-# = Shear..... Actual psi = Shear..... Allowable psi = �p Stem Footing Dimensions & Strengths Toe Heel Factored Pressure = 680 421 psf Mu': Upward = 881 153 ft-# Mu': Downward = 251 557 ft-# Mu: Design = 630 404 ft-# Actual 1 -Way Shear = 4.32 5.66 psi Allow 1 -Way Shear = 85.00 85.00 psi Toe Reinforcing = None Spec'd Adjacent Footing Load Heel Reinforcing = None Spec'd 0.0 lbs Key Reinforcing = None Spec'd Eccentricity • = �p Stem Footing Dimensions & Strengths Toe Width = 1.67 ft Heel Width = 1.33 Total Footing Width = 3.00 Footing Thickness = 12.00 in Key Width = 9.00 in Key Depth = 9.00 in Key Distance from Toe = 1.67 ft rc = 2,500 psi Fy = 60,000 psi Footing Concrete Density = 150.00 pcf Min. As % = 0.0018 Cover @ Top = 2.00 in @ Btm.= 3.00 in Adjacent Footing Load Fs Adjacent Footing Load = 0.0 lbs Footing Width = 0.00 ft Eccentricity • = 0.00 in Wall to Fig CL Dist = 0.00 ft Footing Type Line Load Base Above/Below Soil = 0.0 ft of Back of Wall Stem OK 1.50 Concrete 6.00 # 4 18.00 Edge 2nd Stem OK 0.00 Concrete 6.00 # 4 18.00 Edge 0.201 0.407 294.0 600.0 343.0 1,000.0 1,705.6 2,455.6 8.2 11.8 85.0 85.0 Lap Splice if Above in = 31.20 31.20 Lap Splice if Below in = 31.20 8.40 Wall Weight psf = 75.0 75.0 Rebar Depth 'd' in= 3.00 4.25 Masonry Data fm psi = Fs psi = Solid Grouting = Special Inspection = Modular Ratio'n' _ Short Term Factor = Equiv. Solid Thick. _ Masonry Block Type = Medium Weight Concrete Data rc psi = 2,500.0 2,500.0 Fy psi = 60,000.0 60,000.0 Other Acceptable Sizes & Spacings Toe: Not req'd, Mu < S • Fr Heel: Not req'd, Mu < S ' Fr Key: Not req'd, Mu < S • Fr Total = 563.0 O.T.M. = 1,191.0 Resisting/Overturning Ratio = 2.82 Vertical Loads used for Soil Pressure = 1,572.2 lbs Vertical component of active pressure used for soil pressure Surcharge Over Toe Stem Weight(s) = 375.0 1.92 ' t7 To specify your own Title Charest Page: special title block here, Job # : 07-668 Dsgnr. Date: DEC 20,2007 use the "Settings" screen Description..:. 2.05 172.5 and enter your title block 196.9 3.00 590.7 information. This Wall In File: cAdocuments and settingslross shoaflde! Retain Pro 6.1f, 01 -October -2004, (c)1989-2004 Cantilevered Retaining Wall Design Code: 1997 UBC Registration # : RP -1136605 Summary of Overturning & Resisting Forces & Moments .....OVERTURNING..... .....RESISTING..... Force Distance Moment Force Distance Moment Item lbs . ft ft-# lbs ft ft-# Heel Active Pressure = 578.0 2.07 1,196.0 Soil Over Heel = 456.5 2.59 1,180.1 Toe Active Pressure = -15.0 0.33 -5.0 Sloped Soil Over Heel = 9.5 2.72 25.8 Surcharge Over Toe = Surcharge Over Heel = Adjacent Footing Load = Adjacent Footing Load = Added Lateral Load = Axial Dead Load on Stem= 0.00 Load @ Stem Above Soil = Soil Over Toe _ Total = 563.0 O.T.M. = 1,191.0 Resisting/Overturning Ratio = 2.82 Vertical Loads used for Soil Pressure = 1,572.2 lbs Vertical component of active pressure used for soil pressure Surcharge Over Toe Stem Weight(s) = 375.0 1.92 ' 720.0 Earth @ Stem Transitions= Footing Weight = 450.0 1.50 675.0 Key Weight = 84.4 2.05 172.5 Vert. Component - 196.9 3.00 590.7 Total = 1,572.2 lbs R.M.= 3,364.1 T E PLAN - .- .........._ / \ I ALL COVERED DECKS AND OPEN DECKS EXCEEDING 36 ...... — ' SQUARE FEET IN AREA WILL REQUIRE A BUILDING PERMIT V1_// r' THE 2001 CBC, CMC, CPC, i 2004 CEC, AND 2005 _ — \ CALIFORNIA ENERGY STANDARDS J �_L_ -______AS AMENDED BY THEZ. JURISDICTION APPLY TO THIS ANDING AT EXTERIOR DOORS SHALL COMPLY ' WITH CBC SECTIONS ^� 1003.3 & 1003.3.1.7 ' I • `� This project is required to meet the s <30 ' o a same practical effect guidelines 0. outlined in the attached PRC4290 r W n Requirements. �• 7v LO = CDFButte County Fire ' —�---- �° Y� �•;.--dal �_ AN newWN&W In SRA are required to have: Fully enclosed noncombustible eaves on entire structure e" Gutter screens to prevent accumulation of leaves/debris - -- Corrosion resistant, noncombustible, f/a" maximum opening ------ roofandattic vents �N�wR y-�Sy PLANNING DIVISION - BUILDING PLA APPROVAL Use: Date: i0 0 BUILDING - Parking: Landscaping: ASSESSOR'S > 7� Other. l / PARCEL# 00 APPROVED PLANS AND I Signature: CALIFORNIA CODE OF REGULATIONS TITLE 25 REQUIREMENTS AS AMENDED n/>�A BY THE JURISDICTION APPLY '• s ...:......:.....:.. < ..._.;_.....• . . THIS PROJECT •........------.....— ........... ..—........... —..... ............ _........... —_............ _..... ..... :..... —..... Assessors Parcel Number 0 ❑b 0 0 ®®� m � ©� Stale_ 9 0 Ovm er Name � �- Address / Phone No. '__P.. � - � Lao Site Locatiol, PERMIT SHALL BE ON SITE FOR ALL INSPECTIONS 3UILDIRIG DiVISIO.S. ASF r-% 0-* --rel--! ----- 1%: �' cc i i .....:..... ....._•........ — — — — ... — ..... — ..... .... _..... ----........---...---•-••_....._....•-•-.......-....._ : i Zf 7 PRC 4290 REQUIREMENTSL - I ' s Fre Safe Requirements F L E COPY ZG6ii Must be completed as specified and approved by California Division of _ �S�' Forestry I size, USES: NdV H3NMQ AdOO 311:d