HomeMy WebLinkAbout062-680-028T�UJEK Kara 96-0962 PE(MH)
Handkir-k Lane, Berry Cr
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ELECTRIC 9
GAS LINE
COMPACTION TEST RE
SUPPORT STRUCT RE
9 9
TUREK) Kara 6-0961 MHI
W-29b
Q9Handkirk Lane, Berry' Cre
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CHARLES R SAGE JR
APPLICATION FOR
v
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ME
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11
■ Butte County ■ Departments of Development Services and Public Works ■
■ Initial Study for the Neal Road Resource Recovery Facility CEQA 10-0001 ■
■ March 17, 2010 ■
4.5 CULTURAL RESOURCES:
Would the
Potentially
Less Than
Less Than
No
Reviewed
proposal:
Significant
Significant
Significant
Impact
Under
Impact
with
Impact
Previous
Mitigation
Document
Incorporated
a. Cause a substantial adverse change in the significance of
a historical resource as defined in § 15064.5?
X
b. Cause a.substantial adverse change in the significance of an
archaeological resource pursuant to § 15064.5?
X
c. Directly or indirectly destroy a unique paleontological
resource or site or unique geologic feature?
X
d. Disturb any human remains, including those interred
outside of formal cemeteries?
X
Current Settins:
The Butte County region is known to contain a wide variety of prehistoric and historic -era cultural resources.
Cultural resources include prehistoric and historic period features and consist of any human -made site, object (i.e.,
artifact), or feature that defines and illuminates our past, such as rock walls, water ditches, flumes, cemeteries and
architectural features. A portion of the Resource Recovery Facility site contains a pit that was used for dumping,
tires for a number of years. Other portions of the project site contain surface disturbances described above in the
Project Description.
Prior Environmental Yteview and the Pronosed.Ni2k]IF`
A field survey and records search conducted for the 2002 Neal Road Landfill Expansion Project E1R did not identify any
historic resources within the project site. One prehistoric site was revealed under an overhanging volcanic lava cap
escarpment. Preservation of the prehistoric site was not considered possible as it was within the area of the Landfill
expansion and a data -recovery excavation was conducted as mitigation for its loss. The 2002 EIR required the following
mitigation measure to mitigate for potentially significant impacts to other historic or prehistoric resources that could be
uncovered with the Landfill expansion and other earth -disturbing activities:
MM 4.6.1a In the event that any prehistoric or historic subsurface cultural resources are discovered
during construction -related earthmoving, trenching, or similar construction activity, all work
within 20 meters of the resources shall be halted and the County shall consult with a
qualified archaeologist toassess the significance of the find. If any find were determined to
be'significant by the qualified archaeologist, then the County and the qualified archaeologist
would meet to determine the appropriate .course of action. Mitigation measures, as
recommended by the qualified archaeologist and approved by the County in accordance with
Section 15064.5 of the CEQA Guidelines, shall be implemented prior to recommencement
of construction activity. If any bone appears to be human, California law mandates that the
Butte County Coroner and the Native American Heritage Commission be contacted. If
Native American resources are involved, Native American Organizations and individuals
recognized by the County shall be notified and consulted regarding any plans for treatment.
TiminWImplementation: Upon commencement of project construction activities.
Enforcement/Monitorine: Butte County Department of Public Works. Implementation of the
above mitigation measure would ensure that potential impacts to undiscovered cultural
resources would be minimized to a level that is less than significant.
■ Page 34 of 64 ■
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AP fir` U —I�o
OWNER J
PERMIT
I�'ii i UT IL . CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test -Req.
Service
Size
Other
Load
Type
Pipe
Size
Length
YESI NO
YES NO
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LAND DEVELOPMENT DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7266
FAX: (916) 538-2140
April 11, 1994
Charles R. Sage, Jr. RE: AP062-500-120
2323 9th Ave. SW #9204 APPLICATION'FOR DETERMINATION
Olympia, WA 98502
Dear Mr. Sage:
At the regular meeting of the Butte County Development Review
Committee held on April 11, 1994, the Commmittee granted a
conditional Certificate of Compliance for the above -referenced
property. The condition is:
1. Payment of $9.00 recording fee.
There is a fifteen -day appeal period before this certificate can be
recorded unless you sign and return the enclosed waiver waiving
your right to appeal the committee's decision. If the condition is
.met prior to the end of the appeal period, a "clean" certificate
with no conditions will be issued.
Should you have any questions regarding this matter, please contact
this office at 538-7266.
Very truly yours,
r
Stuart Edell
Manager,Land Development Division
Department of Development Services
SE/ds
cc Planning Division
Environmental Health Department
Building Division
LAND DEVELOPMENT
BUILDING /: ENVIRONMENTAL HEALTH ' PERMIT CLEARANCE Brd/d/ng Permit No.
OWNERS, I, A.P.
NAME: (� �� I� , Y��l f� NUMBER:�_�n
PRINT LAST NAME FIRST
COUNTY ZONING 11 ` �,..
DESIGNATION: tN FLOOD ZONE: X. FLOOD MAP: Z 50 C
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS OR MAP
DEED INFORMATION:
eve �srv�'yi
DATE OF CREATION: i`ti/A--L1 DEED REFERENCE:z-
LEGAL ACCESS PROVIDED: ✓ YES NO LEGAL ACCESS REQUIRED: / YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO,
COMMENTS/CONDITIONS:
MAP INFORMATION:
DATE OF RECORDING LOT BOOK PAGE
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO . IF YES, -MARK APPROPRIATE ITEMS) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E:H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of road.
2. Maintain a ft.building setback from right-of-way/centerline of
3. Maintain a 100 ft. leachfield setback from all existing wells.
4. Maintain a ft. leachfield setback from
_ 5. Pay water tender fees in the amount of S to Battalion Number of the Butte County Fire Department.
_ 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
7. Connect to a public water supply.
_ 8. Connect to a public sewer system.
9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel.
10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
11. Meet the requirements of the Department of- Fish and Game for the preservation of Oak trees. (See: phone number -below)
12. Obtain approval from the Department of Fish and. Game for:vegetation'removal. Contact Fish & Game at 916-355-7010.
_ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Pbn ig Dwoon.
_ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 16. Pay school impact mitigation fees.
X 17. A development impact fee for sheriff facilities shall be paid pursuant. to the provisions of Chapter 3, Article II of the Butte
County Code.
_ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended.
_ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and. suggest appropriate mitigation measures.
20.
24,
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RESIDENTIAL
062-50-0-120 96-096t/PE(MH)
TUREK, Kara
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OFFICE COPY
# Address
GAS
Meter By Date
ELECTRIC
c
Meter By Dat
iL
t•
JOB FINALED (Date
Signature
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (.c
=
Date UNDERFLOOR (Plans) OK except N's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth -
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel, -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
--------------------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
-----------------------------------------------------
19. Shower Pan: Test. First Floor -Tub Access
------------------------ - - - - - --- -- --
20. Test Tub & Shower, Second Floor -Tub Access
------------------------------------------------------------ ----- --
21. Gas Pipe: Size & Anchors
---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
------------------------ --------------------------•-----------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
------------------ -------------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
--------- ------ - ------ --------- ---------------------- ----------
24. Size Boxes & No. of Conductors -Stapled
------------------------------------------------------------- --------
25. Romex Installed Close to Edge of Studs & C.J.
--------------------------------- ----------------------------- ----------------..._
26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water
-------------------------------------------------- ----- -------- ------- --
27 2 Appliance Circuts in Kitchen & Conductor S1ze,GFI
-------------------------------------
-------- --
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
---------- -- -- --- - -----.... ..
29. Range Circ r ' ga. Cu or AI -Oven Circ. ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------- --- ----------------------.............. ..
30. Service -Riser Conductors & Ground -Main Disconnect
------------- -----........._I...._..
31. Equip. Clearances Panels-Motors-Mech. Equip.
- --- ------------------ - ---- ------ ....... ..
32. Clothes Closet Light -Shower Light -Spa Light
.......................................................
33. Smoke Detector
--------------- - ---------.. _ .---------- - --- ....... ....... ....... I....... ..
Date Card B-1Date Card B-1
....................................... _ ..------. ----- ......... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL.(Permit) OK except n's
34. A.C. Ducts Insulation & Support
-------- ---- - --------_.._...-.........----......_......... ...
35. Vent Fan: Exhaust above insulation
--------------------- ................ _ ...-- -- - ... ... ... ..
36. Condensate Dram & Overflow: Sze & Grade
-- - -- -- ............ ....... ........- . ..... . . .
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
---- - ----- ....... ....... ... ... ....... ... ... ..
38 Attic Access & Platform if Furnance in Attic
------------- ---------- --. _. .. . ....... ..
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft's
39. S Is. Proper Material & Anchors
....... ... ... ... ... ... ... ... I... ... ... ... ..
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
...... ... ... .. ....---........ ... ...... ..
41. Bearing Walls over Girders & Floor Nailing
...... ... ........... . . . . ..... . ..... ... ..
42. Draft Stop in Walls (rat proof)
...... ....... ... ... ....... ... . .... ... ..
43. Fire Stops: Furred Ceil ngs-Sta-
.. .. ..
44. Headers & Beam -Size & Bearing
►ingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
--------- 46. CIng. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng.
------ -----
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
-------- ----- 50. Garage Fire Protection Framing
--------------------
51. Property Line Firewall & Openings
52, Ext. Doors -One 3=Check Garage -3rd Story, 2 Exits
---- -- ---------------- ---------------------
___ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
---------------------------------
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
------------ 59.. Insulation -Walls -Ceilings_
60. Infiltration -Walls -Windows
..--------------__...---------------------------- -
Date Card B-1 Date Card B-1
- - - -- ------------ ----------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except a's
61. Ext. Steps -Door & Sidelight Protection -Landings _
----------------
62.
--------- 62. Smoke Detector
------------------------------------------ - -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
---------------------------
64. Bedroom Exiting
... - -- - - - ----------------------------------- --
65. G.F.I. & Bath Fixtures & Tub Access -Spa
-- -- -- - p--------
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
-----------------------------
67. Stags & Rails
-- - ---------------------
68. Fireplace or Stove: Clearances -Hearth
69 Elec. Outlets at Wood Panel: Int. & Ext.
----------------------------- -----------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
...... _....------------------------------------ --
71. Elec. Outlets & Receptacles at Kit. Counter
. ----------------------
72.
._._.----------------72. Garage Fire Door: Swing -Landing -Closer
- --------------- ---- - -
73. A.C. Duct in Garage -Damper
- - - -------------------- - -------
------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
..... -----------------------------------------
----
75. Plb.. Elec. & Mech. Equip. Listed for Location
...... . --- ------------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
---- ---- ----------------------------
-----------
7,. Insulation -Foam -Looked in Attic ❑`Yes
-- ------------------------------------------------
78. Guard Rails & Deck Construction -Post Caps
--- ------------------------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
---------------------------
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
...------------- ----------------------------------------
81. Stucco: Brown -Finish
.................------------------------ ---- --------
-------
82 A C. Unit: Disconnect, Electrical. Plumbing
.. ... ... ... ... ...-------------------------------------------
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
............. .............. .------------------ -------------
84 Water Well: Disconnect. Electrical, Plumbing
... .....
..... ......------------------------------------
-----
85 Exterior Elec. Trim: G.F.I. Receptacle -Underground
---- .---- ------------------------------------ --- ---------------------------
86 Ventilation Throughout House
-- - - - ------------------------
87 Glass Protection
_. .... ....... ------------------------------
88. Corrections from Previous Inspections
- - -- - --------------
89 Gas Gas Test -Meters Tagged: Gas -Electric
. . --- . .. ..__..- -------------------------------------
90 Water & Sewer Connected -C/O to Grade -HD Approval
. --
----.._..--------------------------------
91 Energy Compliance Certificate -Other Certificates
-- -- - -------
------------------
Date Card B-1 Date Card B-1
. .... ....... _ . -- . -- -- ------------------ ---- ---------
Date Card B-1 Dale Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
V=OK
O = Not OK
Not
'=Not Realdyble
MOBILE HOMES .
Date MOB HOME UTILITIES(Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Zonin equirements - Setbacks - Easements
2. Footings; SoilsSize-DepthSpacing-Connectors-Steel
oils ial MH Support Sketch
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails
=we� on -Test -Fall -C/O -Concrete
L -A,
-Water, Location -Test -Easement Needed (Sketch)
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Electricity; Location-Clearan_ ces-Gmd�t)/Amp-Concrete
6. Carports; Windows -Doors
Gas; Location -Test -Wrap; / / L'ft.
/ /Nat. or/ /"L°ft./ /LPG A// to jll�_
7. Electric
Clearance & Disconnect
Utility Clearance
Date 7 =iM Card B-1- Date Card B-1
Date Card B-1 Date Card B-1
Date MOBIL E INSTALLATION (Plans) OK except #'s
oning R 'rements-Setbacks Easements
ngs; Size -Spacing -Marriage Line
*-Ges�jles -Demand-Valve-Connector
lectrici MH Test -Crossovers -Breakers -Clearances
ain; MH Test -Fall -Flex Connector
a er• Test -Regulator -Connector
ater and Sewer Connected -C/O to Grade -HD Approval
as a tricity Tagged
ie D ns -Type -Installation Cert.
zits; Insp.-Sketch
11. Cert of Occupancy
Date and B-1 Date Card B-1
Date Card B-1 Date Card B-1
-5, t<V �_, -.4,'�;-
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; SoilsSize-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
co -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GR
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
t t✓ !� f0 -T �� 9 �ec cl
•. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Orovilley California 95965 - Telephone (916) 538-754 PE MIT O.
APPLICATION AND PERMIT ���
ASSESSOR PARCEL NUMBER 062-500-120
U ZONING
BUILDING PERMIT
OWNER KARA TUREK
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAIUNG ADDRESS
P.O. BOX 133 BERRY CREEK 95916
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 23.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
21bH
PERMITFEE
$ 23.00
BERRY CREEK
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump Water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Y1 Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ U61ities Cx Installation ❑ Other ❑
Describe Work: M1411 2 BEDROOMContractor
Mobile Home IS Y1
@20.00
60 00
PERMITFEE
$
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service 200V OR LESS
( z00A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class IL No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law fort ollowing reason:
as owner of the property, or my employees with wages astheir sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
NEW CONST. DWELLING OCCUP.
OR ( 8 ACC. BEDS. )
SO.
3.51E FT.
CNS.
NEW CONST.MULTI-OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER SINGLE APPARATOUTLET sUS )
&
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
aAL .50
Ex. Occup. ( OUTLETS RES D.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 gn nn
Misc. Wiring
23.00
PERMITFEE
$ 63.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of hundred dollars ($100) or less.)
certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X ��� __ Date 5� �--
Signature of Applicant 9 Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee Is
Occ
CONST. TYPE
T P T L FEE $ JV4.00
HA2.
�.
D. F
P FLOOD
_
CDF P C PD HD LSSUE
VU 1/1
This permit is hereby issued under the
of the Butte my Code and/or
indicated for whir shave
By
PERMITEXPIRESID
applicable provisions
Resolutions to do work
been paid.
Date
4�
(Date)
Receipt No. �b
WHITE-D.D.S.-G.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,...rr.,r.-r...-. .�..�,,_+w+�r+.,+ti,r,r_it..-ofl.,..;,�i,;..:,;�..'t'.+srK'• .+..':.rvwa. ..vrP++»t-n-+.��'-'ast`.+:.-:err.,6ra��im^*++Ss.r*......r:a:.:.., �.5, ,.-� .
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER A. P. No. o/ z- -- ov o-12-0.
Proposed Building Use Building Inspector CA- Date z
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
'" DATE RECEIVED BY
All items have been submitted . ........................................
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3.
_tom plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Desiggryry mpliance and supporting documentation . ..................
ent
7. Statemoflrif � 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. ...........
6�i�
of$..........................................
ct fees as shown on attached schedule. .
rnia Department of Forestry plan approva /�e_es
Flood elevation letter (100 year flog) by California Engineer. . .
14', anitation and plot plan approval ( r 0 Health Department. ..........�.. .
15. City of Chico plumbing permit . .........................................
16. ,Plot plan and business license approval from City of Biggs/Gridley.
17.Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. ......... .
19. Driveway permit (construction approval required prior to occupancy). ...P�_tAs con reap —
20. Pre -inspection for required. .. to Building Inspector 1 (Date)
21. Contractor's license information. (No., Name Style, Classification) . ............. .
ertificate of Workmans Compensation Insurance . ......................... .
'' wner-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 . ..........................mss` ......... .
29. Documentation of legal access . ..................... :.:............... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning aiea and frontage requirements . ...............
31. Existing violations/expired permits. .!..................................... .
32. Plan check list . .....................................................
33.
34. �1
When you issue a permit, process as follows: Mail to owner Mail to contractor.
Tel and hold for pickup at office. ..Deliver with inspector.
Othe m
i d.r
arce Creatio 'S
Acreage App icant 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
1. Index permit for above items No. _
2. Additional items required:
it issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ m it Cou ter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder U
Copy - Department of Public Works
OWNER
. COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUELDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
A.P. # 2 -
PROPOSED BUILDING USE ��—
SCHOOL DISTRICT FEES
(paid at District Office)
2. SHERIFF FEES (paid at Building Division)
Residential...... x =$
unit amt.
Commercial (sq.ft.). x =$
3. URBAN AREA FEES
(paid at Building Division)
Residential (per unit). x =$
#units amt.
Commercial (sq.ft.). . x =$
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid at District Office)
DATE
REC. # DATE REC
5. THERMALITO DRAINAGE DISTRICT FEES
$400.00 (paid at Building Division)
6. SRA FIRE INSPECTION AND -PLAN CHECK
$89.00 (paid at Building Division) & 19 5g � 3 S0
7. WATER TENDER FEES
(BATTALION # )
$200.00 (paid at Building Division)
E3
9.
CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT DATE
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors. or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerel ,
Michael C. Vieiia, C.B.O.
Manager, Building Inspection
NOTE: This O%Nmer-Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
O.B.- I
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 mhed
or and materials for construction of the
proposed ro erty improvement: YENO ].
2. I HAVE HAVE NOT[ ) siapplication for a .building permit for the
propose ork.
3. I have contracted with the folloerson (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this -work, but I have hired the following person to
coordinate, supervise, and rovide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:
DATE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
y E.H. USE ONLY
:.
a` Plot PLa AtbcLed
Floor Plea AttwW �
Seat to B.I r-
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner / Location APIA Z�
Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well
Clearance for cLedroom m bile
final for:
clearance O. K.
2.
Environmental Health
2/01)
n
Date
COUNTYOF BUTTE ~
f BUILDING DIVISION
DEPARTMENT OF DEVEL,,OPMENT SERVICES
1469 Humboldt Road;_ChipoCA - (916) 891-2751
7 County Center Drive,'droville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
K-Oy42
-OWNER PERMIT NO.
ti
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
t A
W
�E
r• ,
t�.
jS
4'F
Date Inspector
r REV 10/9
L�:
COUNTY OF BUTTE ,
i L L C t L 4' • BUILDING DIVISION ' ` •'
DEPARTMENT OF DEYELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
-lJ�loo2.
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
n
Date % Inspector
REV 10d2
1
H
Mobilehome Manufacturer: Manufacture Year:
If other than dingle wide; fu Model Number:
Width: �(ft.) Length: (ft.) .Tagalong or Expando Size -7-`- (ft.) x (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressurereated or foundation grade[N ] Other:
SUPPORTS: Concrete block[ 11 ] Other:
i
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 Line 1
Line 2 Line 2
................................................................................................
jl �Main Beams
Line 2
................. II.........,...... ..;I ........................................................ ine 2
Line 1 Line 3
Line 2
................................................................................................
Main Beams
Line 2
................................................................................................
Line 1
Tag or Triple re
e 4
.................................................
1
4
Line 1 Piers:
Size minimum: x
Spacing maximum: I 1C A From ends -maximum] I ` '
Line 2 Piers: 11G
Size minimum: [f9 ] x P Q].
Spacing maximum: "` `
From ends -maximum] `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
L°ocation (from front):
Line 1 Openings
Size minimum: [ ] x [ ].
Each side of openings
with width over: `
Line 4 Piers:
Size minimum: [ ] x [ ].
Spacing maximum: I`
From ends -maximum: 9`
BUTTE COUNTY
OVER aMDM DEPAMWM j
APPROVED
u
M.H.L-2
1. ' Owner's Name:c,y�
2. Assessor's Parcel Number:
3. Installer's Name: i i10 . q g l H G. r\ 1 n 5
4. Is the site currently under p t? Yes[ ] NN J Permit No.
5, Is the site an existing site? Y%es No[ ] (If yes, furnish two plot plans).
60
6. What is the electrical rating of the mobilehome? /4-0—Amperes.
7. What is the mobilehome site circuit breaker rating? % 0 0 'Z> rCs. 2 Yo tl _M�%�
8. What is the electrical rating of the mobilehome site? Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size:
a) The mobile home site:
Load- /()0 Amperes- /00
b) The main service:
Load- /d r w Amperes- ('7
11. Type of gas service at mobilehome site: Natural[ ] Propanej\ ] None[ ]
1,,
12. Size of gq.� pipe at .the mobilehome site from the meter or
tank: Z inches.
13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.).
14. What is the mobilehome gas demand? B.T.U.*
*(This information is not required if the pipe 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
May 1995 8.5
200'
_ ._._.... -. _..._.....- sin
.
- ... --- _ -- -- --- - - __ _ -- -
160�
4. .
r
}401
--r - - - an-- _ 6 d PrpC4tcetn
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4
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( -- - -
�-on-Srnme-withotn .
coineparimenPnw-.._.
,
,
'
_
80'-._ _ �-- - -- - — -- - -. _..__.—._..._.
mentmrtst-be-00mplSWt
--;-- --1 g�
e-
.0 .
t
—
Ce
,
I
t
:
,
:
,
�,. ,, ,. �•� -rte
I' r � r-100'� - + 160'
6 8 -�.
200'..
_.. _._._...... .... efe,
180 ......_. _. � ..-•-- —.....__...V.
_ . _... . . .
.T
—
I
160' --- - - —_._. — ---- - ----
T
�. _
too' � .___._ ____.-- -. _...... __...__...---_ .--- •--------------._...._.__
s-- _ _ _
1-7
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._100 � -- . -- . — - -- - = -- - - - - --- -----=-----• -...--
( L1
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a _
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ate
re
-- :-• , ._ ... .. .. ..... .. _Att-" STRUE�:iJ�cS_,�fit�? ���C��1f�:tV�.�;�T-:ri•t���.Y7:i��%.:.. ._..._..
VEPHANC Stif� � _ LE-F-N-�EAGE-
, . . .. -_. _ - .. �. _. _. -
_,� .. A SET:BACK GF 36.
r Fit'=sI 'Z4 -"'f -¢;1��I3
-201OL
_._�_--1�-
\.,X_Ti.. ..._
-40P ----- --- -60'80'.;. _ ._� ......100'
k ms' BUTTE COUNTY SCHOOLS IM. PACT'FEE CERTIFICATION FORM
(One Form Per Building) 00
School District? �/�" ( (�dQ� Building Department No.
L ,
AIP.1, Number , 14 %risdictiort > :; ~City County.
Property Own ZIL
Property Location/Address
Subdivison Lot No.
Residential Development [ Sq. Footage 72-0
No. of Living MH[ Addition (Group R)
' Units
Commercial/Industrial t t-*BSq!'Footage'
New Addition`'(Including Exterior
Roofed Areas)
Building epartm ht Re resentative Dat
(Floor Plans reviewed by School District Personnel)
(City)
has complied with the requirements'of Resolution No.
representing tp? 6� ' square feet.
Astnct Hepresentative ~
•,»� ,ems �` �. r`` ', : r'e".� 'y
(State) . (Zip Code)
AQ�l ` 7 Q by payment of $
:; 1.:
FULL MITI_".:. .$
-�
AB 2926 _ $ e�
Date
Paid by. Check # Remarks:
Bank Number
,Pdid by. Cash .
If, subsequent,to the"School District Representa ' e signing this Butte`C.ounty Schools, Impact- Fee
Certification Form,' the School bistrict is notified by the -applicable Local- Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fullv mitigate its impacton the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.wkl (11/94)dmm
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
i BUILDING DIVISION --7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --PHONE (916) 538-7541
APN: r
1or1(j -- j
PERMIT NO.:
....
!
Owners:
Name:
Owners: / M�
Address:
MobilehomeC /
Manufacturer rk� 4a
Year of
Manufacture: 5 r
77
F
Serial number
Insignia or,
or V.I.N.
HUD number:
Offipial ap roving installation:
Date:
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.
N
513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION ---7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --PHONE (916) 538-7541
APN: � � 2
Q -1 zro
PERMIT N0.
- 1
Owner's: //,
—7—u Q it—
Name: -5E
Owners: /
AIA, � K L r2 All
Address: ( V -k-1 -
Mobilehome
� e� Lt ��
Year of .�
5— 77
Manufacturer
Manufacture:
t
Serial number �r
z
Insignia or
/�"' �+
or V.I.N.
HUD number:
Official approving installation:
P&'—� lc� Ili
Date:
S�- — 'y—
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.
r
5138 White Owner, Yellow -Installer, Pink -Bldg.; Gold -Assessor
i.
r
pkv ,
COUNTY
7 .County Center Drive - Oroville,'Califaknia 95965 - Telephone (916) 538-754y, PERMIT NO.
APPLICATION AND PERMIT �� !
ASSESSOR PARCEL NUMBER 093 062-500-120
ZONING U
BUILDING PERMIT
OWNER KARA TUREK
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS P.O. BOX 133 BERRY CREEK, 95916
1
CONTRACTOR'S NAME
TELEPHONE
+
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Fling Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
oln
Penalty $
BUILDINGADDRESS ��G
PERMITFEE $
43.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome O"yyOther
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation d Other ❑
Describe Work: _MITI 12 X faes�
'5260
Mobile Home I S I GI W
@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filina Fee 20.'00
Main ServiceE00v OR LESS
( 200A OR LESS /
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic.No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
4w for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BLOS. )
so.
3.5¢ FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
20 0 I•50
BAL .00
Ex. Occup. FIXED APPLNS. OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE s
�.
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply w�S2 provisions.
X� Date
Signature of ApplicantOwner ❑Contractor ❑Agent
An OSHA permit is required or excavations over 60" deep and demolition or construction
of structures over stories in height.
Mobile Home Installation Fee $
100.00
Energy Inspection Fee $
OCC
CONST. TYPE
OTAL FEE $ lzla.00
HAZ.
D. F
IMP FLOOD
_
cDF/ ARc Pp Ho
V/
IssuE
This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By raj to b ��
PERMITEXPIRESON
I (Date)
Receipt No. /K_3(13
WHITE•D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT,
CERTtFtCkTE aF AUCHOR INSTALLATION
Ed& 25 CCR MoNehome Parks Act Section 1326 (bH3)
I certify those portions of the tiedown system installed below grade were not damaged prion to or as a
result of the installation, were not modified prior to or -during the installation, and were installed in
- accordance with the manufacturers installation -instructions, plans and specifications of the engineered
- - tiedown system referenced on this certificate.
Tiedown System: - -- .
Manufacturer.
Model:
Installed. by:. Date: 9 J
Contr./Owner. License No.:
- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER < (7 t, 'p- e . l':_ A. P. No. K2 --
Proposed
2 --Proposed Building Use 1742 Building Inspector Date_
t ..
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2Y Plot plans, 3/4 sets, sign ad by preparer o1 plans. ......................... .
3Cornpleteyplans, 3/4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Forro.............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Neon -Heated and A/C Buildings . ......................
A—Enaineered truss details and layout in duplicate (required prior to plan check). .
EE=��,F
ON ome data and manufacturer's installation instructions, 2 sets. ........... S a . 9 es of $ ..........................................
mpact fees as shown or. attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (10D year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing parmit.......... ............................... .
16. Plot plan and business license approval frim City of Biggs/Gridley. .............
17. Planning approval for (A; Use: (B) Parking:
18. Contact Land Developryfent about (A) Improvements (B) Drainage. ......... .
19. Driveway permitt�(cons ruction approval required prior to occupancy). . .
20. Pre -inspection for P�a"apeaIns �qu�
regUlred. . . to Building Inspector (Date)
21. ontractor's license information. (No., Name Style, Classification) . ..............
C rttificate of Workmans Compensation Insurance . ..........................
wner-Builder Verification (Given to owner , Mail to owner _) ............
Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature autho-ization.........................................
26. Copy of recorded deed c1f parcel creation and 60 right of way to a public road. .... .
07- Letter of intent on building use...........................................
Mobilehome utility clearance . ..........................................
29. Documentation of legal zccess......... .............:................. .
30. Documentation of 50% subdivision develcped or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits. ..... ................................ .
�PPlari . hest. ... .
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
�Other
rcelCreation
Acreage Applicant ate Y
Copy of Haz-Mat form sent Healtl- Dept. Fire Dept. Air Pollution Date
Copy of plans sent - Health Dept. Fire Dept. Other Date By
The'following data must be submitted
1. Index permit for above items No. _
2. Additional items required:
to permit issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by
Contractor, designer, owner, was advised of above required data by _ phone _ mail me by
Plans checked by Date Plans approved by
Sets of plans on hold in File cabinet AP folder,
Copy - Department of Public Works oe ' ' 0
Date
Date
Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVELLE CA 95965 TELEPHONE (916) 538-7541
OWNER A. P. # �' Z - ��y0 ZU
PROPOSED BUILDING USE T DATE
REC. # DATE REC
TSCHOOL -DISTRICT FEES &V O p
(paid at District Office) `-1 f23
SHERIFF FEES (paid at Building Division)
Residential...... x=$� ()
unit amt.
-3mmcrcirl (sq.ft.). x =$
3. URBAN AREA FEES
(paid at Building Division)
Residential (per unit). x =$
#units amt.
Commercial (sq.ft.).. x =$_
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid at District Office)
5. THERMALITO DRAINAGE DISTRICT FEES
$400.00 (paid at Building Division)
6. SRA FIRE INSPECTION AND -PLAN CHECK
$89.00 (paid at Building Division)
7. WATER TENDER FEES
(BATTALION # )
$200.00 (paid at Building Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT DATE
v`J
O.B.-1
. .... .. .. . ...
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 maj Zr abor and materials for construction of the
proposed roperty improvement : YES NO[ ].
2. I HAVE[ HAVE NOT[ ] sigrkd application for a .building permit for the
proposed ork.
3. I have contracted with the following person (firm) to provide the proposed
construction: �/
NAME: 1 v
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:
DATE: o� `e
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit'in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding; federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerel , ;
Michael C. Vieiia, C.B.O.
Manager, Building Inspection
NOTE: This 0%,,mer-Builder Information is required by Section 19830 of the California Health and Safety Code.
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�� APP"OVt: .
CDF FIRE SAFE REQUIREMENTS
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[DU 1272.00
Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
VQ 1273.02
Surface. All driveway surfaces and structures (bridges,
1273.07
culverts and other app -,rte -ant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
] 1273.03
Grade. Not to exceed 16 percent unless paved.
1273..04
Driveway Radius
[�]
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 ver:i^i;l curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
[�] 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[� 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
] 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of : ?. ,
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.
[�(J 1273.10 Turnaround. A turnaround shall be provided at all
// building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[� 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
l�(] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without,obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
VJ] 1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from ul] property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
] 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction :pr f_ial inspection of a building
permit.
Page 2 of 3
4 "7,5-0 r L qj r -dg 6Z)
AP # PERMIT #
Other Requirements
[.] If Buildincr Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
7^u &-K.�e-
N E
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal.or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed i0% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of 3