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062-740-020
NINA ROUSEd oda-'74®-oat NIS Rockerfeller Rd., 1600) S. of - - Mi �a Bald Rock Rd., Bald Rock Area F3.:ni-t# 3266 75p,E (uti1. , MH) 1 'GAS- _ _ - __ - � ►.�._--_._ SUPPORT STRUCTURE COMPACTION TION TEST R� IS. 62 23-ai PermtSI#G50 / 56 i-7/6'B(,n e�w private garage) _ Permit #5323-J6P 6a - - (g�.s or Mobile Home • •on existing Permit #5324-76.M�yHI a Issued �� ,� - //Ce`..,nq BOB�ON 1' M_ ockerfeller Rd, 16001S Bald Rock f - -,Rd, Ber ,r �Contr: ClantonalConst, Palermo 4 11 Permit#3617-82B, P, E,, (cabana r 62 Contr: Clan-ton Const, Palermo�%v/v r Permit E9 83B(instell roof over existing d>1,vyMH 062-740-020 05-2342 BURRUSS 119 ROCKER FELLER RD, BERRY k ) CREEK Cont: OWNER NSF -0-20 05-2968 ~BUR %SS, MATTHEW--.---_.. 119 ROCKER FELLER RD, BERRY Com` CREEK Jl Cont: OWNER S ER-ivrFND`'(2N0 DWEV hrT) 4 f 'l, 0 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 24 -Oct -2011 2011-0035390 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by. the county recorder to the named owner of the real property and shall, be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. BURGESS, MATTHEW S. & MELBA L. BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNERILESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 123 ROCKERFELLER ROAD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS BERRY CREEK,BUTTE CA 95916 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 119 ROCKERFELLER ROAD 05-2968 530 538-7601 INSTALLATION MAILING ADDRESS, IF DIFFERENT UILAING PEItMIT N TELEPHONE NUMBER BERRY CREEK,BUTTE CA 95916 3/14/2006 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION CMH MANUFACTURING WEST INC. 2005 GOLDEN ESTATE 561K MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ALB0301660RA/B/C 56' X 40.8' ORE480427/8/481534 SERIALNUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 062-740-020 HCD FORM 433(A) REV 8/91 ......... .+_.._.. n. ---A— /4 AATAV V - urn PTW -A nnIlrant MIT T)TZMr1T1 - A„ilAinn nl nt 09/28/2005 14:49 FAX 530 899 9531 FIDELITY 14ATIONAL TITLE l�uu5/uu5 !'scru* Nua 04-IOMI-CC Locate".. CAMT0958-0958-0001.0000L86511 Tlda No.: 04.106611 EXHxeri` "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: A PORTION OF THE SOUTHEAST QUARTER OF SECTION.3S,TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. Teti M., BUTTE COUNTY, CALIFORNIA, DESCIRIBED AS FOLLOWS: BEGINNING ATTHE NORTHEAST CORNER OFTHE SOUTHEAST QUARTER OFTHE SOUTHEAST QUARTER OFSECTION 35 AFOREMENTIONED, SANG THE TRUE POINT OF 6EGINNING FOR THLS DESCRIPTION; THENCE LEAVIKG THE NORTHEAST CORNER OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QMUAi;TER OF 5AIp SECTION 35 AND THE TRUE POINTOF BEGINNING FORTHIS DESCRITMON AND RUNNING SOUTH 89° 39' 23" WEST, A DISTANCE OF 1306.13 FEET ALONG THE NORTH LINE OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SAID SEC:!'TON 35, TO THE NOR'T tMES ' CORNER OFTHE-SOUTHEAST HEAST QUARTER OFTHE SOU HEAST QLIARTER OF SAID SECTION 35; THENCE LEAVING THE NORTHWEST CORNER OFTHR SOUTHEASTQUARTEROFTHE SOUTHEAST QUARTER OF SAID SECTION 35 AND RUNNING SOUTH 00° 35 10" WEST, A DISTANCE OF 29.47 FEET ALONG THE WEST LINE OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SAID SECTION 35 TO A POINT ON THE CWMRUNE OF ROCKEFgUER ROAD, ALSO KNOWN AS CANYON CREEK ROAD; THFNCR LEAVING THE WEST LINE OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SAID SECTION 35 AND RUNNING ALONG 1 -HE CENTERLINE ERLINE OF SAID ROCKEFELLER ROAD THE FOLLOWING COURSES AND DISTANCESi SOUTH 710 06'05" EAST 39.67 FEET, NORTH 890 74' 25" EAST, 125.72 FEET; NORTH 860 00' 55" EAST', 63.06 FEET, SOUTH 810 48' 05" EAST, 103.60 FEET, SOUTH 679 IT 05" EAST, 142.20 FEET; SOUTH $50 30` 05" EAST, 82.62 FEET; SOUTH 470 0B' 35" EAST, 179.00 Fl EEM' SOUTH 71° 16'35" EAST, 57:87 FEET; NORTH 690.15'25u EAST, 72153 FEET} SOUTH 710 38'35" EAST, 6268 FEET,' SOUTH 620 00' 05" EAST, 196.30 FEET; SOV714 680 43' OS" EAST, 101.50 FEET; SOUTH 830 53' 05" EAST, 188.06 FWrTO A POINTON THE FAST LINE OF THE SOUTHWEST QUARTER OFTHE SOUTHEAST QUARTER OF SAID SECTION 35; T HENM LEAVING THE CENTERLINE OF SAID ROCKEFELLER ROAD AND RUNNING NORTH 00° 29'04" EAST, A DISTANCE OF 472.16 FEETALONG7HE EAST LINE OF THE SOUTH AST QUARTER OF -THE SOUTHIASi QUARTER OF SAID SECTION 35; TO THE TRUE POINT OF BEGINNING FOR THIS DEEMPTION. EXCEPTING -THEREFROM ALL THAT PORTION THEREOF DESCMED AS FOLLOWS: A PORTION OF THE SOUTHEAST QUARTER OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M., BUTTE . COUNTY, CALIFOitNIk IDEXRIBED AS FOLLOWS: BEGINNING AT T11E NORTHEAST CORNER OF VE SOUTHEAST QUARTT:;R OF 114E SOL.-THEAV QUARTER OF SECTION 35, AFOREM&ITIONED 8taNG'niC'iRUE POINT OF BEGINNING FOR11.11S D 5MirilV:;1HENCE LEAVINGTHE NORTHEAST' CORNER OF THE s0U-njEAsT QUARTER OF THC- SOUTHEAST QUARTER OF -59 7 SEClION-35 AND THE TRUE POINT OF BEGINWNG FOR THIS AESCRIP71ON AND RUNNING ALONG THE EAST LINE OF LAIC► SE.. ION 35, SOUTH 000 29'04" WEST, A DISTANCE CF 472.16 FE,ETTO THE CENTERUNE OF ROQQ,:FBLLER ROAD, AL.") KNOWN AS CANYON CREEK ROAD; THENCE ALONG SAID CEN'PE;WNT: MOM 830 53' 05" WESt.. l8e.'.L FEEf; Isle CE NORTH 680 43' 05' WEST", 15.00•FEET; rlENCE L,CAVINIG SAID CENTERLINE AND RUNNING PARALl,Ci.1vrrrl THE EAST LINE OF SAID SECTION 35, NOR`iH 00° 29'04" DST, 445.00 FEET, MORE OR LESS, TO -W NOFt rH LINE OF SAID 5Oir1'HEAST QUARTER OF THE SOUTI iEAST QUARTER OF $AID 5ECiTON 35; THENCE ALONG SA1li NOR 14 LINE, NOKrf 189.39' 23" EAST, 200.00 FEET TO THE TRUE POINT OF BEGINNING,. Ini40Ts: ��: w vmsariatian: Butto.GA DOCuAwnt-Yv.(r.Dv*XD 2004.57784 Pago: 2 or 2 BUILDING PERMIT NUMBER: 05-2968 Address or location of unit: 119 ROCKERFELLER RD, BERRY CREEK, CA Legal Description of Real Property: 062-740-020 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: BURGESS, MATTHEW S. & MELBA L. Owner's address: 123 ROCKERFELLER ROAD, BERRY CREEK, CA 95916 INSIGNIA OR HUD NUMBER: - ORE480427/8/481534 SERIAL NUMBER OR V.I.N.: ALB030166ORAB/C MANUFACTURER'S NAME: CMH MANUFACTURING WEST INC. YEAR: 2005 OFFICIAL APPROVING INSTALLATION: DATE: ' 3/14/2006 PHONE: (530) 538-7601 H.C.D. 513 OCT -17-2011 10:23 SCHEER LAW GROUP 415 491 8910 201,1.-0,� 08 �8:39 S ringleaQ&Wft0y§TAaT�t<fi9�+2�05RFS1CN #23 TOS9E 58=$7 PzvAKTWM Y or HOUGING AND CO MlMUHrry DE OPMENY •• >o� raEis saas�� ��. " I k, L.13H%93 U= Code: SFX) manuAwttow. CMH M,4NUFACI'(MMO W73S r IX 0AJO W Pxirc Code: BEY -Tiada==-. GOMENWEST hating Year: lvtodcl: GOLVENESTATEsm TaxTypc: • 'Maliubntumd Dato. IV1902005 LAO U -T Amo=t: ki�sistration £xp: Date ILT fec Paid: sold on; 0111712o015 ILTi''.x4mdoa: ` Vona Serial Numbtx IRM Label I insiFia Length widit ALS0301660RA M480427 $G 13,60 AL80016607t8 OR$480428 SE 13'6" AXDW01WjkC OPM01534 Rcgi5wcd Owns: MAMIaW S EMUSS MMZA L 6iTR MSS (lai.* TonmV$ wish Right g f Sutvivgr kp) i2310CKMUW1=T0 BBRAY Com, CA 95916 Laat mac oaf!; 0V14/ZpOQ Lw Cain 02/1412006 Salefj`sg oor !alo. hi= $124760.00 xiansl=W oo 01117nOD6 Situs Address: • ' � 119 Rl>aCBA�Ri� . SSkItY CfLBIBI� CA 85976 1 Sema Co�aty. B1J�7'B ' apes! Esc�oro�; MID VALL$Y Tmij , PO BX 1068 2295 FEATHER Rj VER DT OAOV LLE, CA www Bwow m Nq; 3745087 Peadlpg Buyer: W(LLTAM COT` ER CARRIE Co'1 i'FR TiCaltr Nsriae: Mane Repined :trcmw op-mcd On: 05JIOWI 1 3 Vifts on: Oft712011 *** BUD OF TITL>r SEARCH *** ovla-� quo o�,D :'Z •, d -gZBU t WS 'ON/90 * 91 '1WO: 9 l 1102 t 6 01) P.002 J t r A311YA GIVI TOTAL P.002 09/28/2005 14:49 FAX 530 299 3531 FIDELITY NATIONAL TITLE 004/005 RECORDING REQUESTED BY: Fidelity National The Company of Califamla lscrow No.i 04 -106511 -CL Loam* No.: cAFM0958-0956-0001-00001065ii Tide Nea 0410651I When Recorded Mail Document and Tax dement To: Mr. and Mrs. Matthew S. Burruss 123 Rockerfeller Road Berry Geek, CA 95916 11111111111111110111111111111111 ;="al04--gorhS7784 Recorded official Records County Of URTE GRMuACE J. GRUBBS Recorder ROSMRY DICKSON Assistant 09:6W 20 -Sep -M4 REC FEE. 16.08 TRX 170.50 YON iMEN 10.00 Barbara Pape 1 of 2 APN: 062-740-020 SPACE ABOVE WS LINE FOR RECORDER'S USE GRANTDEED !� The undentgned grantor(s) dectare(s) Documentary tMnsfer tax Is $170.60. [ X ] computed on furl value of property conveyed, or [ ] computed on full value less value of liens or encumbrances rvnVining at time of sale, [ 7C ] Unincorporated Are Berry Creek, FOR A VALUABLE CONSIDERATION, r*Wpt of wNch Is heml1 y racknowWgerl, Earl C. Cyr, survhring joint tenant hereby GRANT(S) to Matthew S. Burruss and Melba L. Burruss, husband and wife as joint tenants the iblkrMng dezcr� real property In _ Berry Creek, County of 13Mfte-, State of Callfornla: SEE EXWBrr "A" ATTACHED HE€Jz'TO AND MADE A PART HEREOF DATED.. September 3, 2004 STATE OF N coU OF before me, l ally appeared personally known to me (or proved to me on the basis of satlsfactDry evidence) to be the person(s) whose name(s) is/are subscribed to the whin instrument and acknowledged to r, -,.e that he/shWthey executed the same in his/her/thelr authorized capacMfes), and thgt by his/her/their signature(s) on the Instrument the person(s), or the entity upon behalf of which the persw(s) acted, executed the Instn ment Witness my hkand ofd iel sea . 1 l) Signa re Earl C. Cyr Y�J Hmoi R NUKILL eom m.OW12s4 HGtlw. PLO&tallf"a ou"E C=T 1( My Comm. Esp. lam! i 6.2007 MAIL TAX STATEMENTS AS DIRECTED ABOVE FO -213 (Rev 7/96) GRANT DEED (grant)(3-04) D©soription: Butte,C:A Docuant-Year.DoalD 2004.57764 Page. 1 of 2 Ordar: masa Comment: '1 Butte County Department of Development Services • e�Tre, AREA N ® T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vnvw.buttecounty neVdds °OUNty RESIDENTIAL i APN: .-062-740-020--- , Rtr».: Hn: U�-lybtS w BURRUSS, MATTHEW Owner. {4-1'19ROCKER-FELLERRD;•BERRY ---- Site Address:CREEK s Cont: OWNER`—-,....-...._...._�....�- - ContractorM/H PERM FND,-(2-N.D,D_-WELL) - Type of Permit: of —a 01 i SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: 1 O SO SIGNATURE: CHECKED BY = OK Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr, Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S -C O V E R S -C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills -An chrs-Stu ds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof-, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide s` 4 m Pool Drawing = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE 1UNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub, Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 GirdersSills-Anchr Bolts 4oists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 4111 DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doorsill Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rfir Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters D Yes [_]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga D CU or DAL 98 Address Posted AC Wire Sz ga ❑ CU or DAL 99 Fire Sprinkler 48 Range Circ ga D CU or DAL Oven Circ ga OCU or D AL Insulated Neutral ❑Yes ONo 4e- 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 11�.09m o'o` BUTTE COUNTY PERItiIIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS BPO2_( 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BIN # OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE I �5 For office use only: OWNER Name Name Address cc,`�er •c..� r• 1rL� City �t`f'� Cu eeK State Zlp t 6 Phone `7— C. Fax E-mail E-mail APPLICANT SIGNATURE I �5 For office use only: CONTRACTOR Name Name Address SRA City J bLa State Zip Phone Phone Fax E-mail E-mail Lic. # Class APPLICANT SIGNATURE I �5 For office use only: ARCHITECT/ENGINEER Name Name Address SRA City J bLa Occ. State Zip Phone Page Fax E-mail City State License Number APPLICANT SIGNATURE I �5 For office use only: APPLICANT NAME Name I SRA I Yes J bLa Occ. Address Subdivision Name MpDate n Page Lot # Planner City StateL Zips \ S,S Phone Fa� _ 2 & E-mail APPLICANT SIGNATURE I �5 For office use only: Zoning Flood Zone I SRA I Yes INo Occ. Type Const. Subdivision Name MpDate Page Lot # Planner oved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# 7 02-0 Property Address Cross Street cQ o c� WORKER'S COMPENSATION Policy Number 14 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: m Rpm FWD , 2nd Du/e1409 . Sq. Footage y ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount:' %ja.9 G Bldg WLJ .SIT SRA Receipt #: q 4 OW Sheriff SMIP Date: j o -3 I� 0� � Other Total REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply' fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. =p. - ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department.' ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2• -Bata-s+teet&-and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ `4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculatipns, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). El 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-si Mied by the en 'neer ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMBUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 v6 Butte County department of Development Services www.buttecountv.net/dds- 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING Y PLANNING 1/4/2006 Matthew BunTus . 123 Rockefeller Road Berry Creel(, CA 95916 RE: Pen -nit No. 05-2342 APN#062-740-020 Owner: same On 8/31/2005, a deposit was made in the amount of $1,346.86, of which $1,291.87 was retained. Please sign., date, and return. the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $54.99. Should you. have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-7601. Sincerely, Diane Lewellen Account Clerk, Senior A.dm.mIstrative Division enclosure 05-2342.1tr I County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Matthew BUrrUS ADDRESS: 123 Rockefeller Road CITY & STATE: Berry Creek, CA 95916 DATE OF CLAIM- 01/04/06 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 062-740-020 Permit No.: 05-2342 PAID RETAINED REFUND Develo ment Services $ 1,251.86 $ 1,196.87 $ 54.99 THERM DRNG $ - $ - $ - SMIP $ - $ - $ - SHR $ - $ - $ - SRA $ 95.00 $ 95.00 $ - TOTAL $ 1,346.86 $ 1,291.87 $ 54.99 ::BREA DOWN:::: : :C i:ACVOUNT: 101001 DVLPMNT SVC 440-001 4210500 $ 54.99 1011822 THERM DRNG 1800 280 $ - 1011430 SMTP 1001 280 S - 1011811 SHR 1800 280 S - 101001 SRA 0100 4617240 S - TOTAL 1 1 $ 54.99 $ 54.99 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of , 2006, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge. the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2006, at Oroville . Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY EPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. 8 STATE: OF CLAIM: NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: 2 REFUNDS: VERIFIED D ETAI L BLDG REFUND PROCESS FEE BUILDING TOTAL THERM DRNG SMIP APPROVAL Date Reviewed Scott Rutherford Chief Building Inspector Time 1109. 54 E Matthew Burrus 123 Rockefeller Road Berry Creek, CA 95916 12/20/05 APN: 062-740-020 RECEIPT INFORMATION 435421 08/31/2005 Matt & Brenda Burrus 3042 $1,346.86 05-2342 REFUND BREAKDOWN V Title Fund Dept Accnt Cash BLDG 0010 440-001 4210500 101001 THRM DRNG 1800 rHRM DRN 280 1011822 AUD SUSP 1001 (SMIP) 280 1011430 SHER DEV FEE 1800 (SHR) 280 .1011811 ' FIRE 0100 (SRA)' 4617240 101001. PAID RETAIN REFUND 98 1251.86 :::::::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::: .......... ::::.... .......... .......... .......... .......... ..................... :::::::::::::::::.::::::::::::: ::.... .......... .......... .......... .......... .......... .......... ::....::... . ::::::::::::: .......... ::::*:::::,: .......... :.......... .......... .......... .......... .......... :::::::::: .......... .......... .......... .......... 00 0.00 0.00 50 1141.88 1141.88 0.00 0.00 00 109.98 109.981 109.98 ............................I............. :::::::::::::::::::::::::::::::.:::::::::: :::::::::::::::::: ............................... ::::::.':.' ::.::::::::::.:.::::::::::'.:.' .......... :::•:•::• :::::::....:...:.:.:. 0.00 0.00 0.00 0.00 .99 54.99 -54.99 -54.99 1251.86 1196.87 54.99 54.99 .......... ............................... .......... ............................... ::::::::::::::::::::::: .......... 0.00 0.00 0.00 .0.00 0.00 95.06 95.00 0.00 ', 0.00 $ 1,346.86 $ 1,291.87 $ 54.99 $ 54.99 $ - $ - $ - $ 12/20/2005 CHECK: $54.99 DIFFERENCE: $0.00 (Should be blank) V o�vTrFo Butte County Department of Development Services Building Division O O o0 z. - 0 7 County Center Drive c0UR4 Oroville, CA 95965 (530).538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Development Services for payment processing. CLAIMANT'S NAME: IMAILING ADDRESS: PHONE: Check those fees which you wish to have considered for refund: Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may pick them up prior to that time. J Signature Date K:/Forms/Refund Application 082203 OOT, 20. 2005 10:37AM TO:MARYSVILLE October 16, 2005 Willdan 2399 Gateway Oaks Drive, Suite 210 Sacramento, California 95916 N0. 190 P. 1 �Lef& eb � We have decided to take another avenue on the building of our house. We are going to place a manufactured home on the site. Therefore we are asking that your stop the plan review on our house plans. Jurisdiction Job No: 05-2342 Assessor's Parcel No: 062-740-020 Description: Burniss-2" d Dwelling Willdan Project No: 14353-1991- Matthew 4353-1851M Matthew and Melba Bumuss OCT 2 0 2005 WILLDAN MARYSVILLE OFFICE ro, /0,5 /-05 - RECEIVE� OCT 2 0 2005 WILLDAN Revised 7/1/2005 DATE 9/1/2005 BAG # 330 DEPOSIT # 43 RANGE OF RECEIPTS: 435414-435431 MONEY COLLECTED: 08/31/2005 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 1 of 3 Wednesday, November 30, 2005 Counter( Karen Person I Development Services BUILDING DIVISION Ver. 1.0 Payment Date Permit Number Receipt Number Check Number or Cash Parcel Number Applicant 8/31/2005 05=2342 1435421 062-740-020 IBURRUSS Received From I SAME Total Received $1, 346.86 Total Fees To Collect 1, 346.86 Fund 10 (Bldg Permits) SRA Fees (Fire) SHR Fees (Sheriff) SMIP Copies/Document Sales CUA (Chico Urban Area) TUA (Therm. Urban Area) Water Tender Btin #= West Chico Fire Station Witness Fees Recorders Fees(N.O.C) Thermalito Drainage Oroville Area Traffic NSF (Non Sufficient Funds) Notice of Violation NCSP Trails System, NCSP Roads/Bridges NCSP Storm Drainage NCSP Fire Station NCSP Parks Value Type = $1,251.86 $95.00 1 $0.00 , $0.00 .$0.00 $0.00 $0.00 ' $0.00 } $0.00 $0.00 $0.00 ' —$0.00 1$0.00 $0.00 $0.00 $0.00 (r $0.00 $0.00 $0.00 $0.00 ( $0.00 PERMIT _., Bin LAST NAME : ' ' FIRST NAME CONTRACTOR • CITY/CTY STREET NO _STREET NAME ROCKER FELLER RD CITY BERRY USE TYPE ®- REMARKS B PE EM MM 25 char. max VALUATIC FLOOD - APPLIED �E ISSUED FEES 4 RECEIPT 4 FINALED PLAN CHECK ACTIVITY Plan Chk-1: Chkd By -1: Return -1: Str Chk-1F: -� Plan Chk-2: Chkd By -2: - Return -2: Str Chk-2 Plan Chk-3: Chkd By -3: _ Approved: Str Appr: 255_char. max, 8/31/05 SRA FEES PD 204.98 #435421 9/2/05 sent to Willdan. 9/27/05 p/c Itr Willdan. Owner applied for refund, form given to Deborah Debrunner. 10/31/05 KG. b2� 6,�� SEP 14 j «1:'�1 7 2Q05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TWE OF APPLICATION Website: www.buttecounty.net/dds *PLEASE PRINT CLEARLY** o AA p8 LOCATION OWNER Last Name irst Name ry uu �`- o, Address a City State Zip w - _ Fax Fax Phone Fax Lic. # Class E-mail APPLICANT NAME CONTRACTOR Name ry uu �`- Address a R. 9 'c City No State Zip Phone Fax Fax E-mail E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name r._ Address State City No State Zip Phone Fax Fax E-mail E-mail State License Number APPLICANT NAME Name Address r._ City State Zip No Occ. Type Const. Phone Fax Page L\ t E-mail APPLICANT SIGNATURE X g— _ �� ,,6, * For office use only: 11 ZoningFlood Zone SRA s No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMIT I AL KtUUIKtIWtIV I J KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc AP# 0462 G2 1� Property Address ?91298h 'kc( Cfoss Street 7< LO - (0 20 PERMIT NO. ") �,�� City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Is 11 A C 5 d�P rid' :Iz. Sq. Footage O Structure Built without Permits - y 0 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. RST EFOR REFUNDS s can only be made upon written request by the person who e fee. The request must be made prior to the expiration of the p rmit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 Rec ' db ' Amount: r �v Bldg SRA Receipt #: � Sheriff SMIP IV Date('6131/(15 I ' j('(15 Total I I REV 2-24-05 '4 V CDF FIRE SAFE REQUIREMENTS AP# 062-740-020 PERMIT # 05-2342 NAME: Burruss Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements, are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. K Grade. Not to exceed 16 percent unless paved. Driveway Radius pq No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. ,h F [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 T feet radius. R Pq Turnarounds. If required, will have a minimum turning radius of 40 feet from the I T center of the road. L-1 [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. Pq Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Pq 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. Gates Pq 1. Gate entrances shall be at least two feet wider than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. Q U I R E M E N T S Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [X] 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X] 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. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Enclosed eaves [ ] If Building Setback is Less Than 15 Feet= ✓ Class A roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry « o Masonry Veneer o Metal o Other Butte County Fire Department approved materials 09/14/2005 Darren Read Date Signature c n F CDF FIRE SAFE REQUIREMENTS AP# 062-740-020 PERMIT # 05-2342 NAME: Burruss Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards pq Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. pq Grade. Not to exceed 16 percent unless paved. Driveway Radius Pq No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. C ED F [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 T feet radius. K [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the I T center of the road. LH [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. pq 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. Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. Q U I R E M E N T S t Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [X] 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [X] 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. Disposal shall be completed prior to completion of road construction or final building permit inspection. r Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Enclosed eaves [ ] If Building Setback is Less Than 15 Feet — ✓ Class A roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials [] 09/14/2005 Darren Read Date Signature C D F ;�06`D-4176 (a,. C) q 12/28/06 Dave from Assessor's Office (7557) called regarding 433 on permit #05-2968 No 433 has been done, no MCO or title in file It appears that HCD #s were written on wrong permit. I called owner & informed them that MCO was needed along with HCD fees & recording fees. MK O PERFORMER SERIES - GE 561K 4 BR, 2 BATH, LR, FR, RETREAT (OPT. BR 5), 2142 SO. FT. PERFORMER SERIES - GE 581K 4 BR, 2 BATH, LR, FR, RETREAT (OPT, SR 5), 2142 SO. FT. Z t!p 0p 05-0 WZW. CL - r CL m� IOD • r ' PERFORMER SERIES - GE 581K 4 BR, 2 BATH, LR, FR, RETREAT (OPT, SR 5), 2142 SO. FT. Z t!p 0p 05-0 WZW. CL - r CL m� IOD BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPOS2968 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/21/2005 APN: 062-740-020-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 119 ROCKERFELLER RD BCK Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: MH ON PERM FND, NEW SITE- 2ND Contractors' State License Law for the following reason (Sec. 7031.5 DWELLING (2142) Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: BURRUSS, MATTHEW S. &MELBA L. signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 123 ROCKERFELLER ROAD she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the BERRY CREEK, CA applicant to a civil penalty of not more than five hundred dollars ($500).): 95916 A` 1, as owner of the property, or my employees with wages as their (530) 589-2617 sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for Applicant: BURRUSS, MATTHEW S. &MELBA L. sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 123 ROCKERFELLER ROAD sale.). BERRY CREEK, CA ❑ I, as owner of the property, am exclusively contracting with 95916 licensed contractors to construct the project (Sec. 7044, Business (530) 589-2617 and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Contractor: Date: ZZ= -_/`finer: `l_� -- WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. License #: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect: Carrier Engineer: Policy #: ❑ 1 certify that in the performance of the work for which this permit is 2142 S. F. Issued, I shall not employ any person in any manner so as to Total Square Ft: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $139,230.00 compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. Date: rrn^ v�W .21 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. – CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti ns to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By:ntMDate: LL ( ) PERMIT EXPIRES ON: 11-2-1-OCo Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: ��L/¢ I, c,evvu 5,A i "t'a ✓ ff Signature: Dale: .Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 ,._.. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: {�U rr �SS J ASSESSOR PARCEL NUMBER 0 62 - I LO 010 Proposed Building Use: tk1jj M N (W) pf pry) r r nU � Zo IbVII I iiQl Permit Technician: Date: Ite s required in ordeapply for a permit. All boxes MUST be c' - ed OR marked NA in order to apply. \pf-TN 1. Site plans,Ur r 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans -AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. �" `Y `� Manufactured homes: (A) Installations manual, including marriage line info, (C) Floor Plan, (D) Tie down o fnd plans all in / duplicate. 1A► =N ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) ��oaE plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 4Ng3.Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the M1101 49 -items.) 1�,� 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15: Fire Sprinklers............................................................................................ ❑ 16. A. riculi�raljBuffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 18. Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the C,i�y of Biggs .............................. 22. California Department of Forestry Ian approval: paid. Sent by: K,6. i� ).'1A'5 �_0_6 23. Planning approval for (A) Use:4(B) Parking: (C) Parcel Check:............/Li 0 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑25. Fire Marshall Review (commercial projects only). Sent by: ...................... �i -� N 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... O 28. Contractor's license information. ,(Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... � 4Ii 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deg,,d.Restricton............................................................... 35. egal description, .H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone (J530 )SA9 - ?101 % o w npr and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, desig owne was advised of the above data by phone, ❑ mail, ❑ counter, by Date:. , J)!5; Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: f2 cz Date:�- Structural reviewed by: Date: structural approved, by: Date:• f Note transfer by: Date: - Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER �A.P. # 0(Q2:- Ilio -0') PROPROSED BUILDING USE �� tpti I�IN ori Pf f)m 1 �� "Lnd V 1l�n DATE to -3I r -j. RECEIPT N DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ 3211 1 4 o Y-6 7 11 '2J -0 i --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ _ � Td2F � 01- ()00-Vk(I-21'Q5 2. SCHOOL DISTRICT FEES QrC) 1 a —&m � 6vjmr (paid at School District Office) (form availabl&After Plan Check) 4 SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ sq.Htg. RECREATION DISTRICT FEES FeQ4)1�,Y' K1\fA.r - bt0M 4o 04JMr V-21-05 (paid at Recreation District Office) (form available after Plan Check) RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $I CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ �NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) �t'8- SMIP 9. DRAINAGE FEE 10. OTHER I Pf0 SS 11. OTHER &c'3.' 1410(a At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT�,z _ _ --!:z;r DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) f. R40 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM Tisa 101-000 (One form per Building) �. L School District oro (I )e Hiah Building Department No. b 52ACoq A.P. Number 062-740-090 Jurisdiction: City County Property Owner Property Location/Address Subdivision Lot No. Residential Development 0 Q Q Sq. Footage .21 1 L.. No of Living Mobile Home Addition/ "Supplemental to (Group. R) Units Installation Conversion Permit # •(No foundation inspection) .......................................................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 0 New Addition Di t 'ct Identification No. 060127 N/ILF' U a -A School District certifies that Address) city) (State) has complied with the requirements of Resolution No. /o-'� '. go representing square feet. IMF School District Representative Paid by Check # � ( (. Remarks: Sq. Footage (Including Exterior Roofed Areas) Date 6WAX�'� (Applicant) (Phone Number) 9591 (Zip Code) by payment of $ "t%70 VO B 2926 $ ULL MITIGATION f /6r Date Node*: You may protest the Imposition of the fees Identified above by submitting a wrttten protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written prootest will prohibit you from challenging the Imposition of the fees In any court action. H, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being revlawad under the California Environmental Quaft Act (CEQA), this project may be subject to additional school fans to fully mitigate Its Impact on the school distrlcri schools. White (school district), Yellow (building department), Pink (applicant) feeformids (3M5W= BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM XFEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) ow, --7,q o n90 Building Permit Number ��J?�j�� Property Owner (s) I l r r 1A�5 Project Location /Address 1101 nC k-er � V Subdivision Name Assessable Sq. Ftge 2_I y %. Type of Residential Development (check one) New Development Alteration/Addition(s) Mobile home Demo Permit (date issued Comments: B Single Family -Detached Non -Residential to Residential Mobile home replacement ❑ FRRPD 0 CARD ❑ PRPD ❑ DRPD certifies that: Applicant Name Mailing Address MWEM Date Phone Number City Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department aia[e c �N Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of. Dwelling Units @ $ Square Feet @ $ Remarks: per unit fora total of $ K7.9-00 per sq foot for a total of $ Paid by.Check No: Paid by Cash: Receipt No: O� Da Recreation and Park District Representative e OWNER -BUILDER 'VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for.,construction.of this proposed property improvement: YES [,X] 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but -I have hired the following person to coordinate, supervise, and provide the major work: NAME'. _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER;"elg��—� DATE: /o-- -Yi — 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. Rev'd 11/4/2004 Butte County Department of .development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a pernut. 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under 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 contractor is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. �QCIC WOOc Department of Public Works Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE Project Description: 2 g C9 eLL, �� Project Location and/or Parcel Number: C)-� 2-- _796— 02 O By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DIST 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 M - 916��� 374 0150 09/16/2005t. 09:07 91677'-14-0150 WESTLAND PAGE 01 V •- A. -IA QnhwIR Mrd[ DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �0�51NG © quo. DIVISION OF CODES AND STANDARDS NORTHERN AREA OFFICE G �� Z 8911 Folsom Blvd. 3 e SACRAMENTO, CA 95826 Oa (916) 255-2501 FAX (916) 255-2535 From T00 Phones: 1-800-735-2929 From Voice Phones: 1-800.735-2922 September 16, 2005 Tiedwon Engineering 5901 Wheaton Drive Atlanta, GA 30336 RE: Foundation Standard Plan Approval (SPA) SPA 99-1F Dear Sir's: The purpose of this notification is to issue you an expiration extension for the above noted foundation SPA. Effective immediately for SPA 99-1F the expiration date has been extended: Applicant: Tiedown Engineering 5901 NN'heaton Drive Atlanta, GA 30336 Design Engineer: SPA Number: New Expiration Date: Ray Tucker 3220 E. 59`h Street Dong Beach, CA 90805 SPA 99-1F November 1, 2005 If you have.any questions regarding this notification you may contact me at (916) 25-5-2501. Sinc > Dan Fitzgerald Northern California Field Operations Administrator II CC: File SPA 99-1F BUTTE COUNTY BUILDING DIVISION APPROVED Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 91212003 FOOTER SIZES INDEX PAGE RELEASE Approval UMWACMEDHOMENOBaLSMMS SECTION NUMBER DATEpouNDAT►ON SYsnM MATH AND SAPEW CODE. 81=014 ]SSS! 10 9/2/03 APPROVED INTRODUCTION 2 9/2/03 lOCo$LR=,ON3 GENERAL INSTALLATION 3 9/2/03 AYMVALDMNOTAUTno nOILAMOVSu, PARTS LIST 4&5 9/2/03 OMISSIONS ORDEV"AMON FROM REQMMEMs' APPUCAM STATE LAWS AND REOUTATICM LONGITUDINAL DEVICES 6 9/2/03 U'ofO'ubri'' snd Comer Dwd*" PIER HEIGHTS 7 9/2/03; �AT ISTMWAI! SET-UP INSTRUCTIONS 8 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/039TFOFCq�,WO\P SOIL CLASSIFICATION 17 FOOTER SIZES 4fS WIND ZONE I = SINGLE 9 9/2/03 - DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 D?ROFESS��N - DOUBLE 14 9/2/03 �y��ZE M. 0 - TRIPLE 15 9/2/03 No. 6025 V -DRIVE & PIER SYSTEMS 16 9/2/039TFOFCq�,WO\P SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST 03 r- 00 Lq ClqC N C o, C ;b E.M. USE ONLY Pitot Ran Anachcd Roar Ran Anechad Sen to S.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposa�later Supply: r Public Private Weil Clearance for dwelling. Other 3 Hold final for: Final clearance O.K. for: NOTE: Environmental Health S ecialist Date 8/96 Lk CDF FIRE SAFE REQUIREMENTS AP# O&,2- 7�f0 - Ol0 PERMIT # 05 Z�I t�8 NAME: u SS C Under authority of Public Resources Code Sec. 4290, the following checked items are required T by the Butte County Fire Department and made a part of this permit. These requirements are 11 J1 minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. T Driveway Standards Pq All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. (X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans T Il and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved or concreted. Grade will not R exceed 20 percent. Driveway Radius (X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. T K [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. [X] Turnarounds. Required if driveway is over 300 feet in length, will have a minimum turning radius of 40 feet from the center of the road and be located within 50 feet of the buildings. T T IlJ1 [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. T 1 [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. T K [X] 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. Gates 1.1 [X] 1. Gate entrances shall be at least two feet wider on each end than EI the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and . N shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides access '� - to a gate entrance, a 40 -foot turning radius shall be used. �y Addressing [Xf All' buildings shall have a permanently posted address, which shall be visible and legible from both directions of the road the address is located. The address shall be posted at the beginning of construction and maintained thereafter. Accessory buildings are not required to have a separate address posted. [X] Size of letters, numbers and symbols for addresses shall be a minimum of 3 inch letter height, 3/8 inch stroke, reflectorized, and contrast with the background color of the sign. [X] Where addresses cannot be seen from the roadway, the address shall also be posted a single post located at the intersection of the driveway and the road. Setback for Structure Defensible Space I [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X] 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. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements T T If Building Setback is 15 to 30 Feet: v ✓ Class A roof I ✓ Fully enclosed eaves [ ] If Building Setback is Less Than 15 Feet: ✓ Class A roof with fully enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback L ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback 1 V 1 ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer N o Metal 1 [' T Date Signature 1J CDF FIRE SAFE REQUIREMENTS AP# O(o,t- 7'f0 - OLo PERMIT # 05-' Zg68 NAME: Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are D minimums and may be superseded by Butte County local regulations, which.equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [Xl All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. T r (X] Surface. All driveway surfaces . and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall T provided unobstructed access to conventional drive vehicles, including sedans Il and fire apparatus weighing up to 40,000 pounds. [Xl Grade. Not to exceed 16 percent unless paved or concreted. Grade will not R exceed 20 percent. E. Driveway Radius (Xl No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. T K N The length of vertical curves in roadways exclusive of gutters, ditches and �s drainage structures designed to hold or divert water shall be not less than 100 L-1 feet radius. (Xl Turnarounds. Required if driveway is over 300 feet in length, will have a minimum turning radius of 40 feet from the center of the road and be located within 50 feet of the buildings. T T U (X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. (Xl Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. T [Xl Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in 1�{` 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 E apart. Gates [Xl 1. Gate entrances shall be at least two feet wider on each end than E the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and N shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides access to a gate entrance, a 40 -foot turning radius shall be used. Addressing [Xj All buildings shall have a permanently posted address, which shall be visible and legible from both directions of the road the address is located. The address shall be posted at the beginning of construction and maintained thereafter. Accessory buildings are not required to have a separate address posted. [X] Size of letters, numbers and symbols for addresses shall be a minimum of 3 inch letter height, 3/8 inch stroke, reflectorized, and contrast with the background color of the sign. [Xj Where addresses cannot be seen from the roadway, the address shall also be posted a single post located at the intersection of the driveway and the road. Setback for Structure Defensible Space T 1 N Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. 1. All parcels 1 acre and larger shall provide a minimum 30-foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for "Other the same practical effect. See Requirements below. [XI 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. Disposal shall be completed prior to completion of road constriction or final building permit inspection. Other Requirements T T U C 1 If Building Setback is 15 to 30 Feet: ✓ Class A roof I ✓ Fully enclosed eaves [ ] If Building Setback is Less Than 15 Feet: R ✓ Class A roof with fully enclosed eaves and choose any 2 of the following: F. ❑Metal or no doors on side toward property line with insufficient setback L ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall area toward property line with insufficient M setback ❑ Siding from the following list: T o Stucco — 3 coat HL o Hardi-Board or Plank o Masonry � T o Masonry Veneer N o Metal [� T Date . Signature I NOTES' RESIDENTIAL I �. PERMIT NO. 062-740-020 5_ 0. 2342 4 BURRUSS } 119 ROCKER FELLER RD, BERRY CREEK Cont:OWNE NSF OF ICE COPY Address I I � , GAS Meter By Date - ELECTRIC Meter By Date_ t 4 - SPECIAL CONDITIONS } CHECKED BY r SRA K, FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY - USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Po,1 C/X L? L L_ I F , s y JOB FINALED (Date) x i 4 Signature _ r J=OK a = Not OK . = Not Ready -MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-FaU-C/O-Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ . /Amp -Concrete 6. Gas; Location=Test-Wrap;4 =P L'ft' / � Nat or / P L `fit P LPG 7.`.WeU Clearance & Disconnect 8. Utility Clearance' :. 9. Siding; Nailing-Veneer-Stucc; •Mesh ` 10. Roof; 41thg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 .-Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1.' Zoning Requirements -Setbacks -Easements ' Date 2. Footings; Size -Spacing -Marriage Une Date 3. Gas; MH Test -Demand -Valve -Connector . 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flet Connector 6. Water, MH Test-Regulator-Connectot 7. Water and Sewer: Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged • 9. Tie Downs -Type -Installation Cert 10. Exits Insp.-Sketch 11. Cert of Occupancy " .77 10.- Plumb.; Cir. Test -Water Supply Test = Date Cana B-1 Date Card B-1 Date -Gari B-1. - ; _...Date .- Card B-1 Date PER ENT END SYSTEM (ONLY) V9F�tings; Siie=Spac'utg=Marriage line r�Bjpckfrig R , Gds MH Test<Demand-Vatve 1 c' ; MH Test . <.., er; MH Test er and Sewer:Connected : . Or and.Electricity .Tagged i10. License Decals _ 11.. Verify #'s'with C#fice - - Date B 1 Date Card B-1 Date Car B-1 _ Date Card 6-1 MISCELLANEOUS - Date DECKS.- COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Beams_ Rftrs-Connectors Shthg-Fig-Bracing 5., Alum. Awn.; Columns-Connections-Splice-Decal-Enciosures 6 Carports; Windows -Doors . 7. Electric 8. Fnng.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucc; •Mesh ` 10. Roof; 41thg-Roofing 11. ExL• Steps -Doors -Landings ' 12. Braced Wall Panels Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s .•. '- 1. Setbacks -Easements 2. Sails; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - _Dead Men-Uning ` 4. Elec.; Receptactes and Lighting, Distance-GFI 5. Sec.; Pool Lighting. 15 Volts -GF] 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8:=Elec.;'Grounding"; E4uip.°w/5' Cirdutating Equip: Pool Lghtg. Boxes'-Enclosures-Panelboards-ins. to Main Conduit 9:. Heafth.D.epartment Approval ` , 10.- Plumb.; Cir. Test -Water Supply Test = 11. _Light Niche...-_ 12. ,Enclosure; Fencing -Alarms. -Card Date B-1 Date Card B-1 Date, _ _, Card B-1 Date - _ _ Cana B-1 OK . WOK �� RESIDENTIAL (Single & Duplex) date UNDERFLOOR (Plans) OK except #'s 1. Zonirg-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils -Dec. Gmd. / i Ftg. Depth 3. Ftg., Garage; Sols-Steel-Elec. Gmd -/ i Ftg. Depth 4. Ftg., Porches & Decks; SoiLs-Steel-/ P Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steet-Blackouts-Wrapped 6a Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Materia! -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Cana B-1 Date I Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nal Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Facture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Win; Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes. Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Duds Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except k's 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Ramex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fre Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fre Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding-Nairing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underftr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; NarTing-Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except Ifs 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.FI. & Bath Fixtures & Tub Access -Spa 69. Dec. Trim & Subpanel, Breaker Sizes & labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext 73. lit. Fud. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Dec. Outlets & Receptacles at Kit. Counter 75. Garage Fre Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Ftoor-Meth. Protection 78. Plb.; Dec. & Mech. Equip. Listed for Location 79. Dec. Receptacles in Garage (F.El.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor - O Yes 83. Following IruUd/Drive D Yes O Na alts D Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appriance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Dec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 5 tiPERM1T N0. 323-762 P —6> G . -7 PERMIT EXPIRES f!;OWNER Nina M. Rouse )CONTR. owner ,LOCATION (A.P. 62-23-87 ) ; N/S Rockerfeller Rd.,app. 1600'S.of Bald Rock� � PP Q Rd., Bald Rock Area r Y 1 3 Temp. Power Pole Calle PG&E Temp. lec. Serv. lied PG&E Te p. Gas Serv. Called PG&Ep JOB 14 1 FINALED /-4-7� (Date) (Signal re) COUNTY OF BUTTE — DEPARTMENT OF: PUBLIC WORKS Stucco t BUILDING INSPECTION RECORD Subpanels BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor ' Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing - Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab . Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Pi In &Test — Z Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr_ Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS f (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE I OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome haE been installed in accordance with the regrements of the California Administrative Code, Title 25, Chapter 5 Un p permit - number -Z—" f -or the following lo7ca7ton: All.�7 )'<Ile -e e-.4— Owner (y I t7 I!A- M � h< Owner's Address 4� 3 �_ l?,"I"14en Mobilelvome Mfg(91-1141,'w 62e 5 �L —Model C4111,156 —Year -2-4 Insignia No/25/96/1 - -ilILI-10 Serial No. r-1 It is hereby certifi-�d for occupancy at the above described location and may be occupied. Director of Public Works Date By Q Z_4ez__.10 THIS CERTIFICATE IS VOID WHEN MOEkSEHOWE /S RELOCATED tiOBI!,P:1iU.113 ills 'CALLATB)H IMSPFCTION C11_ECK L, IST 1. Is the. mobilehome locate,d wi.iai rsquired separation from lot lines and buildings, and general].; conform to plot flan? Ycs o '.Does the m�bil.ehome have required clearances above groupd? (Sec.5085) Yes_ No 3. Are footin,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes A—Iso 4. Is the mobilehome level.? (Sec. 5088) Yes �No+ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Ye s_Llko `a. Water A. Is flexible connector of adequate size -and properly installed (1/2" ID min.)? (Sec. 5566) Y'es No B.- Test - Does water piping withstand working pressure or 50 lbs. air test? Yes---�No C. Backfl.ow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made witli Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum z," per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No lte D. If coach is not State of California approved, does station have required trap and vent?• Yes No 12 M A 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note:,, All piping is to be at least as large as the mobilehome gas line inlet without reductiong�'Iother than the mobilehome connector. Yes B. Test OK as per following procedure? Yes Jo_ - 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves., ' ,_ 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments., Test for 10'min. without drop. 4. Connect gas meter to mobilehome with connector, turn, on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes "No 9. Electrical A Is service large enough to provide ,adequate amperage to mobilehome. (must equal rating of nrobi.lehome with a .-Iinu-uim of 10¢amp) and other faciliti_c_s on lot, i.e., water pumps, Oarag,e, cabaria, etc.? Yes_ No_ B Is therr� proper clearances around panels? Yes 4 --No C. Is power supply cord or feeder assembly properly fused? Yes_ No— D. Is continuity test satisfactory as per the following procedure? Yes No_ 1. De -energize electrical wiring, syste:ii of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one Ir --ad of a test instrument to the mobilehome grounding conductor and aiy tuapp�y tiie o�".er .---1 C ) Lictor, ilicliiuing neu Lrat. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding,.gas line, w.iter line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon complrticn of the above procedure, the power supply cord or feeder assembly conductors t shall be connected to the site service equipment. A further continuity te;L shall then be made between LI -he grounding electrode and the chassis of the eiobilehome. Upon saLi_sfactory completion of the d.ectrical tests, the lot or site service equipment may be approved for energizing. ,C?, s job card si-ned by Health Department for water and sanitation? il. If everything okay, sign off card and ta; services. MO B TL E i TU!' E DATA Manufacturer and/car Namestyle� Length_ ICL WidtOL vehicle Serial No. �i38 State Identif.icat i_on NO O LO Ade.itional Infnz-nat..aon or Cormnents: ' PERMIT NO. 5056-76B 5'3Z3 -7L PERMIT EXPIRES OWNER Nina Rouse I CONTR. owner LOCATION (A.P. 62-23-87 ) N/S Rockerfetler Rd., app. 1600'S.of Bald.Rock Rd., Berry Creek f i r, F Temp. Power Pole Called PG&E Temp. Elec. Serv: Called PG&E emp. Gas Serv. Called PG&E JOB FINALED //-'�i� ' 7 (Darrel > t (Signa re) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLU BING Setback 5 —'7 Firewall MECH NICAL Soil Piping Forms Heating Service Parapets Cooling 1st Floor Main Bldg. Ducts Y Restroom Finish Ventilation 2nd Floor Footings Final Final ' Windows i - 3rd Floor Stemwal I (� �� Siding To out Slab Roof Sheathing -- I — Water Piping Piers Roofing Sewer Garage ' Fdn. Vents zFixtures Footings --7 Garage Vents Water Htr. Stemwall 0- J 7 L Insulation Heaters Slab Carport p Footings , Prov, for ph sicall handicapped Conformance of a structure Appliances Gas Piping 8 Test ' Temn Gas Slab Final Sanitation Patio FIR PLACE Final Footings Footing ELECTRICAL Masonry Walls Throat I Rough Reinf. Steel Final Fixtures Bond BeamFIRE SPR KLERS Motors Framing /6"'/-!5_ ^ -7 Test Water Htr_ Stucco Final Subpanels Mesh MECH NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final ' DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) V a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541 SV—�� APPLICATION AND PERMIT A •�•r•--� •••-•••�+ ,, ,,. vvy v� uu uc ,u .n V, uN,ni UIC above-mentioned property for inspection purposes. 6;, X Date 3 —Z ignature of Permitee or Agent Receipt No. _�r'2297 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECT- R OF PUBLIC WORKS BY b Date // C mag permit expires Date BUILDING Owner l/lfl, If. 19C (U5G SQ. FT. OCC. BUILDING VALUATION Mailing Address 7 �y_?z 2A,0A1(7P_,4✓de-'! Telephone No.2/,3• _7 64 Fireplace Contractor Total Valuation Mai I i ng Address �/ Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address /� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /� ��� �T So • p� %j,QL� Each Trap 1.50 ��G� ��• Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Z + 2' 3—-7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 ZZ W Sanitetnar Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W P Im rovements P Lawn sprinkler system 2.00 BI g. Plans Recd Porcel royal Plan pprovol Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 n A I DA_. fa12— pryl^ 3266-7,) Main service 6o0v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. I DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22sgft NEWCONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le Of: Ex. Occup(OUTLETS OR FIXTURES) BAL 2-1 Oq FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. I certify that in the performance of the work for which this ya permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 14111iEi LLA 170/y o OD TOTAL PERMIT FEE $ 'D vC •�•r•--� •••-•••�+ ,, ,,. vvy v� uu uc ,u .n V, uN,ni UIC above-mentioned property for inspection purposes. 6;, X Date 3 —Z ignature of Permitee or Agent Receipt No. _�r'2297 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECT- R OF PUBLIC WORKS BY b Date // C mag permit expires Date MOBILEHOME SUPPORT DATA Mobil ehome.Mfr.� //� Gam(/ �` Setup Model �� Year ��7 Width / (ft•) Length / (ft.) Expando Size ft.x ft. (Draw support details below) 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). Center Center Support Support Footing Sizes Locations (in ) -r /A�) (in. �i in. ) (ins-) 4 S 99 le Footings (check one) 1. Wood either pressure treated or fdn. grade. f� 2. Concrete pad. 3. Other,, s c,,1• f Supports (check one)) 1. Concrete block 2. Concrete piers 3. Steel piers i / 4. Other, 5wi y �iV "rjl • V ical Support tr• noting Size i i i /'4.x. Pier Spacing f V11 i Z f- �( f t- j ( iri;.) Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUB'UIC WORKS 7 County Center Drive, OroyilVe;.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans-) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- d Amps 6. What is the mobilehome site service rating? --------------------- ��� Amps 7. What is the mobilehome site circuit breaker rating? ------------- . �� Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No / / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG / v/ 11. What is the gas pipe length from meter or tank to the mobilehome? �_ (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.) V c.I . • R, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 • Tel @phone: 534-4541 APPLICATION AND PERMIT •+uu onze representatt ves UI me Uourity OI Butte to enter upon the above-mentioneddpproperty for inspection purposes. i / X �G�-�t"u Date VSignature of Permitee or Agent Receipt No. 13Z2-8-%' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. A /)WECTOR-OF PUBLIC WORKS J it�Agn -i 5 / e .. BUILDING //J�—� Owner �v �A /vJvs.G SQ. FT. OCC. BUILDING VALUATION Mailing Address XlVgZ �/ // ya G�7 /� 0-0/ 71:?�/ZS'� Tel ephone No.y�3 %S6 Fireplace Contractor Total Valuation yl/ Mailing Address io Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address All PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 g,00 C Each Trap 1.50 Gk Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �i A. P. No. �Zr 2 3—' aGas Zoning & Planning piping system 1 - 5 outlets T 1.&0 ff•0 Each additional outlet .30 F� a4 1* Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Plans Declaration I Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ a l7C NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 /1 /?�y� /� �%/� oh1 �!/5%�/V 7' O Main service 600V R LESS100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADDNS. ( ACCLBLDGS.CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS)2.50ea NEWCONSTR. /POWER APPARATUS & NON -RESID. %SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 50 Ex. Occup(OUTLETS OR FIXTURES) �@1 BAL@1 Ex. Occu FIXED APPLNS. OR p.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE 2 $ 3 •+uu onze representatt ves UI me Uourity OI Butte to enter upon the above-mentioneddpproperty for inspection purposes. i / X �G�-�t"u Date VSignature of Permitee or Agent Receipt No. 13Z2-8-%' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. A /)WECTOR-OF PUBLIC WORKS J it�Agn -i 5 / e .. COUNTY OF BUTTE — dEPAIPTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 �� TeIOt Mone 534-4541 APPLICATION AND PERMIT u 0Iicc icFn cacti �aU ves UI me l..Uunly of butte to enter upon the above -me 'oned property f •nsp tion purposes. / ` X s b r/ Date Signature of Permitee or Agent Receipt No. /-4'2 0 / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF R)U'SLIC WORKS BY Date_5�-/ - 7 B ding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 76 T # Z 3 a 41, Mailing Address w� /— 15.6-.4' ?0 713 Telephone No. Z Fireplace Contractor j�� Total Valuation Z, 30 Mailing Address Permit Fee tr , -08 Checking Fee&/or Penalty Telephone No.Plan Telephone No. Permit Fee $ 2—OC Building Address & CPLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 A40®'� pF Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 p A. P. No. 62 ®z 3 " O � Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe Vim. CSanot nFireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 '*'Bldg.Plans Recd Parce proval Plan proval Permit Fee NEW g ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE 1 $3.00 Main service 1000 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others'§§ OVER Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 � '� /' d 7-,,:E— PA / &1" % L G,41Z,46 k NEW OR ADDNST ( ACCLBLOGS.LING CCUP. &) 20.sgft NEW CONSTR. (MULTI -OUTLET NON•RESID. \ BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@�` BAL@1 FIXED ALNS. Ex. Occup. (OUT LETSP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE1$2-11 u 0Iicc icFn cacti �aU ves UI me l..Uunly of butte to enter upon the above -me 'oned property f •nsp tion purposes. / ` X s b r/ Date Signature of Permitee or Agent Receipt No. /-4'2 0 / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF R)U'SLIC WORKS BY Date_5�-/ - 7 B ding permit expires Date qS i • �.I O`er �f/%�.i�.l/® y PERMIT NO. 3617-82B,P"8,M PERMIT EXPIRES OWNER BOB DEMON CONTR. Clanton Construction, Palermo ASSESSOR PARCEL 62-23-87 LOCATION N/S Rockerfeller Rd, app 16.00'S Bald a — Rock Rd, Berry Creek Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E V JOB FINALED (Date) aiSignature JOK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready a MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. 'Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.=Rig.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatiort—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances _ 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval - 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10: Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI _ Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -Bl Date /c ld J=OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL Single and Duplex) Date UNDER OR (Plans) OKexcept #'s Date FRAMING (Continued) onin crUiiements-Setbacks-Easements 48. amine Firewall & Openings 4.�., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth . Doors -One 3' -Check Garage -3rd story, 2 exits z Ftg teel- / /" Ftg. Depth S firs; Width -Headroom -Rise -Run -Landing -Fire Protection 4., Fig., 7e2feheo ks; Soils -Steel- / /" Ftg. Depth ywood o Roof Overhang -Attic Vents -Rafter Outriggers - mwalls, Main; Steel-Blockouts-Wrapped-Slab ing-Nailing-Veneer 6 ge; Steel-Blockouts-Wrapped-Slab 53 _&WQQa saesh-Drip Screed-Fdn. Vents-Underflr. Access 7�57s- razing Area -Glass Protection -Skylights -Plastic Fall -Fittings -Test -2 way C/O -Sewer Test 55. ing-Bolts 79. Gas Pipe; Size -Anchors Water Pipe; Test -Anchors -Regulator -Service Test k11. Electric; Underground >'12. P!Anums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples rd @I ate Card BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Ca -61 ate /S rd -BI Date Date FINAL ns) OK except k's C 5; Date _ rd -BI Date Date PLUMBING (Permit) OK except q'sQZ�n+Gtre _ %. Water Ht.: VPnt_Access-Combust ion Air xt. Steps -Door & Sidelight Protection -Landings Detector 5N_ Macavra�!aarance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection j§ .Weter Pipe; TAnc -Nail rotection .W.V.; Tes-fTffigs,4- ehors-Nail Protection room Exiting ^-" TesLiFirst Floor- ures & Tub Access 18. Floor -Tub Access ec. Trim & Subpanel; Breaker Sizes -Labels _ Ca�� & Anchors 62• 91ahs S'RdtiS� _ __19._ 63. FiFaqlas PerlhrVI7771earances-Hearth 6&-Fk. Tets at Wood Panel; Int. & Ext. �P Card -B Date/f1s9 rd -BI Date 65. u 9' r p Apt=^�tirnd.-Air Gap -Cooking Clearance Card -BI Date Card -81 Date 66. MIS 3, muceplUcles at Kit. Counter Date ELEC AL Permit OK except q's 67. tvrrngft Landing -Closer 68. -Damper 2 Fixtu &Transformer Clearance -Ins. Protection 69. Wtr. Htr.: Vr etc_rloar----_Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection _ e�.Receptacles Spacing -Lights &Switches al Doors 70. P .Listed for Location jAeBoxes & No. of Conductors -Stapled 71. E a in arage; (G.F.I.)-Romex Protec. Installed Close to Edge of Studs & C.J. -t3e"01719paox . - Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water 7P, i^&„i^ ;^ G^am-Looked in Attic E] Yes 73. Q ec Construction -Post Caps 25. in Kitchen & Conductor Size - _26. / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, _n u a ed..NeutralYes 'iP No _ 28.Spry 6 rVMtors & Ground -Main Disconnect 75. Followi e E] Yes []No: Walks ❑ Yes [I No; eters ❑ Yes No 76 _ -_ quip. Clearances: Panels -Motors -Meth. Equip. 77, isconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _- 30. se fight -Shower Light - of; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------------------ -%-Card-BI -- Date Card B -I Date Card -BI Date 79. connect, Electrical, Plumbing terior Elec. Trim; G.F.I. Receptacle-Underground 81, out House 82. �9ltrss�roteetfIIR Date MECHANICAL (Permit) OK except q's _ orrections from Previous Inspections 84. gged: Gas -Electric 31. A.C. Ducts: Insulation & Support - 85. ewer Connected -C/O to Grade -HD Approval 32. Vent Fan_Exhaust above Insulation -_ 86. Certificate -Other Certificates _ _33. _Condensate Drain Overilow; Size & Grade 34. ace-Vsat!_Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic ate -� and -BI Date _� �-_ Card -BI Date Card -BI Date C&-5-1 /Date ,�- Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Comments at Final: Date FRAMI Plans) OK except q's _ _i_ils; P oper Material & Anchors_ 3 _ IIs• tu_ds-Nailing, Spacing & Bracing -Plates -Sound an alls_over Girders & Floor Nailing _ - 3 raft Stop in Walls (rat proof) 40. eilin s -Stairs -Chases -Tub 44-Tre-a-der & Beam -Size & Bearing ngers- ost Caps -Anchors -Connectors - 4 ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 44.-rTMSTaC'PTtesnr Type A Flue -Fireplace Throat c Access: Size & Romex Protection -Draft Stop -Ins. Baffles X -Windows or Exiting Doors'SsNO &_-B•ir "aieWs__ _ 47. - ction Framing - - (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS elei 7 County Center Drive - Oroville, Cfo'rnle 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSE SOR PARCEL NUMBP� ' �oZ,�o1 ZO114ING BUILDING PERMIT OWNER, TELEPHONE SQ. FT. OCC. BUILDING VALUATION O "}�"' v OWNE"R},,�JS MAILING ADDRESS r l 3S CONTCC NAME ``J' LEPHONE 3 r CONTRACTOR'S AILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN _ Total Valuation Is Cl - Filing Fee . $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1X91100 Penalty $ ARCHITECT OR ENGINEER'S MAILING AD ESS Permit fee $ S� BUILDIG A ESS ke to' 9' O I VE A 02 PLUMBING PERMIT ' Filing Fee 10.00 S Each Trap 2.00 Solar Water Heater 20.00 �- Water piping 5.00 LOT NO. SUBDIVISION NAME - ARCEL MAP Each qas water heater or vent 5.00 S, Q 0 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[ErlOther SPECIFY Building sewer 5.00 ^ Mobile Home S I G W 10.00e TYPE OF WORK New ❑ Addition ^Rem del ❑ Utilities ❑ Installation[] Other ❑ Describe work: (� — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 ' Main service EA. ADD'L 100 AMP 2:50 NEW CONS. WELINGOR ADDNST ( ACCLBLDGSO. tr� 2'/20sgftQe' V O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): _ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code _and my license is in full orce 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 CONSTR MULTI -OUT LET NON.RESID. BRANCH CIRC ITS 2,50 ea NEW CONSTR. ( POWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIS. / Ex. Occup(OUTLETS OR FIXTURES e° Le 500 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Q1 Contractor MECHANICAL PERMIT FiIingFee 10.00 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. No it ce 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. Heating f'F Cooling Hood 3.00 Ventilation 91 Do TT_ Permit Fee $ ,Ex 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 Iiabilit' s, judgments, costs, and expenses which may in any way accrue against s d County i onse en of th granting of this permit. /a /O Date f Sig tore of Applicant — Ownera Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GRouP 3 I TYPE of co ST. -7- PARCEL t/ PD HD SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR R OF PUBLIC Bye '� PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date l�,<J</—$ Receipt No. �5 16 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT .. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone 916/534-4541 ti APPLICATION`, A` NDIPERMIT PERMIT N0. A SSE SSO P R C E.L ER r ZOtJ GZ' BUILDING PERMIT OWNER ,�\ TELEPHONE SQ. FT. OCC.' BUILDING VALUATION - OWNER'S MAILING ADDRESS CO ACT S TELEPHONE Z CONTRACTOR'S MAILING ADD S � l Fireplace CONSTRUCTION LENDER UNKNOWN G/ Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ �'pa ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDR SS Permit fee $ BUILDI ADD SPLUMBING PERMIT Filing Fee 10.00 /Each 00 S Trap 2.00 Solar Water Heater 20.00 i �-�� Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex [_1 Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New [_1 Addition ❑ Re odel Utilities Installation❑ Other Describe work: a Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,& OR ADDNS. ( ACC. BLDGS. 27/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the .Business and Professions Code and my license is in full orce and effect. License No.!1191 E-6 Classification ❑ 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 CONSTR ULTI-OUTLET 2.50 ea NON.RESID. BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 0A ®g oc FIXED APPLNS, OR EX. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating . Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabili 'es, judgments, costs, and expenses which may in any way accrue—� against flid County in consequQgte of the granting of this permit. Date 1'3"- i7i;3 Sig attire of Applicant — Owner ❑ Contractors Agent ❑ n OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ M OCCUP. GROUP TYP oP P3NST. PARg1:L V PD, V/ HD Iss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC -- BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — Receipt No. 1 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. P E M 3266-75P.E-' r 1MH UTIL. ;PERMIT NO. 1 �j / PERMIT EXPIRES D — � / �O 'OWNER Nina Rouse :CONTR. 'LOCATION (A.P. 62-23-87 ) ? n/ s Rockerf eller Rd., 1600' S. of Bald Rock Rd. x it, a k 1; Temp. Power Pole__ 7r( Called PG&E? Temp. Elec. Serv. Called PG&E 'Temp. Gas Serv. Called PG&E w JOB FINALED 76 (Date) (Signal re) COUNTY 4OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback _ % Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidino To out Slab Roof Sheathing Water Piping - Piers Roofing Sewer 4 -47 - Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas evi Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Id — 7� Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS • Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground " Interior Lath Ventilation Permanent Door Closer Final Final DATE 4-3 REMARKS OR CORRECTIONS Ae Ae loe49 4e( COUNTY OF BUTTE - [,�PAVTMENT OF PUBLIC Wlk�l 7 County Center Drive - Oroville, California 95965 Tel epho'ne: 534-4541 APPLICATION AND -PERMIT t,1511 Ile -mss auulonze representauveS UI the County of Butte to enter upon the above-mentioned property for inspection purposes. X hz&4L Ld Date Signature of Permittee or Agent Receipt No. z/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY-�'� � Date permit expires Date BUILDING X Owner SQ. FT. OCC. BUILDING VALt1ATION Mai I Ing Address e ST �� Telephone No. �6 Fireplace Contractor Total Valuation Mailing Address 1 Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee I Building Address �V PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Od Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping i' 1.50-D v Each gas water heater or vent 1.50 A. P. No. — R 7�L�, 7 Zoni P s Gas piping system 1 - 5 outlets / 1.50 v Each additional outlet 30 F W Sa o Fire Dept. Fire Zone Use Permit EQA Parking r Parcel parcel Ma 60' R/W Im Plans Declaration P provements Building sewer Lawn sprinkler system 2.00 Bld Pl4 ec'd aI arcel Approval PI Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES E]OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE—$3.00 0 Main service incl. 1 meter / Additional meters, each 1.00 — Single Family ❑ Duplex ❑ Mobil Home,® Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures6012 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump zldoe Q Mobil Home Facili ies 5.00 45-00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1( ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee Z- $ 2-2L Qc WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No.1 @ I FEE $ S PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee TOT AL PERMIT FEE auulonze representauveS UI the County of Butte to enter upon the above-mentioned property for inspection purposes. X hz&4L Ld Date Signature of Permittee or Agent Receipt No. z/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY-�'� � Date permit expires Date VIM' 79 - j, 101, d CO -f Z-I� c+«kJ t 7v,n�7z:57r.,. a, 4,z�&e , S�Ys� 71,3 i October 23, 1975 Ms. Nina M. Rouse RE: Mobilehome Utilities 4432 Radnor Avenue Permit #3266-75 Lakewood, CA. 90713 r _ Dear Ms. Rouse: With reference to the above subject and your note dated•October 21, 1975, this permit had not been issued because we viere waiting fora sanitation clearance from the Health Department; however, today we received this clearance and are attaching, herewith, your permit along with an approved plot plan. You will note this permit expires October 23, 1976, which should answer your question about the expiration date. Should you have any further questions, please feel free to contact us. :Yours very truly, Clay Castleberry Director f.Public Works J.F. G ander JFG:dd Assistant Director Attachment FILE NO. BUTTE COUNTY Public Works Dept. (For Action 1, 2, 3) (For Information) Director Dep. Dir. Sec. Rd. 8 Br. Mtce. Shop Equip. &Yards Ref. Disp. Bldgs. 8 Grds. Bldg. Insp. Admin. ' D & C/TrafFic Const. Rd. Des. Br. Des. Sur. &Loc. Mapping Drng./Permits Sub. Checking Right of Way BUTTE COUNTY Public Works Dept. (For Action 1, 2, 3) (For Information) Director Dep. Dir. Sec. Rd. 8 Br. Mtce. Shop Equip. &Yards Ref. Disp. Bldgs. 8 Grds. Bldg. Insp. Admin. ' D & C/TrafFic Const. Rd. Des. Br. Des. Sur. &Loc. Mapping Drng./Permits Sub. Checking Right of Way 1 MS. NINA M. ROUSE tib; 4432 RADNOR AVENU-wr`^ i LAKEWOOD, CAL - 90713 f' 90713 s L FILE NO. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information,/) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop Equip. & Yards Ref. Disp. I Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mapping Drng./Permits Sub. Checking Right of Way s >Z • 516 �� l�'����8i d do0 l �� BUTTE COUNTY BUILDING DEPARTMENT j ' r rhis `set of plans and specificatims MST be kept an the lob at all tirw_es and Pt is���LA to ---'-�-`- �•- -j--� I }. ( � T[-• 1- I' 4� �J,� Y ��._ s -tor alferat}ons 1�� samb X41 u�--1-1 -_1-T J r1'� e}n i rt7+!�st5lrt Ifgoml tt e; ve t i) _ -}P ! i-} r ,__ r_. _ _ . _.I } } i -r I �f_ ;4 -- T r- r. I- I i-�- } 6i, {....1 � i-� + 1 I• -J I 1 -r ! � ' I �- - � �--! � � �-I-j-_}-T i � ' -� � . J- r ?"-�: .p --� � � � �`.� -r I-- • � i7 -FIA _i_.l! �- I -' {- ,_I I- l C� � 1�'Iu-anC� i, {-} i t i • �? {-i 1 +- t ;-Jt _t_i_ t r+( i -r `"�'ttrpil -a - , r -'-- - - _ ' Re ;af fM - Boa Fri ' r , 1 i -J '-'�.:j- { j i �� .rhe ' J -I ! 1.4 per+Xve -1 -A-T.–.1- �j-' = _=r,-�:-t-_' _i='--t�-f- , ',- -`-i �- � _ -i -a;r'� ©f �- ;� �. eaves . 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I �- .� } t_7_ i ! � t �.� ' 1 �-�--'-•�-�-- _ I � +._ 1-. � _ -I-- -•F- _ i�f i-_� -1--+-�-t ---+++ -i-- _ t- I_f_-+- r I - � �- + -7 _r _, - - i '- { ' 1. y i a ! _ -' -' � - - I -+- � �t III - _ -L? } l' 1 ! .i���j •,� I L l i t III I� . _ ii I� I i -1- -1 I `� i t i ri 1 t ( ( 1, Ii- I j- t I i T I 1 { i 1_ ' i_1r� I d•� ' ' ~ � i t i j--1 I , rI I( I1 • (� •-1-��J • a I _ _E T• - J I (-�{ I �-_..1 1 1 -t -r' -1 !..}.I �.� i-1 +1 i _ r t_i., -r {.-J i , ; -I ; -j-� { •, ; j- 1!-� --, r ,-,-+ _TT � t 4 --iJ- A_ i+fi11� -i- � _ r�-' � �--. _ �I s - r j I ' I I' 't -j t I }--I- i i- i} 1-i i• T-.- I� it r i _L_: 4, i { _l T _t1 VJ II T I_ 1 I f _-f- I { 1'•1. I �._ i I i •�- ! r I I _ IT I I 'i--i-"�_-- -t-I -f -•--i !-, r I`t r ';- 'f '_ 1 i I i' r� t t-It.-� ! �4 ,I S• _j a I 1 _` ;_ ' I ' ' ! J --i ` I !-� ' � _�-� I_ �._I r-i-{-� - _ , _� , � �-1 t-}-: ' f 47 1141 J 17r _ l 401 (:r 1.6 Hbri.110 2Lii..LLi_f a0 Z- z3-9-7 IV .t VIIILLDlAN Branch: Sacramento ServingPubllcMends Plan Check Data Sheet 2399Gateway Oaks Drive, Suite 210 Sacramento, CA 95833 Phone: 916-924-7000 Print Date: 9/13/2005 CLIENT: BUTTE COUNTY ADDRESS: 119 Rockerfeller Road, PLAN CHECK# : 14353-1881-M DUE DATE: 09/26/2005 Berry Creek PC TYPE SFr Attached DESCRIPTION: Burruss-2nd Dwelling WILLDAN FEE: $799.32 VALUATION: $0.00 Applicant Engineer Designer Burruss, Matthew Matthew Burruss 530-589-2617 530-589-1431 fax 123 Rockerfeller Road Berry Creek, CA 95918 CI ient#: 05-2342 CUBBY # RE/RG ,Project#: 14353 Percent Of Fee = 701x, REVISION q 1 14353-1881- SFD Attached Incom.lete IN 09/08/2005 M DUE 09/26/2005 OUT TIME TRACKING Please enter the time you work on this project belcw Phase#: 1001 P 2 2 M5 OFFICI NAME PCI PC2 PC3 P 4 Q,OWIN'1� q 2i PC# : 14353-1881-M DUE DATE: 09/26/2005 FUNCTION: Como Plan Chk(B,S,H/C,En,P, STATUS: Incomplete I WILLDAN Serving Pudic Agendas ADDRESS: 119 Rockerfeller Road, Berry Creek PC TYPE: SFD Attached Plan Check Data Sheet CLIENT: BUTTE COUNTY PLAN CHECK #: 14353-1881-M DESCRIPTION: Burruss-2nd Dwelling Branch: Sacramento 2399 Gateway Oaks Drive, Suite 210 Sacramento, CA 95833 Phone: 916-924-7000 Print Date: 9/13/2005 DUE DATE: 09/26/2005 WILLDAN FEE: $799.32 VALUATION: $0.00 Plan Checker(s) I 9/13/2005 Normal Time Budget Project Hours 8.25 Structural Non -Structural 60% 40% First Check 3.00 2.25 Second Check 1.50 1.00 Third Check 0.25 0.25 9/13/2005 Norma. PCI SUBM1"fTAI 2 plans 2 struct talcs 2 site plans 2 truss talcs 2 energy 1 of each above sent to sac PC# : 14353-1881—M FUNCTION: Comp Plan Chk(B,S,H/C,En,P, DUE DATE: 09/26/2005 STATUS: Incomplete 2 SITE PLAN REVIEW APPLICATION Date: /D l3 o r AP# O6 Z ' % YB4 2y Permit Number (if applicable) O,F 2 3 yZ Bin Number /¢ G APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Site Address: Proposed Use: Parcel Size: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory Permanent Second Dwelling Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building. ❑ Other: Brief Explanation/Issue: ?-,,jO QL4�<G ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form Zone: a DEVELOPMENT SERVICES INFORMATION (For Staff Use) is Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Date l o /3 - cVl- 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: x • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area ` Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: CA Applicable Building Setbacks: General Plan: Af— ❑ Setbacks identified on site Plan. U CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front ZD• Side 70 Side Street Rear 3 v Height Waterway N/A N/A .. N/A . ❑ Setbacks identified on site Plan. U CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: & Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required, ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: �FLi7 �r ��D — /�.e�G ✓,��sv� C'G ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision ME/Parcel Map: Map Date of Recording: Lot: Book: 3 Page: t( � � V �o � � > , ' t' 3.1+3' wt, -e.. � c•.,rc« T_n �v . •----- yv CL 71 Nofsfnf®oNICIlins A1.Nn®o 311ns a 4 LTi SFO. a �ir10 Mt GVL Fr , ysSoF ,� o s f y 1 �v l PLNSJiLDNG.AAPrRQVAL f�OiSiQ� PLANNING Dld . Date: use: ✓ • �T \ '� a.,o 1 Landscaping: Parking: Other ' Signature: - '-• >c:`�(�.,� �`•,�% �f ' \ Q% '� - - ' Ste' 1 i 1� x '. .`� ��y�` Zoo ;ti > Q s, i Ps , 9�eS S:o r'.s Pa.c_e �_��Iu..be� O �a 7. a o 5 acre �I_. u!�►� .. .6. hPAj�s� Cb 301 ,4'oaU � a BU E COUNTY G rsA A. J R3 ockee le�c_l !�) ' ���rp b BlJf DING DfVISIO +' r APPROVED s, 7 r oca-t-i o n I (Da IQ bca � Q c� c k - r- Ai ,Rt Un (� 1 �?�� /n � ►m i� s�_1�� .� > �- ,, Zo n ► na { . CZes . _J 1s e, rc�LQ L s _ _ _ �.._.w_ - __ 1, ,` �- ` �� s (530 CS 30) �or�fic.�c�' cA mPv �ila�he���� � Q h�.�.�� C�3.3 _.�.C- 03���� 9:�4�1..? t�� rle_' • � � 2� � - � _..�5 . ' r ` • � _` ` , .•.„�. , � `""tea � 4„ i J '►- ,a � 1 B F f cA .. j t. n cv 9 ! O i `1 A- A rA - ob iso i ob T / a •� o .. � tea. - � � , f � � I I VI IU ,OC rj ' v� s C o� �n � U4 REVIEWED BY LIFE SAFETY OFFICER BUTTE CO. FIRE DEPT. approved as submitted ,approved with conditions per AttaochedX!s,t � I-- 2- - mss igna urs bare -7 \ lk a x V, 4$� 0, ei t IL ly LO �Loner Ncrvi, &A re 5,s 2 Phnom uo. w Lrruss i 3 Rockefftbpac ra ._569_-e_XeJ7 :21k. LOCO-Ch6n lka tLy LAIA CorL PA.-lz iler V$ n�ij9,D_n__Ld:t_ rof- CS 30) D 11 '2 AZOO-W 17 u L-1 AN CA. MC ULL QA V, 0 v., r ev, 0 IN.V_--�� �71 13 ..... . .. .. � U4 REVIEWED BY LIFE SAFETY OFFICER BUTTE CO. FIRE DEPT. approved as submitted ,approved with conditions per AttaochedX!s,t � I-- 2- - mss igna urs bare -7 \ lk a x V, 4$� 0, ei t IL ly LO �Loner Ncrvi, &A re 5,s 2 Phnom uo. w Lrruss i 3 Rockefftbpac ra ._569_-e_XeJ7 :21k. LOCO-Ch6n lka tLy LAIA CorL PA.-lz iler V$ n�ij9,D_n__Ld:t_ rof- CS 30) D 11 '2 AZOO-W 17 u L-1 AN CA. MC ULL QA V, 0 v., r ev,