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HomeMy WebLinkAbout062-670-002EARNEST E �, 'AILSON; j r Treeline Rd. • (health dept letter/for septic system E T WILSON . ._� . .�.. 165 Tre ine Lane, Berry Creek Permit#128 P,E(util, MH) ELEC[u -7 GAS - SUPPORT STR REO_ p COMPACTION TEST RE Contr: R. n Stavern Permit# 0-87MHI Issu 07 f z• 'I I t f ' , y � , MM A LAND DEVELOPMENT BUILDING / NVIRONMENT EA THEA ".:. _s PERMIT CLEARANCE Building Permit No. ; _ VWNT LAST NAME FIRST COUNTY ZONING ' r /t 2 SO Q DESIGNATION: iJ FLOOD ZONE: X FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: / RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS V OR MAP 2 2 • �2 �'► c DEED INFORMATION: p� � -L-0—o 7-23Z3 0• DATE OF CREATION:- // 1 2 I % DEED REFERENCE: I LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: COMMENTS/CON DITIONS: MAP INFORMATION: DATE OF RECORDING LOT. LEGAL ACCESS REQUIRED: YES NO YES NO BOO PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DN/S/ON UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of _ 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from _ 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. '/17. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be msdB to the P*vN'n9 _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. 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. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21 22. 23 _ 24.. 25. 26 31 IS 30 A1Nn00 9661 t l A 0 N a3ni333a LD 7/96 C:\WPS I \FORMS.K\BLDGPERM.CLR Rt PERMIT NO. PERMIT EXPIRES 4h. r .4,7 ,4, OWNER CONTR. ASSESSOR PARCEL 69_Sn_nl LOCATION 165 Traa Tina T n, Rarry Crk OFFIC COPY A S G j GAS ate Meter By 1 ELECTRIC Meter By' Date Temp. Power - k Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature I/ „ , L-- 0 Not OK Not Applicable It a Not Ready MOBILEHOMES MISCELLANEOUS Date MO81 OME UTILITIES (Plans) OK except Ws Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except P's ening Requirements–Setbacks–Easements 1, Zoning Requirements–Setbacks–Easements S : Spec!2LMH Support–Sketch 2. Footings: Size–Dopth–Spacing–ConnectoreZo' Sewe ocatlon–Test–Fall-C/0–Concrete f 3. Decks; Girders and/or Joists–Decking–Bracing–Stairs-Rails at r: Location–Test–Ea ent N (S ) 1' _ 4• Wood Awn.; Posts–Beams–Rttrs.–Connec.–Shthg.–Rtg.–Bracing ectricity: Loca learances Gr VaQ Amp–Concrete 5. Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures Gas; LocalI t– p• "L"ft./ /"Nat.or/ /"L"It./ PGI 8. Carports; Windows–Doors 7. Elea - — s( Utility Clearance Card -81 Date Card -BI Date Card -BI Date Card -81 Date Card -8I Det Card -BI Date Card -BI Date Card -BI Date Date ILEH_QfAf INSTALLATION (Plans) OK except p's Date POOLS (Plans) OK except (J's 1._ ogler{ Requirements–Setbacks–Easements i 1. Setbacks–Easements 2 0o Inge: Size–Spacing–Marriage Line 2. Soils; Compaction–Structure Stability aeMH Teat–Dernand–Valva–Connector 3, Pool Structure; Steel–Connections–Thickness–Dead Men–Lining 4'!€leSrlclty: MH Test–Crossovere–Breakers–Clearances 4. Elec.; Receptacles and Lighting; Distances–GFI In; MH Test–Fait–Flex Connector "ter; MH Test–Regulator–Connecta t j 5. Elec.: Pool Lighting: 15 volts–GFI 8. Elec.: Enclosures; Conduit Entries–Terminals–Listed 7 ate and Sower Connected–C/0 to Grode–HO Approval 7. Elec.: Bonding: Metal w/5'–Circulating Equipment–Heater a ±nd Electricity Togged ( 8. Elec.; Grounding: Equip.w/5'–Circulating Equip.–Pool Lghtg. Boxes–Enclosures–Panel boards–Ins. to Main in Conduit 9Pxits: Insp.–Sketch it Cyr of Occupancy 9. Health Department Approval Card -BI 10. Plumb; Cir. Test–Water Supply Test Date Card -BI Date J 1 Caro 8-1 Date end -BI Date Card 6-1 Date Card -BI Date Card -BI Date Card -BI Date tv� V `?o vgr�t ,. d s OK O = Not OK - =' JoiAppltcable RESIDENTIAL )Single 4 - Not Ready and Duplex) Data UNDERFLOOR Plans OK except #'a Dale FRAMING Continued - _I. Zoning requirements-Setbacks-Easenlall 48. Property Line Firewall & Openings 2. Ftg„ Main; Soils-Steel-Flet. Grnd.- / /" Fla. Depth - ---- 49. - Ext. Doors-One 3' C.It Garage-3rd stcr _ -- 3. Fig., Garage; Soils-Steel- / /" Ftp. Depth 50. Stairs; Width-Headroom- - y, 2 exits Riae-Run-Landlnp_- _ _-4. FlgParches 6 Decks; Soils-Steel_ / / ' Fig. Depth 51. -_ Fire protricLion Plywood on Rool Ovenla ng-Attie VOWS-Rafter - 5. Slemwalls, Main: Steel-Blockouls-Wrappad-Slab'' _ 52. Outriggers Siding-Nailing-Voneor - - - _ -6--Stemwalls, Garage: Steel-Blockou-s-Wrapped-Slab 53. Stucco klesh-Drip Screed-Fdn. Vents _-7_ •Piers-Firaplaco Ftg•-Stent . ..-- 54. -UnderNr. Access Glazing Area-Glass Protection-Skylights-Mastic _ - _ _ •-8.-OO.W.V.: Fall-Fittings=Test-2 way C/O-Sewer Test 55. Shear walls; Nailing-Bolts 9 Gas Pipe; Size-Anchors 10. Water Pipe; Test-Anchors-Regulator-Service Test - _ 11. Electric; Underground -- - - 12. Plenums & Ducts; Clearance-Material-Support-Ins.' - 13. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples - - Card-81 Date Card-BI Date _---"_ - Card-BI Date Card-81 Date Card-BI Date Card-BI Date Card-BI - Daie Card-81 Date Date FINAL Plans OK except I'a Card-81 Date Card-81 Date 56. Ext. Steps-Door & Sidelight Protection-Landings Date PLUMBING (Permit) OK except Ws 57. Smoke Detector 14. Water Ht.: Vent-Access-Combustion Air 58. Furnace: Vents-Clearance-Comb. Air-Connector- .11 15. Plater Pipo: Test & Anchors-Nail Protection In Garage; Above Floor-Ducts-Meth. Protection 16. O.W.V.: Test-Ftings & Anchors-Nail Protection 59. Bedroom Exiting 17.Shower Pan: Test, -First Floor-Tub Access 80. G.F.I. &Bath Fixtures & Tub Access 18. Test Tub & S_hower, 2nd Floor-Tub Access 61. Elec. Trim & Subpanel: Breaker Sizes-Labels 19. Gas Pipe: Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove: Clearances-Hearth - 64. Elea. Outlets at Wood Panel; Int. & Ext. Card_BI - Date - _ Card-81 pate 65• Kit. Flxt. & Appliance: Grnd.- Air, Gap-Cooking Clearance Card-BI Date Card-BI Date 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing-Landing-Closer Date ELECTRICAL Pernlil OK except P's 66. A.C. Duct in Garage-Damper 20. Fixture & Transformer Clearance-Ins: Protection 69. wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V.- 21.• Elec. Receptacles Spacing-L•iphts & Switches, at goers; In Garage; Above Floor-Meth. Protection Size Boxes & No. df Conductors=Stlipled' 70.-Plb::'Elec6 Mach. Equip. Listed for Location 71. Elec, Receptacles in Garage: (G.F.I.)-Romex Protea _--22. -23. Romex instilled Close to Edge of Studs & C.J. 24 Equip. Ground made u0 arrMe`ch, Fast®Oars-Bond Gas &Water 72. Insulai�on-Foam-Looked in Attic ❑Yes 73. card Rails $ Deck Construction-Post,Caps 25. 2 Appliance Citcuitsin K 1 hen &-C_onductor Size A'. -r- -- 26. Subleed Wire Size / g-, a". Cu_or AI-C. Wire Size / r -/g a. Cu or AI 74. Fdn. Vents & Crawl Notebow-Drainage & Wood-Earth Clearance Looked under Floor 'E Yes 27.- Range C-rc. / / ga. Cu or AI-Oven Circ. / /.ga, Cu,or AI, r "Insulated Neutral Yes ;No ---�-�- 75.�Following instld.: Drive (_ Yes No, Walks Yes N L L. C o: ---_.-_ 28. Service-Riser Conductors & Ground-Main Disconnect Planters (-i Yes JNo 29. Equip. Clearances: Pane ls-Motors-IMech. Equip_ 76. Stucco: Brown-Finish ___ 77• A.C. Unit. Disconnect-Clrnces-Brkr. & Cond. Size-115V Outlet 30. Clothes Closet Light. Shower Light -- -`"-- 78. Vents Above Roof: Plbg.-Appliance-Firepl.-Clearance to Opngs. - - --- - -•- -- =-- 79. Wa4er well, Disconnect, Electrical, Plumbing Card B•I pale- - - - Cerd-BI Dale -80. _ Eitterior Elec. Trim; G.F.I. Receptacle-Underground 61. _ Ventilation throughout House " Card B-I _ _ -1 - - --- Date Card-81 Date _62_._ Glass Protection _ Date MECHANICAL (POK except a's 83. Corrections from Previous Inspections 84. Gas Test-Melers Tagged: Gas_ -Electric 31. A.C. putts insulation tion & Support _ - 85. water & Sewer Connected-C/O to Grade-HD Approval 32. Vent Fan, Exhaust above 1nSulation 86 Energy Compliance Certlficaie-Other Certificates 33. Concensate Ofaln & Overflow, S_ize_& Grade ---- - . 34. Fainace-Vent. Access-Comb. Air-n_eturn Air Vent-115V owlet - '- --" "'-' '--- -- -- ^- - - --- -- 35. Attic Access & Platform if Furnace in Attic - - - ----- --- - -- - ---.----- Cald-61 Date Card-BI Date Card-81 _ - Dace Card-BI _ Date_ _ -_Card•BI^ Caid-BI Da Dale Caro-81 Date - Card-BI _. ---..-Date Date!Date `-Date' Caro-81 Card-BI - UIle FRAMINGIPI,ins1 OK except n's Comn•enic at Fu1al - Jb. Sills, Ptooer M.ilt!.i ll & Anchors 37. W-Ills $Wds-Nothng. Spdrulp & J31,tC111g-(-talcs-Sound - -- - -- -- 38. Ite.0 O1,) PLillp Over Gudors & floor Nailln9 ;IU. D1,111 Stop nl walls (tat plout)-- 40. File Slop. Fuuod Ce-Intys-Souls-Ch,lsas-Tub .11 Nr.ulel & Remit -St.',! & Oea.mq - --� --- - -----•-- 1,', 11,111111'I\-{•lr•.11„IIIl-Alli tlml •. -(, VIIIIel.1,N\ - -- -- - 4 t. (• 11111, ,Im,'•1 -11111. 1 -es- Por I1n - 11oof B,ac. -Tlu\5 •tilllllllg •-Ring, _ --- '- .1t. f-tie{rl.11r Iles it, 1{pe A f lue- Fuelil.tce 1hn1a1 ---- •----- - - -- .J•,. AM, /u les\ Sl;e d HOnlr. PwIeClnln-•p,,lU Stop-1m., 11,tlfte\ 4,1, It •.-limy (lens-SJI ilyt. & Uinwois mos k'OUN I y Up- bL I I t DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 r. Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 C® �����® Bic NOTICE BUILDING OR PROPERTY ADDRESS A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office •ien correction of work is completed. If you have any question pertaining to this -Ater, or need additional explanation, please contact this office immediately. L 40 a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE aylj ZV'o -47 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation,, please conY7tacctt this office immediately. f Inspector— ! Date MOBILEHOME INSTALLATION ACCEPTANCE i - COUNTY OF BUTTE DtPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Dote) % IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C'alifornia.95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO {/ �D d ASSES OR PARCEL NUMB R — —a - ZONI G BUILDING PERM o R O TELEPH E SQ. FT. OCC. BUILDING ALUATION O JJ R'S MAI LINED DRESS n �y ^ / T {/-� ` C C /� 0 1�� CONTaACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARC 1 ECT OR ENGINEER QRZ(L LICENSE NO. Plan Checking Fee $ Ener Plan Checkin Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4 r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 C''1^Y G&&A Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME P CEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeN Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [� Installation❑ Other ❑ Describe work: 4168. 8 Permit Fee $ L9 L9 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d ,/zQsgft OR ACDNS. ACC. BLDGS. NEW CONSTR. ULT( -OUTLET NO N•RESI0 BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e1 (SINGLE OUTLET CIR. I EOzD®s0C Ex. ccu p OUTLETS OR FIXTURES eAL030 FIXED APPLNS.® EX. OCCUp. OUTLETS IRESID,IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , Misc. �yirin 15.00 pV Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 in con enc of the granting of this permit. X�� ��2/� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent I --]work An OSHA permit is required for excavations over 5' " d e .a d c�,emolition or construct- ion of structures over 3 stories in height. / Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPE I LOOD PAZ;J PVSV ND I SSUE This permit is hereby issued under sions of the Butte County Code and/or 'ndicated above for which DI IE6TOR OF PUBLIC B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date�J/J� r+ " Receipt No. WHITE-D.P.W.. TELLOW-ASSESSOR. PINK-INSPEC , GOLDENROD -APPLICANT COUNTY OF'BUTTE - DEPARTMFNT,.OF)PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE: 916/534-4541 / -- PERMIT APPLICATION DATA SHEET . I Permit No. OWNER (" r!Qe6S L 0: /sop? z A. P. o. ��',S 0 Proposed Building Use I .Building Inspector Date a� At time of permit application, I wag advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been sukmitted. . . . . . . . . . . . 2. Plot plans in duplicate., triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Nin -Heated and AC Buildings. 8. Fees of $ --6� . 5-0 , , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval fron- Health Dept. 11. Planning approval for (A.) Use: (B) Parking: 12. Certificate of Workmen':- Compensation Insurance. . . . . . 13. Contractor's License Irrormation (no., name style; classif.) I . 14. Owner -Builder Verificat on (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to 7. Pre -Inspection for Required. Building Inspector (Date) 18. R corded copy of AgricWtural Acknowledgment Statement. ' —7 Driveway Permit. 20. Plot plan approval from :;ity of a 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at®rOffice, Deliver w/inspector. Other �A ^J Z G�ci� � tel/ Applicant ate A/—.2l—.97 Copy of plans sent Health Dept., Fire Dept., Other. Date The following data must be Submitted prior to permit issuance: (Circle new item not checked above). 1. I-ndex permit for above items (2�Additional items required Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked bye Sets of plans on hold in Copy—DPW -d /Plans approved byA File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. To: Duilding Department From: `.-Invironmental 11c:11th Subject: Sanitation Clearance Uumer AP// Plan Approved for: ye di.spo.-;�11 i.:at(,,r supply Hold final for: i r supply Final clearance O.K. for: cater supply (3� Clearance for C bodroo -11 , home. OLI.I., NOTTT *-X* Sanitarian Datc COUNTY OF BUTTE - Department of Public Works 7 County,Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538=7541 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: Property Owner. Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. OECORDED BUTTECOUOY Getur'n to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 'OFFICIAL RECORDS BY FOR RESIDENTIAL DEVELOPMENT PARrf SHOWN Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. �7-14414 The property described herein is adjacent to lan or included CANDACE-J. GRUB S within an area zoned for agricultural purposes, and residents of this. property may be subject to inconveniences or discomfort arising from - CLERK -RECORDER FEE 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 zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: - 107 PROPERTY OWNERS: State of On this the � �day of 19S)7, before SS. me, the undersigned Notary Publi/c, personally appeared County of Ll Personally known to me. Proved to me on the basis -n:mTTvongsM of satisfactory evidence.. tg. be the person(s) whose names) r_.4- au F.rATSY L. CP,517EM bperibed.to M t e within instrument and acknowledged that ri NOTARY PUBLIC-CALIFORMA a - a Butis County executed the same for the purposes therein contained. 6 pi My Commission ExplrC3 MSY 13. t 9313 :14 WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. Cqi 4., i , ?r '` �rti ,,,����� i x Li r� •h 41 L r'' r t f' yPYI d l�• 14 'd S _ d ,i ,9. .D;q, {. ,/ w '� yE� y�'r'e� ,, ij ci�,'n. ���{{ r � 1�? �:: 1 y' y#i :'�))�pA= c ��d a ,. � � �{"�• a,,���q d: � - � i� fr�� V� •ty �- u 7" `� ,Tref �'�'."-���7yi �"`J��.i SSio��i{�IYlI3� ti•� ��!n,({ +�. �M�,, ¢� y c �1 �r �y 'o ��P to. � :� oma. I, 4- u ° lL; Y.v (�'Yi T�: , pct-o-y.q•, a X11 -- g K os,,� � rt ttM A r ra a A, '• � d � � �. s�' r � . ? .�"`' i . �'�` e'er., L7��rv'i - Fta��!'�'��b'' � •�,�hs�d� 1� � '^'�+.� . °�1�^`,c ,t: �••� ,fir ��� Dk'7.rf �L.'i�:' ��.. ;5- �:� .. .0 Xf te.`l�' �"•!� .. rty� f !J^: -fie x}.h �. 1 eiA .�_. .. M.' ��h?'1.4'yi,ft1 rt. .+.. 4. , r. .,i i s i R F d f> 1A! t 4 S ZJ 5 G r �,>, �� � r•,,p•k � F;',g � r���sw,' '�`�9'Fi .�} � �-i � yr ''r � �Y "Z.� :'t �` �,.� �%� �i i� Y � Att^"� �• rXr�� �K� � ^t �' ( •l�'� 4 }, .-9 ri � �. �!' �' ��� "F• j �i{I � ,�'rr ��,>th' `�"1�-�1fi'fiNy, �eC,.�,�a��! 1*��'.�c� #'�� . .ply .Yti "�.x � ' ' S> �. ♦ a .r�r^t{�c t:� l �Sr .ASL ".•�y'y '�.iy t _• N�'r1°n"ru r� •" qy K+-� •�`,� v'. �, �. .:.L �......v-. �..._ ... _ � . . '.c.`:�. «..jw.� �� ..� - a.. �« � ......._ �� A� s3t+.``hMisd � 'r'. Vii. � �7,��, M..'�� ♦ • � •{ SCHEDULE C , t The land referred to herein is described as follows:' t All that certain real property situate it the County of Butte, State of California, described as follows: PARCEL 1: Being a portion of Section 33, Township 21 North, Range 5 East,-M.D.B. S M., and more particularly described as follows:' COMMENCING at the Southwest corner of said Section 33; thence along the West line of said Section, North 70 17' 57" East, 1373.19 feet; thence along the centerline of the Butte and Plumas Railroad Right of way, along the arc of a 118.31 foot radius curve to the left, whose tangent at this point be•-irs North 610 27117"East, through a central angle of 74° 58' 37" an arc distance -of 154.82 feet; thence North 130 31' 20' West, 73.16 feet to the beginning of a 146.19 foot radius curve to the right; thence along the arc of said curve, through a central angle of 441 26 00", an arc distance of 113.37 feet; thence North 300 54' 40" East, 129.88 feet to the beginning of a 287.94 foot radius curve to the left; thence along the arca of said curve, through a central angle of 19° 12' 00", an arc distance of 96.49 feet; thence North 110 42' 40" East, 156.89 feet to the beginning of a 193.19 foot radius curve to the right; thence along the arc of said curve, through a central angle of 36° 50' 00", an arc distance of 124.19 feet: thence North 480 32' 40" East, 64.22 feet to the beginning of a 193.19 toot radius curve to the lefty thence along the arc of said curve through a central angle of 400 55' 15", an arc distance of 138.03 feet; thence leaving said center line, South 68° 55' 50" East, 991.08 feet; thence North 40 53' 47" East, 298.35 feet; thence North 860 36' 39" East, 607.06 feet; thence North 30 43' 00" East, 317.48 feet; thence North 2° 00' 38" East, 645.11 feet; thence North 86° 53' 53" East, 303.19 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning North 20 16' 52" East, 642.51 feet to a point on the Northerly boundary line of the South half of the North half of said Section 33; thence South 87° 26' 22" West, along the Northerly boundary line of the South one half of the North one half of said Section 33, 1530.00 feet to the Northeast corner of the Northwest quarter of the Southwest quarter of the Northwest quarter of uaid Section 33; thence South 00 57' 17" West, 655.77 feet to the Southeas!-.corner thereof; thence North 860 53' S?" East to the point of beginning. RESERVING THEREFROM an easement for road and public utility purposes over the Southerly 30 feet of the Easterly 400 feet of the land described herein. Said easement to be for the beneeit of and appur- tenant to the remaining land of they -Grantor herein and shall inure to the benefit of and may be used by all persons who may hereafter become the owners of any parts or portions of said appurtenant land. PARCEL 2: -A rd.ght of way for road and public utility purposes over a'etrip of land -ce feet in width, lying 30 feet on'sach side of the following described 'centerline: r 11 A.. Z ORDER NO. J-19924 BEGINNING at the Northeast corner of the above described parcel of land; thence: along the centerline of said ricilit of way fite following courses and distances: South 20 16' 52" west, 642.51 feet, North 860 53' 53" U-isto 303.19 fret, South 690 131 46" East, 177'.87 feet, 'South W 09' 32" East; 219.97 feet; S6uth 140 3*71 50" East, 180.91 feet, South 48' 11' 39" East,, 150.49 feet, North 60 031 53" East, 147.72 feet, North 370 02' 19" r-.*aSL, 218.76 feet, North 220 30' 47"East, 227.14 feet, North 1* 19' 54" WeSL, 165.91. feet, mirth 63* 05' 34" East, 172.74 feet and North 400 05' 30" East; 352.23 feet to a point in the center of 13ild Rock Road and the end of said line. &SAM ^C rhn� AP # OWNER ` PERMIT IR -7 M UTIL. CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Compaction Struc. iTest.Reg. Service Other Pipe YES NO YESI NO Size Load Type Size Length 1 nz) J-�(3--) c 1 c:s,. OUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California'95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESR PARCEL NUMBER ZONIN BUILDING PERMIT OWNER ,eg-RAie_ 7' W m sort/ TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MADDRESS 167 C NT ACTOR'S NAMETELEPHONE efg CONTRACTOR'S MAILING ADDRESS 143o C DOLL 6N &AkVISC C,+% -Fireplace CONSTRUCTION LENDER NKNO UWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 /J Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME - PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ MobilehomeEJ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea' TYPE OF WORK New ❑ Addition ❑ emodel ❑ U ' ities Installa o Other ❑ Describe work: ` /U _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1111 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. 7 L�!/ License No.$ Classification I—�— Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& I 20sq It OR ACDNS. ACC. BLCGS. 2/50ea NEW RES'..CO RANCHUTLET 2.50 ea NON -RE ESID BRANCH CIRC ITS POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu zo®soc Occup(OUTLETS OR FIXTURES .ALa30 FIXED R EX. OCCUp. OUTLETS P(RESID ) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 15.00 g Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �l shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueIT against awaid C my in consequence of the granting of this eerpermit. X Qi(CwK/✓►� �.1^� ' iJ �/ _e7 Date Signature of Applicant — Owner❑ Contractor � Agent ❑ An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ D Occup. CONST.TYPE FLOOD PARCEL PD D S9UE This permit is hereby issued under siof the Butte County. Code and/or w Indicated pbove for which 13 CTOR OF PUBLIC y i PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DateZ /� 6f �"/ Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT it y COUNTY'OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER CRIVE - OROVILLE, CALIFOhNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Lso Permit No.�jOWNER ✓ e's 6 U -S A,D d Proposed Building Use Building Inspector9 Date At t5�1. of ermit application, I was advised the following data must be submitted prior to permit processing anduance: DATE RECEIVED APPROVED All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./tripi-icate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . . 6. CUSD ''Fee's Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's: Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Date) Required. Building Inspector 18. Recorded copy of Agricu tural Acknowledgment Statement. 9. Driveway Permit. lot pla rovgj from .;ity, of 22. 7rlephone. issue the e t, o } s follows: Mai I toor, Maii to contractor. eo!_V and hold for pickup aty r6office, Deliver w/inspector. Other Applicant 041 Lq--&qDate' Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be sibmitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above ite-ns No. 2. Additional items required ontr , designer, owner, was advised of above required data by phone_mail_counter by Contractor, designer, owner, was advised of above required data by—phone _maII—coun ey, 6y, Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder 1-1 date�"'�� date Date — Flours: 10:00 a.m. - 3:00 p.m. , *d 7 OTE: III �vlatl ri i ccorIU ce. withR of a aqua ify presch Uform �uil ing, IPIi the National Electri I. Till's s f o PIC ns ep on he iob t ak� an ch�ng c rif len ersio fi jA/01*s, �re sour�fy f I LI i �1 e 0 G pe mit �VdI . i ti I d t 0' t6 m oft oA rf� etb 3c t. f om he pr per'ty (ihes and 3 se back of 50fl. f rc m t e rc ad centerline -hall Ir be lear of structu res equip ent exc ept U tllty connect ons shah be wit In -7 ' fo 2 ft. ave ova -hang. 4'k. direct of �y th be mo hi n ilehom or �rvith , el her ft of= n ►alar hi Ifo the roa sid (le the m bit ho e, I �I , Wo kmans'ii ; V r11 a i, e og, X dfor zed the G Specif d 'racjtices ied dodos use an n the Gild irn6incg I Code. & Mechanical ng s 31 ti Ifei pec es fico d i ion is MUST nla ful o 6U C . U r o th at; D ns o sa a ifho if 6 iLb� GDP F IL fte. R paHmentof Pu6lc pp ZOu i 7. ITV 'TMENT ED �1 e "* G 7. ITV 'TMENT ED 1, �• � .,� • r 1 r T a..t At -0 .. gyp: nn bt CT 'fn o Mr ., :1.3" r 1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: ,cZLQ 2. Installer's Name: V 41,� ` VI F] 3. Is the site currently under permit? Yes,. No (If yes, furnish permit number — �- OR �7 Is the site an existing site? Yes.•.. " No E4 - (If yes, furnish two plot plans:).:' 4. Will the mobilehome be located at least.5 ft.:awayrfrom septic. tank and leach:;' fields and clear of all setbacks and easements? Yes �..No� •. r (If no, clarify 5. What is the mobilehome electrical ratingT'---„----- --r--- per” Amps 6. What is the mobilehome site service rating? ------------ Z 0 d Amps 7. What is the mobilehome site circuit breaker rating? ----- n © Amps 8. Is there any other electric load to be served by the mobilehome site service? ------------------------------ - Yes No F] (If yes, identify the .load and., size: 04-4 (Load) Z 0 (Amps) 9. What is the mobilehome site gas pipe `sizd.?-`---`---==--= 3�`� (in.) 10. What is the type of gas service. Natural F] LPG 11. What is the gas pipe length from meter or tank to the r mobilehome?---------------------------------------- S (ft.) * 12. What is the mobilehome gas demand?----------------------� �— (BTU) *(This information not required if pipe.length less than. 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA - If other -than single wide, Mobilehome Mfr. furnish Setup Model No. !91 0 - Year ( S Width "!> )I"- (ft.) Box Length_5,�_(ft.) Tagalong or Expando Sized ft. x_—F-4�-1_ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)[ls11. Wood -pressure treated or foundation grade . 2. Other (specify) SUPPORTS (check one) .� Concrete block.2. Other (specify) Pier Footing Sizes and Locations' SINGLE -WIDE MULTI -WIDE Line Y ~ Line 1 Line 2 Main Beams .. _Line �— — — — — — — _ Line 2 Main Beams .*—Line Tag or Triple _. ------ Mine . / r o -mac Line 1 Piers: ,Li e 0 in e: Size -Min. ------------ k Size -Min. ------------------ „x „ Spacing -Max. --------- ,_ C Each Side of Openings From Ends -Max. -'''"-- With Width Over""""""'""_ Line 2 Piers: Size-Min------------- Spacing-Max ---------- From Ends -Max .------- Line 3 Roof Loads: :10-, / Z-' Size -Min. ------- -- 2 "x So" 36"x 3p " 36'k jo " 1 Z"x p' Location (From Front) Line4 Piers: Size -Min .------------ Spacing -Max.--------- From Endo -Max .------- Line 5 Roof Loads: Size -Min .------------ Lootion (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Spacing -Max._______________ From Endo -Max -------------- "x ri 11x fix Line 5 Piers: (Under Bearing Walls Only) Size -Min. ------------------ Spacing -Max.- -U; tc From End`E51NG '_ n E51N DP tl 0 TIL 11 A S— —' • ��` a ►VIC14 v P� 24(,.x3o „ 3� "x 3o zY"xx3o "x " "A " ' �. , FMA � h - ��� ®ung L A N D O F N A T U R A L W E A L T H A N D BEAUTY Address ❑ 196 Memorial Way Reply to Chico, California 95926 Telephone: 916/891-2727 October 27, 1986 Earnest E. Wilson 125 Ventura Avenue Oxnard, CA 93035' DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH O 7 County Center Drive ❑ 747 Elliott Road Oroville, California 95965 Paradise, California 95969 Telephone: 916/534.4281 Telephone: 916/872-6308 RE: Septic System for AP# 62-50-01 Treeline Road Dear Mr. Wilson: I have reviewed your property for development with a septic system, and it is acceptable. For a two bedroom mobile, you will need a one thousand gallon tank and two hundred feet of leachline. This information will also be on the septic system permit that I will send to you. Before I can issue your septic system permit, I must verify that you have a sixty (60) foot right-of-way to your parcel. The right-of-way information is usually on your deed. Would you please send me a copy of your deed describing your right-of-way so that I can send your septic system permit to you. If you have any questions, please feel free to contact me at the above listed address or telephone number. I am in the office between 8:30 - 10:00 A.M. weekdays. Very truly yours, Edward L. Overhouse, R.S. Division of Environmental Health ELO/mlf / cc: Jim Glander - Building Department ✓