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HomeMy WebLinkAbout062-200-130062-20-0-130 93-3256 B,E PAYNE, _DALE _. Y ;.� BALD,ROCK RD; BERRY'CREEK' Q Z -` zoo SHOP _. 062700-130 04-1525 DRAGNA, MARK " BALD ROCK RD, BERRY CREEK Cont: PHIL DECANN NEW MH PERM FND NEW IJ2 r062-200-130 04-2775 , r1062-200-130 MARK n 1 127 BALD ROCK RD, OROV LE Cont: OWNER COVERED D, t,CK(MH) �1 i 1 iON 4 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 • 2005-0055629 Recorded I IEC FEE 10.00 Official Records I County of I COMFORMED COPY 1.00 Butte I CI1MKE J. GRUBBS I County Clerk—Recorders I I LV 03:00MM 15—Sep-2005 I Page 1 of 2 ILII III III I IIII I II II IIII I ILII II III SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, Z . INSTALLATION ON A FOUNDATION SYSTEM �✓ Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MARK DRAGNA REAL PROPERTY OWNERILESSOR PO BOX 4636 MAILING ADDRESS CHICO BUTTE CA 95927-4636 } CITY COUNTY STATE ZIP 1127 BALD ROCK ROAD CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT 538-7541 BUILDIN ERMITNO! ELEPHONENUMBEg? , J\ BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME DEALER LICENSE NO. UNIT OWNER (if also property owner, write "SAME') SAME MAILING ADDRESS - SAME CITY - COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1525 530 538-7541 BUILDIN ERMITNO! ELEPHONENUMBEg? , J\ SI AT OF OCAL AGENCY OFFICIAL DATED// NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDENWEST 1979 SOMERSET MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW12CALM40474A/B 24 X 60 169421/2 SERIALNUMBER(S) LENGTH XWIDTH - INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER x062-200-130 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. t `y � 1 (III'II II" III I'I 1"IIII' I'III I'I 2004-0057757 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION Recorded Official Records I REC FEE 7.00 I CONFORM 1.00 7 COUNTY CENTER DRIVE County Of - OROVILLE, CA 95965 BUTTE CANDACE J. GRUBBS I Recorder I " ROSEMARY DICKSON I Assistant I Kathyh 02:08PM 17 -Sep -2004 I Page 1 of 1 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: PCL,-Qev 1, S kou"i1. ' or'-MC(A e er .+Ci,(" Parcel ogckp re C.crcl.ec( lin 'ftxe v F' \`C'e cid 'ALke re r � r � F `{-ins° ��� � f� a F i3 c� +fes � S � i � c � ��. � � rvl i.9/ c`n � �� "3 `I : fsS� t in (fC( MapSf C'+ Peq.�e ISP .4 b?z- Zoe)- 130 Date 9- 17-04 PROPERTY OWNERS: Ct r D r --CL... . State of California County of &A 4 c - On Z , _-_ 1-? f 200Yj before me, personally appeared 1br.r lc �/�C-, I - mQwa-to-w(or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/a*e subscribed to the within instrument and acknowledged to me that he/*ho4key executed the same in hisAw*4heir authorized capacity(ies), and that by his/herftheir signature4on the instrument, the personts�or the entity upon behalf of which the personfss acted, executed the instrument. WITNESS my nd and officM seal. Signator Seat: JAMES LAMAR KINSER COMM. #1377185 0 CD 0 NOTARY PUBLIC - CALIFORNIA • BUTTE COUNTY A.P. # 0 2�tiKa 2'a(pt /3 C7 n My. Comm. E�ipires Sept. 28, 2006 MIA RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 15 -Sep -2005 2005-0055629 Has not been compared vith original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation -of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MARK DRAGNA REAL PROPERTY OWNER/LESSOR PO BOX 4636 MAILING ADDRESS CHICO BUTTE CA 95927-4636 CITY COUNTY STATE ZIP 1127 BALD ROCK ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT BERRY CREEK BUTTE CA 95916 CITY - COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1525 530 538-7541 BUfLDIN ERMIT NO! / LEPHONE NUMBEl SI AT OF CAL AGENCY OFFICIAL DATE J\ NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDENWEST 1979 SOMERSET MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW 12CALM40474A/B 24 X 60 169421/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 062-200-130 HCD FORM 433(A) REV. 8/91 IL AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION + 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:08PM 17 -Sep -2044 REC FEE 7.00 CONFORM 1.00 Kathyh Page 1 of 1 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: q `\ OCt,r-wv �- r s �f;(,uty 6r�'�C�ce� ff �'ec`tb, parce-( mcy) re ecr-c(.ect I'n -+Lxe T Ae' tie e td -e(- c� -V"L' CvLzvr+'7 Of 6 LIA4C. S we 4 Ccd�'f-,:rlgi ci 3(I 1-t &5t 1"n 6001� 1H C' Y", Maps, at P4.�e ja ►o �} N? -I.— zoo- t '0 Date 9— t 7— i PROPERTY OWNERS: Q r L D l�c� State of California ) County of On `e—�D1 , I / , L-U(J -1 before me, personally appeared I?lr.rlc, A) c, C--*+Prcnnnally 4mQwa4@-nw(or proved to me on the basis of satisfactory evidence) to be the person(g) whose name(s) is/aye subscribed to the within instrument and acknowledged to me that he/s#e4key executed the same in hisfhwfAheir authorized capacity(ies), and that by his/herftheir signature4on the instrument, the personfs}or the entity upon behalf of which the personfs}acted, executed the instrument. WITNESS my nd and official seal. natur Y Seal: JAMES LAMAR KINSER Si g COMM. #1377185 0@,My. NOTARY PUBLIC - CALIFORNIA ~BUTTE COUNTY Comm. Expires Seot.,28, 2006 A.P. -®r, . .- ^^` . RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MARK DRAGNA REAL PROPERTY OWNER/LESSOR PO BOX 4636 MAILING ADDRESS CHICO BUTTE CA 95927-4636 CITY COUNTY STATE ZIP 1127 BALD ROCK ROAD INSTALLATION MAILING ADDRESS, IF DIFFERENT BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME' CITY COUNTY- STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-1525 530 538-7541 BUILDIN RMIT NO! /ELEPHONE NUMBED SI AT OF OCAL AGENCY OFFICIAL DATE , J\ NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO GOLDENWEST 1979 SOMERSET MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER rGW 12CALM40474AIB 24 X 60 169421/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASS ESSOR'S PARCEL NUMBER 062-200-130 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. BUILDING PERMITS NUMBER: 04-1525 Address or location of unit: 1127 BALD ROCK ROAD, BERRY CREEK, CA 95916 Legal Description of Real Property: SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code.Section 18551. Owner's name: MARK DRAGNA Owner's address: P.O. BOX 4636; CHICO, CA 95927-4636 INSIGNIA OR HUD NUMBER: 169721/2 SERIAL NUMBER OR V.I.N.: GWI2CALM40474A/B MANUFACTURER'S NAME: GOLDENWEST • 1979 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C 'FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY. BUILDING PERMITS NUMBER: 04-1525 Address or location of unit: 1127 BALD ROCK ROAD, BERRY CREEK, CA 95916 Legal Description of Real Property: SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: MARK DRAGNA Owner's address: P.O. BOX 4636; CHICO, CA 95927-4636 INSIGNIA OR HUD NUMBER: 169721/2 SERIAL NUMBER OR V.I.N.: GW12CALM40474AIB MANUFACTURER'S NAME: GOLDENWEST Y : 1979 OFFICIAL APPROVING INSTALLATION: - DATE: t?--/ !�- — b S PHONE: (530) 538-7541 H.C.D. 513C i C sCFt.'�, in�. Yv,14 S.�.Jf xS.ir (�,�.: � �i •{SoZl�1�"l;r'}�.�' v�:':C �"'1si.. x' r 7"P� r t p... .�y 0"�' c"n St �a1 3�'�" ��' ^�k>*� �S, a'iSR, ... , 3+YY c u ?f i"3r -r0pf' nk� �p�,��h7cr� F �;,iy wyN�r�..:. i 1 +r�:+- k.t• aeeek' S r9a �:°a`usts,�.[t. -9. uru,§ ;x �.,�2 tv xn,�t''+r �>.,t• Ttvyl: �: e5n '� 5 'L k aAy" .f 1y 'YFaf . .!. t di'i� � , p, 9aej?:3! 3 J: t *O [JNDATI�ON�.SY,STEM. �G.���F� 1-in�'k4.Y� Crn-'S47 Rv??•^ ts.` ?Ul iSft;C*;.r,°o�i'' I�`y,j}S j., '�'tvs3�iii.T F,l,§s'."{i;,�a 4.� ?!}y.�yCy�`fe'1.±t,ipk 5.,� M94'1..E!u dr tial xa.ryi1 i }I'. Ys 3 }Y f a i t rY�,i 4 a4S;'S'dP.rs .r: ;�._„a. 11•i� a�✓,� i++aA�fi�ha+ aniir.. ^'Ni S ).�C arg. vd• Zc J'�_.9 Y Sly v~ 4 r G ' '.1 §'-��2..5Z'ts;•�r'�s'�*=; E�RT� j-TC1ATE�tOS F�FOC k hi �3A�N���,�y;�}�����: �N BUILDING PERMITS NUMBER: 04-1525 Address or location of unit: 1127 BALD ROCK ROAD, BERRY CREEK, CA 95916 Legal Description of Real Property: SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health'and Safety Code Section 18551. Owner's name: MARK DRAGNA Owner's address: P.O. BOX 4636; CHICO, CA 95927-4636 INSIGNIA OR HUD NUMBER: 169721/2 SERIAL NUMBER OR V.I.N.: GWI2CALM40474A/B MANUFACTURER'S NAME: GOLDENWEST • 1979 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:08PM 17 -Sep -2004 REC FEE 7.00 CONFORM 1.00 Kathyh Page 1 of 1 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 discomfortfrom 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: PCLrce +c tvi prCe( Mu.F) re Cir-ctec` 1,r) -tt'Xe © 1`C(t-0"aer c� *"L' e0uvt+'7 o �ci t:v` �;'i`� 3l�' fSS� t% Boo(- ciq �k maps, C'} 'n4.�e l' A No-- Zoo- 130 Date 9— 17— i PROPERTY OWNERS: State of California County of &A z' O �-J before me, G —+LN L personally appeared_ /;7 /V C,—nPr�cnna1�1 *aowa4o-w proved to me on the basis of satisfactory evidence) to be the personM whose name(s) is/axe subscribed to the within instrument and acknowledged to me that he/sho4key executed the same in hisAlteF4heir authorized capacity*s), and that by his/herftheir signature4on the instrument, the personfs) or the entity upon behalf of which the persons} acted, executed the instrument. WITNESS innd and Wfici,,seal. Signaturv Seal: JAMES COMM. #13771185 R 0a NOTARY PUBLIC - CALIFORNIA .`. ~ • BUTTE COUNTY A My Comm. Expires Sept 28, 2006 A.P.#irO Z f l3C7 NOTES RESIDENTIAL PERMIT NO. L� J ,O Dc Wqb PILA_TES IHSS K 2my\ mo-is toF t A-PN ©(o'Z- Z-®Or - 130 dnQ�lS �agnu Oct has U R'2-t C=< <0 setzw+ t ' s o rj '14- - \X2-1 l$t,\L-D fzoc- L 'CCteN U62-(Ft ELo #-- ' S WIT/4 2�Y E4m Iu f) s F I SPECIAL CONDITIONS CHECKED BY SRA . FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I`,/ r\�� JOB FINALED (Date) Signature J=OK 0 = Not OK = Not Applicable . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch . 3. Sewer, Location -Test -Fail -C/O -Concrete r 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P L'ft. / P Nat or/ r L "ft1 P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector' 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking - 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn., Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Heatth Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Cana B-1 Date Cana B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ i Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped _ 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or All 31. Range Circle/ /ga Cu or AI -Oven Circ_ / /ga Cu or AI Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec_ Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FFI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InstldJDrive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. KC. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler 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: NOTES RESIDENTIAL 062-200-130 04-1525 { PERMIT NO. - DRAGNA, MARK - t //21 BALD ROCK RD, BERRY CREEK �1 Cont: PHIL DECANN " NEW MH PERM FND NEW SITE I THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2 STATEMENT OF FACTS (ONLY ON NEW ► MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S'. SPECIAL CONDITIONS r CHECKED BY SRA FLOOD CERTIFICATE REQ. r FIRE SPRINKLERS REQ. t SPECIAL INSPECTION ITEMS r VERIFY i I USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address &z / &4!17 GAS Meter BDate ELECT RI'E 915p Meter Bq Date JOB FINALED (Dat / a� Signature 00 . - - J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. Garage Fire Protection Framing -RC Channel 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 54. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 57. Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 59. 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 62. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Infiltration -Walls -Windows 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test 64. 12. Electric Underground 65. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 68. G.F.I. & Bath Fixtures & Tub Access -Spa 15. Access & Ventilation 70. 16. Insulation Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date 75. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 77. 17. Water Htr.; Vent -Access -Combustion Air Baffle Plb.; Elec. & Mech. Equip. Listed for Location 18. Water Pipe; Test & Anchor -Nail Protection 80. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Guard Rails & Deck Construction -Post Caps 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92, Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG �4 g 0 FK;& v t, 4,_� MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 7. Well Clearance & Disconnect 2. 8. Utility Clearance Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Date 7. Card B-1 Date Card B-1 Date Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Roof; Shthg-Roofing 1. Zoning Requirements -Setbacks -Easements 12. 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERNJANENT END SYSTEM (ONLY) o 'ng Requirements -Setbacks -Easements ootjpgs; Size -Spacing -Marriage Line ocking C4 - Test -Demand -Valve .y/ y Electricity; MH Test 6. Water; MH Test 7. VAter and Sewer Connected . Gas and Electricity Tagged �e 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 �4 g 0 FK;& v t, 4,_� MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541, FAM WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS 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 : License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy PERMIT NO. BP041525 { Issued Date: 09/17/2004 APN: 062-200-130-000 Site`Address: 1127 BALD ROCK RD BCK Map. Index: Description: MH INSTALLATION PERM FND (1344) Owner: DRAGNA MARK PO BOX 4636 CHICO, CA 95927-4636 Applicant: DRAGNA MARK Contractor:. DE CANN, PHIL 169 BARDOLINO LANE OROVILLE, CA 95966 (530) 534-7670 License M 670920 Architect: Engineer: Total Square Ft: 1344 S. F. Valuation: $87,360.00 I certify that in the performance of the work for, which this permit is Census Code: issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' , compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: � — (--� — uc` Applicant: '14,111-0 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: c rmit is hp reby issued under the ions tcAo work indicatedabovo for 1 PERMIT EXPIRES ON: y — fees have been paid. �% Date: Address: 1 (Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Cl Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent.of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.. Print Name: t I n 6' tG i> V- a3 U� Ci Signature�i�/ G .�- -�✓` � Date: 9 —1_7 — 0 0 Owner ❑ Contractor O Agent for Owner ❑ Agent for Contractor X F BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www,buttecounty.net\dds PERMIT NO. BP041525 LICENSED CONTRACTORS 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 Issued Date: 09/17/2004 APN: 062-200-130-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1127 BALD ROCK RD BCK Date: Contractor. Map Index: Description: MH INSTALLATION PERM FND 1 DECLARATION alyofOWNER-BUILDER I hereby affirm under penal of pery'ury that I am exempt from the P (344 ) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: DRAGNA MARK to its issuance, also requires the applicant for such permit to file a PO BOX 4636 signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 959274636 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the s applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DRAGNA MARK PP : Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. DE CANN, PHIL not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 169 BARDOLINO LANE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 (530) 534-7670 Date: Owner: License #: 670920 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700, the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1344 S.F. Policy#: Valuation: $87,360.00 Census Code: 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 the 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. ( -7 — Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. � � 6 � � �/ � , �jG� ' • � i/,� �Cods CONSTRUCTION LENDING AGENCY This permit is hereby issued under the gpl5kcable provisions of the BiiiiCtta County ?nwor I hereby affirm that there is a construction lending agency for the Re T lutions tofto work indicated a ov for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: '- Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County enter upon the above mentioned property for inspection purposes. \to �G Print Name: ��c ltd L— .V V- Signatur, . l —1-7 — `f Date: 0 Owner 0 Contractor 0 Agent for Owner 0 Agent for Contractor 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name �c Address e.C), 3 City +�� `� StatEr Zip Phone S-3 Z_ `(5 -P Fax E-mail f\C(&r\':R' 9) V a k C'C5 . C G ly APPLICANT NAME CONTRACTOR Name City Address 1� Zip city cy Fax St g Phone cSs Faxes E-mailLi Planner 92C Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone MB I Fax E-mail - Planner State License Number APPLICANT NAME Name c� Address City State Zip Phone Fax Occ. E-mail F - APPLICANT SIGNATURE l" For office use only: Zoning Flood Zone X I SRA tYesj No Occ. Type Const. Subdivision Name MB I Page "� D Lot# Planner I D t 4ppro ed: -2,, yy J OVER FOR SUBMITTAL REQUIREMENTS V) PERMIT NO. )+ 152," BP BIN # LOCATION AP# �C�©— --z, CD Property Address`—B-',,.If2ocr hoc -�. C - Cr ss Street QcLlA Poe -(6- Rd- WORKER'S d^WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address �Description,or Scope of Work: Sq. Footage ❑ Structure Built v�ithout Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 7P_ Amount: 670 Bldg Sen/'! /S2 - C/ F_ SRA Receipt#: �� f �t!o0• Sheriff 0,0- �� I SMIP Date: Other r7l. & �7tal K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 I SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed -- -- calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ '7: 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like -additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR, BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 r. ...,� .,,..^'Y.--tR• � YSh. � �.p[�Syy�:t�...+..,.�! . -%r,rs'i'S� ...tiY=R q,r..-Yr. X1....,,.-'•y,;r..:.y.+.sy�warn-.'..a'A,r.-sic.... i,-� ..y..+ � r � .,� ,.,�.,+ w^...-�i �...., c � �.., f,. Y . . r • , COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 Counfy C.,nter Drive,,Oroville,,CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: D1 ae- ASSESSOR PARCEL NUMBER Proposed Building Use: H#4 PE r2 M F+ -f o ! Je� w S iIrs Counter Technician: 'Date: 5aso4 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ' 1. Site 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. Letter from Engineer or Architect for truss design review. - ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes:* Data sheets and in�tallatban�.agrriiage line info,) Floor Plan,,(cPJ) Tie down or fnd plans, all in 4T ica'e, Y El . ti 9.."Vetal`bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ; ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ,Y 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico gleroville, as applicable. ❑ . 16. Other u Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag,Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit 4..........................�. ��......................................... 23. California Department of Forestry plan approval L 1-1 id. Sent by: ............. ❑ 24. Planning approval (A) UseIJ �(B)Parking: (C) Parcel Check: ' 6 -1 "O y ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. - 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ' 32. Letter of Signature authorization.................................................................... ;. 33. Recorded copy of Agricultural Acknowledgment Statement... r5p.,.0&:.W.... T.0... o w i ' ❑ 34. Manufactured home utility clearance.......................:......................................t. ❑ '35. Existing violations and/or expired permits...................................................::.... ❑ 36. Deed Restriction .................. ........... ................................. `.......................... ❑ 37. Grant Deed, .H. Title/Statement of Facts, EAtter from Legal Owner,'t�heck to H.C.D. $ ❑ 38. Other: r ❑ 39. Other: + When issued Telephone 60_/, a�-/ and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applic Date: 1. Index pe mit application for the above item mbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above ata by ❑ phone, ❑ mail, ❑ counter by Date: Plans reviewed by: MCi Date: 10 Oq Plans approved by-', Date: 0 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY 1 .• Flat Finn Attached j� May Man Attached Smat to 8.0. / TO: Building Department. FROM: Environmental Health SUBJECT: Sanitation Clearance A talc�t.,o .moo c tG �a� - Deo - 0 6 — /3 6 Owner Location AP# Plan Approved for: Sewage Disposal a/ Water Supply: Public Private Well-,,,/ Clearance for _y -I dwelling. Other Hold final for: Final clearance O.K. for: NOTE: /1 Environmental Health SW 8/96 ialist Date �P-4 Oti- lSD.s to COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES Z OWNER Z)rO GI Y10., �I (I'� A.P. # PROPROSED BUILDING USE .�-. ,pain ,� �� DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (f��un available after Plan �Che Check) ^ I +UfM O I uy✓I tv 3. SHERIFF FEES (paid at Building Division 111 Residential............ X Zf360.00 Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X -=$ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION #, $200.00 (paid_ at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. �� 10. OTHER C/Y%( Q At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan check4 g process. DATES zCP —v Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) v VD 'BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) ScI;WI District �)(()J/l in It',') fn. Building Depart nt No. A.P. Number , Property Owner Property Location/A Subdivision ......................... . .................................. a ...................................... Residential Development L—j L—j Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R). Units Installation Conv6sion Permit# ....................... *(No foundation Inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restridtion and Notice of Limited Use Facility document) Commercial/Industrial 0 Q Sq. Footage New Addition (Including Exterior Roofed Areas) 5 Buiii7rg 6ep'artinent Represer6fative Date ai District Identification No. roi/t School District certifies that All (Applicant/ (9treet Address), (PhonwNumber) (City) has complied with the requirements of Resolution No. representing XTV!J• square feet. a.5oWl District Representative (Zip Code) 161Y- fo by payment of $ 2926 FULL MITIGATION Date Paid by Chock# Remarks: ft You may protest the Imposition of the fen Identified above by submitting a written protest to the District. In compliance with Gov W, ememit Code Section 66020(m), within 90 days from the date fees am paid. Fallum to submit a timely written protest wtll'prohlbft you from chsibnoW the Imposition of the fen In any court action. If, subsequent to the School District Rep wmialive signing this Butte.Coujity Schools Impact Fee Certification Form the School District Is OR by the applicable Local Planrdng Agency that this proieet Is being, wlevwd under the California Envinm%manial Quality Act (CEQA), this oroleet mar be sublect to additional school Ion to funv --- - its iinDaet onthe school districroschools. . , apartment), Pink (school diiirict) feeformade (110/03)dff�m AND WHEN RECORDE6 MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 COPY of Document Recorded 17 -Sep -2004 2004-0057757 Has not been compared with original 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 ofthis.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: P4rccV 1, 5 koL4jr\ br;rttiaJ e er +ct,(0 paacce( atop re e.ardded I'n 'fie Ai%ere eorder aC *Ant- f-oLtvt+7 o-� e>L,,ffe� 0 v �c�l.� 3 t`l &57 th 130ok- CH b� mapsi at P4 e - o �, t# d?z - zoo - 13o Date Q -- 17 - 0 �( PROPERTY OWNERS: ill44 r L JDL State of California County of 8u A4 i On n2 -00'--t before me, 4►►+e.� M. G r� personally appeared Qjr,,r 1Wxsnnally known to (or proved to me on the bans of satisfactory evidence) to be the person(s) whose name(s) is/afe subscribed to the within instrument and acknowledged to me that he/s<wAlwy executed the same in hist wwAheir authorized capacity(ies), and that by hivV&rkheir signature4on the instrument, the person(rlor the entity upon behalf of which the person(* acted, executed the instrument. WITNESS my d and offh seal. Signatu v Seal: JAMES COMMA# 3771V85 R NOTARY PUBLiC - C"ORNIA ~ BUTTE COUNTY AP. # O --Zop- / 3 W Comm. Expires sept'28, 2006 A AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2004—OOS�757' Recorded I REC FEE Official Records I CONFORM Count Of CANDACEUJJ. GRUBBS I Recorder I ROSEMARY DICKSON 1 Assistant I Kathyh 02:68P1417 -Sep -2004 I Page 1 of 1 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: � 1 ` L P4�Cel a-, S��cu�1 or�—McA C er Tcciv� pareet map, re ecrdec� I`n `te D4-\�Ce M o� ."e Meoer OF 'ti-'ne COLeV6 o-� 1 N?- Zoo- l3o Date — 7 PROPERTY OWNERS: State of California County of 6'k4'-- On 'k4t- On before me, personally appeared ihr.rle, oMcN(�, �' _petrsnr�aL.y JmQw&4a-w(or proved to me on the bans of satisfactory evidence) to be the person(s) whose name(s) is/axe subscribed to the within instrument and acknowledged to me that he/sheLt#ey executed the same in hisHmr#A�� heir authorized capacity(iesj, and that by his/Iter/tFreir signature(s},on the instrument, the person(s}or the entity upon behalf of which the persor>fs�acted, executed the instrument. WITNESS my d and offici seal. Signator Seal: JAMES CAMAR XINSER COMM. #1377185 � qP NOTARY PUBLIC =CALIFORNIA BUTTE COUNTY A.P. #IV ���Z �� � ��� My'Comm. Expires Sept.'28, 2006 7.00 1.00 ; ,!. 1 F—' ISk CD — 42" CD W S! 3?3 33A ! h9I?"t0�9A „ t l +i0?N10J i ebao�9A fbbi3l0 1 W vfwo3 i 3TTUS 1 22H1:R8 1339OP3 1 't9iJ"t0�9� W02,10IQ YR M3209 r(Yr1�iN I tn6feiaaA i lo : 9gs9 I �WS-ce2-CI MgE8:S8 932MIN AAMAJ 2:' lkmo g T};4,T0D 31 tU9 CC!: _''_'�= - STATE OF CALIFORNIA . - w�""' u,DEPARTMENT USE ONLY a. '; 1 BUSINESS, TRANSPORTATION, AND HOUSING AGENCY tDEPARTMENT USE ONLY =� t�-�'r�' DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 'iAAN$_COgE DIVISION OF CODES AND STANDARDS d E DECAL NO. MANUFACTURED HOUSING PROGRAM'•. $srm uF6� r t. „- F:, ... ,._ '•:.` >. ..' ..h.- . STICKER NO. h^d DEALER REPORT OF SALE OR LEASE WITH AN .' SITUS CC t ` OPTION -TO BUY A USED MANUFACTURED. HOME, MOBILEHOME, MULTI -UNIT MANUFACTUR_ ED EXP DATE TAX TYPE -1 HOUSING, OR COMMERCIAL COACH ILT i:,LPT; EXT CALIF: QFALER LICENSE NO. USE CODE: ORIGINAL SALE OR LEASE PRICE ILT EXEMPT COST CODE RATING YEAR 'r•`-� ar SFD ❑ MUMH OCC GROUP C^RR�N SALE for LEASE PRICE CURRENT SALEtor LEASE DATE NAME OF MANUFACTURER MFG LICENSE NO. `1ir,.lJ . � { . ` v` `. ` (t MANUFACTURER MANUFACTURER TRADE NAME t MANUFACTURE MODEL NAME OR NUMBER �.—..1F � DATE OF MANUFACTURER I._,,i..t.Jit (:�, FOUNDATION TYPE 1! heck one) ❑ 18551 (perm) 1518613 (pier) DATE FIRST SOLD NEWV,itf•.•ei.Y., ti�•y! SEC# 0.41 DECALILICENSE # MANUFACTURER SERIAL NUMBER(S) HUD LABEL or HCD INSIGNIA NUMBER(SI LENGTH (inches) WIDTH (inches) WEIGHT (lbs) Li ADD SECTION ❑ Receipt Number: Receipt Date: ' DEPARTMENT USE ONLY Clerk Registered Owner(s) [print true name(s)] Last First Middle 1 -N {t 1.� fr.Y`,.r� t f : �� PPF RF 2. ILT 3. MRF If applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO PENT Current Mailing Address I Street s f,, �1, c PEN2 City '� County_« Stated r" zip _ I Future Mailing Address Of different than above) street TRF City i , County State Zip TOD Situs (location) Address of Unit Street r -r 1J% DUPT City 1 i County r 1 State f ^; ,Zip. i DUPR SUBD Legal Owner (lienholder) [print true name(s)) CONF REPO If applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO RREG . Mailing Address sweet city stare Zip RSF Junior PLT Lienhotder [print true nemes(s)) SIT If applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO UTP RT Melling Address Street City State Zip ACF CERTIFICATION CCP The applicant and dealer signing below state to the best of their knowledge and belief that allstatements made in this application are true and correct. The dealer certifies that the described unit is in compliance with all provisions of the Health and Safety Code and De anment regulations adopted pursuant to the Health and Safety Code. SIGNATURE OF NEW REGISTERED OWNER(S): TOTAL DEALER NAME:h jj,ut - ;� �. � '�`1; f"v:-;.; ::a SIGNATURE OF AUTHORIZED AGENT: /Z'7 0 MCD 480.3 (7/97) Copy 1 - Department, Copy 2 - Purchaser, Copy 3 - Tax Assessor, Copy 4 - Dealer Book No.350144 HUD Label Inquiry—Institute for Building Technology and Safety Page 1 of 2 Site Map hfl6filnstitute for Building Technology and Safety LABEL VERIFICATION REQUEST About IBTS 0 Areas of Expertise 0 Public Service Your order has been received. Case Studies 0 Your credit card will be charged $50 to IBTS to cover the cost of the research Contact Us Career Opportunities 0 Teaming with IBTS IBTS Online Portals 0 Please print this page for your records Thank -you for your order To Dlace another Label Verification order. click here Name of Requestor JIMark Dragna First Name Last Name Compan Mailing Address po box 4636 Address Line 2 Chico ca 1195927 City State JlZip Code (Area Code) Phone 530 532 4556 (Area Code) Fax 11 email address dragnam@yahoo.com Home Manufacturer 1100 GOLDEN WEST Manufacturer Plant Address Date of Manufacture City Month 00 State I _:�Day 00 Zip Code Year 197 Complete Serial Number IIGW12CALSM40474A, GW12CALSM40474B HUD Certification Label Numbed' 169421 , 169422 Address of Property -11127 Bald Rock Address Line 2 11 Berry Creek Ica —� 95916 Settlement date (if known City Month 0 State ay Day][:] JlZip Code ❑ Year E Delivery method I by Fax r by US Mail Name on Credit Card Mark First Name Dragna Last Name Billing Address po box 4636 Address Line 2 httnc•//e.nrl gPriirP_hnct rnm/ihtq/lahP.l verification/conf charge.nhn3 3/15/2005 3. /4� A I- 1 DEALER NAME: tt r \iceI! { /I�4 '^�-- y UYVIQ. SIGNATURE1OF AUTHORIZED AGENT: DEALER ADDRESS: r� /�LAIJ VV�r3N1 "w% Ll ^k"1•.t,\�'" •--s��� .. +Li,�. , `�K k.%h rY)ESP �1N B • ._..i JE �I P`' i. HCD 480.3 (7197) Copy 1 - Department, Copy,2 - Purchaser, Copy 3 - Tax Assessor, Copy 4 - Dealer Book IVO'. 3 5 0 0 7 7 . !+, STATE OF CALIFORNIA yrsry DEPARTMENT USE ONLY BUSINESS, TRANSPORTATION, AND HOUSING AGENCY 9s _^ DEPARTMENT USE ONLY ' ~ TRANS CO& DE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �1 DIVISION OF CODES AND STANDARDS 9 DECAL N0. MANUFACTURED HOUSING PROGRAM ae STICKER NO. L/ DEALER REPORT OF SALE OR LEASE WITH AN SITUS CC OPTION TO BUY A USED MANUFACTURED HOME, MOBILEHOME, MULTI -UNIT MANUFACTURED EXP DATE c TAX TYP ILT LPT EXT � HOUSING, OR COMMERCIAL COACH s CAI-D/EAALER-LICENSE NO. USE CODE: ""'_. j ORIGINAL SALE OR LEASE PRICE ILT EXEMPT COST CODE RATING YEAR 8 SFD_ ❑ MUMH OCC GROUP .CURRENT SALE ar- EASE, RICE CURRENT SALE or LEASE DATE NAME OF MANUFACTUflEfl ` MFG LICENSE NO. MANUFACTURER TRADE NE MANUFACTURE MODEL }NAME OR NUMBER DATE OF MCJ lANUFAURE�R(, ((� tJ FOUNDATION TYPE (check one) 018551 ❑188131pier) DATE FIRST SOLD NEW (Perm) ` SEC011-01 `• DECALILICENSE A s MANUFACTURER SERIAL NUMlBEMSI HUD LABEL or HCD INSIGNIA NUMBER(S) LENGTH tinches) WIDTH (inches) WEIGHT (lbs) A-1 N Receipt Number: Receipt Date: `Clefk • ADD SECTION [3 DEPARTMENT USE ONLY PPF Registered Last(First Middle [print trued (�1{�A. x' �*' 1'% °r' �` ' RF J name(s)] 2. ILT 3. MRF PENt �EN2 ' If applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO Current Mailing street jt , {7 �p,',�'�` "" ice. t >C,i ,s [� �/` Address cityCJVt�F �rty IF3(� r TRF Future Mailing streetAA A Address (if A different than above) City V'7 County State Zip TOD, SRUIS (location) Street1 1L tt tt Cwt DUPT Address of Unit ) S�� City \� . County �et,� � � DUPR SUED Legal Owner (lienholder) [print true CONF name(s)] - REPO .. If applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO IRSF RREG . Mailing Address street city state Junior Lienholder [print true names(s)l JALSTF If applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO RT Mailing Address Street City State CERTIFICATION CCP The applicant and dealer signing below state to the best of their knowledge and belief that all statements made In this application are true and correct. The dealer.certiRes that the described unit Is in compliance with all provisions of the Health and Safety Code and Department regulations adopted pursuant to the Health and Safety Code. TOTALifL!d%yam TOTAL 1 / • SIGNATf'UREaO %y EW REGIS. RED OWNERjSI:, O iv_ �C�'� t✓;�`"" _ 1. \_ 3. /4� A I- 1 DEALER NAME: tt r \iceI! { /I�4 '^�-- y UYVIQ. SIGNATURE1OF AUTHORIZED AGENT: DEALER ADDRESS: r� /�LAIJ VV�r3N1 "w% Ll ^k"1•.t,\�'" •--s��� .. +Li,�. , `�K k.%h rY)ESP �1N B • ._..i JE �I P`' i. HCD 480.3 (7197) Copy 1 - Department, Copy,2 - Purchaser, Copy 3 - Tax Assessor, Copy 4 - Dealer Book IVO'. 3 5 0 0 7 7 . WHEN RECORDED MAIL TO r"y MARK DRAGNA P.O. BOX 4636 CHICO, CA 95927 MAIL TAX STATEMENTS TO ABOVE Recorded Official Records Countyy Of BUT CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:41PM 27 -Aug -2003 Space above this line for recorder's use only Trustee Sale No. 515-020808 Loan No. 2-99023 Title Order No. 915000 A.P.N. 062-200-130 TRUSTEE'S DEED UPON SALE The Grantee herein was not the foreclosing beneficiary. The amount of the unpaid debt together with costs was ..........................................$14,865.80 The amount paid -by the grantee at the trustee sale was ........................................... $14,866.00 The documentary transfer tax is.............................................................................. $ Declarant's Signature or Agent Determining Tax Position of this Deed of Trust: Balance of underlying Deeds of Trust: REG FEE Travis Page i of 2 10.00 PLM LENDER SERVICES, INC. , (whereas so designated in the Deed of Trust herein under more particularly described or as duly appointed Trustee), 'does hereby GRANT and CONVEY, but without covenant or warranty, express or implied, to MARK DRAGNA, A SINGLE MAN (herein called Grantee), all right, title and interest in and to that certain property situated in the County of BUTTE, State of California, described as follows: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 31, 1985, IN BOOK 99 OF MAPS, AT PAGE(S) 70. RECITALS: This conveyance is made pursuant to the powers conferred upon Trustee by that certain Deed of Trust dated 12/28/1999 and executed by EARNEST E. ASHBY SR., AN UNMARRIED MAN, as Trustor, and Recorded on 01/05/2000, Instrument 2000-0000436 of official records of BUTTE County, California, under the authority and powers vested in the Trustee designated in the Deed of Trust or as the duly appointed Trustee, default having occurred under the Deed of Trust and pursuant to the Notice of Default and Election to Sell under the Deed of Trust recorded 10/18/2001, in at as 2001-0048307 of official records. Trustee having complied with all applicable statutory requirements of the State of California and performed all duties required by the Deed of Trust. Default occurred as set forth in a Notice of Default and Election to Sell which was recorded in the Office of the Recorder of said County, and such default still existed at the time of sale. All requirements of law regarding the mailing of copies of notices or the publication of a copy of the Notice of Default or the personal delivery of the copy of the Notice of Default and the posting and publication of copies of the Notice of a Sale have been complied with. 0. T stee Sale No. 515-020808 Loan No. 2-99023 Title Order No. 915000 Trustee, in compliance with said Notice of Trustee's Sale and in exercise of its powers under said Deed of Trust, sold the herein described property at public auction on 02/19/2002. Grantee, being the highest bidder at said sale, became the purchaser of said property for the amount bid being $14,866.00 in lawful.money of the United States, or by credit bid:. if 'the- Grantee was. the: beneficiary of saWI)eed of Trust. w the time, of said Trustee's Sale. . DATE: February 21, 2002 PLM LENDER SERVICES_ INC. STATE OF CALIFORNIA COUNTY OF SANTA CLARA On February 21, 2002 before me, E. A. GODBEY , a Notary Public in and for said county, personally appeared Elizabeth M- _ Knight , President personally known to me (or proved to .me on the basis . of. satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to . me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s); or the entity upon behalf of which the person(s) acted, executed the instrument. , WITNESS my hand and official seal. Not ublic in and for County and State FAtsusa\wfwfomis\CATDUS2.D0T 2 E. A. GODBEY COMM. # 1318950 Yd N®TARY PUBLIC • CALIFORNIA SANTA CLARA�6, Corrlm. AU05 t Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone' (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 14,2004; Mark Dragna - P.O. Box 4636 Chico, CA 95927 Subject: APN — 062-200-130 Dear Mr Dragna: The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-2778 and has found your application in compliance with the established planning criteria. The site plan you submitted meets the setback requirements for your zone as well as applicable map or use permit conditions. The Permit Application has now been forwarded to the Building Division for their consideration and action. If attached, please find a copy of any use permits, map notes and conditions for your property. We are providing this to your for your information and future reference. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. Sin e ;ely, Chris Tolley Assistant Planner May 18, 2005 Butte County Department of Development Services www.buffecounty.net/dds 7 CountY Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile Mark Dragna PO Box 4636 Chico CA 95927-4636 RE: Incomplete permit process for HCD 433A (mobile home on a permanent foundation) 1127 Bald Rock Road, Berry Creek CA Ap# 062-200-130; Permit 04-1525 Dear Mark Dragna; Your check, payable to HCD is being returned to you; due to failure to complete the permit process as referenced above. You will need to contact our office, and talk to one of our Permit Application Assistants. Who will assist you in determining what you will need to finish the permit process. This proces's must be completed before the mobile home can be removed from California State license rolls and added to Butte County rolls as real property. If you have any questions regarding this process, please call (530) 538-7541, and ask for •a Plan Application Assistant. r' Thank you, Gwyn Benedict Office Assistant II r r re V Butte County Department of Development Services www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile January 6, 2005 Mark Dragna PO Box 4636 Chico CA 95927 Yom'; ,s, RE: Permit process for 433A (mobile home on a permanent foundation) 1127 Bald Rock Rd, Berry Creek Ap# 062-200-130 Permit # 04-1525 Dear Mark Dragna; Your check, payable to HCD (Housing and Community Development) is being returned to you; due to one of the following: ❑ Due to procedure changes, we are no longer holding HCD checks, and ask that you please resubmit one at the time you pick up the 433A form for recording at the County Recorders office. ❑ Permit application process not completed, therefore no building permit issued. ❑ Duplicate submission of a check to HCD. XFailure to final the issued permit. ❑ Failure to record the 433A document with the Recorders office. ❑ Further information is required to prepare the 433A/513 forms, prior to recordation. ❑ Grant Deed; ❑ MH title/statement of facts; ❑ Letter from legal owner. Check payable to HCD, is dated over 60 days; HCD will not accept it. This process must be completed before the mobile home can be removed from California State license rolls and added to Butte County rolls as real property. You will need to contact our office at (530) 538-7541, and ask for a Permit Application Assistant; who will assist you in determining what is required to finish the. 433A permit process. Thank you. Butte County Department of Development Services ° a ADMINISTRATION * BUILDING * GIS * PLANNING �U Nay` 7 County Center. Drive Oroville,.CA 95965 RETURN SERVICE REQUESTED Mark Dragna PO Box 4636 Chico CA 95927 ® Y a 012H16205578 UJ � v tz 01/10/2005 1w Mailed From 95965 ME US POSTAGE DRAG636 T9592767148 IC04 84 01/15/0! RETURN TO 5ENDER DRAGNA MARK TEMPORARILY AWAY' RE i'URN 1-0 6ENDER i 1 Butte County Department of Development Services www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile January 6, 2005 Mark Dragna„ PO Box -4636, Chico CA 95927 } RE: Permit process for 433A (mobile home on a permanent foundation) 1127 Bald Rock Rd, Berry Creek Ap# 062-200-130 Permit # 04-1525 Dear Mark Dragna; Your check, payable to HCD (Housing and Community Development) is being returned to you; due to one of the following: ❑ Due to procedure changes, we are no longer holding HCD checks, and ask that you please resubmit one at the time you pick up the 433A form for recording at the -County Recorders office. -- - - - ❑ Permit application process not completed, therefore no building permit issued. ❑ Duplicate submission of a check to HCD. ❑ Failure to final the issued permit. ❑ Failure to record the 433A document with the Recorders office. ❑ Further information is required to prepare the 433A/513 forms, prior to recordation. ❑ Grant Deed; ❑ MH title/statement of facts; ❑ Letter from legal owner. Check payable to HCD, is dated over 60 days; HCD will not accept it. This process must be completed before the mobile home can be removed from California State license rolls and added to Butte County rolls as real property. You will need to contact our office at (530) 538-7541, and ask for a Permit Application Assistant; who will assist you in determining what is required to finish the 433A permit process. Thank you. El NAME: AP#-* DATE: H.C.D. ATTACH CHECK It A A QPP'MENTAe'r U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT aL IIIIIIII �� WASHINGTON, DC 20410-8000 9B,N DEVF: DQ ASSISTANT SECRETARY FOR HOUSING- AP11 2005 FEDERAL HOUSING COMMISSIONER 4 4 s Mr. Mark Dragna P. O. Box 4636 Chico, CA 95927 Subject: Verification of Label Numbers Dear Mr. Dragna: On March 16, 2005, the Institute for Building Technology and Safety (IBTS), the Departments' contractor, verified HUD label numbers CAL169421 and CAL169422 at your F request. Based on the records available, the subject HUD labels were attached to a home built by Goldenwest Homes, Dixon, CA that was completed on October 12, 1979. The home was assigned serial number SM4047 A/B and was shipped to Goldcrest Mobil Homes, San Jose, CA. I hope that this information is helpful. Thank you for your interest in the Department's programs. Sincerely, �—William W. Matchneer III Administrator Office of Manufactured Housing Programs www.hud.gov espanol.hud.gov March 16, 2005 w Mark Dragna Subject: Verification for HUD Label Numbers CAL 169421 and CAL 169422 The following information is provided pursuant to authorization by HUD. According to our records, the subject HUD label numbers were attached to a home built by Goldenwest Homes, Dixon, CA completed 10/12/79 with serial number SM40474A/B and shipped to Goldcrest Mobile Homes, San Jose, CA. This letter is not issued by the FHA mortgage insurance program for manufactured housing. If you are interested in learning more about FHA's mortgage insurance requirements for manufactured housing using this certification rather than a HUD label, you should contact your regional Processing and Underwriting Center at the HUD Home Ownership Center (HOC) administering the FHA mortgage insurance program in your area, or at www.hud.gov. Pam Brillhart Label Department Team Leader IBTS Contractor to HUD (703) 481-2010.(direct) (703) 437-6894 (fax) 505 Huntmar Park Drive, Suite 250, Herndon, VA 20170 ° (703) 481-2000 ° Fax: (703) 437-6432 s www.ibts.org A not-for-profit 501(c)(3) corporation OWNER -BUILDER VERMICATI.ON Attention Property Owner. An "owner -builder' building permit has been applied for in your name and bearing your signature. Please complete and retum this infonmation at your earliest opportunity to avoid unnecessary delay in processing -and issuing your building peanit No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES )d NO ❑ IHAVF,% HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm.) to provide the proposed constuctio n. NAME: ADDRESS: CITY; PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. ` . r. . ' • �� ' . � - � �• r � e . weer �e It �.\ c : e • e =!- e r e e - NG-NED xPROPERTYOWNER.- (Y\ 0, r- k -1b r ct, n � �.�' f. .� •..• `.. _ _ _.., a y� 1 V NOT' This Owner-Bugder Very7mn is required by Secdon 19831 and 19832 of the California Heafth and Safety Code. T hb vaYkaiion must be completed and OWNER BUILDER INFORMATION Dear Property Owner. O. I iaiprovemerfs ecided. a btnTdmg P has been subsaified is your name lisimg yourself as the bmlder of property SP For yourpraft;& , You should be aware that as "0wner4 mlder" You• are tb a F $ responsible party ofreoord on such fig Pew are not meed to be signed by property owners unless they are own work. If your work is being Performed by someone other than PAY Perfarzaiag their yotasel$ you may protect Yourself fromossible liability if chat person applies for the proper permit in his or her name. P license from Contractors: we by law to be licensed and banded by the State of California and to have a business the city or county. They are also required by her to put dkek license number on all permits for which they apply If YOU plan to do your own wad; w!& the ==Pflcm of vMIM trades that you play to sobcvntract, YOU should be aware of tiie bnDwing in n EM Yom bens& and protection: + ifyon employ or odwwm engage amy persons other than your ammeHiate fanny, and the wait (mciuding matedals and otic r costs) is $300 or more for the entre projec% and such persons subconhwtorare not licensed as contractors ors, then yon may be an employer. ♦ If you are an emPk'YW, You Must register wi8a the State noel Federal subject %several obiigad= including state and %decal income tact WMIo w � employerWand Y� are waw coMPice+ dbabMy >�ce costs, and s p- social s=m'ty �, ♦ There may be financial risks far ��10�n� �omprWztiM conhzb�om ifyoti ur not � nut: these abAPti L% and These risks are especially serious With to worker's comps ;,��„r,,� ♦ For more s eCd=' n about y= obligations ua= Federal Law 1f yon wish,1he U.S. Small Business , caa�ract the �l REvetme Service ia1, State Law, ca�act the Department o{$ew)- For mare sp WMG man about your obliga ions tinder 3'nents and the Division. ofiadnstdd Ao ddenis. If the strnctzae is iced for sale, property owagrs who are not licensed work pfonally or S�rottgh their own emPlo�`ees, without a licensed yrs are aIIowed to perfoan their conditions. contractor or subcontractor, only tmdrr Iimite:d A fivqne= practice of aahcensed perS= Proms to be yrs is to secure an p� �bl4g that the aawner bmldes" building p_ermi� are reit required to be signed owner n providing his or her own labor and rnataial permaliy. Building about SWerty °�� tin 7 are Pig their own work personally, on Y b. obtainedby the Coab-aciars State Lim= Board !a your cam�mity or at 1020 N Strep Sa. GA. 95814. Please complete the 'OW=Vadamdoe on the my= --side of this % so that we cm cord-. thatyon are aware of these matters, The bm7ding P=Dft WM rot be issued us:ta the vesid cation is returned. „ RA DTA• Thit 0Wn,W-Bur?derrt is regrured by S= on IB83D of�ie Cat�OM& geai8t mzd, 9afe ry Com Department r n It n t ' J. Michael Crump, Director Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN 1 ACR Project Description: Pore de 01 Project Location and/or Parcel Number: C r e -e << By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB l acre or more of land and that 1, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: _Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Building Permit Number: Q q — 1 SZ S Owner Name: 'Dra U Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices �w and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation.' (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and =, facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: ©SLI -15 Owner Name: br-e Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements.' Fire sprinklers -are required in this structure. MThe following Parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of � feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 1= -9 Ll wA ri J IN, L4 I's 0 RA 0 -9 Ll wA ri J IN, cotjN-cl DEPARTME 1. Owner's Name: fi)(\ct r L 2. Assessor's Parcel Number: 0,G Z - Z2-00 — ( 3 0 3. Installer's Name: {, �'� Of CavwA 4. Is the !site currently under permit? Yes[ ] No[ ] Permit No. 5. Is the site an existing site? Yes[A No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?fib.. Amperes. 7. What is the mobilehome site circuit breaker rating _LD _Q AinP ere§� 8. What is the electrical rating of the mobilehome site? BOO Amperes. 9. Is the main service. remote from the mobilehome site? Yes[(] No[ ] If it is, what is 1. the rating? ..)t c0 O Amperes. �t 10. Is,there any other electric load to be served by the mobilehome site .electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes- 3 S b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane�A None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 3 /,A inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?aO (ft.). 14. What is the mobilehome gas demand? 3000©0 B.T.U.* *(This information is .not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO .PROCESS THIS PERMIT APPLICATION BUTTE COUNP UILDING DEPARTMEE—F.; z V May 1995 8.5 Mobilehome Manufacturer: P_ [ e_ V_ . 0 QG( Manufacture Year:.. If other than single wide, furnish Setup Model Number: Width: 2[� (ft.) Length:5:�(ft.) Tagalong or Expando Size ' On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation graders ] Other: SUPPORTS: Concrete block[ Other: Provide Tie Down Specifications for all Mobilehomes: Pier -Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line el Line 2 line 2 ................................................................................................ Main Beams Line 2.............................................................................................. - e2 Line 1 Line 3 Line 2 ..--•........................................................................................... Main Beams ............................................................................................ Line 2 Line 1 .................................................ine S Tag or Triple me 4 el Line 1 Piers:' Size minimum: x Spacing maximum: ` From .ends -maximum: ` ,w ;,\� _ID' Size. -rum: [ �. J x [36]. ,Sp cing,maximum: S' o ` PErdm ends -maximum: / o ` ,,` 9 `Line 3 Roof Loads: X Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line'l Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: 9` From ends -maximum. ` 2"x 2"x 3/16" STEEL ANGLE DETAIL "A" CHASSJS FRAME 1/4" GRIPPER PLATE (2) REQUIP.ED 1/4" GRIPPER BASE 1/2-ISUNC-AS07 x 4"-,'- BOLT "JBOLT WITH KUTS (4) REQUIRED m1 1/2" SCH 40 PIPE- RISER WITF 01/2- ADJUSTER HOLES AVO 3/8" THICK TOP PLATE Or SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES AEESCO ABS PAD #503 Sf£EL FRAME"\ SEE DETAIL "A" 3/8" CAU PLA -EO BOLT, NUT & WASHER COACT "C" FRAME COUNTER BORED FLUSH WITH 30TTOW 2"CHANNEL AT e" D.C. (8) REQUIRED 1/4 -x1 -i/4- 1/4" STAND BASE TEK STS .­ABESGO ABS PAD X503 (2) REQUIRED 36" MAX TO BOTTOM ' OF PAD P" ss 1 /2"x 3" C_R. LOCK PIN WITH 01/8" BRIDGE PIN J 1/4.7 GRIFPER BASE 1/2" A307 BOLI (2) REQUIREED 3/8"x S'x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED 10.00 ° o 10.00 J ° __ N 09/16 HOLE (TYP) STAND BASE TOP A EW 17918 e Ai"�vv* ll OF C TUF-1 PERMANENT FOUNDATION SYSTEM AMSC"US GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95923 PH: (800) 382-8831 FAK:' (916) 383-5207 COACH "J" FRAME 1/4 " /4" GRIPPER 1 TEK 1SSS/4" PLAT£ (4) REQUIRED _ H m . 1/4' GRIPPER BbSE 1/2" A307 BOLT (4) REQUIRED C—BJ—BEAM ATTACHMENT ATTACHM=NT g" 1/2' DIA. HOLE (8) PLACES 30` STEEL FRAME TOF VIEW STS -- • �tA>;.tRAl1A>IA:IYOQo4iBCltfat�� c TocoRliCtlOIIiM01� m-WpNy&LWftwWjWm==0lXPWMAW AMUCANAWMIAV.8MWROWAitI ��lcr) - CDF*b''o'' it 11 WAYNE '. POLVA O . PE—'LISTIi�G NO. F94249 SHEET i of 3 0 J J A n d a 2 9 N n T) Yl D T N 9 D GENERAL NOTES GUS GUARD TUF-1 DEMGN : UVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCMSTRUCTED ON A FA RLY LEyEL SITE WITH NO EXISTING SOIL PROBLEMS. S. CHASSIS BEAN SUPPOETS SHALL BE LO"ATED AND SUED FOR THE LOADS AS SHOWN IN THE 'MOBILE NOME INSTALLATION INSTRUCTIONS". i. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN OS EXCEEES I/4", OW WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISAURBEO SOIL FODTINGS ARE DESIGNED FOR 1,000 PSF TOTAL. LOAD SOI. PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. F. STRUCTURAL STEM: FABRICATED ACCORDING TO A1SC SPECIFICATION. WELD ACCORDING TO ANS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 COLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE'CUS GUARD ASSENBUES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING (AADS: ATIOWABiE LOADS: HORIZONTAL VERTICAL G'JS GUARD TUF-1 22001 60001' GUS GUARD MGP PAD 22001 60001 GUS GUARD E -Z TIE PAD 22001 6000# S. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THO MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAf BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTAWNG GUS GUARD TUF-1 LNITS AS SHOWN ON- THIS PAGE OF TYPICAL FOUNDATION 'LANS. 10. THE CUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDIRONAL RESTRAINT. - (SEE SHEET /3) _• 13. ALL METAL COMPONENTS MW ATFACHMENiS (TENS SHALL BE PROTECTIVE COATED. 14, WHEN CONCRETE -SLAB IS IN OUSTANCE, PAD IS NOT 16. FOUNDATION FLOCKS 16'x 16'x12` POURED IN PLACE AT CROUND LEVEL MAY BE USED AT IIISTALLERS DISCRETION ALTEPAATIVE TO PADS. SI11GLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. £= 2' MIN. � 11' MAX. S= 6` MIN. /16' MAX. S= 6' NLN_ / 22 MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) —' E+-- S S S_ E Lj U LI ❑ ❑ u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER a a (TYPICAL) Q ❑ ❑ 0 D [a- ❑ ❑ ❑ 0 8' NOM. ❑ ❑ 2' NOM. PADS IN ANY PAIR MAY BE STANDARD M.H. FOUND.ATfON ROTATED 90 DECREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROB-EMS. ENGINEER. TYPICAL THROUGHOUT PAD TYP) Exp. Z OF CINV REQUIRED. ANCHDR STAND TO CONCRETE SLAB WITH UF -1 PERMANENT FOUR (4) 1/2"z 3 1%2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD 1UF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOA[ TO 10C PSF WHEN INSTALLED ABF -SCO -GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FL01M - PEPYJM ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENiO�CA 45$23 ONE BASIS. _ !ll STATE APPROVAL MANUFACWRED ROMEIAIsm" FOUNDATION SYSTEW MMLTHAND SATBT'Y CODE;, SSCrM JUN APPROVE) SUBTBCr TO COXRSCTI= nC=SD APPIIOVAL D0138 NOTAtrMORM GR ANSWR ANT OMISSTONS OR DEMTTON FRaM RBQ iYB(W APPLICABLE ST'A'TE LAWS AND lAB(6[i11 X" _ JZ Sate of Cauftu s p T l.� ^q of AooueB =d Go» Dw u�i CObffi AND WriN BY Ti, 60 SPA NO. Tl is Plan AvmvmI ExaTm_ '23/13 WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 3/4- DIA. x 18" UG 1/2"x 3 1/2" 1/2"x B" LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3/8' CAO PLATED BOLT, NUT 8 WASHER ;4) REQUIRED - (4) RECUIRED COUNTER BORED FLUSH WfiH BOT.OM AT 8" O.C. ` (8) REQUIRED CONCRETE PAD INSTALLATION •, • ' POURED IN PLACE 16xl6x12 .^.ONCRETE 1 v FOUNDATION INSTALLATION CHASSIS FRAME 1 LIGH- HEAVY—WEIGHT .PLASTIC PAD INSTALLATION r • 36" MAX 11IM71--WEDS UJMS BIN= WMIC UNnS 1/4" GRIPPER PLATE TO BOTTOM (2) REQUIRED OF PAD 1/4" GRIPPER BASE M r of/2°x 3" CJt.i GTN OF M014E UP TO 44 i4'-1- to tib' 1"'-1' to 24 6 to 20 W3DTH OF HOME I 26 44 8 8 12 12 12 18 Z' 20 24 LENGTH OF HOME 10 WIDTH OF HOME 27 14 16 TIP TO 4;' 6 6. 6 B 4t -i h fib' S 8 13 8 t8'-1- to SO 10 TO f0 10 1 /2-13UNC-A307 x 4'--'- LOCK PIN WITH 1 NUMBER OF TUF-1 REQUtKD NUMBER OF TUF-1 REQUIRED BOLT WITH NUTS 01/8- BRIDGE ! SINGLE WIDE UNITS REQLFLK (4) E -Z TL= PADS. CM GUARD TUF-1 PIERS ARE (4) REQUIRED PIH TO BE PLACED AT APPROXIMATELY EQUAL NTERYAfS ALONG EACH FRAME RAIL 01 1/2" SCH 40 PIPE RISER WITH r 01/2" ADJISTER HOLES AND 3/E' f THICK TOP PLATE STATE APPROVAL rat" SCH 40 PIPE STAND . WITH TWO J @�O4ESs, MANOFACnM6D H3MBlMOSTLB ROME 01/2- ADJUSTER HOLES (�O 1 FCUNDA*n0NSYSTlM ABESCO ABS PAG #503 LTH ANC SAFETY COD1%SBCTTM1051 �. APPRDVED STEEL FRAME 0t. 1791 BUBB= TO 0ORRIDMOM NO= �1Cp' APPROVAL DOES NOT AUMOR12B OR APPR•DVB ANY J'jq Clfrl� ���@- OMA?4CAEY18 TATE LLAW ANDREREGUi.ATMO 03 OF MO see otal'to�l... . 37' TUF-1 PERMANENT �C1~y � : ,� .,`, ��STAMA W y� o / FOUNDATION SYSTEM L ���� �� �� OF c•>�ro) '$ y ABESCO-CM CKTARDC+7MPA%'Y P pBPAlfO. 5E51 FLORIN - PERKINS ROAD Th[s�FlanA a1 Ezplea ^" b SACRAMENM. CA 95823 E — L T1 PAD FAX: (915) 383-5207 (800) 382-8831 WAYNE T. POLVADO, PE—JSTING NO. F94249 SHEET 3 of 3 __ _ a 0 CDF FIRE SAFE REQUIREMENTS 062-200-130 BP -04-1525 Mark Dragna AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and 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. [X] 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 provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 2. the length of vertical curves in roadways exclusiveof gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270 10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 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. 1273.11 Gates [X] A. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. 1 • r 0 SAW V OYMP11 tw Zook hmnjj -vil Otis !'.T;L1AAO too *OL P0,1011 NOT a ,4b"m t-:% Y; himn in oars Kirv,.i mony" PCs un qDPOInAmn lumb io -Nvt (,,I qu UVI mrauv knoWn T Minn PM4 Ot 400a vd0f, is N b Ws ;v%W tson in Wy.i fmm wont c 4 M! ply 10TOPM7 W rx,- Im"'I't CT zn! look is W1 i1 :0 owns won Ino, btpon�j ",-"I 2j Wa MOM; 551641 ROSS 1; xi ig1*1.1!VT.f'" knOzz WWI .hi w iss. mw yj q to alip, f;x :� 11 t,Mfr 0". &0 v,r! rt- et.! q;J nit j flplij � tyu qj Mrs Ma", lJ CDF FIRE SAFE REQUIREMENTS 062-200-130 BP -04-1525 Mark Dragna AP# PERMIT # NAME Fuel Modification 1276.01 Setback for Structure Defensible Space [X] ,' _ 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. a [ ]. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X] 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 or final inspection of a building permit. 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 — Class A or B roof with enclosed Eaves and: Choose any 2 of the following: Metal or no doors on side toward property line with insufficient setback - Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D Glass area not to exceed�'10% of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hardi-Board or Plank Masonry Masonry Veneer Metal Other Butte county Fire Department approved materials G --1--(51A <ZZ -21 Date . Sign 2 Awl !x , f. { •L,� {'r u, .- `.4' .fit. ,, k E.M. USE ONLY Plot Plan Attached T— Floor Plan Attached sent to B.D. ! R TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r/ 9 . ��4 L.a �o e �c o L ®(02 -ado - 1,20 Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for ✓dwelling. Other 6�A?°a-m , f --I e -c-- 4.)9 Hold final for: Final cl NOTE: 8/96 0. K. far: nmental Health ialist c.,7s ,x� .2 Date 14/ 19-79 Go�cletn. (.-j to C.+ \\ Mme V- s et Lu OodLAU Sof l�i4� Y. 4IQ 4Bu' County Envir m real 110 �- 9 0 �� Signature F VTI O x v 1 r4 C 1✓ NOTES RESIDENTIAL PERMIT NO. _ 062-200-130 - - - 04-2775 DRAGNA, MARK i 1 127 BALD ROCK RD, OROVILLE I Cont: OWNER COVERED DECK(MH) SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i JOB FINALED (Date) n Signature I CHECKED BY r f . t f g. .i �i I SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i JOB FINALED (Date) n Signature I CHECKED BY J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test-Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect, 8. Utility Clearance Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 r Date Card B-1 Date Card B-1` Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 D to Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable r = Not Ready RESIDENTIAL (Single & Duplex) r Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Interior/Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 23. Fire Sprinkler; Test Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 82. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 83. 33. Equip. Clearances Panels-Motors-Mech. Equip. 84. 34. Clothes Closet Light -Shower Light -Spa Light 85. 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 95. Card B-1 Date Card B-1 Date 96. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042778 LICENSED CONTRACTORS 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 Issued Date: 11/02/2004 APN: 062-200-130-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1127 BALD ROCK RD BCK Date: Contractor: Map Index: Description: COV DECK(380) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DRAGNA MARK permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a PO BOX 4636 signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95927-4636 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DRAGNA MARK Code: The Contractors' State License Law does not apply to an p0 BOX 4636 owner of property who.builds or improves thereon, and who does such work himself or herself or through his or her own employees, CHICO CA provided that such improvements are not intended or offered for 95927-4636 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.): ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt Article 3 of the Business an ro essions Code ��under Owner: Date: �l= License #: 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 Architect: Labor Code, for the performance of the work for which this permit is issued. , Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 380 S.F. Valuation: $6,080.00 Policy #: , Census Code: 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 the 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. Date: Z _ C) , Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This -permit is hereby issued under the applicable provisions of the Butte County Code end/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to do i icated above for which fees have been paid. Q Name: By: Date: 6 Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 1 G 01 �C r� r� C( c1 Vt Cl Signa e: . c Date: `911wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor i SITE PLAN REVIEW APPLICATION Date: !'d- i3 - Zdo AP# 2 - 2c 13C Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No. Situs Address: Proposed Use: i Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home------.-, AJJ"%�"a &-x Residential Accessory . . ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary -Travel -Trailer- F ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑. New Industrial, ❑ Industrial Addition fes{ ���IGIP ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other - ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) i Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Sit lan Sta ed Approved By A Date t o — l LI - zoo" Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: 1 01) a 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: • Flood Panel No.: 0460-& Index Date:— ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval mustbe 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 ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=------------------------------------------------------------------------------------------------------- ❑ Detached Building. User Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. P, CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 L Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street , Rear r� Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. P, CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 L Applicable Development Fees: Standard Fees Amount ❑ Fire. ❑ _School* ❑ Parks/Recreation ❑ 'Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito DrainageArea ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender" ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) , Formula * , 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 El 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 91 Subdivision ME/Parcel Map: Map Date of Recording: Lot: 2 ❑ Use Permit/Minor Use Permit Permit Number: Book: g Page: -70 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ 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. 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. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ 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. ❑ Property owners responsible for road maintenance, and stop sign maintenance. ■❑ Page 4of5 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. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 Department C o u n t 1 Michael Crump, Director I Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: p ( Z -- 2-00 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: • Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Stonn Water Management Program Revised 5/12/04 June 15, 2004 Mark Dragna P.O. Box 4636 Chico, CA 95927 ��L Evr®unt u to LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION. DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Dear Applicant, The Planning Division has reviewed your application for APN 062-200-130 located on Bald Rock Road. , This parcel was created by Parcel Map 99-70, please review the conditions labeled Exhibit • B" and make sure they are included in your building permit plans. Your application meets all the requirements of the zoning code as submitted. Your file will be forwarded to the Building Department for their action on your permit. Should you have any questions please feel free to call me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-6572. Sincer y, eph Baker Planning Manager Attachments: ' Exhibit "A" (Site Plan Review) Exhibit `B" (Map Conditions) Exhibit "C", (Mitigation Measures) SITE PLAN REVIEW APPLICATION Date: �J AN Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: 2 Owners Name: h2P&N-):� Yr'A�z l_ Owners Address: r3 OV, Ll t '-2-- L -H i LQ C -A 9 59 27 Telephone No:: -5 32 - LA q q (p Email: L��L� G�(J► y � NO® L-���^ Situs Address: Proposed Use: Residential ❑ New Single Family' Residential ❑ Single Family Addition fS Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ CommercialAddition ❑ New Industrial ❑ Industrial Addition I Other H Septic ❑ Agricultural Exempt Building ❑ Other: BriefExplariation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) ❑ -Approved Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date a' Page 1 of 5 R") V • ALL ITEMS CHECKED APPLY TO THE PROPERTY Applicable Building Setbacks: Parcel Is In: Streets & Highways ® Snow Load Area:- Front ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) 5 ❑ 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) Rear ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: � • Flood Panel No.: 0/300 Index Date: 1 ❑ 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) N/A ❑ 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) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance < F� Detached Building Use Form Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: LA Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Fr,' qL s S Side 5 �® Side Street Rear 5® Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------=------------ Subdivision Map Special Fees n Amount ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) - Formula * 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 r ❑ 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/Notice 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 a Subdivision ME/Parcel Map: F, R E E r) Map Date of Recording: Lot: -?-31- 95- `Z ❑ Use Permit/Minor Use Permit Permit Number: WH o Te Lla V,., Book: Page: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ 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. 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. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ 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. ❑ Property owners responsible for road maintenance, and stop sign maintenance. n Page 4 of 5 N . y. Alm 11/1 iJ -0 000. .. -'OMW aeeOeO 70 o f- - A �/, r 7-4f C.4 9elA. / 7 Y . 1.2ac. W Tiro .949 "Z j 7�. W., .E� 1000' IN% A1490 10-04, (1M) 3/9./55' Ser rI34cle.4"A 6; AO/O � ,&W-46 e 0101-704VAO L V) 7AW /,3Z/77-,& C041AI r)e =Ile"e 77. he Atf) A140 CVA"ZI471134E ROOAIAIC-r AM7�PI?IAZ45 JOW 41r14 IZW-7 70 "14-'I"lZe -AWe AV7ZW;r14Z OF 00 "07'VA CZe.4,00?,4A14%0 00 AlW1A17-,41A1eO AAW4W�9 F, 0,-AIY Z.4,oP- W- .4 7*e-IZ- e -r e-.- AWC14 4-- 10) "" 0114 4 O. -OM .4 4 4 dMeAoV Vea 47* 7101V Alj4ZIZ /AAS OIZ R&W"IAA e -r ZZ"09W AWVA417. r =EAVA-War 4 l."Z: C-,4,6 rx-l'e-exA. C --;r 4�OCA 7710AJ 0.#= PAU 4r - M ea A-17" COAlr,4 1A/eO IAI o 0-00,le "0 6 0. R. 06,15 CWAI�- 7^& 40&70.e"1A1EjV AWO" rlW& ei-AdVrEAZZ Y IVOVA/17417Y, P 5 ZAAE 7 -e -,CIM Mltir dk-C �-4 40 )TIO-cle 170AAP. IW& CM -41 E—O- IM 75'Weicl C- /42 X00 1107- cl 7- Me OXAS 7/A/6 Ce-AIYP�. IAI&. Me— j��"O j"" AO'Or MWAIR"ArliCALL Y eZOO� IWW�qR A6W& 1" C,441- M.4AAC� �,dZ 4"A6 7" CeW7e�eZ //VA=. 0. -l" e.6 z /.? MOCA-11 10014 1.2 Wd .9 Alel- /.71 03 do ' F. Reed Whitelam TENTATIVE PARCEL MAP, three parcels on the southwest corner of Arkie Court and Bald Rock Road, Bald Rock area. Assessor's Parcel Number: 62-20-111 Engineer: Barnhart -Brown & Associates Public Works Department conditions are: 0 Deed to the County of Butte 30 ft. right-of-way from the centerline of Bald Rock Road. W IrcP .TeN4-z- --ch' � Indicate a 50 ft. building setback from the centerline of Bald Rock G � R9 ad. OY��-� v L 3ZS wall easements of record on the Final map. ' . 0(41- Pay off any assessments. Obtain encroachment permit for- all driveways, new or existing, and construct to county standdrds. Driveways must be located at safe locations. 6 0 6 — A 6) Pay any delinquent taxes or current tars as required. 6- C3> _`Health Dept. conditions are: X X R 7. Provide a 100 ft. leachfield free setback around existing wells either • within the property or within 100 ft. of the property boundaries on parcels 1 and 3. 8. Show a 50 ft. leachfield setback from the drainage way on parcels 1, 2, and 3. _The following mitigation measures must be complied with: RP :.,zrnJ Incorporate erosion control measures into project to include: a) Reseed or revegetate_ previously constructed "Horse arena" or otherwise stabilize exposed soil surface. Install properly sized culverts at drain crossings and driveway �11N�1 approaches. 10. Place the following notes on the final map: Butte County fire Department recommends: a) no combustible roofing materials be used to minimize fire potential, b) 30 ft. of clearance around all structures, c) any large water storage facilities be equipped with �. fire hose connection and all weather surface access be provided to same, and d) removal of dead vegetation by hauling or burning via permit. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION•#: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP042778 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/02/2004 APN: 062-200-130-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1127 BALD ROCK RD BCK Date: Contractor: Map Index: Description: COV DECK(380) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DRAGNA MARK permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a PO BOX 4636 signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95927-4636 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): A- I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DRAGNA MARK Code: The Contractors' State License Law does not apply to an PO BOX 4636 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, CHICO CA provided that such improvements are not intended or offered for 95927-4636 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business an ro essions Code Date: L���� owner: License M 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 Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 380 S. F. Valuation: $6,080.00 Census Code: Policy #: 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 the 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. Date: - -Z — (2] Applican WARNING: Failure to secure workers' compensation coverage is unlawful, 'anil shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY Thispermitis hereby issued under the applicable provisions of the Butte County CodR anrUor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to do r4bN i iceted above for which fees have been paid. Name: BY Date: 1 v 6 Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. jf Print Name: G 0 �C ✓� 4 S Cl Signa . i/ Date: Illkwner 13 Contractor 0 Agent for Owner ❑ Agent for Contractor /AUT TF� BUTTE COUNTY o o DEPARTMENT OF DEVELOPMENT SERVICES ° Dp -200-13p BUILDING PERMIT APPLICATION o / RAG1\rA M AND SUBMITTAL REQUIREMENTS ° _ - ; 1127 BALD ARK Oq � ,� u#: OROVILLE: (530) 538-7636 • CIECO: (530) 891-2834 ° Co"t` 4W—PR RD OFFICE #: (530) 538-7541 COC CO VERED Dr, CK op " `!,' REOUIRED AT TIME OF APPLICATION (M1�� LEASE PRINT CLEARLY" Last Name CONTRACTOR OWNER irst Nam Address D �? 3 City CJ/CL (A ' State State ZpC?5 Phone Fax E-mail Fax E-mail Class APPLICANT NAME CONTRACTOR Name City Address Zap City Fax State Zip Phone Map Book Fax E-mail Planner 7Date Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zap City Fax State Zp , Phone Map Book Fax E-mail Planner 7Date State License Number APPLICANT NAME Name Address City State Zap Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property AddressC . Flood Zone Cross Street SRA I Yes No Occ. Type Const - Subdivision Name Map Book Page Lot # Planner 7Date Approved: PERMIT NO. au BIN # LOCATION AP# (yo n " ;10O _ ) ?j o Property AddressC . C' ' VV Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS It K:\FORMSSUILDING F0RMS0dgAoo1SubRgmts.doc Page 1 of 2 Descri!tiol or Sc pe of W r Sq. Footage W ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:^ Amount: J • U Bldg SRA Receipt #: ��07 Sheriff SMIP Date: 9 S. Other REV 7-27-04 ,a, SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an -application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS metunas can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSIBUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-64 Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers....'....................................................................................... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report,andlor Engineered Foundation required .............................. :.................... ❑ 20. Erosion Control Plan Required............:........................................................... ........ . ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ 0 23. California Department of Foresp plan approval ❑ paid. Sent by. - 24. y:24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: to - l ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: ` When issued Telephone Cl - and hold for pickup. ' t, I have been informed of the above items and requirements for obtaining a building permit. Date: 1. Index permit application for the above items nuri be&ed: Plan Check Letter 2. Additional items re u' nn Contractor, design owner as advised of the above data by h ne, ❑ mail, ❑ counter, by Date: L4 Contractor, designe was advised of the ov to by one, ❑ mail, ❑ coun r, by-. Date Plans Plans reviewed by: Date: © Plans approved by: I Date Structural reviewed by: Date: Structural approved by: v Date: Note transfer by: Date: Yellow: Building Division q,) �COUNTY / 7" , OFBUTTE-DEPARTMENTff OF DEVELOPMENT SERVICES-BUILDING.DIVISIO ` 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ' PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBERLl Proposed Building Use: t Counter Technician: Date: Items required in order to apply for a perm) . All boxq MUST be checked OR marked NA in order to apply. 1. Site 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. Letter from Engineer or Architect for truss design review. , ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. A111111o'f these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form Er 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers....'....................................................................................... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report,andlor Engineered Foundation required .............................. :.................... ❑ 20. Erosion Control Plan Required............:........................................................... ........ . ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ 0 23. California Department of Foresp plan approval ❑ paid. Sent by. - 24. y:24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: to - l ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: ` When issued Telephone Cl - and hold for pickup. ' t, I have been informed of the above items and requirements for obtaining a building permit. Date: 1. Index permit application for the above items nuri be&ed: Plan Check Letter 2. Additional items re u' nn Contractor, design owner as advised of the above data by h ne, ❑ mail, ❑ counter, by Date: L4 Contractor, designe was advised of the ov to by one, ❑ mail, ❑ coun r, by-. Date Plans Plans reviewed by: Date: © Plans approved by: I Date Structural reviewed by: Date: Structural approved by: v Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY •, s Piot Plan Arlachad ✓ jR6QY Pla*ttachad Ily 19anz to G.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance .09e--d /2 c.1- �eaj . z -1 p -/,-70 Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well wl i Clearance for dwelling. Other / D X,651 Hold final for: Final clearance O.K. for: NOTE: Environmental Health S 8/96 J 14 , o�VTTE`c 0 9 coti.N'�p -77e Building Permit Number: Owner Name: D- rQr-e--- Residential Construction Requirements DIPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. f` All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW _ Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation: (Plate height less than 24" above grade, or engineered design required). CI! 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: may. Parcel lies within the State Responsibility Area (SRA). Comply with attached ' requirements. Fire sprinklers are required in this structure. 0 The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of � feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a.2 foot overhang. 0 Expansive soil maybe encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. PLAN REVISION Owner's Name: ✓' BP#: O 4a F Date: Contact Person & Phone Number: AP#:O-�c� C7 Received By: r Time: .� T PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering ❑ *PlanRevision ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: Cf" Requested by Plan's Examiner — Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised. drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call and hold for pick-up. ❑, Deliver with next inspection. Minimum revised plan check fee to be collected at time of subnussion of revision, plans examiner will determine if additional plan checking fees are needed: O Minimum $54.99 Receipt #: 7 Fee not required for revisions requested by plans examiner prior to issuance of pen -nit. ❑ Additional Fee Amount: ti Receipt #: 0 Revised 2/04 CLAIMANT: eoutd* q J3uta OROVILLE, CALIFORNIA GENERAL CLAIM DALE PAYNE ADDRESS: 2980 ALLEN AVE CITY & STATE: WEST SACRAMENTO, CA 95691 IMPORTANT: 6/6/94 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED TO CANCEL PROJECT (B.P. #93-3256, A.P#062-200-130, RECEIPT #148951 DATED 9/29/93, OWNER: DALE PAYNE) TOTAL AMOUNT PAID ..................... ..........$539.90 RETAIN REFUND PROCESSING FEE ...............$ 25.00 RETAIN-B.P. FILING FEE .....................$ 20.00 • RETAIN ELEC. P. FILING FEE .................$ 20:00 .............. CHECKRETAIN B.P. PLAN FEES.. 168.00 TOTAL AMOUNT TO .................... BE RETAINED.. .$233.00 TOTAL AMOTINT TO R7 REFUNDED ....... 306.90 TOTAL $306 90 1, the undersigned.. declare under penalty of perjury that the services or articles claimed have een erformed or 1e d, and that this claim is true and correct as stated. I7 �Ty. nnDD//�� TTT T Dated this ..............6T1A............ day of .......... �J.U.t7.E......'. i9 ... 9.4-t Q.PQ.V.J..I LE...• Calif. ............ ...................... ................ ....................... nature of C1 ant d ove v e Performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check o I, the undersigned, hereby certify that, to the best of my knowledge, the services or ertAD Dated this......... 6M .................. day of ......JUICE........... i9...9,4at OROVILLE., , Callf. ............ ........................ ment ed or Authorized Deputy Dept.p• Code ......4460—QO.21................. Code .......421.0500.................... PAYABLE FROM ..CQRST.RU.CT.J0,N... A.OR1:1.1 FORMIT.S ............................... FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 227 cyy as 91Y e4o ,;2 ggs hahv Ay e.... eerkf'r-, 9661?/ pc, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION f 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ' PERMIT NO. APPLICATICIIN AND PERMIT � =1 ASSESSOR PARCEL NUMBER 062-200-130 ZONING U BUILDING PERMIT OWNER DALE PAYNE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2980 ALLEN AVE GI . SACRAA'IENTO 95691 144U M 25,920.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 25 920.00 LENDER'S MAILING ADDRESS Filing Fee $ 20',00 Permit Fee $ 258.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 168.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS BALD ROCK ROAD PERMIT FEE $ 446.50 BERRY CREEK PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PAg9E MAP / Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other DET. SHOP SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New P Addition ❑ Remodel ❑ Utilities :1Installation ❑ Other ❑ Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FgT,0, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. 1.ieense No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sate. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON -RES 0. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1:OS00 Ex. Occup' (OFIXED APPLNS. OR UTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a ertificate of Consent to Self -insure. ,Ulshall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 93 40 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ' consequence of the granting of this permit. X Date — Signature of Applicant - &'Ovolner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 539.90 HAZ. 1 O. FEES I IM I FLOOD I CDF PARC 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. DIRECTOR OF PUBLIC WORKS BY Date PERMITEXPIRESON (Date) Receipt No. 148951 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `. COUNTYOF BUTTE - DEPARTMENTORD'EVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. No. Proposed Building Use "Cr*W-6G Building Inspector Date At time of permit application, I was advised the following data must be submitted prior -to -permit processing and/or issuance: DATE RECENED BY �,11 All items have been submitted. . (. (� ��2'`-Plot plans, S14 sets, signed by preparer of pl 3_ Complete plans, 3/4 sets, signed by preparer Ians. fp .. ......... ✓ .4. Engineered plans and calcs, 3/4 sets, with we signature on tans . ............. 5. Hazardous Material Form . ......:................................... . 6. Energy Design Compliance and supporting documentation . .................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 1. Impact fees as shown on attached schedule. .............. . --�� 12. California Department of Forestry plan approval/fees. . .. ..��Gt!v 13. Flood elevation letter (100 year flood) by California Engineer . ................ . y4__1 - 14. Sanitation and plot plan approval CWU ijI `-Health Department . ............'_-;i;n-Q� 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. .. ... 20. Pre -inspection for required. .. oB�ild 9 Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .................. 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/e iyy��d p rmits. �% 32. Plan check list. ..4- o.��....l.l�J.$�. ................. . 34. / When 'ou issue the permit, process as follows: Mail Yo owner. Mail to contractor. Telephone .37/-0366 and hold for pickup at P� office. Deliver with inspector. Other 6 1.14 -1 - Parcel . / Parcel Creation Acreage Applicant 6,Vx e Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted ri f to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: �- Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinetfolder %0Copy - Department of Public Works l0 IZ' j �� � � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER I� !vim A.P. # 2 —��0— PROPOSED BUILDING USE jam} l-�' DATE REC. # DATE REC 1. SCHOOL DISTRICT FEES (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) ............. jk----6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... s (paid at Building Department) 7. OTHER o]C I:7e At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in'processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a.building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of,this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type. of Work Signed: � zp,,,.,� Property Owner Social Security Number Date T NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. - This verification must be completed and returned to -our office before we are per- mitted to issue the permit. TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - FUIL� DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 062 . a o 0- c 30 ZONING BUILDING PERMIT OWNER � le � TELEPHONE SO. FT. OCC. BUILDING VALUATION p a a a auri_`6JI�TOfYS,N/prlEvAn TELEPHONE 40; JM/AILI(NGG IIACD•DDRRESS CONTRACAC)TOOWS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ a S 2 O Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ �, SC> ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ o Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f�PERMIT ' G R� FEE $ PLUMBING PERMIT Filing Fee 20.00 e� Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USELOF STRUCTURE a n SF O Duplex O � Mobilehome O Other �f' SPECIFY` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 20.00 TYPE OF WORK New dition O Remodel O Utilities ❑ Installation O Other O Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service ( BooV O ) 200A OR LESS 23.00 3 Main Service ( 200A To IOOOA ) 46.00 NEW OR ADONS.T. ( D A ACCLINGBLDSUP ) 3.50 Fr. So . CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @x.500 Ex. Occu FIXED .OR p• ( OUTLETS (RESTRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte age' st all agar St Said County in consequence of the granting of this permit. T liabilities, judgments, costs, and expenses which may in any way a7,R X Date ((a Signature of Applicant O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ S qi HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTOR OF PUBLIC By I PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. WORKS Date lOerol Receipt No. ?5/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ` COUNTY OF BUTT - , EPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Ce -Jnr r 'hive - Oroville, Catifornia 95965 - Telephone (916) 538-7541n 2 ` P IT N0. APPLICATION AND PERMIT C1 ASSESSOR PARCEL NUMBER 062-200-130. ZONING - U -.. BUILDING PERMIT OWNER DALE PAYNE — TELEPHONE SQ. FT. OCC. BUILDING VALUATION 25 920.00 NEWS MAILING ADDRESS 2980 ALLEN AVE W . SACRAMENTO 95691 . CONTRACTOWSNAME - OWNER TELEPHONE CONTRACTO WS MAILING ADDRESS' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 25 920.00 Filing Fee $ 20.00 LENDEWS MAILING ADDRESS ' Permit Fee $258.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 168-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEEWS MAILING ADD@ESS Penalty $ BUILDING ADDRESS BALD ROCK ROAD PERMIT FEE $ 446.50 PLUMBING PERMIT Fling Fee 20.00 BERRY CREEK Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME P EMAP y 9- 7o Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome O Other DET. SHOP SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New Describe Work: FEE $ Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service( BOOAORLESS ) 23.00 ' 200A OR LESS Main Service ( 200A TO IOOOA ) 46.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full force and effect. i) UeenseNo. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O lam exempt under Sec. , Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE 1 declare. under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a rtificate of Consent to Self -insure. QYf shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. NEW CONST. DWELLING OCCUP. s0. OR ADONS. ( 6 ACC. BLDS. ) 3.50 FT, I NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 / POWERAPPARATUS ) 1 a SINGLE OUTLET CHR. EX. OCCU OUTLET OR FIXTURES @ I'00 P• ( ) B20 .00 FIXED (REST .Ofl Ex. Occup. p' (OUTLETS (RESID.) FA. ) 5•00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County' consequence of the granting of this permit. X Date — Signature of ner O Contractor O Agent Applicant O An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in -height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 539.90 HAZ. 0. FEES I IMP' FLOOD CDF PARCEL' C PD NO 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON (Date) Receipt No. 148951 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � 2- 2-.0 AP # CDF FIRE SAFE REQUIREMENTS 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 provided for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway beEk:;or shoulders) shall provide unob- structed access L�:::.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. N/1 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- _100 feet radius; 2 feet to those from 100-200 feet. ] 2. The length of v'�=:-t cal curves in roadways exclusive of gutters, ditr7:'fs and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from center of the road. [�] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [xJ / 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page .1 of 3 V Z- Zo AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but ,\ less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart.. [ 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates �l 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ l 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. IJ(J 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by th.e lo..^_al jurisdiction, of flammable vegetation and�.!e'- caused by site development and construction, ro d. and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves A.)E ,06 t F- NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal doors on side toward property line with insufficient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other. Butte County Fire Department approved materials kz� vv-e�Date Signature [� 2- zo-1la AP # CDF FIRE SAFE REQUIREMENTS 3 _ 3 Z h �v�E b,_-t.C. 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. [ V1272.00 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 provided for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07. culverts and other appurtenant structures which supple- ment the roadway beMi::or shoulders) shall provide unob- structed access t_.�7.:-.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. Nj] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. CY.] 2. The length of -t cal curves in roadways exclusive of gutters, ditr--:.c s and drainage structures designed to hold or divert water shall be not less than 100 feet. } 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from center of the road. 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page .1 of 3 AP # PERMIT # NAME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but '\ less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates f�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3'. Where a one-way road with a single traffic lane provides entranoce, a 50 foot turning radius shall be used. Fuel Modification. KI 1276.01 Setback for Structure Defensible Space. 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction -shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and � !el- caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 2-6 AP # 93-3� PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal doors •on side toward property line with insufficient setback Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 100 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 COUNTY OF BUTT 7 County Cen Ir 'ARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION pEC i 4 i493 eve - Oroville, California 95965 - Telephone (916) 538-7541 2 PEg IT NO. f1PPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-200-130 ZONNG U BUILDING PERMIT OWNER DALE PAYNE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2980 ALLEPI A 1�7. SACRAI�NTO 95691 25 920.00 CON TRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 25 920.00 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 258.50 ARCHITECT OR ENGINEER PLI ' UC ENSE NO. Plan Checking Fee $ 168.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS BALD ROCK ROAD PERMIT FEE $ 446.50 BERRY CREEK PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PA1/�qEL MAP r / �f1 / ' • �i Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome O Other DET. SHOP SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New P Addition ❑ Remodel ElUtilities EIInstallation ❑ Other ❑ Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( wOv OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO IOOGA ) 46.00 NEW CONST. DWELLING OCCUP. g0, OR ADDNS. ( & ACC. BLDS. ) 3.5C �• CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. 1,ieense heNo. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as -the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONS7. MULTI -OUTLET NON•REsIO. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) ( & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .So Ex. Occu FIXED APPLNS. OR P• ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a ertificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 9340 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County • consequence of the granting of this permit. X Date - Signature of Applicant O ner O Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 539.90 HAZ• I D. FEES I IMP' I FLOOD CDF I PAROL PD HD sSUf 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. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON !De[el Receipt No. 148951 WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.11. USE O\L1 1'Inrir I'Lm Alwthrdu �� �ti 5eW In II, U, a^ R TO: �'''" Building Department C0IJ4, 71, FROM: Environmental Health 8��eo oo�pr�p� SUBJECT: Sanitation Clearance scP n 1993 it c Owner Location'?eWQvAP# Plan Approved for: Seg{'a�,e Disposal Water Supply: / Public Private Well ZZ Clearance for _ C. tiler X T D NOTE: / 1 Environmental Health Spe alist 8/92 Dat TT nw. C*a LLJ 7 C-1 O i Alan G. Brown, P.E. • • • Richard Barnhart, P.L.S. . rs ACalifornia Corporotion _ C BUND ODgP � December 16, 1993 a�L Z Q 1993 John R. Henry, P.E. Plan Check Engineer' Building Division County of Butte 7 County Center Drive Oroville, CA 95965-3397 RE: Dale,Payne, Garage/Shop Permit No. 93-3256 APN 062-200-130 Dear.John: Please let this acknowledge the hand delivery of revised sheets 5 and•6 adding the items 4,5,6 & 7 from your check list of 12/8/93. I also delivered the calculation justifying the additionalbolt securing"the shear wall to the grade beam. Mr. Payne will be addressing item 1.2 & 3 of the check list directly. Should you have additional question please call. Very truly yours, BARNHART-BROWN & ASSOCIATES an J. Cook Civil Engineer cc: Dale Payne wp.J0HN.D16 4060 Park Ave. P.O. Box, 1576 Oroville, CA 95965 (916)534-1911 (916)533-6457 FAX (916) 534-0908 Job No. 93102 Dale Payne 2980 --Allen Ave. Y✓Sacramento, CA 95691 NA -J.A L `N EA L T H ANi i � - J - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7541 FAX: (916) 538-2140 DATE: _12/8/93 RE: ; Proposed Shop A.P. 062-200-130 B.P.# 93-3256 With reference to the above subject, attached is: [ X] Plan check list [ ] Red marked calculations [ ] Red marked plans Other: ACTION REQUIRED: [ X] Comply with plan check list [ ] Resubmit plans with revisions as required [ ] Resubmit calculations with revisions as required. Remarks: 0015CLl�,�sT �TEMS AonP1, P4 v5 SN�ETS ��/�i� s Gro <� i 7iYl'cs��✓ AJ If you should have any questions, please call (916) .538-7541 , between 3:00 & 5:00. cc: Dan Cook c/o Barnhart/Brown 2060 Park Avenue Oroville, CA 95966 Very truly yours, John y Plan Check Engineer ermt`1pplcanDal Payne — 3 12 �..i�..����� �'I i Date : /8/93 Permit # .93-3256 ,D�r The above referenced btii-lding plans were reviewed by this office. Provide additiona-L information and/or.make appropriate revisions to plans, specifications, and calculations as follows: pgR,�ya The owner must provide a letter of intent which states the intended use of. the proposed shop.. Aa �wy�! 2. Special inspection is required for A325 high strength bolting per UBC Sec.-306. The frame bolts must be fully pretensioned: The special inspection firm must- be approved by.this office prior tc permit issuance. Mrz All.structbral welding must be done by an AWS Certified Welder, whether shop or field welded. The welders c rtif' to must be submitted to the field inspector. :5;Wo p_;�"I< Calculations show the endwall headers as 4 x12 or 4 x 16 "STR.GR." or "STD. GR". Clarify grade. Refer to UBC Table 25-A-1. (q -9-C NtEr (. (LEvKso) The perimeter footing is used to resist flexural stresses from frame uplift. Plans must indicate location of reinforcing. <SEE SN661- s 2Evisan) ,,,,dKThe plans must indicate anchor bolts required at the sear wall..based upon wall shear. Sr£ SNEr'T S`Sf/c� i RtZl�Sf4 �o iPr'v"sEo Clarify connection of roof to wall at shear wall section on sheet 6 of plans. L30 should connect the block to the top plate. r f . +,; f� �. +. j . i _'_ •�... r .,. i. ! + �. f t .. . I i- + t • t ti - r i I F + f v�JAsf�flgl F. rill �Naftfz No. 3062 EXP -3/31/97 1n./9 lut �4l CI Vit. Sig ���U.•.o �a � 2A- F of cAL�Fo`� — --- — — — •--- �-�� I,D_/7�-�vti1���.::�2���� �Z��IJ�� f/FA�z � hCG f02 G,cr = 2t0 w /.,1-T3ac.r S { / 'v l/�i ��,�. S / i�r /o c..� /�riw... � i/.�- � s �.�.". T.ci Siov. •. GZS a u 138695 / SUBJECT: CLIENTS NAME JOB NO. JOB COOK ASSOCIATES DESCRIPTION ENCONBULTANT8 DATE EOEOOINEERINO PARK AVENUE OROVILLE• CALIFORNIA 8E8EE SHEET / OF SHEETS SPECIAL INSPECTION NOTE In addition to the inspections required by the Uniform Building Code Section 305, a Special Inspection is required on this building in accordance with the Uniform Building Code Section 306. Duties and Responsibilities of the Special Inspector. I. The special inspector shall observe the work assigned for con- formance with the approved design drawings and specifications. 2. The special inspector shall furnish inspection reports to the building official and the engineer or architect of record. All discrepancies shall be brought to the immediate attention of the contractor for correction, then, if uncorrected, to the proper design authority and to the building official. 3. The special inspector shall submit a final signed report to the Building Department stating whether, the work requiring special inspection was, to the best of his knowledge, in conformance with the approved plans and specifications and the applicable workmanship provision of this code. 4. . The special inspector shall Department called inspections cannot must also be made by Butte County. advise the contractor that Building be delegated -to him, so inspections 5. Any change in special inspection firms made after permit issuance shall be approved by the Building Department prior to the new firm performing any inspections. 6. Special inspections are in addition to the regular inspections performed by Butte County Building Department. County inspection approval and sign off is not to be construed as authorization to proceed with work which obscures, covers or otherwise prevents proper special inspection. Special inspection is required for the following items: ❑ REINFORCED CONCRETE (TAKING OF TEST SPECIMENS, PLACEMENT OF REINFORCING AND PLACING OF CONCRETE) ❑ STRUCTURAL MASONRY KHIGH STRENGTH BOLTING ❑ WELDING ❑ BOLTS INSTALLED IN CONCRETE ❑ OTHER R& SPECIAL INSPECTION NOTE In addition to the inspections required by the Uniform Building Code Section 305, a Special Inspection is required on this building in accordance with the Uniform Building Code Section 306. Duties and Responsibilities of the Special Inspector. 1. The special inspector shall observe the work assigned for con- formance with the approved design drawings and specifications. 2.- The ,special inspector shall furnish inspection reports to the building official and the engineer or architect of record: All discrepancies shall be brought to the immediate attention of the contractor for correction, then, if uncorrected, *to the proper design authority and to the building official. 3. The special inspector shall submit a final signed report to the Building Department stating whether the work requiring special inspection was, to the best of his knowledge, in conformance with the approved plans and specifications and the applicable workmanship provision of this code. 4. The special inspector shall advise the contractor that Building Department called inspections cannot be delegated to him, so inspections must also be made by Butte County. 5. Any change in special inspection firms made after permit issuance shall be approved by the Building Department prior to the new firm performing any inspections. 6. Special inspections are in addition to the regular inspections performed by Butte County Building Department. County inspection approval and sign off is not to be construed as authorization to proceed with work which obscures, covers or otherwise prevents proper special inspection. Special inspection is required for the following items: ❑ REINFORCED CONCRETE ❑ STRUCTURAL MASONRY HIGH STRENGTH BOLTING ❑ WELDING (TAKING OF TEST SPECIMENS, PLACEMENT OF REINFORCING AND PLACING OF CONCRETE) ❑ BOLTS INSTALLED IN CONCRETE ❑ OTHER BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538.7541 FAX: (916) 538-2140 Dale Payne DATE: 12/8/93 2980 Allen Ave. W. Sacramento, CA 95691 RE Proposed Shop A. P: 062-200-130 B.P.# 93-3256 With reference to the above subject, attached is: [ XJ Plan check list [ J Red marked calculations [ J Red marked plans Other: ACTION REQUIRED: [ X] Comply with plan check list [ ] Resubmit plans with revisions as required [ J Resubmit calculations with revisions as required. Remarks: If you should have any questions, please call (916) 538-7541, between 3:00 & 5:00. cc: Dan Cook c/o.Barnhart/Brown 2060' -.Park Avenue Oroville, CA 95966 Very truly yours, John y Plan Check Engineer Permit Applicant: Dale Payne Date: 12/8/93 Permit # 93-3256 r The above referenced briilding plans were reviewed by this office. Provide additiona-L:i-nforma.tion and/or...make appropriate revisions - to plans, specifications, and calculations as follows: The.owner must provide a letter ofintent which states the intended use of. the proposed shop. i%/SCCfS$`�O AY -2. Special inspection is required for A325.high strength bolting per UBC Sec.306. The frame bolts must be fully pretensioned. The special inspection firm must be approved by this office prior to permit issuance. Allstructuralwelding must be done by an AWS Certified Welder, whether shop or field welded. The welders certificate must be submitted to the field inspector. Calculations show the endwall headers as 4 x12 or 4 x 16 "STR.GR." or "STD.GR'. Clarify grade. Refer to UBC Table 25-A-1'. The perimeter footing is used to resist flexural stresses from frame uplift. Plans must indicate location of reinforcing. KThe plans must indicate anchor bolts required at the shear wall based upon wall shear. Clarify connection of roof to wall at shear wall section on sheet 6 of plans. L30 should connect the block to the top plate. �hlZi(/y/�/zT� ���✓ x'33., G¢57 0 zi 1j-/'OC1E0 72FST1/49 2. gzror gxh-clmg 0 SITE PLAN ---- ... ... - ' �. .. ..... .. ._ .. .. .. . R-- ...........................:... e GD ........... ..........................PR r:- I Of�- - ���� •;Date: P L .-. / ... .. ................................................... .. .. .. ..............j :......:_....:......:..:.. :..:......:.......................................................................- .� •�aat�itt nd in p Other. <...... 9 �. �. ��� .. 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