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061-630-011
.tis �s�'i�_' _.♦n� 1 _ , 061-630-011 02-1578 MURDOCJ<KEITH Lty DEER MEADOW RD., ELECTRIC FOR WELL-FUTURE LOT DEVELOPMENT ELECTRIC a A- GAS LINE aA — COMPACTION TEST RBS r SUPPORT STRUCT REQ Y\U a ' 061-630-011. 02-1893 MURDOCj{,KEITH �NALEL fg� DEER MEADOW LN., BE Y#—/S- CREEK MHU 061-630-011 03-0563 MURDOCK, KEITH 184 DEER MEADOW RD., OR Cont. OWNER INALED MHI 061-630-011 03-3 0 MURDOCK, KEITH 184 DEER MEADOW RD, BE gNALIDCREEK Cont: K-GAS GAS LINE ONLY OFFICE Copy Address GAS Meter BDa ELEC - IC —��a e �—_ e er Y 061-630-011 03-3220 MURDOCK;'YEITH 184 DEER MEADOW RD, BERRY l' CREEK Cont: K -GAS GAS LINE ONLY OFFICE Copy Address GAS Meter BDa ELEC - IC —��a e �—_ e er Y 1 (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING'DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. APPLICATION AND -PERMIT 10 ASSESSOR PARCEL NUMBER 061-630-011 ZONING BUILDING PERMIT OWNER KEITH & LAREA MURDOCK TELEPHONE 589-9954 SO, FT, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS PO BOX 178 BERRY CREEK 95916-0178 CONTRACTOR'S NAME K -GAS TELEPHONE CONTRACTORS MAILING ADDRESS MIM RIVER. OROVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS F 184 DEER M ADOW RD B Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ; Other 4 SPECIFY e'' [ Solar or heat pump water heater 23.00 Water piping iA, Each gas water heater or vent15.00 15.00 r TYPE OF WORK' New ❑ Addition ❑ Remodel ❑ UtilitiesInstallation ❑ Other ❑ Describe Work: GAS LINE ONLY + • .r Gas piping system 1 - 5 outlets 15"'90 Building sewer 15:00 Mobile Home I S I G1 W @20.00 PERMIT FEE $ 35.00 - ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service .A OR. 23.00 r {i LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. � OWNER -BUILDER DECLARATION _ i I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ,•' 9.I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason * Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. SO 3.50 UTLE NoµAtsloT' MULTI -OUTLET RANCH CIRCUITS I @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU . OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 PP Ex. Occup. OFIx sRES D OR" 5.00 Tempora . rService 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. Mylworkers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) - a` I certify that in the performance of the work for which this permit is issued, I shall not employ any person, in any, manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700' of the Labor Code, I shall forthwith comply with those provisions. X tom. e-� -- Date' �(�" .� r)— o -3 ! Signature of Applicant - ®Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures oveGGr,, 3 stories in he'ght. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. " D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat d ab ve for which fees have been paid. By Date PERMIT EXPIRES ON' /J 1)6 G Date Receipt No. J /® WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK.INSPECTOR GOLDENROD -APPLICANT y't`�.w.Y�+3��,t'--+,P•b,}yYv+ys3Y�iX'--�.s•W..4w.Y�"'�... Ni.....Y+✓tir—J il.L` e""'ti. �4.'•"'w!�;.•"- .- h*• s COUNTY OF BUTTE 4BUILDING DIVISION 'DEPARTMENT OF DEVELOPMENT SERVICES m 411 Main Street • Chico, CA *(530) 891-2751 ` 7 County Center. Drive • Orbville, CA • (530)-538-7541 r - t t CORRECTION NOTICE _ A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. <ZZZ2- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPRIENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • ,Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) - APPLICATION ANCI PERMIT 3-3aao ASSESSOR PARCEL NUMBER 061-630-011 ZONING BUILDING PERMIT OWNER KEITH & LAREA MURDOCK TELEPHONE 589-9954 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 178 BERRY CREEK 95916-0178 CONTRACTOR'S NAME K -GAS TELEPHONE CONTRACTORS MAILING ADDRESS FEATHER RIVER OROVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 184 DEER Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )J Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities)d Installation ❑ Other ❑ Describe Work: GAS LINE ONLY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: '9i I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ~ X �_ Date 70� �—' Signature of Applicant - Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in he' ht. Main Service TO 46.00SO CCU000A YTI200A NEW coNsr. DwEu.ING occuP. 3.5QF°: ( ACC. NRA coNS.. M u�Tl�sr NON•RESID. 97.50 POWER APPARATUS 8 SINGLE OtIr. CIR. EX. Occup. ounET OR FIXTURES SAL @ I.50 Ex. OCCU . otmEFrs RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 ]�A D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat d ab a for which fees have been paid. By / nDate PERMIT PIRES O l a pats) ReceiptNo. 3 '� , WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.-1 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. GII personally plan to provide the major labor and materials for construction of the proposed property improvement: YES. NOD ' QI HAVE A HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ; ADDRESS: PHONE: CITY: ' 4 _CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAMEADDRESS . PHONE TYPE OF WORK SI PROPERTYOWNER: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification, must be completed and returned to our office before we are permitted to issue the permit OVER f' O.Bf-°1 OWNER BUILDER'INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property,4 M y a improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on sucli a permit. Building permits are not required to be signed by property owners unless they are personally performing their, own work. If your work is being performed by `someone other than yourself you may protect yourself from possible 'i liability if that person applies for the proper permit in his orher name. Contractors are required by law to be licensed and bonded by,the State of California and to have a business .. ' license from the city or county. They are also re4uired by law to put their license number on all permits for which the apply- } J If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any. persons other than your immediate family, and the work (including materials`"' and other costs) is'$300'or1more for the entire project, and such persons are not licensed as contractors or,, subcontractors, then you may be an employer. =i .; ♦ ' If you are an employer, you must register with the State and Federal Governments as an employer, and you .are subject to several obligations including state and federal income tax withholding, federal social security taxes,`' workers compensation insurance,'disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations,- and these risks are especially serious'".. with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,s,;' if you wish, the U.S. Small Business Administration)..For more specific information about your obligations under < r. -• ' State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their' , work personally or,through theirown employees,, without a licensed contractor or subcontractor, only under limited - conditions. ~ A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" buildin g• permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. r, Information about licensed contractors may be obtained by contracting the Contractors State License Board in your" community or at 1020 N Street," Sacramento, CA. 95814. , Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you ` are aware of these matters. The building permit will not be issued until the verification is returned. j rely, ,�.. Mic el C. Vi ira, C.B.O. ' s Man "ger, Building Inspection NOTE: This Owner-BuilderInfo imia.*n is required by Section 19830 of the California Health and Safety Code OVER ., i �; :. -.•a. �..-- x�n...}.r ':wie�'.rc3tJa,w+ .,r .. .. ... r r 061-630-011 02-1578 MURDOCH, KEITH /DEER MEADOW RD-BO�i°P�� `P7Z�f rC f CGL ELECTRIC FOR WELL -FU URE LOT DEVELOPMENT „ f i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMT No. (Rev.12/96) ` APPLICATION AND PERMIT �` ASSESSOR AAS E1 ZONINGBUILDING PERMIT061630- OWNER �; + MMDOW. KEI'T'H ^ ` ,, - TELEPHONE 195.0439 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS w *' I.!, 15 COC HISS DR.. OROVMEO CA 95966 " 207-1272 CONT/'R1(A'CTTOORRSS NAME TELEPHONE OWNM CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER I Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee - $ ARCHITECT OR ENGINEERS MAILING ADDRESS ! Plan Checking Fee $ BUILDING ADDRESS DEER 116=4 RD.. Energy Plan Checking Fee $ $ 1 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCI EL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE iSolar SF ❑ Duplex ❑ Mobilehome ❑ Other I SPECIFY I or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent - 15.00 TYPE OF WORK j� New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ) Describe Work: ELE("T'RIC FOR WELL & FURIBE IM DIFVI•',j0P_M t' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 eoov oR LEss Main Service 2o0A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. + OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I 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 silo. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions! Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section— 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number ... (The above sections need not be completed 'rf the: permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 1� _' _ D X �..e� Date {p Sighature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 2o0A TO lOC 46.00 NEW CONST. DWEWNG OCCUP. s° OR ADDNS. ( a ACC. sins. 3.5¢FT; !"1O�R.,.. NST.MULTI-OUTLET @7.50 POWER APPARATUS a SINGLE OUTLET CTR. 20 @ I.DD Ex. Occup. OUTLET OR FDRURES BAL @ .50 FIXED APPLNS. OR 5.00 Ex. Occup. ouTLETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 Pre—Itispeoct ion 23.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEES Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES I IMP FLOOD I CDF PARCEL tpDi HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By /tel/ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date + •- Dete ReceiptNo. 354061 *66. CSC? WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTORr, GOLDENROD -APPLICANT I �I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 ! Telephone (530) 538-7541 h _ PERn�T o. (ReJ 12/96p APPLICATION AND PERMIT AS SES$OR PARCEL NUMBER 061-630-011 ZONING BUILDING PERMIT OWNER POUCH I,,ETiH o _ TELEPHONE o SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 15 COCITISE DR. OROVILLE CA 95966207-1979 CONTRACTOR'S NAME . 0171',7LR'dp TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 42 4 in Plan Checking Fee $ BUILDINGADDRESS DEER Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: ELECMIC FOR MLT & FIMMEF. TOT DFM,0Py(F Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2a0A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. 8 ACC. S. SO 3.5¢FT: ,,o"RpO�ID ' MULTI.O!IR TC. @7,50 APPARATUS 8 SINGLE OurLET CSI EX. OCCU OUTLET OR FIXTURES @''0° BAL Ex. Occup. oFucuTLEEo�A Runs ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 23.00 Pre -Inspection 23.00 PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. '/ X {� Date �� �' Sig ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTTYPE . TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ✓vV Date PERMIT EXPIRES ON tp 101 1 V Date Receipt No. 354062 $66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �c. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER (Q I "' 3 0 ' Q Proposed Building Use: ' ( �� ! �' G i < Counter Technician: `l Date: (D • Z Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or { foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate; (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received + By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 2 Encroachment Permit f,or^, dri `eway ftp the Public Works Dept. (construction approval prior to occupancy). N012'2. Pre -Inspection for W i' ` �` t %1X X (I,L required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... :..: ❑ 28. Manufactured home utility clearance............................................................... [❑ 29. Existing violations and/or expired permits..... '"t, : ..............................: ❑ 30.` ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 1 ❑ 31. Other: When issued Telephone • ( and hold for pickup. I have been info med of the above items and requirements for obtaining a building permit. Applicant: Date: -7 '2 1. Index permit application for the above items numbered: _ 2. Additional items required Contractor, designer, owner, was advised of the above data by. Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: '' Date: ❑ phone, ❑ mail, ❑ counter, by ❑ phone, ❑ mail, ❑ counter, by Plans approved by: Structural approved by: ' 'i Yellow: Building Division Plan Check Letter Date: Date: Date: i W PRE -INSPECTION REPORT OWNER cn i o c DATE: LOCATION: U J ' A.P. #• d� �' w,3(% } CONTRACTOR: Ow /l. er ZONING: { PRE-INSPETION FOR _ (/� t' ` I��G�/ ( C DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Descrlptfion: . Conunercial/Usage: ResidentiaL4 of Units: Currently Occupied Abandoned/Vamt Electric: Yes No Electric cun=t9 y On Off Condition of Electric Gas: L• r - . Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious Se%a=Problems ' ACTION RECOMMENDED: LSSUE: l% HOLD FqR ar i, ' Inspectors 0--'e-2 Date 4 11g, Sketch buildings on reverse and indicate location on p'ropertg r, • OWNER BUILDER INFORMATION Dear Property 0 -re:: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection; you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exceptiod of various trades that you plan to subcontract you should be aware of the following information for your benefit and protection: ", ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State;and'Federal Governments as an employer and you are subject to several obligations includin-state.and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs,and.unemployment compensation eontnbutions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under Sate Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "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 property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until, the verification is returned. n rely, htic el C. tA .O. tit ger, Buildpection NOTE: fins Owner -Builder Information is required by Section 19810 of the Californla Health and Safely Code. OVER O`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sigstamm Please complete and return this information at your earliest opportunity to avoid uoneeessa , delay in processing and issuing your building permit. No building permit will be issued Until Ws verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 2. NO O 2. I HAVE Pk�- HAVE NOT O 1. signed an application for a building permit for the proposed WQ& 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NA,NEE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK' SIGNED: PROPERTYOWNER: SOCI..L SECURITY NUMBER: 15 5 5 3 DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of lis California Health and Safety Code. This verification must be eompk d. std returned to our office before we are permitted to issue the permit M,1 4 3 .+-*s �. �xtT2.t .� -ts•L• - 'S.. ' �.. ._ : -� _ - _ a r'r« . � t-»,-. -o..ea -.� ..�-� .' �:..�. �.. � ., r,..,,. -r. ,,.. _ , � -. .-. _ r t r 1 061-630-011 •f' F163-0563 MURDOCK, KEITH 184 DEER MEADOW RD., OROVILLE , Cont: OWNER 'i Ryi'•41M� 1 � ii .} 'OFFICE COPY Address ( cot/ ' bz--G�KJQ GAS Meter By Date ELECTRI(' Meter B, Date ' r Lo . „ •'y f f � •„7)1,3.+'+�!L • }�... a` ��. ..� .w+.r;Law.r.3'•r+isv't�ti�.-:r"F•.�,^....,-; L..i4'1i'-'�s�J..�%'N'#�•+"' -".w-. .. _ YJ 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t; 7 County Center Drive • Oroville, California 95965 • Telephone (530)538-7541 PERMIT NO. (Rev. 12/96 APPLICATION AND PERMIT a ASSESSOR PARCEL NUMBER 061-6.30-011.1 ZONING BUILDING PERMIT 1 OWNER I+hURD=. KEI'ItI TELEPHONE 589-9954 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 178. BERRY CREEK. CA 95916-0178 CONTRACTOR'S NAME .OWM � E TELEPHONE - - r CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER - Fireplace- ireplace•Total LENDER'S MAILING ADDRESS _ - TotalValuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23-00 BUILDING ADDRESS 1.84 DEM MDM RD., ORMUE Energy Plan Checking Fee $ PERMIT FEE $ 43.00 LOT 2. !. SUBDNISIOJ�5�Ng3_70 PARCEL MAP PLUMBING PERMIT Fling Fee '20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome W Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1�0(01her ❑ Describe Work: Z Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (_. 920.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 R LESS Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawfor the following reason: 1 I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ; ❑ 1 am exempt under Sec. Business and Professions Code for this reason t WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: r ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier n L { Policy Number t (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) I - - � I certify that in the performance of the work for which this permit is issued,'I shall not employ any person in any manner 'so as to become subject to workers' compensation laws of California,- and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. k "' r oma'^ 1 o y X _� DD e Signature of Applicant - Owner ❑ Contractor~"❑ Agent t% An OSHA permit is requir for excavations over 5'0” deep and demolition or construction' of structures over 3 stories in height. Mein Service 200A TO tOooA 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. a Acc. BLos. 3.5¢FT: NEW CONS . MULTI.OUTLET U 7.50 NON•RESID. CU. POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Ex. OCCu OUTLET OR FIXTURES BAL p'. 0 Ex. Occup. oFlxs R pOEA -5.00-- .00Law Temporary I Service 23.00 Mobile Home Facilities 20.00 ' Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE •$ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $' occ CONST. TYPE TOTAL FEE $j 143.00 HAY. �,. D.F I U , s C4 v PAROL i/ PO HD SS` r This permit is hereby,issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ff`fl� Date_rkT/0_; !(�""`� c!J PERMIT EXPIRES ON / 01. Receipt No. 74577 o6z _77 4 � o WHITE-D.D.S.-B.D. CAN R' -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 5 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION V ' 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT D - O 5 (,o ASSESSOR PARCEL NUMBER 061-630-011 1 ZONING 11 BUILDING PERMIT 1 OWNER MMOCK KEITH58 TELEPHONE 9-9954 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS PO BOX 178 BERRY CREEK CA 95916-0178 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER , Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Ellin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93 00 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ Longo. L sUBDNIS.PM 83-70 PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome AR Other SPECIFY Solar or heat um water heater Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: MHT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA OR tESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. - ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLD S. 3.5¢FT. NOo-ypaloT MULTI- OUTLET g7.50 APPARATUS &SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 @ I.00 SALO .w ED Ex. Occup. ouxTs Ra OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �— I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith Com ly with those provisions. (IlThis /1 ., ed�indicated �, re of App icant -IN Owner ❑ Contracto Agent 2Zxigna An OSHA permit is requir for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ' . OCC CONST. TYPE T03AL FEE $ 143. 0 HAZ. D, FAIM C PAR PD HD SU permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. By ate X Q� PERMIT EXPIRES ON to ReceiptNo. D C r e>.2h WHITE-D.D.S.-B.D. CAN SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F i s Y•t�'1y„4.,�},Y•-+•Sar•.s�.3:�.ns;� �a>tw.t(,j'AiT'. rrK4 _T -;...r.. .. ,.rFwrt.� .. .-•.c, x.'^'Ta°-�R°�+fti TF�yt'amr+x� �..._—.zj�_�.�;� r, Z..,a :�- ::�.. h. J ri,I6 •' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County°Center Drive, Oroville, CA 95965 Phone(530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:)(': ASSESSOR PAR(QI_EL`NUMBER Proposed Building Use: / I �. Coull,'Fechnician: Date: C7 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to app y. . Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. ' `2. Complete plans, 3 or 4 sets, signed by the l reparer of the plans. 5 ❑' 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets`of stamped and signed calculations. ' ❑ 4., Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in.dupl'icate. I V. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. %.• N i ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ig neer. ' Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ X10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ....................... • ............. ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other 'Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 04.is shown on the attached Schedule of Fees Due Sheet ..:.......................... .......... 1 Statement of Intent for Non -heated and A/C Buildings...................................... 6. Sanitation and plot plan approval from the Environmental Health Department in iaw ❑ 17. City of Chico Plumbing permit ..................................... :.................................. ❑ 18. California Department of Forestry plan approval ❑ paid. Sent- by: ...................... ❑ 19. Planning approval for (A) Use: oZ (B)Parking: (C) Parcel Check: QG ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... 27. Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... 29. Existing violations and/or expired permits ................. :....................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone— j and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. (@cant: 1 �" ate 2'r -2-7 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the abo e d by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: W, Date: 3/"6/,93 Plans approved by: �_ Date: Structural reviewed by: Date: Structural approved by: Date. Note transfer by: Date: Yellow Ruildinn nivicinn 3 7. 777`7� E.H. USE.ONLY Not Plan Attached Roar Plan Attached Sent to 13.0%�*-I. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance' ()o n4A Owner Location AP# Plan Approved for: Sewage, Disposal Water Supply: Public, Private Well Clearance for dwelling. Other Hold *final for: A V 4^0- Environmenta'N ealth Specialist dCe 03-Z)563 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 a „ SCHEDULE OF FEES DUE OWNER X <J (L^ PROPOSED BUILDING USE 1. BUILDING PERMIT FEES 37 a a- 6l Balance Due ....................... $ Additional Fees Due ................. $ Additional' Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential x $360.00 = $ Units Commercial (sq. ft'.) ............... x $0.03 = $ Sq. ft. f 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # s, $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) I`r A.P. # �/1 S DATE 4a RECEIPT # DATE REC. �f. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. t APPLICANT DATE 2 ^ -7— O Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned t items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100) O.B.- I 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 im rovement : YES NO ❑ �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: C NAME: DRESS: PHONE: 4. I plan to proal supervise, and NAME: ADDRESS: CONTRACTOR'S portions of this work, but I h ode the major work: - / PHONE: 5. I will provide some c the work indicated NAME CITY: all ired the following person to coordinate, CITY: — C RACTOR'S LICENSE NO. work but I have c tracted (hired) the following persons to provide ADDRESS PH TYPE OF -WORK SIGNED: PROPERTYOWNER: 'A ke_*� t1lu(-ri0j— SOCIAL SECURITY NUMBER. DATE: 7 — C� NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER' "i3iJILD'ER -INFORMATION. O.B.- T" Dear Property Owner: An application for a building permit has been submitted in your name listing yoiirself as the builder of property improvements specified. `i 't For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are pers6nally performing their own work. If your work is being performed by someone'other than yourself, you may protect yourself from possible liability if that person applies for the properpernut in his or her name. Contractors are required by law to tie iic6nsie'd and bonded by the State of California and to have a business,.,., license from the city or county. They are also* required by law to . put . their license number on all permiti 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 foll6wing information for y6iir benefit and protection: + If you employ or otherwise engage any persons other than your immediate family, and the work (including materials, and other costs) is $300 or more forilie entire project and such persons are not licensed as contractors or subcontractors, then you may be anemployer. If you are an employer, you must_ register with the State and Federal Governments as an employer and you are subject to several obligations includiiig-state and federal income tax withholding,, federal social security taxes, is workers compensation insurance, disability insurance costs, and unemployment compen'sation contributions. 4 There may be financial risks for you if you do not carryout these obligations, and these risks are especially serious With respect to worker's compensati6dinsurance: ♦ For more specific information about your obligations under Federal Law; contract the Internal Revenue Service (and,', if you wish, the U.S. Small.Business Administration). Ad�tration). For more specific info ' rination about your obligations under State Law, contact the Department if Benefit Piyments and the Division of Industrial Accidents. If the structure is intended for sale, 'property owners who are not licensed contractors are allowed to perform their work personally or through their own employees,'without a licensed contractor or subcontractor, only under limited, conditions. A frequent practice of unlicensed -persons professing to.be contractors is to secure an "owner builder" building permit, erroneously implying that the propeity owner is providing his or her own labor and material 'personally. Building p67hits are not required to be sigfied by property owners unless they are performing their own work personally. ti Information about licensed contractors may be obtaiited by contracting the Contractors State License Board in your,, community or at 1020 N Street Sacramento, CA. 95814. Please complete the "Owner Builder Verificatio'n", on the reverse side of this form. so that we can confirm that you* are aware of these matters. The building permit will not be issued until the verification is returned. N.. rely, ira, C.B.O.d g Inspection VNfic el C. Vidira, C.B MJM ger, Building Inspection ,NOTE. This Owner -Builder In formation is.required by Section 19830 of the California Health and Safety Cade-' OVER y;���,vrr. .N;;.�✓r rt.. `i -+i 5� „u1ti r..r...:i.w"'tM'ti+y��i.:.n�.vrwia^'-.:.i`4+,.-..s�,h-w,.:ryr:,�rr rad_wXh.+.s'�'Y+�.+�..•lr�•r.:-.,p.SS..r..,..jJft'�:'"411"�,-�++:t:^�' `.,. •ri. •. . .�-.,n..L.-i •-., i��.ry,.•. . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM V (One form per Building) 04! School District ,,,,.�• Z& s, 7 Building Department No. A.P. Number �, Q Cp �" N,Jur diction: City County .� r r Property Owner � ( (/� (tQ r) o 1, _ t Property Location/Address �C,f1C..t l •: Q rcUC ' Y A " 'C' I Subdivision ,t+ Lot No. j (S 4...................................................................................~..............:.............. Residential DevelopmentPeHme Sq. Footage /0Q� y No of Living �: Mobi Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # `� 5 Commercial/Industrial 0 New 0 Addition '(No foundation inspection): ................................................................................................................... --Sq., Sq., Footage . (Including Exterior ' Roofed Areas) r. District Identification No. (Floor Plans reviewed by School District Personnel �020155 (City) . has complied with the requirements of Resolution No. representing•. Q� square feet. I IN School District Representative Paid by Check # `"i Remarks: Notice: You Government you from chi If, subsequei notified by Al this project n White'('appli l S } r �aiatCl �•' AB 2926 �.�°^''� • FULL r� Date L� #(Applicant) r trip t.00el r by payment of $ 1 Q� �• $ () (0 ---'_1519- o Z Date raj F—VOL anv nnpvaruun lir ule MON MUMMea aooye Dy suumIIIing e..Wntten�prOieSi.iO tyle ulstnct, In compliance with ode Section 66020(a), within 91)� days from the date fees are paid. Failure.to submit a timely written protest will prohibit inging the imposition of the fees in any court action. to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is applicable Local Planning Agency that this project is being reviewed under the Califomia Environmental Quality Act (CEQA), y be subject to additional school fees`to fully, mitigate its impact on. the school district's schools. int); Yellow (building department), Pink (school district) c� f 0 SITE PLAN REVIEW APPLICATION Date: % - J �6-- (D Z— AP# X61 -63D-01 I Permit Number (if applicable) 2' 89 APPLICANT INFORMATION Parcel Size: 1i 6 I A L Owners Name: G V4 P4 Owners Address: ) C 0 C_ H I _S1�2 ,` 01z0 V 1 LLi; c.A+ Telephone No.: Situs Address:2 1-�nL 1�i�-•J LP�1 . Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporaty Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved By Date ��-� O rL Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ® Snow Load Area:. ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: 1 • Flood Panel No.: O r9)2< Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit E] Minor Use Permit El Administrative Permit F1 Minor Variance ❑ Variance ---------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: W Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks: Page 2 of 5 Zoning Code Streets & Highways F'__... _ enti Subdivision Map Front (4 Side 30 Side Street Rear > ?� D Height Waterway N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks: Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ' ❑ Parks/Recreation ------------------ ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review: A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No .❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: . ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access' ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book '17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 H Subdivision Map/Parcel Map: Map Date of Recording: &— �6- B Lot: 2 ❑ Use Permit/Minor Use Permit Permit Number: f,V_,_, Book: 8 3 Page: Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to ` grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4. inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. i 0 F-1 x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy DocumenMEluilding Permit Site Plan Revicwl.doc Page 5 of 5 NOTES, RESIDENTIAL PERMIT NO. 06i-630-011 02-1893 \f _jWOCH, KEITH DEER MEADOW LN., BERRY CREEK REEK M MHUU E' o 0 JOB FINALED (Date) Signature f', V= OK 0 = Not OK = Not Applicable =Not Ready .f � ' RESIDENTIAL (; Date FRAMING (Continued) k Underfloor (Plans) OK except #'s 46. i. Zoning-Setbacks-Easements-Flood-Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Fig. Depth 49. 4. Ftg., Porches & Decks; Soils-Steel-/ r Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel-Wrapped 54. 8. Piers-Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test-Anchors-Regulator-Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance-Material-Support-Ins. 60. 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent-Access-Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor-Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor-Nail Protection 66. 20. Shower Pan; Test, First Floor-Tub Access 67. 21. Test Tub & Shower, Second Floor-Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance-Ins. Protection 74. 24. Elec. Receptacles Spacing-Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 80. 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or At Insulated Neutral Q Yes ❑ No 81. 31. Service-Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light-Shower Light-Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 92. 39. Attic Access & Platform if Furnace in Attic 93. 94. Energy Compliance Certificate -Other Certificates Address Posted Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing jingle & Duplex) Date FRAMING (Continued) k 46. Hangers-PostCaps-Anchors-Connectors- 47. Cling. Joist-Rffr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. &'Dimensions 51. Garage Fire Protection Framing 52. Property.Line Firewall ,& Openings 53. Ext. Doors -One X -Check Garage 3rd Story,2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer -'1 1 s. . , t 57. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access J 58. Glazing Area -Glass Protection -Skylights -Plastic t 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector - 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa - 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive O Yes 7 No/Walks 7 Yes ❑ No/Planters 0 Yes +J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. 94. Energy Compliance Certificate -Other Certificates Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V= OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date_1 MOBIL HOME UTILITIES (Plans) OK except #'s Date Date o ing Requirements -Setbacks -Easements 2.oils; Special pport Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel Se , ocation-Test-Fall-C/O-Concrete Footings; Size -Spacing -Marriage Line ter; Location -Test -Easement Needed (Sketch) ctricity; Location-Clearances-Grnd-/ /Amp -Concrete 3. 7 Ga ;Location -Test -Wrap; -/2 "L'ft. P N r / /"L"ft./ 7 'LPG Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shing.-Frg-Bracing We earance & Disconnect Electricity; MH Test -Crossovers -Breakers -Clearances tility Clearance Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s Card B-1 ✓ ` Date Card B-1 Date Date and B-1 _ ,f Date Card B-1 MOBILE HOME INSTALLATION (Plans), OK except #'s tr Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Footings; Size -Spacing -Marriage Line Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Gas; MH Test -Demand -Valve -Connector Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shing.-Frg-Bracing 4. Electricity; MH Test -Crossovers -Breakers -Clearances Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Drain; MH Test -Fall -Flex Connector Carports; Windows -Doors 6. Water; MH Test -Regulator -Connector Electric 7. Water and Sewer Connected -C/O to Grade -HD Approval Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 8. Ga,4.agd Elect c' gged . Siding; Nailing -Veneer -Stucco -Mesh &.00fie Downs -Type -Installation Cert. Z Roof; Shthg-Roofing i s; Insp.-Sketch Ext.; Steps -Doors -Landings 11. Cert. of Occupancy Braced Wall Panels 12. Permanent Foundation Only; License Decal Date Date vCard and B-1 Date Card B-1 B-1 Date Card B-1 f „ MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shing.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater •i 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche t i i Date Card B-1 Date Card B-1 Date 1 Card B-1 Date Card B-1 -air 11111511!: 1111!11111111, '77 #t s, i I'1ti 'I..I:.illi - COUNTY OF BUTTE 9 BUILDING DIVISION } DEPARTMENT OF DEVELOPMENT SERVICES - 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530)'538-7541 . CORRECTION NOTICE u fA O OWNE PERMIT NO. - A routine inspection indicates that the following violations'of butte county Ordinances exist at the above address and should be corrected. Please noticelhis office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office ' mediately.. I T J �' Y l P.L � �.iL, /moo 2 C L/it 6&�/J �n ✓� � e6"" f/ 1x : k, 'y . ti. b- ' Fj L Date/7,13 Inspector REV 10/92 1 r ��sa,....1=fjs.�iy:.,+.►s.-•-o.,-.r..--�ws..*-�'t`7t^^ns7ws+..--•-1rv-+r-�`•wc'�"-'�.'-�w...egvx•.w.�.+.Yr.,.�.r: COUNTY OF BUTTE" ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 - - 7 County Center Drive • Oroville, CA • (530) 538-7541 w • 4a CORRECTION NOTICE O NER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. % n qq i 01 _ Date Inspector t '� REV , 0/92 1_ i t - V .. Date Inspector t '� REV , 0/92 1_ (R V.12[96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION I County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 �gT o. APPLICATION AND PERMIT ® - ��& ASSESSOR PARCEL NUMBER 061-610-011 ZONING BUILDING PERMIT OWNER KE"" 916 S95 TELEPHONE 0439 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDR sS 19 GA 95966 CONTRACTOR'S NAME 7 OWNTER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R Other .. SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IX Installation ❑ Other ❑ Describe Work: MHU i; I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ix @20.00 60.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service Zp.A pp S 23.00 CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1>�_ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. � ❑ 1 am exempt under Sec. Business and Professions -Code for this reason Main Service TO 200ALICENSED 46.00 NEW CONST . DwEwNa oCCUcuP. WEE OR ( ACC. BBLDS. s°. 3.50 FT NEW°DNS. M UTLET NON.RESID.ANCH CIRCUITS @7.50 POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 Q 1.00 o .so Ex. Occup. ouT,EEDrsA a p.°R p 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 40-00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to /self -insure- for workers' compensation, as provided for by section 3700 of tjhe Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) 3(- 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r / X �(_, «� Date 7't �p � � �— Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTL FEE $ 14 . 09 HAZ. p. FEES IMP FLOOD I CD F PARC I Pp H IS U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. , 9 l Uz By a PERMIT EXPIRES ON 7//V-3 Dete ReceiptNo. 360524 $143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT } COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:LA r A V (^ ASSESSOR PARCEL NUMBER 061 .� 930' ©� 2ItemProposed Building Use: Counter Technician: – Date: (. 02 - Items s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed�y the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ,, Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings.......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other 4 Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following itIems.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ jyw j.Statem . t of Intent for Non -heated and A/C Buildings ............................................ station and plot plan approval from the Environmen al Health Departme t in VD fr Q077 ' City of Chico Plumbing permit..........................................OaCheck- - f� 1 . alifornia Department of Forestry plan approval paid. Sent by -71V ................ ❑ 19. Planning approval for (A) Use: p i� (B)Parking: (C 0 _", Contact Land Development about ❑ Improvements, ❑ Drainage ............................... V 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. �2 Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... AdLetter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... a. ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone O and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: LL-� Date: 7— O a, 1. Index permit application for the above items numbere Plan Check Letter 2. Additional items'required Contractor, designer ne ,was advised cf the above Ony p on knounter, by _Date: / Z Contractor, designer, owner, was advised of the ab ve ata by ❑ phone, El mail, counter, by Date: Plans reviewed by: (Z-6. Date: O L Plans approved by:k( Date: / Structural reviewed by: 'Date: Structural approved by: Date: Note transfer by: Date: I ' Yellow Building Divi -inn i. 1 TO: Building Department FROM: Environmental Health i SUBJECT: Sanitation Clearance D 2 E.H. USE ONLY Plot Plan Attached Floor Plan Attached a4_ Sent to 8.0. /�� 92- f -\-,i Owner Location AP# Plan Approved for: Sewage Disposal V Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: �( NOTE: fite �4n�. Q11 t A �A nmfWQ_ WO LUI T MO IlAt-4401r, rivV. n nv aJUiea l;AM m r 9 Environmen 8/96 W � I/ PEVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY � approved as submitted approved with conditions r ttache hey t. Signature Date attac,jed Fire Safe QJ 1-requiremer)ts must be . complet9d. at sPsdfied wid APPrOved J by C.D.F. ell 0 x iLL STRUC-113ftrEd )A.Ni� AQUIPMENT INCLUDING )VERHANGS SHALL BE CLEAR OF ALL EASEMENTS. SET BACK OF -3Q 177. FROM THE SIDE AND FT. FROV. THE REAR PROPERTY LINES AND ,5 F FT. ;-ROMs. 'THF ROAD CENTERLINE SHALL BE OF 9% C URI AND EQUIPMENT EXCEPT ,LEA`,F3 ra, F ST ' IC. j OR A 2r� P'�_\�AV V H G. X NOTE: See the attached Residential Constri Reguirements — I- Pages M RtA VRI3 R1 ITTV M_ *ATV BUILDING DEPARTME141 APPROVED ,9-q r. CDF FIRE SAFE REQUIREMENTS 1,4 Z 493 rn o e,644777V AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte .County Fire Department and are made a part of this permit. These requirements are minimums and will.be superseded by Butte County local regulations which equal or exceed these standards. Field inspections. will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued .\ maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius LXj 1. No roadway shall have a horizontal inside radius of 11 curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�} 2. The length of vertical. curves.in roadways exclusive 1 of gutters, ditches and drainage structures designed to hold or.divert water shallrbe not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05- Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of �. , Page 2 of 3 t - AP # PERMIT # NAIME .[ -II 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [� 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. ; [�1 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic"on that roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be ` used. Fuel Modification 1276.01 Setback for Structure Defensible Space.' l�1 1. All parcels 1 acre aad larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411. property lines and/or the center of the road. [ ] 2. For parcels less than 1'acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [Y4 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r f=:ial inspection of a building permit. Page 2 of 3 AP # PERMIT #r NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet". Class A�or B roof Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D Glass area not to exceed _0% of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3,of 3 _ r Ili r t o> 0 Wj 1� BUTTE COUNTY BUILDING DEPARTMENT APPROVED� FIV +i f • 30 •Y /4 � so OWNER -BUILDER VERIFICATION Aaention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your simqu+e, Please complete and return this information at your earliest opportunity to avoid unneoesaa 31 May in processing and issuing your building permit. No building permit will be issued usM d& verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES4 NO E 2. I HAVE6- HAVE NOT C3 signed an application for a building permit for the proposed WO& 3. I have contracted with the following person (firm) to provide the proposed consavcdan: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NANL E: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO., 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: YAM I ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: LCL rv\-''' ✓ d `- SOCIAL SECURITY NUMBER: � DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 198314VAW California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER.BUILDERINFORINLATION An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. T For your protection, you should be aware that as "owner -builder" you are the responsible party of rceord an such ed by propew property on W a permit. Building permits are not required to be signed owners unless they are peisonwily per&rmit ft* own work. If your work is being performed by' -someone other than yourself, you may protect yourself from P.0 liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own, work, with the exception of various trades that you plan to subcontrack you should be aware of the following ifif6rmation . for your b-6-nefit and protection: # If you employ or otherwise engage any persons other than your immediate family, and the work (including mater4h and other costs) is S300"or more for the entire project, and such persons are not licensed as contractors or subcontractors. then youmaybe an employer. + If you are an emplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations includ . i I rigg'sta . te . and federal income tax withholding, -federal social security taxes,- workers a)&s,-workers compensation insurance, d,isabiliry insurance costs, and unemployment compensation contributions. + There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. + For more specific I c information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish. the U.S. Small Business Administration). ion). For more specific information about your obligations under Saic Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or Ehrou&h their own employees, without a licensed contractor or subcontractor, only under limited` conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building :r permit. erroneously implying that the property owner is providing his ocher own labor and material personally. Building pe'rmics are not required to be signed by property owners unless they are performing their own work personally; Information about licensed . contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. r_Verification" " on the reverse side of this form so that we can confirm that you Please -complete the "OwnerBuilder 0 � . verification is returned. are aware of these matters. The bdilding permit will not be issued until the verir I rely, Mic el C. Vi iia, C.B.O. ht Inspection e I i 4= ger, Building Inspection 444i NOTE: Thu Owner -Builder Information it required by Section 19830 Of the C41160rnia Health and Safety C OVER /4 . PLANNINGOther- Signature: P PLANNING DIVISION- BUILDING PLAN APPROVAL LAN I Use: Date: Parkin 'g: Landscaping: Lrq-�2 KIr n 4• PLANNING DIVISION- BUILDING PLAN APPROV4 Use: O)< Date: --7' fl -H — a Panting: Landscaping:_ Other• COPY of Document Recorded AND WHEN RECORDED MAIL TO: 12 -Sep -2002 2002-0047583 BUTTE COUNTY BUILDING DIVISION Has not been compared with 7 COUNTY CENTER DRIVE Original OROVILLE, CA 95965 BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and 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 agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: S 1C. fe-- k A -a C- k "-�- Date — PROPERTY OWNERS: 4e i, � Lk State of California ) )/� i.� V-, County of U C.A tt 2 Onseol o UO2 before me, % / //C . OZZA-/SD/1 PC, % (C. personally appeared 01/1/, / tt h d o e* 177"—,k c/ r1 e --A- pefsenally 1kn WWta-me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)' a/are subscribed to the within instrument and acknowledged to me that l i/sly /they executed the same in Vs/ho/their authorized capacity(ies), and that by by lho/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature aell•�`CIJ Seal: ALICE L. CARLSON Commission # 1315331 K / i Z Notary Public - California A.P. # - �� CJ l Butte County MY Comm. Expires Jul 28, 2005 bob-ioon% IncifflU300 10 CRT.1049-ssss s(te's-qls?-SA d.j,tv bwAsqmvo as -94. $011 "Of Imaitoaag vqua) aft'la 4' 2 1. Owner's Name:K Vn n !! I_C. ; e.���-- 2. Assessor's Parcel Number:—() W 3. Installer's Name: OUJ V1,6Y' Cl > 4. Is the site currently under permit? Yes[)d No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No(If yes, fiunish two plot plans). 6. What is the electrical rating of the mobilehome? �() Amperes- 7. What is the mobilehome site circuit breaker rating? '50 Amperes. S. What is the electrical rating of the mobilehome site? / 0 0 Amperes. 9. Is the main service remote from the mobilehome site? YesM NO ] If it is, what is the rating? I h t. Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[q No[ ] If yes, please identify the load and size: a) The mobile home site: Load- %lL (o e Amperes - y b) The main service: Load- [� Amperes- �� Q 11. Type of gas service at mobilehome site: Natural[ ] Propane[~ None[ ] 12. Size of gas' pipe at the mobilehome site from the meter or tank: inches. I 10 M,d 13. What is the gas pipe length from the meter or tank to the mobilehome? [�(ft.). 14. What is the mobilehome gas demand? B.T.U. '(This information is not required if the pipe length is less than ,6 feet on natural gas or less than 50 feet on propane). - THE OTHER SIDE OF THIS FORM MUST BE COMPLE'T'ED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 - Mobilehome Slariufaciiirer: C'r:-% I". D o r'N Manufactdre Year' If other than. single wide, furnish Setup odel Number: Width: %Z "_(ft.)1engt6.-6 ;L79'(ft.) T4ilong or Expando, Size • (&) N_(ft.) On all mobilehomes; manufactured after October 7,. 1973, furnish mamifachirerps installation manual and structural setup sheets. FOOTINGS: Wood preskire treated or foundation gradef)4 Other: SUPPORTS: Concrete blockN,�p Other - Provide Tie Down Specificatio lls for A Mobilehoinev- Pier- Footings'Siie.s and Location SINGLE WIDE MULTI -WIDE Line 1 Live 2 UW2 Main Beams ................................................................................................ L* 0 Line 2 i Line, I Lim 3 Line 2 ........................... ! ......................................... : ............ : .............. Main Beams ................................................................................................ Lim 2 Line I ............................................. Tag or Triple ............................................. Line 1 Piers: Size minimum: r 1 x r 1--, Spacing maximum: From ends-maximuml Line 2 Piers: Size minim iz� I x .30 Spacing mMum:,L7 --!,. - --' ' �& From ends -maximum. 0 Line 3 Roof Loads: Size minimum Location (from front) - Line 5 Roof Loads: Size nihmum., Location (from front): '-t.bw 5 �e 4 Line I Line I Openings Size minimum: x Each side of openings with width over: Line 4 Piers: Size minimum:, X Spacing maximum: From ends-maximumi -EW&DWDEPARNEV OVER A P Or" R 0 � F70— "Lay — A.P. # �b OWNER' PERMIT MH UTIL. CLEARANCE DATE G�_ INSPFCTnR '73--/4 ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE SIZE OTHER LOAD TYPE PIPE SIZE LENGTH YEL NO YES NO '� 4' 30 OUTLIN6 OUTUNS or mom 'CO&EM MIN a, MIN T - 1�tr C.P. --2;;T. momiz T- MUST BE 70 A" GEN [P VARIES SEE NOTE SINGLE IFIDE* TYPICL AL PLAN SINGLE WIDE MOBILE COACH Scale: I" = 10' ON. PIER.&'VOOTINQ SPACING PER MOBILE HOME MANUPACTURER'S INSTALLATION MANUAL *.-WITHOUTNANUFACTURER'S INSTALLATION- MANUAL.' NSTALLATION- MANUAL. SPACING OF STANDARD PIERS AND PADS TO BE DETERMINED BY STATUNICS" ...I. DUE PAM ACT. AND UBC 2 - ?/B' . .1 -BOLTS FIE* -D BRILL HOLES 4 :- 112'.-" BOLTS CP: ANCHOR PIER TYPICAL. BEAM CLINNECTIONS Not to Sc OuTupis bF J. - .4 *I,PT1E1EXWS(T]FS A COAC C OR J BEAM COACH 37 x 3" PLATE. At,61-E 3' WIDE _\ )11� lip -WHEN w1az COACH 0 cow IGI CH EP 41 IV.. WRina i0anz; I HAS Oumc= .CA. ARCH P A'S HAS C .P., ... Fsk -J, NG W _77 MUST BE ANACENT. TO 'AN. OErMU!r-ZR lip I L -r j I T 1111 EP .1. AMFOOTDiMAU70SSUffMTF.DBYFMK4NSA7UtATMUNDNnMBMCOWMWMXLOEtASPHAL-i. 51 lij Lb SOILOONvrrtON&. 4. NMUqrURALSTEEL SHALLCONFORM TOASTMA16 F, 76 KSJ MINIMUM.'- . h . SHAM BE FABRICATED ACCORMHO TO RISC SPECIFICATIONS, SHALL BE WELDED AOOOR=0 T()AWS SPECIFICATIONS: L SLOCTRO698, E70 ii PLATES:' ASTM A36 aL ANCHOR BOLTS: ASTM A307 of I,.' BOLTS: SAP OR! -ASTM A449 -ASTM A323 THREADED ROD. COLDDRAWNLOWCARSON)ifELDABLE I-qr EP, EP 4.1. J. THE j%Ej ASSEMBLIESSN"BECOATED= -APPROVED EQUIVALENT AM TWAN T.E.=FA14tC2OR .SHAM BE USTED* AND LA�BJSLEO: BY- MNWLrw axv= FOR Tm DOUBLE WIDE TYPICAL FOLLOWING LOAM: t 24'. 26'. OR h VERTICAL 8133 ft MAX PLAX, DOUBLE WIDE MOBILE COACH 6. THIS SUPPORT SYSTEM IS FOR PLACINGMANUFACTIURED HOMES CONSTRUCTED %7 11 LONOITUMAL OR ):'O MORE THAN TRIPLE WIDE UNITS. SUBMIT LAYOUT TO THARP & ASSOC. FOR APPROVAL STANDARD PIER &' POOTINC.SPACINC PER MOBILE COACH- MANUFACTURER'S INSTALLATION MANUAL WITHOUT MANUFACTURERS INSTALLATION MANUAL, SPACING OF STANDARD PIERSIAND-PADS 701813 DETERMINED BY :STATS MOBILE ROME PAM -ACT. AND.-TICE U.B.C. 4 :- 112'.-" BOLTS CP: ANCHOR PIER TYPICAL. BEAM CLINNECTIONS Not to Sc OuTupis bF .4 *I,PT1E1EXWS(T]FS A COAC C OR J BEAM COACH 37 x 3" PLATE. At,61-E 3' WIDE _\ )11� 4 :- 112'.-" BOLTS CP: ANCHOR PIER TYPICAL. BEAM CLINNECTIONS Not to Sc TRANS VERSE SECTJQN. NOT TO SCALE - -N OuTupis bF MOBIIl R-RgN--' CALAQRNIA CORE OF kBOUIAT"S.11-ME Is AM UAC, 1994 9L7n1bk., •Yw COACH 1. DESIO N LOAM,, -WHEN w1az COACH 0 cow IGI CH WRina i0anz; I HAS Oumc= .CA. ARCH P A'S HAS C .P., ... Fsk -J, NG W MOST HE ADJAI 10 AN OUTRICC MUST BE ANACENT. TO 'AN. OErMU!r-ZR lip Ej .1. AMFOOTDiMAU70SSUffMTF.DBYFMK4NSA7UtATMUNDNnMBMCOWMWMXLOEtASPHAL-i. FOOTINGS ARE DESKINEDVOIC 1000 WVOTAL40ADUML MESSURE AND SHALL BE COM[PATU" WIT" LOCAL- SOILOONvrrtON&. 4. NMUqrURALSTEEL SHALLCONFORM TOASTMA16 F, 76 KSJ MINIMUM.'- . h . SHAM BE FABRICATED ACCORMHO TO RISC SPECIFICATIONS, SHALL BE WELDED AOOOR=0 T()AWS SPECIFICATIONS: L SLOCTRO698, E70 ii PLATES:' ASTM A36 aL ANCHOR BOLTS: ASTM A307 of I,.' BOLTS: SAP OR! -ASTM A449 -ASTM A323 THREADED ROD. COLDDRAWNLOWCARSON)ifELDABLE 'I ALL KwALcamwmms axLwm NAILS a watews rm ARE TO BE PROTECTIVE oaATm J. THE j%Ej ASSEMBLIESSN"BECOATED= -APPROVED EQUIVALENT AM TWAN T.E.=FA14tC2OR .SHAM BE USTED* AND LA�BJSLEO: BY- MNWLrw axv= FOR Tm FOLLOWING LOAM: t t It h VERTICAL 8133 ft MAX 6. THIS SUPPORT SYSTEM IS FOR PLACINGMANUFACTIURED HOMES CONSTRUCTED %7 11 LONOITUMAL OR CROSS 40rf1rm 7.. THISSUFF MTSYSMISWSIGNEDTOBEOONMUCTED(IN'AFALRLYLevELs.mwrrHNOL'a$MOSM PROBLEMIL;F SVMAMENT OCCURS DUE To POOR $614 SEE NOTE 9. :FOR. SU=T SILED THE LOAD AS SHOWN NZCHASSIS BEAM SUPPORTS SHALI. BE LOCATED AND IN h� DisrAuArmimmuc,noNS. VARIES SEE NOTE LIQ L1 9. IN AREAS WHERE DEFERENTIAL SETTLEMENT (0.m) CAN OCCUR, RI MAMIFACSUSD HOOAES-SKALi BE READJUSTED WHEN D.S. EXCEEDS 1/16",A)k WHEN IT WILL ADVERSELY AFFECT THE USE OF THE El "AT ES SEE NOTE SACH SIZE nil& 1. FOR TRIPLE WIDE COACHES USE 6, C.P. ANCHOR MRS ANDT0=W SAME PL . ACEMENT PATTERN AS SHOWN WIDE ON THE 32 FEET WIDE DOUBLE MOBILE COACH. rA FOR . 'ANY.COACH SITE ark" THAN As SHOWN ON THIS PLAN OR REFERENCED ABOVE, THE F . IER AND PAD LAYOUT SHALL BE REVIEWED ANDAPPROVED, BY DONALD AL THARP A ASSOCIATES. BLAM SIZE NOTES: THIB* PLAN ARBOR COACHES WITH 19:ENCH AND 12 INCH -REAM .09 8 INCH, PACO DOUBLE WIDE ANY OTHER a Wn BEAM is NOT To cmnung MQRE THAN 6.0 FEET ON EACH SNP OF UNIT PLAN AND SPACENO OF C.P. ANCHOR PEESIS CAN NOT EXCEED 160 FEET. DOUBLE. WIDE gCa CH--'. Scale: 3' - 1.0, 3. ANY 6 INCH BEAAI IS NOT TO CANTWEVER MORE 11"5.6 FEET ON EACH'END OF UNIT "OF: 10 MORE THAN TRIPLE WIDE UNITS, SUBMIT AND SPACIMPOF C.F. AACWA MOS CAN WrEXCEED 14AFEST .LAYOUT TO'THARP & ASSO�'.- FOR APPROVAL. jNUA"A=,1NffMUCn0N* STANDARD PIER & FOOTING SPACING PER MOBILE COACH M , ANUFACTURER'S INSTALLATION MANUAL. 1. MARK CHASSIS BEAM ACOORdrhiO 70 REQUIRED SPACING.' WITHOUT MANUFACTURER'S :NSTAUATION MANUAL 2. FOUNDATIGI . N FOR CHASSIS BEAM SUPFCIRTII SHALL BE LOCATED AND. SIXED FOR THE LOADS AS SHOWN IN, SPACING OF STANDARD PIERS AND PADS TO BE' • DETUMINED...BY STAXE..UOBUE HOMES PARK ACT ALL MANUFACTURER REQUIRED PADS AND PLEBS: zxc&r,WASGNRY MAO= M=LBE ATTACHED TO AND THE -U.B.C. CHA4.SIS BEAM AND FQqT*O PAM cacit 'i SEAN 4. LEVEL THE. SOIL AND PI -ACE C.P: ANCHOR, MR SF4-OW. MARKM AS FEE LAYbUr, THIS SHEET AND PL.1 MANUFACTUREA'S INSTALLATION MANUAL, I ASSEMBLE QP: ANCHOR. PIER TO M,�LOWW SETTING AND DRIVE 4. Y24 INCH PITCH'DUMETER RODS 4 - 1111' THROUGH ASSEMBLY ON STAND L AND THROVOWTHR PRESSURE TREATED PLYWOOD WTO SOLL, ASSHOWN ON DETAIL THIS FADE.. RAISE Top.sEcri6Nopep.ANCHOR PIER UNTIL rrToixmBm-romovCHASSIS BEAM BYT!JMINIPWB STAN AND SFTEL PIPE (POUR TURNS EQUALS ONE INCH CHMM IN HSIGIM TIGHTEN FOUR CLAMPS BOLTS FIRMLY. 7. aAwupmnAnTeBOTTOM cwowmBEAM ASTER DETAIL. THIS BHM. r. oo .1k (SCKCMJLE. 403 Ir'EIR 10' LENGTH UmAb 4 EACH Buff' TRANS VERSE SECTJQN. NOT TO SCALE - -N vwm R-RgN--' CALAQRNIA CORE OF kBOUIAT"S.11-ME Is AM UAC, 1994 9L7n1bk., •Yw 1. DESIO N LOAM,, CH 00,002 -J, rf Sk,41U�011 40 2. THE DESM LOAM SHALL BE CONSISTENT WITH ROOF LIVE LOAD AND SEISMIC ZONE AS ESTABLISHED FOR PERMANENT BUTLAXN0 WITHIN A8MCIFtC LOCAL AREA. .1. AMFOOTDiMAU70SSUffMTF.DBYFMK4NSA7UtATMUNDNnMBMCOWMWMXLOEtASPHAL-i. FOOTINGS ARE DESKINEDVOIC 1000 WVOTAL40ADUML MESSURE AND SHALL BE COM[PATU" WIT" LOCAL- SOILOONvrrtON&. 4. NMUqrURALSTEEL SHALLCONFORM TOASTMA16 F, 76 KSJ MINIMUM.'- . h . SHAM BE FABRICATED ACCORMHO TO RISC SPECIFICATIONS, SHALL BE WELDED AOOOR=0 T()AWS SPECIFICATIONS: L SLOCTRO698, E70 ii PLATES:' ASTM A36 aL ANCHOR BOLTS: ASTM A307 of I,.' BOLTS: SAP OR! -ASTM A449 -ASTM A323 THREADED ROD. COLDDRAWNLOWCARSON)ifELDABLE 'I ALL KwALcamwmms axLwm NAILS a watews rm ARE TO BE PROTECTIVE oaATm J. THE j%Ej ASSEMBLIESSN"BECOATED= -APPROVED EQUIVALENT AM TWAN T.E.=FA14tC2OR .SHAM BE USTED* AND LA�BJSLEO: BY- MNWLrw axv= FOR Tm FOLLOWING LOAM: LATERAL 1667 1'I0. MAX h VERTICAL 8133 ft MAX 6. THIS SUPPORT SYSTEM IS FOR PLACINGMANUFACTIURED HOMES CONSTRUCTED %7 11 LONOITUMAL OR CROSS 40rf1rm 7.. THISSUFF MTSYSMISWSIGNEDTOBEOONMUCTED(IN'AFALRLYLevELs.mwrrHNOL'a$MOSM PROBLEMIL;F SVMAMENT OCCURS DUE To POOR $614 SEE NOTE 9. :FOR. SU=T SILED THE LOAD AS SHOWN NZCHASSIS BEAM SUPPORTS SHALI. BE LOCATED AND IN h� DisrAuArmimmuc,noNS. 9. IN AREAS WHERE DEFERENTIAL SETTLEMENT (0.m) CAN OCCUR, RI MAMIFACSUSD HOOAES-SKALi BE READJUSTED WHEN D.S. EXCEEDS 1/16",A)k WHEN IT WILL ADVERSELY AFFECT THE USE OF THE :MLANUFACTtmEGmomL SACH SIZE nil& 1. FOR TRIPLE WIDE COACHES USE 6, C.P. ANCHOR MRS ANDT0=W SAME PL . ACEMENT PATTERN AS SHOWN WIDE ON THE 32 FEET WIDE DOUBLE MOBILE COACH. rA FOR . 'ANY.COACH SITE ark" THAN As SHOWN ON THIS PLAN OR REFERENCED ABOVE, THE F . IER AND PAD LAYOUT SHALL BE REVIEWED ANDAPPROVED, BY DONALD AL THARP A ASSOCIATES. BLAM SIZE NOTES: THIB* PLAN ARBOR COACHES WITH 19:ENCH AND 12 INCH -REAM .09 8 INCH, PACO ANY OTHER a Wn BEAM is NOT To cmnung MQRE THAN 6.0 FEET ON EACH SNP OF UNIT AND SPACENO OF C.P. ANCHOR PEESIS CAN NOT EXCEED 160 FEET. 3. ANY 6 INCH BEAAI IS NOT TO CANTWEVER MORE 11"5.6 FEET ON EACH'END OF UNIT AND SPACIMPOF C.F. AACWA MOS CAN WrEXCEED 14AFEST jNUA"A=,1NffMUCn0N* 1. MARK CHASSIS BEAM ACOORdrhiO 70 REQUIRED SPACING.' 2. FOUNDATIGI . N FOR CHASSIS BEAM SUPFCIRTII SHALL BE LOCATED AND. SIXED FOR THE LOADS AS SHOWN IN, THE MOBILE HOME INSTALIATION INET RUC -TIONS: ALL MANUFACTURER REQUIRED PADS AND PLEBS: zxc&r,WASGNRY MAO= M=LBE ATTACHED TO CHA4.SIS BEAM AND FQqT*O PAM 4. LEVEL THE. SOIL AND PI -ACE C.P: ANCHOR, MR SF4-OW. MARKM AS FEE LAYbUr, THIS SHEET AND MANUFACTUREA'S INSTALLATION MANUAL, I ASSEMBLE QP: ANCHOR. PIER TO M,�LOWW SETTING AND DRIVE 4. Y24 INCH PITCH'DUMETER RODS THROUGH ASSEMBLY ON STAND L AND THROVOWTHR PRESSURE TREATED PLYWOOD WTO SOLL, ASSHOWN ON DETAIL THIS FADE.. RAISE Top.sEcri6Nopep.ANCHOR PIER UNTIL rrToixmBm-romovCHASSIS BEAM BYT!JMINIPWB (POUR TURNS EQUALS ONE INCH CHMM IN HSIGIM TIGHTEN FOUR CLAMPS BOLTS FIRMLY. 7. aAwupmnAnTeBOTTOM cwowmBEAM ASTER DETAIL. THIS BHM. r. oo .1k v.; AltiMIR ROD -S. . rc. VHE CEINDITUD4'REQUIRE. I PRE -DRILL 9-10 N. VIM A ,,e2- DIRK BIT 'FOR ANCHOR RODS. C.P, ANCHOR PIER SCALE: V 10' MODEL NO. C.P.A.--I LISTING NU.,CP186.6 yp RAIMIQUAM BRAC DWSYSUM r I wmOm "M STEM IS CERT- AS BEING k&W 6 A*BOVKD BY A 6MRTMENY APPROM 1,19"M OR mrm AaENcy PURSUANT To THE CAA 1=25 CWTEB2..CERTIFICAMONDOSSNOTALMOMOIR APPROV16wromussmorcevLATICKIROM! g8QUTRW,Ug.qYS OF APPLWJJJA =42111 LA" OR IIINIULAnOMS. SrjkM Of CAUFORM..' DRAR17AM OP HDUSM 41 OaMMUM" DDVE`AWN5*'- U_ By DAM OZ Wv= %UTTE C 10ILDOG Dag F. A RVA rm �. I s_v - %fxn * i OLD . Lv < ou Se"A.01hown Drum Ymw. Acb. .95-36 ohm CT 1 sheeft