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063-240-044
MOBILEHOME & CABNA WITHOUT PERMITS 5/25/93 U i•o lad% o n �.esd ��¢� 63-24-44 2470-91E LUKSIC, Matthew '0,58,0 Doe Mill Rd, Forest Ra h (elec sery for well) 063-24-0-044 93-1555 P LUKSIC, MATT' 12588 DOE MILL RD, FOREST RANCH y _ -- - - MICU- ELEC---- 0.0 GAS COMPACTION TEST REQ SUPPORT STRUCT REQ 063-24-0.-044 - 93-3434 MHI LUKSIC, MATT;�9 12588 DOE MILL RD,,FOREST-RANCH• MHI. 063-24-0-044 93-3286 B,E `_LUKSIC;-°MATT` - 12588 DOE _MILL.RD; FOREST RANCH CABANA/MH vo.)-L4V-V44 _ 04-1488 LUKSIC, MATT 12588 DOE MILL RD, FOREST RANCH Cont: OWNER NSF,•GARAGE, OPEN DECK pE,11MIT RENEWAL,3 . PERMIT RENEWAL DATE :Y ap#.' r� DATE: EXPIRES: BP# EXPIRES• Z -b % `- ��`i �' '`'' �.1 � . BALANCE OF FEES: $ 4. ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): $ SRA• k $ t COPY FEES ($1 or more) $ 1 ' 1 1 � C. PHONE (530) 343-5818 Mo � a �C � 563 EAST LINDO AVENUE Laboratory, Inc. CHICO, CALIFORNIA 95926 Page 1 of 4 TEST REPORT: 22995$ RAY TESTMAN 1099 ELWONTE AVE'. . ,: .. t..,...... ` CHICO. CA 95928-0000 ' Sample /dentificatron:' 12588 DOE MLL RD, FOREST RANCH Date & Time Taken: 08108!2005 1600 Collected By: RAY TESTMAN, A Sample Aiatrix. Liquid Received: 08/0912005 Client TESTMA Report Date: 0812412005 Other Data. F-1410SEBIS Results for Sample 229958 Parameter Result Unit SIAL 001 Aggressive Index' 8.8 \ 002 Langlier @ 20 c � -3.19 nVL 003 Langlier @ 00 c -2.45 nVL 004 pH, Drinking VVater 6.1 SU 0.1 005 Temperature, Drinking Water 30 degrees C 006 Acidic Turbidity, Drinking Water. '0.55 NTU 0.05 007 Alkalinity, Drinking Water 46 mg1L 2.0 008. Bicarbonates, Drinking.Water 5.6. mg& 2.0 009 Carbonates, Drinking Water. <1.0 rrg1l_'. ' 1.0 010 Total Hardness, Drinking Water 33 n"OL . 0.030 011 Specific Conductance,Drink Water 100 umhos/cm 1.0 012 Calcium, Drinking Water 4.7 rr�IL 0.010 013 Magnesium, Drinking Water 5.3 mg/L 0:002 014 Potassium, Drinking Water . 9.1 mglL • 0A95 015 Sodium, Drinking Water. 3.3 mg/L 0.010 016 Sulfate, Drinking Water ' . ' : ` ' 2.1 rng/L 0.45 017 Chloride, Drinking Water 2.9 mg1L 1.0 AnaMcal Details for Safrole 229958 Parameter CAS Method Bottle Analyzed Bp 001 . Aggressive Index AMA Asbestos=Cement 08/1512005 DLS ,,002 Langlier@ 20 c AVWVA V.18,No.3, 1992 08!15/2005 DLS 003 L-anglier@ 60 c AWWA V.18,No.3, 1992 08115/2005 DLS 004 pH, Drinking Water EPA Method 150.1 08/0912005 JBS 005 Temperature, Drinking Water EPA Method 170.1 08/09/2005 DC 008 Acidic Turbidity, Drinking Water EPA Method 180.1 08111/2005 'DLS 007 Alkalinity, Drinking Water. SM 23208 08/15/2005 DLS 008 Bicarbonates,., Drinking Water SM 23208 08/11/2005 JBS 009 . Carbonates, Drinking Water SM 2320B 08111/2005 JBS 010 Total Hardness, Drinking Water SM 23408 08/95/2005 , DLS -011 Specific CondUctance,Drink-Water. SM 2510@ 08!1012005 ', MAS 1 1 � C. PHONE (530) 343-5818 Monarch Laboratory, Inc. 563 EAST LINDO AVENUE ` CHICO, CALIFORNIA 95926 PHONE (530) 343-5818 Page 2 of 4 TEST REPORT: 229958 r Bottle Data for Samule 229958. - Bottle Derived in Lab From #01 - 1 PINT, PLASTIC", UNPRESERVED #02 - PREPARED BOTTLE, PLASTIC 50 ML, HNO3 01(50rYL) uality Assurance for the SET tenth Sanwle 229958 Sample Description Ana"cal Details for Sample 229958 Unit % Acidic Turbidity, Drinking Water (Analyzed: 081112005 1400 DLS Verified: 08/122005 09:15 DLS.) Parameter CAS Method Bottle Analyzed By 012 Calcium, Drinking Water SM 3111B 0811212005 OLS 013 Magnesium, Drinking Water SM 3`11113 08/1212005 DLS 014 Potassium, Drinking Water SRA 3111B 08/1212005 DLS 015 Sodium, Drinking "Water SM 3111B 0811212005 DLS 016 Sulfate, Drinking Water SM 4500 SO4-C,D,E 0811712005 DLS 017 Chloride, Drinking VVater- SM 4500 -CL -B 08/1112005 JBS Bottle Data for Samule 229958. - Bottle Derived in Lab From #01 - 1 PINT, PLASTIC", UNPRESERVED #02 - PREPARED BOTTLE, PLASTIC 50 ML, HNO3 01(50rYL) uality Assurance for the SET tenth Sanwle 229958 Sample Description Result Value Unit % Acidic Turbidity, Drinking Water (Analyzed: 081112005 1400 DLS Verified: 08/122005 09:15 DLS.) mwL 0; Blank ., 0,037 NTU Blank 0.8 Standard 0.76 0.80 NTU 95 - Standard 7.8 8.0 NTU 98 Standard 17 18 NTU 94, 229953 Duplicate 0.10 0.10 NTU 0 Calcium. Drinking Water ( Analyzed: 081122005 1500 DLS Verified: 081162005 12:19 DLS) 0 229959 Duplicate 400 400 Standard 5.0. 5.0 rng/L 100 Standard 20 20 mglL 100 Standard 50 50 m01- 100 . 229727 Duplicate 27 28 mg1L 4 .229727 Spike 229914 Duplicate 4.4 15A nVL 107 229727 Spike 15.4 mwL 105 LCs 32.9 30.8 mg1L 107 Chloride, Drinking Water (Analyzed: 08/112005 1700 JBS Verified: 081161M 13:14 DLS ) Standard 1000 1000 mwL 100 229951 Duplicate 24 24 mwL 0; Specific Conductance,Drink Water (Analyzed: 08/102005 1700 MAS Verified: 081112005 13:14 DC) . Blank 0.8 un-hos/cm Standard 73 71 umhos/cm 103 Standard 350 353 umbos/cm 99 Standard 1370 1412 umbos/cm 97 229951 Duplicate 570 570 umhoslcm 0 229958 Duplicate 100 100 umbos/cm 0 229959 Duplicate 400 400 urrhoslcm 0 Carbonates. Drinking Water ( Analyzed: 08/112005 1100 JBS Verified: 08/112005 13:00 DLS) Standard 250 250 mwL 100 229914 Duplicate <0.10 <0.10 meq/L . Bicarbonates, Drinking Water (Analyzed: 08/112005 1100 JBS Verified: 08/112005 13:00 DLS) Standard . 250 250 mglL 100 229914 Duplicate 4.4 4.4 meg1L 0 Potassium, Drinking Water (Analyzed: 08/122005 1000 DLS Verified: 081162005 12:19 DLS l Monarch Laboratory, Inc. rl 1 563 EAST LINDO AVENUE CHICO, CALIFORNIA 95926 PHONE (530) 343-5818 f Pane 3 of 4 TEST REPORT: 229938 uality Assurance for the SET tiith Sarmle 229958 Sample Description Result Value Unit % Potassium. Drinking hater ( Analyzed: 08112PM 1000 DLS Verified: 08116r2Q05 12:19 DLS) Standard 0.50 0.50 1_91 100 Standard 1.0 1.0 171911- 100 Standard 2.0 2.0 mg1L 100 Standard 5.0 5.0 171191L 100 229678 Duplicate 3.3 3.3 mg1L 0. 229678 Spike 0.52 rrg1L 96 229678 Spike 0.52 MG/L .94 LCS .1.01 1.04 ff4c 97 hbgnesium, Drinking hater_( Analyzed: 08112rM 15M DLS Verified: 08/1612005 15:42 DLS) Standard 0.97 1.0 nvL 97 Standard '4.9 5.0 "VIL 98 Standard 9.8 10 frv/L 98 Standard 20 20 Inwl_ 100 229727 Duplicate '151 15 mg/L a 229727 Spike 4.72 mg1L 104 229727 Spike 4.72 mgiL 103 LCS 9.80 9A6 mg1L 104 Sodium. Drinking hater ( Analyzed: 08112r2= 1000 DLS Verified: 081168005 12:19 DLS) ' Standard 5.0 5.0 mg& 100 Standard 10 10 MA 100 . Standard 251 25 mg1L 100 Standard 50 50 m91L 100 229727 Duplicate 15 15 m91L 0. 229727 Spike15.9 mg,L 103 229727 - Spike ' M 15.9 mg1L 101 LCS 32.1 31.8 mg1L 101 Suffate, Drinking hater ( Analyzed: 0811712005 1600 DLS Verified: 081182005 11:04 DLS) Standard 5.1 5.0 mgiL 102 Standard 9.9 10 mg1L 99 Standard 15 15 mg/L 100 Standard' 20 20 mglL 100 Standard 25 25 mg1L 100 Standard 301. 30 rrQ/L 100 Standard '35 35 1`11911- 100 Standard 40 40 mg/L 100 229678 Duplicate 18 18 m9lL 0 229678 Spike 20 nvL 104 229678 Spike- 20 nvL 106 LCS 20.3 20.0 rrg/L 102 pH, Drinking hater (Analyzed, 08=2005 1700 JBS Verified: 08/102005 16:49 DLS) " Standard 4.0 4.0 SU 100 Standard 7.0 7.0 SU 100 Standard 10.0 10.0 SU 100 Monarch 563 EAST LINDO AVENUE CHICO, CALIFORNIA 95926 Laboratory, Inc. PHONE (530) 343-5818 ,r Page 4 of 4 TEST REPORT: 229958 ualitd Assurance for the SET with Samnle 229958 Sample Description Result Value Unit % pH, Drinking Water (Analyzed: 08MMM 1700 JBS Verified: 0811of2Q05 16:49 DLS ) 229859 Duplicate 7.8 7.8 SU 0 LCS 7.0 7.0 SU 100 Bottle Tracking for Sample 229958 Bottle 0: 01 1 PINT. PLASTIC, UNPRESERVED 08109/2005 16:39, DC 08/09/2005 15:39 DC Bottle#:' 02 PREPARED BOTTLE, PLASTIC 50 Ate, HNO3 0810912005 15:39 DC 08/0912005 15:39 DC The wateris classified as soft and is aggressive on metal pipes and fixtures _Evaluate usingCPVC pipe to rninlrnize problems.vsltfi pining and copper stains -on fixtures: Increasln9`the water pH will also reduce,aggressNp nature,of this water on_metal..pipes and fixtures' O� C7 23� �A CHICO, CA.9'S9�3-QQQO.• > : ;'rx � • r• ` t';..: �,.. Monarch,, 563 EAST LINDO AVENUE wif DOE;tt LL.Rp,.MREST RMCH - L ab o Ya to Yy, Inc. CHICO, CALIFORNIA 95926 PHONE (530) 343-5818 ,�, M � ...i ,r_ =^i r: r , : � � _ ... :.. i r.....r�,�n., r: _.�„ Ta ,�; ,� r ` , ;.i r,,. ; 1 .; any '. . *.� .':.' 3��` �{=,,;'rsf,..d 'r �. � ,� ,r � ,.'.�'�•a.ti ,`4 :.•� CHICO, CA.9'S9�3-QQQO.• > : ;'rx � • r• ` t';..: �,.. �Sa nple ft ent it fis�ri: wif DOE;tt LL.Rp,.MREST RMCH �r Sa„miWe X195&� Date & Time Taken: 0810nW5 1600 IiAetho�l Bottle d aiyzed lay Colleofed By: RAY TESTMA At111M Asbefts-�Cetnent; ii o ..'.. fl$!9 a12fl03 DLB h 1 Sample matr& Liquid ltWV7I♦A V :i$;iYo.3r 9g82 .,'. 0$f15t�OtNa DLS a... ReceAi ed: GW9f 006 _ Client TEBTMA . Report Date: 0a0Z4J 005 .,: 392. Other data: r'jM0SE8f8 g x " 3 tysE edxv_rn r '�'!A� 0.q .k'kk�L' ]?W� � �+-•S�'t�"L ...rd'.�.�d'F .;a'�"a"r � �$ �F ! ''i,{� 'g�'kr. r "�-°�I•" AS}'�'i 1 �4't y.. :. H, Ddnkiri Water P 9 EPA Method 150.1' 08/09t2�03 , _ ReAuft fie' Simplo 229968 TOrrperature.' Drinking Watier EPA Method 170.1 '. 0810912005' DG Parameter • Result Unit MAL 08111/2005 001 Aggressive Index 8.8 Alkalinity, Drinking Ver SM 23208 0$!1512005 002 Langl'rer @ 20 c -3.19 Bicarbonates, Drinking Water SM 23268 08111/2005 '003 Canalise @ 60 c 2.45 Carbonates. Drinking Water , SM 2320E i X004, pH Drinking Witater01 Oil) SU O.g 0811512005 `�O5 Terr�erabxe Drinking Water <; 30 i degrees C SM 2510 8 0$11012005 ,008'. Acidic Turbrdrt . Dr�ikI ng Water 0 55 M11,': O A5 POT Alkalinity Dnnking Water 4fr en$1L . 2..0'- h08 '' 13icarbonaDes,.Q nnking dater 56 ►>�-`' 2A:' .,,.. �; 009 Carbonates; Drinking Water <1.0 ::' 9.O : 010;1 _,Total Hardness, Drinking Water ' 33 mpiL 0.030 011 Specific Conductalnce,Ddnk Water 100 umhosfcm 1.0 'GiT Calcium, Drinking Water 4.7 mg(L. 0.010 013 Magnesium, Drinking !!dater 5.3 mg/L 0.002 014 Potassium, Drinking Water 1.9 . 0.015 015 Sodium, Drinking Vltatec .. ��: 3.3:.; . 0.010 Qt$u -•Suiiate.0rinking 2:9 ; Y� :r r � ' � ' � ._ y. • � t 1 . 0:45 y -� , : , ;'. 01T hloPide. Drinkir ' .��.D:. i9W1�ater � 2.9 Aniahbul Ddyft �r Sa„miWe X195&� Parameter CAS • IiAetho�l Bottle d aiyzed lay {001 Aggressive Index >4 At111M Asbefts-�Cetnent; ii o ..'.. fl$!9 a12fl03 DLB h 1 X002 LanglierqO c, ltWV7I♦A V :i$;iYo.3r 9g82 .,'. 0$f15t�OtNa DLS a... laid c .,: 392. OSIi 5120115 DLSIAWA :. H, Ddnkiri Water P 9 EPA Method 150.1' 08/09t2�03 , i `005 TOrrperature.' Drinking Watier EPA Method 170.1 '. 0810912005' DG 008 Acidic Turbidity, Drinking Water EPA Method 1$0.1 08111/2005 DLS 007 Alkalinity, Drinking Ver SM 23208 0$!1512005 DLS 008 Bicarbonates, Drinking Water SM 23268 08111/2005 JSS 009 Carbonates. Drinking Water , SM 2320E 08111120125 JBS Oil) Total Hardness, Drinking Water SLM 23408 0811512005 OLS Oil Specific Conducume,Drink Water' , SM 2510 8 0$11012005 MAS + = Monarch ; 563 EAST LINDO AVENUE CHICO, CALIFORNIA 95926 La b o `ra to Y y, ' Inc. PHONE (530) 343-5818 Page 2..:0# 4 ' TEST REPORT: 2,2995R)))^ t Pararvstar CAS'' IUlet�iod BottleAriiyed . By :t 12 Calcium, DrinkingVfter SM 31118 Q2/20Q5 DLS 013 Magnesium, Drinking Water ' SRA 3111B 08/12120135 DLS 014 Potassium, Drinking Water SM 311 iB 08112/2005 DLS 015 Sodium, Drinking VAmr SM 311113 08112(2005 DLS 018 ' Sulfate. Drinking VtraWr SRA 4500 SO4-C.D.E 0811712005 DLS ¢1..,r Ghicride, DrinkoglNater . SRA 4500-CL-B Q811112005 JBS � � {.•�.. y h � `i �i.I::T•NQOY8J1�Yo'•�ili Siff r'�����. `i f IL ) «K w. 1 B�!� u ,:. Denured IfA Lab Frd7ny #01- 1 PINT; PLASTIC: UNPRESERVED' #02- PREPARED BOTTLE, PLASTIC 50 ML. HNO3' 01(50mL) 0. Quardv Aswirancu fpr'film SET yAh Samle 229968 Sample., Description Result Value Unit % 'Acidid Turbidity, Drinking Wales:. (Analyzed: OMIrM 1400 DLS Verified: t>&112l1M x:15 DLS.) . Blank' 0A37 NTL!. +hStandard 0 ,78 . 0 BO n j r . Slaridard 7 0' B 8 NTU r. i`, :rtaridacd 47 Y229953 f ' ;f ' Duplicate i Q 10 0 i0 N.TI,! 0` � ria ;. , Callcquln. Dnnklnq Water (AmItIzed:0002=5 1590 DLS V.eMid: tlt3i1l�2ilQ� 12.19 Srj ' DL5.0 Standard 5.0.. ml;L 440 Standard 20 20 mg1L Ion Standard i 50 50 "VIL 100 226727 Duplicate 27 28 n VIL 4 229727 ,pike ". 15.4 nWL 107 229727 a Spike 16A mgtL 108 6?'•f.'tM"»Mf'Mi^'I „.- i -•,,L + .;. ,L,CS-'t �4\. - .,' 32;9' I07 ... ,, '�i�WrsL wa;?".�geen.}'t�.',�``�'v'kb'7f.'W"T�V• Txt'!"r�q"T¢tit'fm'�"'a"'�'ftf>liee' gnn's.�'� nk 'vvr �����•���n�a w� 'i�'�' �' " � t,r Ch9olrlde. Drinking WAer (K-Wyzed: OB/1!rAM 1700 jBS V.ed: OfiPl92M `I� 9+� DLS1 a d � t' 1 Standard .-10Q0 90Q0 mgC 224951 Duplicate 24 24 Q Specific Conductance.Drink Water (Analyzed: 0911101700 NAS Ve' led:-W111i 13:14 DC j Blank `0.8 amrtttioslcm Stnndard .. , 7. 7.1 umnoslcm 103 Standard 350 353 urnhuslc►yi 89 . T ;., L•ff f�, , S`izlnd lyd 1370 4412 ; 1,rrinf'ros 1 97 ; 3•'ii75� f 1t'� I 5 R: fr} i I]i] Lal �fi�) 1•�}� iC'._ .I.N IRIrR-'�J^ y 4r X1.1 Stl��Y ��YkG h N 1I 1K S � j .1 f It . j f.• ilii * 1 f"Ll J../c :Ii�Q���15V]11 �}.^ }N,.�1 .s y. L l Y Y i kff J 1L y sn 7.r<.J. ! I yy 1�2895t3f 1: 1 F k k 4,�'f {�. �:, v�;11 t1�,\ , S DuplrC J x�' ,w Y 7 4QQ !•r r -'1{ i t• * 1 SCk fiL t, %( ty r �M. { t. aVi. l �F;' f . h kp i i .f't f • ! K 11l h i '.� 5 I f. r 7iCrt1: f 1 li':• y f. 7 X2095$ artiol�ates; Drinking by ' (Analyed z, OfflirM 11M .DBS Vied Og/11P�Od1Cn 13 IHt DLS . Standard 2 250. ,.. rv�(L 1Qt! :229914 Duplicate x0.10 0 4.10 me q(L Bicarbonates. Drinking Water (Analyzed: 034111 1100 JEBS Verified: 013;1111 13:00 DLS) Standard 250 r' 260 rr 1 Q0 229914 Duplicate 4.4 4.4 megfL Q ri'n as ru � lirirri►ung Water 8n lyxelD: 081 2J 1�lDO .SLS :Verfiad-.6120 '12:19. DLS.) ! M 9'. t.' ;:»•, A^ -.-» �. +;'if a�.'. .:4:. ;Yt .,tip. .. ,..J .rf•;!n...w IH.::aj,>.. y,h. d", 4 A n wl�. V.A. _ ;`,. r, m MO n Q YCyI 563 EAST UNDO AVENUE Laboratory, I ne.. CHICO, CALIFORNIA 95926 PHONE (530) 343-5818 Page 3 laf a 4 , r a • 1 M'� k 7 v � r J a, ,� r: F 5 � s ,-. .Ir ' �Sr y li y.4 .. ��SfYFS 1�1 .. tt , r.Rl.trt: : I4t;, t t uafit� � �f � � S�anw(a" 22996 Saniple Description ' ,Jesuit Value Unit % ' Potassium. Drinking Water (Analyzed. 0$,i'lkm 1000 DLS verified: owisr 095 12:19 DLS ) Standard , 0.50 0.50 MOL 100 Standard ' 1.0 . 1.0 rroL . ice ' Standard 2.0 2.0 rriglL 10p 4 Standard 5.6 `;.f. 5.0 100 229678 , , ! . `x"1,w Wr4..�1'.i+�""'w->+�"rr•.,.wa{?i0 a gw?h.•'yY, 3.� �aA!•f,Mt+,�kf'-wln.'.tl4'ea!"`.Z�rAy'Pc,.Y.a�6 L i.+ytr.4e.Lwx>vt.4Y." ,�fa+n�q:.rl�y.4n 4 228678 l 's n r Y.. W , Y l!i, "f'. r• Sprfce` r.�;. p2 96 229678. Spice 0.62 94 LCS 1.01 1.04 rvwL 97 lkhgnesiu mn Drinking Water (Analyzed: 081121 M 1500 DLS Verified: ON192M 15:4.2 OLS) Standard 0.97 1.0 n�gll. 97 ' Standard .4.0 5.0 "wL g8 Standard 9.8 40 wGIL 98 Stsndard 115'20 900 r2291-27 p�.ipCtcate 15 15 nngfL 0. { 2927 �. Spiky 4 P2 ► r 1.04 �. ,29727 E Sake ay t' 4.7 :.tYtgtL 103' s ! LC5 8.80 9 45rivLa 04 =Sodium. Drinking -Water ter (An*zed. 0BM2Kons 100+0 DLS Verified: 081161 "1219 OLS) Standard . 5.0 5.0 ry A_ 100 Standard 10 10 "WL 100 Standard 25 25 MOL 100 Standard 50 .50 . ; ; IN 1110 229727. Duplicate , :. 4 15 nVL ; .n 129727 l Spike r �y{ S .. >Jy 6 L ij Q-•�•J^ 'd Y. J''L 's '@' l •Y• - Y WJ 1 4.7gt. niglL 4 A_ .. L a -• 4..:Ip3 ,. 1229727, 4.. t Spike x.11 r .. .. � �; Q ., ,.. , {'x . 5.9 .t;:..,.kt �: °* f At 9 1 • . LCS 32.1 31.8' mgtL 101 ?sulfate, Drinking.Water (Analyzed: OSMAN 1M DLS Verified: 0811BRIM 111M DLS Standard 5.1. 5.0 MOIL 102 Standard 9.9 s 10 rr>g!L 90 Standard 15 .15. mgll, 100 Standard... • 20 , . 20 nV& • 90p „ Standard 25 a. � . � 26� 100 �F , f Y ?: Standard 30 yyy(� tllp ;: Eff ( f',r.. (•tl t ' X Y "+ f� r " r •f �F'i. � ,}• ..�"{T-. -� 1W S r Y Standard 10Q vj 29676 t f Dupkate 18 1$ rrtgiL Y p X29678Spike, 20 m�tL -1(A4 229678. Spike 20 fro& - I06 i ` LCS 20.3 20.0 nvL 102 PH. MinkingWater (Analyzed: DOMMM 1700 JBS Verified: 08110111105 15:89 DLS) Standard :. 4.0 4.0 SU 100 Standard 7.0 7.0 Su 100 Standard 1p 10.0 Me SU 100 Monarch 563 EAST LINDO AVENUE CHICO, CALIFORNIA 95926 Laboratory, Inc. PHONE (530) 343-5818 pqp 4 C. 4 evvcilJ 1M. ®gin"lnzq t7'a 170 J33 mm sa- u:�'v 12LS � 7.0 au u LCs 7.0 7.0 SCJ l0l UJIM20N 9g: Cc MUM= 15M CC � 95:32 aC w � is d7zmiFad rjo 2 7-nd as ng romLve an rvrz,-,l p o m6 fimmo. EvrIvnin uo!M CFVC ppz to rvr n*iizQ re,, h onn cepc.,r -Jn o an Utu-%-u. Irmmmzz nq tko wuc r PH vk�l F'^53 Meucl CIgm"e +rv-�at� of th n r an D p"poss r-nd fi:rrum s. i 1 LEST REPORT, 99 8, N RAY TESTMAN 1099 EL MONTE AVE e CHICO ; Com,', 95 2'8-000 Sam., m., " Ike it i�ac�t ion .i..<...'.:)`..if_' 1.1(11.:.: "1 1 1....1.._`',LL.J�, f ` 1:::,( C a°l Iecteo E3; :FI'A'r' I I:`::a.I Mi^if'•1 r.' Date & Time Taken'. rpt l ger Dat a: `i',F-1/910SEBI8 Sample Matrix,. L... a. 1 u. J. C:i ` Report [)ate:Received Cis::3,�r >, CJi:i:::; ..w CI ,eric LI:;.:` 11, .. ..... ..... ..... .... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... .... ...... ..... ..... ..... ..... PARAMETER ' ..... ..... ..... ..... ..... ..... ......... ..... ... ...... RE=SULTS ..... ..... ..... ..... ..... ... ....... ..... UNI I TS ..... ..... ... ..... ...... ..... ..... ..... ..... ... ,.......... ..... ANALYZED ..... ..... ..... ..... ..... ..... MAL ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... .... ..... METHOD,t ..... ..... ..... ...:.......:....... . BY (ton's comments° • ' , "r n grPSSi �e IfideK ' i 8.B c 1700 08/15/200., G Pf. :HWWA' Asbe jos-Cem t i�5 . t Alkalinity, Drinking. Water 46 mg/L 111700 08/15112005 2.0 Sig 23208' DLS . Acidic Turbidity, Drinking hater 0,55 - NTU 1400 08/11/2005. 0,05 EPA Mettod 180,1 DLS Calcium; Drinking Water .4.7 ng/L ` ISri O 08/12/2005 0.010 SM.31118 , II US Chloride, Drinking Water 2.9 mgiL ; 1700 08/11/2005 1.0 SM 4500 -CL -B 38S Specific Conuctance,PY,6 ,, Water 1.00 umhos/rn i700, Q8iii0/2005 1,0 SM 251.0 B MAS ' t Carboi,. es, .Drinking Water 11,011100 mg/L , P ^ T la�f G 08/ii_iL+�.n S- i;0 1 23•,�r SP; t�8 j8S bicarbonates, Drin ing Water, 5614 L 1100 03111'12005 :z 2;G SM 23208 J85 r Potassium; Pirinting Water 1.1 mg1L t 1000 08/12/2005 O.N 5 SM 31118 "CLS : Langlier 8 60 c -.0 45 x t mg/1. 11,709 08/15/20'05 AIJWA V.18;(r'o 3, 1992 D1:S Langlie`,8 2� c. w -3.iS, mg%L' 1700 08/15`2005 AWiJA U,i8°,Pln.3, 1592 r •DLS Magnesium, Drinking Water 5.3 mg/L 1500 08/i, -,,;2G05 0.002 SM- 3111B DLS Sodium, Drinking Water '3.3 mg/L 1000 0 `'�i 3/tL/x.05, , 0.01 SM 3`1118 i ci�S Sulfate', Drinking Water 2.i. ;' me%L 1500 `08/17/2005 -,0:45 • SM 4500 50.4-C,D;E DLS { Temperature, Drinking Water' 30 degrees C 140008/09/2005 ' EPAMethod 170,1 DC 3otal Hardness, Drinking1 Water 33, mg/L` 1100 08/15/200.5 0,0340 SM LQ 1 7�' ql i star. c:f Page ...... ..... ..... .... .... .:....... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... .... ..... ..... ..... ..... ..... .............. .....:......:............................................ ....... ............................. ..... ... ............ .... ........_ .._..... l........_ ........................................ ... ...... ... ........... _...._.. __...... _..:......:... PARAM T` R ©t� tSLTS �!�!ITS ANALYZED MAL PIG i HOU BY oH,"Grinti.ng Water 5.1 ;!! 1700 08/09/21005 0.1 EPA f1e'k.hoc 150.1 JBS ........................_... .... ... .................... ..... .. L. ......... 229958 es. E_v_aluate Comments essive on metal Pipes andfixtures. and copper stains on fixtures. The water is classified as soft oblem P'tt'I'g a of this water on metal using CpVC Pipe to mmlm P essive nater II Increasing the water pH will also reduce the aggr pipes and fixtures. EXPLANATION OF RESULTS Primary standards or.MCLs (maximum contaminant levels) are set for substance that are thought to pose a threat to,health:when present in drinking water at certain levels. Because these substances are of health concern, primary standards are enforceable by law. Secondary standards relate to cosmetic factor's such as taste and odor which may affect public acceptance of drinking water, and are not enforceable by law: Most of the following constituents fall under the Secondary Standards for drinking water.. Aggressive index is an indicator of how corrosive water is to pipes. A drinking water should be non -corrosive to prevent degradation of the pipes. Good: 10.5 to 11.5 12.0: Pipes.may clog due.to Calcium Carbonate buildup.. <10.0: Corrosive. Alkalinity of a water is its acid -neutralizing capacity. It is usually a function of the carbonate, bicarbonate and hydroxide content. High alkalinities increase the corrosion of copper pipes. Chloride may cause an objectionable salty taste in the water and high levels may cause corrosion of the pipes..in hot water. The SMCL (Secondary Maximum Contaminant Level)"for chloride is 250 mg/L. Specific Conductance is the measure of the ability of a water to conduct an. electrical current. Bicarbonate is a contributing factor to the aggressive index. Sulfate may cause objectionable taste, tends to form hard scale in boilers. Sulfate can react with the anode in hot water heaters to produce sufide or a "rotten egg" smell. The SMCL fo= sulfate is.250 mg/L. pH is a measure of how acidic or how basic the water is. Both excessively high and low pH's may cause increased corrosivity which in turn -can create taste and staining problems and significant health hazards. The'acceptable range for pH in drinking water is.from 6.5 to 8.5. Calcium is a common element. It contributes to the hardness of the water. Copper'in drinking water is usually the result of reaction between aggressive water or electrolysis and copper plumbing. Copper may impart an astringent taste to,the water and blue-green staining of porcelain may occur. The SMCL for copper is 1000 ug/L. ` Iron and Manganese are frequently found together in natural waters. They may impart unpleasant tastes and odors in drinking water. Iron may cause reddish - brown staining of porcelain and manganese may cause brownish -black precipitates in laundry items. - They may cause the buildup of coatings in the pipes which may harbor bacteria. The SMCL for iron is" 300 ug/L. The SMCL for manganese is 50 ug/L. Potassium is a common element. It rarely presents any health hazards in drinking water. Magnesium is a common element. It contributes to the hardness of the water. Sodium is a common element. Relatively high levels may ratio found in brines and in the sodium exchange process. The ratio of sodium to calcium waters softened by gy. Soil permeability and magnesium is important in agriculture and human patholo by a high sodium ratio. can be harmed Zinc is an essential and beneficial element in human growth. However, concentration art a bitter taste to water. It can also cause a milky above 100 ug/L may impinc rinking appearance in water at high ccoftgalvanizedenrations.Zironmand dezincification ofebrass. water supply from deteriorationg The SMCL for Zinc is 50 ug/L. Langlier Index is an indication of how corrosive or scale -forming a water is to the pipes. Good: slightly positive to 2. ed pipes. >2: may form scale (CaCO3) and lead to clogg P P Negative number: corrosive. dness is a m Total Hareasure of the soap or detergent consuming power of the water. esum the water. It is expressed as a £anbausethelit causesand �the1formationtoffsoap curds, Excessive hardness is undesirableec and sometimes may cause increased use of soap, deposition of scale in boilers, in drinking water__ -It-- 0-45 re objectionable tastes expressed as mg/L CaCO3. Extremely soft to soft------- ------ 46_90 Soft to moderately hard----------------- ----' --- ------_-_-- 91_130 Moderately hard to hard-------- -- ----- 131-170 ------------ Hard to very hard-------- __- --- 171-250 Very hard to excessively hard----------- --- Over 250 Too hard for ordinary domestic use------- To convert ug/L to mg/L multiply .001. F:\WORD\FORms\EXPLAIN BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041488 • r LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/01/2004 APN: 063-240-044-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 12488 DOE MILL RD FRN Date: Contractor. Map Index: Description: NSF (2641) GAR (965) OPN(156) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LUKSIC MATTHEW permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 3 MINDY COURT signed statement that he or she is licensed pursuant to the provisions of CHICO CA the Contractor's State License Law (Chapter 9 commencing with Section , 7600) of Division 3 of the Business and Professions Code) or that he or 95928 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant•' LUKSIC MATTHEW Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 3 MINDY COURT such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for 95928 sale. If however, the building or improvements are sold within one year of completion,' the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt'under Article 3 of the Business and Professions Code Date: Owner: License #: ORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: GALLAWAY ASSOCIATES, RUSSELL ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 3762 S.F. Policy #: Valuation: $196,385.00 I certify that in the performance of the work for which this permit is : Census Code' issued, I'shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one 40� 1 165-5-7a 5. 7 4 04 - hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 4-1 a 195 7 11,o75-15 7. 1. Q4 - code, interest, and attorney's fees., CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR anrvor I hereby affirm that there is a construction lending agency for the. Resolutions o do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)a. L Name: By: Date: PER IT PIRES ON: Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that'I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:/,C Signature: 9 Date: /Ld-O Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE XCi P For office use only: OWNER Name ff\oLtt L - Address C - f - City State Zip 9 S g Phone- --� y a _ 0 30 Fax E-mail + � v S Qt /eC 13 C bl ,a . h et APPLICANT SIGNATURE XCi P For office use only: CONTRACTOR Name S -e Flood Zone Address ' City &_(/0412 Cf State Zip Phone S9 a Fax E-mail Fax Lic. # Class APPLICANT SIGNATURE XCi P For office use only: ARCHITECT/ENGINEER lk Namekd 1\ ' ` Flood Zone �y.a sulk Address 7 S &_(/0412 Cf City C.d State (;Zip S9 a Phone -3L, O D, Fax E-mailState vs/ w. ✓ �r Q �� co .Co license umber APPLICANT SIGNATURE XCi P For office use only: APPLICANT NAME Name Flood Zone Address 22 - Ct City - Occ. e& ZiqS9 aPhone Map Book Page Lot # Planner .�a ,9 3a EF E-mail � APPLICANT SIGNATURE XCi P For office use only: Zoning I -T Flood Zone Property Address SRA es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BPa41488 BIN # qq fc''D Page 1 of 2 vll�I Description or Scope of Work: h VS tS er Sq. Footage ov..i� ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): :ATION _t-�Li'6 has not been issued will expire one n. In order to renew action on an a new application, plans and fee will be RIEST FOR REFUNDS Refbnds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 0i1`- Amount: 1106S • 5a. Bldg 162.1'9 Receipt #: 404P122- Sheriff �C? I-) ` SMIP Date: TT Other 1968, Total REV 4-30-04 EAR LOCATION API O Property Address J �t Doe Cross Street L Ll WOR ER'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 Page 1 of 2 vll�I Description or Scope of Work: h VS tS er Sq. Footage ov..i� ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): :ATION _t-�Li'6 has not been issued will expire one n. In order to renew action on an a new application, plans and fee will be RIEST FOR REFUNDS Refbnds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 0i1`- Amount: 1106S • 5a. Bldg 162.1'9 Receipt #: 404P122- Sheriff �C? I-) ` SMIP Date: TT Other 1968, Total REV 4-30-04 EAR SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-signedy the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ • 6. Sanitation and site plan approval from the Environmental Health Department. c1__ 7: ` • 7 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-signedy the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 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: LL w 5 rC_ ASSESSOR PARCEL NUMBER ®�0 3 ' �2 40 4 4- Proposed Building Use: d 5 F ( Counter Technician: "I Date: 5 '� y ' 04 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plan 3 or 4 sets, signed by the preparer of the plans. . O2. Complete ans, 3 r 4 sets, signed by the preparer of the plans. 7 3. Engineered plan0or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. 4. Engineered truss Ir' 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. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C)'Floor Plan, (D) Tie down or frld plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and talcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11.. Site plan and business license approval from the City of Biggs Cl 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form a 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ l::�:2 0. Erosion Control Plan Required........................................................................ ........ 1. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 2. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval C paid. Sent by: ............. 24. Planning approval A Use: "(B)Parking: C Parcel Check: -t l 2.w' �. 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... _ ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... _ 30. Worker's Compensation Carrier and Policy Number .......................................... _ 31. Owner -Builder Verification ( ✓Given to owner, _Mailed to owner) ..................... _ 32. Letter of Signature authorization......................................:............................. _ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. _ ❑ 34. Manufactured home utility clearance............................................................... _ ❑ 35. Existing violations and/or expired permits......................................................... _ ❑ 36. Deed Restriction......................................................................................... _ ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner heck to H.C.D. $ 38. Other:_ LETfEP r2c: Or=,e>vAs- ar- ❑ 39. Other: _ When issued Telephone A 088 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant;.--" ant 1.Index _ 1. Index perm application for 2. Additional items required_ Contractor, designer, owner, Contractor, designer, owner, Plans reviewed by: Structural reviewed by: UU Note transfer by: Date: items numbered: _ Plan Check After of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Date:Plans approved by: Date: Date: Structural approved by: Date: u ' Yellow: Building Division 1�o� D v\ f no COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT.OF FEES OWNER PRO PROSED BUILDING USE S F(1,(.q I> w,A-r7- r— ^a 1, BUILDING PERMIT FEES --- Balance Due ..................... $ 0 5 • SIL -=- Additional Fees Due........... $ Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES c d — G torn 4o Own�e (paid at School District Office) (form available after Plan Check) N%k 3. SHERIFF FEES (paid at Building Division). Residential.......... X $360.00 =$ Units , Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. A.P. # O (03 34a • o� DATE RECEIPT # DATE REC. Age - 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X. =$ ' # Units Amt. Commercial (Sq. Ftg.).... X Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES �,� $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE 404oX89-.W(paid at Building Division) 152.98 aZ 8. WATER TENDER FEES BATTALION # . • , $200.00 (paid, at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) ' Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt.. 9C)'0._OTAER SMI P �• �o�i' r l l�l 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 durin the plan checking process. ' -/4APPLICANT DATE a. Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division . Yellow -Applicant Pink -Owner (rev. 2/2003) School District A.P. Number' Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM j (One form per Building) CV` I L Q �/ I Building Department No. W3 " 2"Iy o (4 L-/ Jurisdiction: City County �U ILS i �-- Property Location/Address Subdivision 125 8E2 -D DC, W 1-11 U Residential Development F—ti Q No of Living Mobile Home Units Installation Commercial/Industrial Q New Addition i Building Department Representative O N - I LM Lot No. —1, GT ...............................................................:...................................... . 0 0 Sq. Footage Addition/ *Supplemental to (Group R) • ✓ Conversion Permit III •(Nofoundation Inspection) Deed Restricted Sq. Footage ; (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) 4`�C7\Zo`� District Identification cation No. f� D dr11 Q (X School District certifies that (Street Address) j , C T r f (City) has complied with the requirements ofORq \ion No,,._ representing square feet. School District v Paid by Check # Remarks: (State) Sq. Footage (Including Exterior Roofed Areas) Date � � M �aT' Ay 1*,,c (Applicant) s-36 3Na=`093.0. (Phone Number) 5s a �- (Zip Code) by payment of $ IM 2926 �-_. $ FULL MITIGATION $ r Date fi(ofte: You may protest the Imposklon of the fess klentifled above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fess are paid. Failure to submit a timely written protest wlll'prohibit you from challenging the I ipositlon of the fess in any court action. � K, subsequent to the School District Representative signing this Butte County schools Impact Fee GntiScetkm Form, the School Diablet Is no -IR by the appticW* Local Planning Agency that this project is being rwrlawed under the California Environmental Quality Ad (CEQA). this project may be subject to additional school fees to fully n0gate.ks Impact on the school nsstrid`s schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls 00/091dmm BUTTE COUNTY JUN o 1 2004 DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name L , - Address C f City C! State Zip? S Phone- -� y _ �� -30Fax E-mail Iq u S/`c ( 5t3C lolictl. he -f ARCHITECT/ENGINEER CONTRACTOR Name Se Ql/L� C� Address State City Phone State Zip Phone g 30 Fax E-mail S t Lic. # Class ARCHITECT/ENGINEER Name C Address -, s Ql/L� C� City / C� State Zip Sy Phone Fax E-mail ` W01 W, State LicenseVumber 1 APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Lu 6, 1 -Address 22 Cf City - No State& Zi4 5.9 r)L Phone , g 30 Fax E-mail-� S t APPLICANT SIGNATURE X For office use only: LOCATION Zoning I 'T 14 Flood Zone I >-, I SRA es No Occ. ^ t Type Const. Subdivision Name WOR Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL. REQUIREMENTS PERMIT NO. BP,o* 1488 BIN # A -1D Description or Scope of Work: vII( d k w- — v.,.a�`I e o Sq. Footage , � _ Mss �2�1 1 0 :;*j vVe ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 EXPIRATION OF APPLICATION Applications for which "a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done.' Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: ��� Amount: Bldg SRA Receipt M Sheriff SMIP Date: Other REV 4-30-04 LOCATION Al Q6O O Property Address �. J J n- Dine f � 1 P Cross Street ^ t WOR ER'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: vII( d k w- — v.,.a�`I e o Sq. Footage , � _ Mss �2�1 1 0 :;*j vVe ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 EXPIRATION OF APPLICATION Applications for which "a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done.' Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: ��� Amount: Bldg SRA Receipt M Sheriff SMIP Date: Other REV 4-30-04 Dep'artment of Public- Works ' op ,• C o u n t y o f B u t t e oar vo o-� OLAND DEVELOPMENT DIVISION J. Michael Crump, Director O O Storm Water Management Program C y 7 County Center Drive Oroville.' CA 95965 A�QCIC WO�y (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- [LESS THAN 1 ACRE1 , Project Description:. Project Location and/or Parcel, Number:" 3 Z i'i C C) (4 L j. By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 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. a 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: G Date:�oti�f(O Y Less than 1 •Acre NPDES.& SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 OWNER -BUILDER VESICATION Attention Property Owner: , An "owner -builder" building permit has .been' applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing, and issuing your building permit. No building permit will be issued until this verification is received. 1,►.�.I__personally_plan to_provide_the-major-labor, and -materials for-construction-of-the-pr-oposed--- - - - �--// property, improvement : YES NO 13 I HAVE.V HAVE NOT O signed an application for a building permit for the proposed work . I have contracted with the following person (firm) to provide the proposed construction: NAME: M-1 1 111 PONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work -but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE f TYPE OF WORK SIGNED: -:—PROPERTYOWNER: . NOTE. This. Owner -Builder VeHfxadon is required by Section 19831 and I9832 of the California Health and 'Safety' Code..T7tis verification must be completed and, returned to our office before. we are permed to issue the permi4 OWNER BUILDER INFORMATION Dear Property Owner. -0. A— Z An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner-bmlder"yon are the responsible party ofrecord on such a permit Bolding permits are not required to lie 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-tD-have a business license from tits city dr CF0=--y1yey are also reed by law to put their licyense number on all peanits for which they apply. If you plan to do your own world with the exception of various trades that you plan to subtract; you should be aware of the following information for your benefit and protection: d Ifyou employ or otherwise engage any persons other than your immediate family, and the work (Including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 if you are an employer, you must register gaster wilt, the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contritiutfons. There may be financial risks for you ifyou do not cagy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific infomuation about your obligations under Federal Law, contract the Intemal Revenue Service (anti, if yon 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. s,.. A frequent practice of unlicensed persons professing to be contactors is to secure an "owner builder" building pmmft, erroneously implying that the property owner is providing his or her own labor and material Personally. permits are not required to be signed by property owners unless are Building Infarmafion-about-licensed- - — — Pegg their-o-wn work.personally. - — -- - - r,. co or at 1020 N Streetgntn-actors may be obtained by contracting the Contractors State License Board in your �. acramento, CA. 95814. . Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building Permit will not be issued until the verification is returned. rely, Mi 1 C. V'i iia, C.B.O. , Building Inspection NOTE: Trus Owner-BUff,.&rhzfoMWffon is required by Sectfon.19830 of the California Health mrd Safety Code OVER from the design desk of.... - Russell, -Gal'laway Associates • 7 sierra Nevada Court Chico, California 95926 ` (530) 342-0302 fax 342-1882 www.rga-chico.com May 10, 2004 ` County of Butte, CA Re: Luksic Residence Parcel N6..063-246-044 ' Plancheck Official; I am a partner in RGA. , I have reviewed the truss calculations and they are in conformance with our design and loading requirements. Please, feel free to call ould any questions arise in this matter. Q �.�--� Via,• Thank you. Don Russell, `P: Lic. No C5820 CIVIL OF CAL1Fo� 4 / `3 by /� / • • _ .r- r • � - Wt /aczf li7p'• f ///��� e. /°xec y %'/ See Detail B, , • - ` / tenre.li 1 / {, %i63303w(BaoJ p• tie 2>� /---• . • r I .-00wG / ¢p�6o'Epa•-•°,J - ea+os'od 'zi ii i z. - Lx1a.2S °5. i9 2 Ih9,.09 4.X0.00 aR•)O� - - , t 1 1 ,e p-rti.,e AYr\o. k/w morcel r �7m DIS 3C $ /^Ob /O•E ��\+c, 2.10 Ac. - naQ�. 6.36:/7 831. 'm1a / - `�`Vs "a�•zi �iw /� 0. Detail Aq�� wrtel zaa s .12 Ac. ,�.a• 9..8 . scab:i=,too �il " m 1,� "e92i xW bM V•^e " 01n � I � . r p•°��y� T . 6Tf.20 , ' ° +Pool •iT- Fore 13 1 e - �.c- eqi_ I i � ie.os - eqO" .l wae� as.00 � ' • - n nn I 1 gnz'•O _ —1 Iz 3�� � I � / _� �r,i M1Au, 100' -�.�, •Vp06/ • a W d._ o • :moo C.C, � _ b-•Sg I µaPL&S I m6> t z »• �i 5'5o nlP I i to l'e 1 • �p (t�'o-. .. ��ha I "e�osu w rol Z3 3 Ac a a =NS7*%.37W + / There • ie no ey iderce Mho+ do • - rnes+ic water ie availoble Y LEGEND r. LCC( Detai I B o Set r:• tapped rebor LS 2843 • Found 1/4" IP. L5 2843 per. 63 PM 55 • • - 36— 30 .. Bede L—.+;—Mo I Sl 1 a1 (i°A�— �7y�s9 BASIS OF BEARING PARCEL MAP kua WPB ° 1 N09 2i i " for ap, 1 e r>Kf no.ceoo 30.76 � 21 v.89 The Eost-Went centerline of Sec. l7 shown d JJ * R. � a o polo a 2712 W on +he parcel maps feed in L AT I PAC _T_ OR-T.GACE—M.E. D.` . prld i n•ors>'oz"\' • Book 63 of Mapa of Powea 54, 55866. Suite County Records. PARQEL,.S•_OF P.M.63/54;55&56, IN N p. SHE SE%OF'SEC.17,T2-3N,R3E,MDBBM BUTTE COUNTY, CALIFORNIA By r _ �• \'� John W Hamby LS 2843 \ _ M Licensed Lo Surveyor paradise. COlif,= .. �� a \=• - • June,1979 . n Sheet 2 of 2 L Butte County Department of, Development Services �0 T TF " YVONNE CHRISTOPHER, DIRECTOR oo /\�\1 I // / o O 4 7 County Center Drive `' a ' 0 ' Oroville, CAS 95965 (530),538.7601 Telephone 0. Op N� (530) 538.7785 Facsimile • ' TO: WILLDAN '1 O FROM: Scott.Rutherford (530) 538-7160 a '- !� • srutherford cDbuttecounty.net 'SUBJECT: Plans Transmittal For Review Per Contract DATE: 07/06/2004 _ Applicant: Luksic, Matte ' Permit .0444.88" Project Type: INSF ' APN: 1.068-240--044.' ' { 100% 0.70% ' Plan,Check Fees $ 1`324:41}' ,$ '927.09 $ - 1,324.41 $ 927.09` .. WILLDAN Fee. $ 927.09 Copies Attached: Qty ' • Chk> Application ' Site Plan Review' ' FEMA Elevation Certificate - t Building Plans '.' - r: Truss Calculations " Energy Calculations Structural Calculations ; Residential Plan Review Guide Residential Construction Requirements Other Other r r ; W117 I LLDA V Ma s Street Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com August 27, 2004 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT' COUNTY OF BUTTE PLAN REVIEW APPROVAL Willdan Project Nor 14353-1022 Jurisdiction Job No: 04-1488 Assessor's Parcel No: 063-240-044 Description: Luksic Residence, 12588 Doe Mill Road Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The revisions were in response to a previous plan review and .comments listed in our letter dated August 4, 2004. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies Sheets CS through T-1 (12 sheets total) dated 08/06/03 revised 8/4/04, by Sierra Design Group and R.G.A. Engineering. k Structural Calculations: Two (2) copies dated 05/10/04, by R.G.A. Russell Gallaway Associates k Energy Calculations: Two (2) copies dated 03/26/04, by Energy Calculation Services k Truss Calculations: Two (2) copies dated 04/21/04,;by MiTek Industries, Inc. and two (2) copies Engineer'-'§ Truss Calculation Review letter dated May 10,"2004 by Donald Russell, P.E., Russell Gal laway:iAssociates The plans have been stamped with the Willdan approval stamp and dated .the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. , On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. Vis'- j 1 }' W I LLDAN Servingftblic Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of 'the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as: the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code_, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS PROPOSED USE TYPE OF OCCUPANCY TYPE OF CONSTRUCTION AREA Residence I" Floor R3 V -N 1,659 Basement R3 V -N 982 Total Residence R3 V -N 2,641 Garage U1 V -N 965 Open Deck _.R3 V -N 156 This information is consistent with that shown on the plans. CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements ' and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. -SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, Rick Essenwanger Gordon Wright, P.E. Plans Examiner Plan Check Engineer CC: Alice Mefford, amefford(&buttecounty.net Donald Russell, RGA Engineering, 7 Sierra Nevada Ct., Chico, CA 95928 Matt Luksic, 3 Mindy Court, Chico, CA 95928, E-mail: msuksic@sbcglobal.net I Pa;e 2 of 2 13uitc Coiin.ty 14353-1022. E.M. USE ONLY Flat Plan Aitachad Raw Man Atucha lana to G.D. !} TO: Building Department t t FROM: Environmental Health SUBJECT: Sanitation Clearance av- 2) 0 UY t I—L Ran. 0 to 3 — A;6 �04,,l t Owner Location AP# . Plan: Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: 0,//ov Environmental Health Specialist Date 8196 ; Page 1 of 5 SITE PLAN,REVIEW APPLICATION " ?idZ7('t Date: AP# 'Permit Number (if applicable), Bin Number /0 " APPLICANT INFORMATION Parcel Size: Owners Name:��l�� Owners Address:���`� Telephone No.: -3C2 C7cl 3 Zi Situs Address: Proposed. Use: ., Residential. 1 4- New Single Family Residential - ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ti t ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer. ❑ Multi-family ' Non-residential v ❑ New Commercial ; ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ' ❑ Industrial Addition ❑ Industrial Remodel v ' Other ' .i ❑ Septic ❑ Well ❑- Agricultural Exempt Building E] Agricultural Buffer Form ❑ Applicable, -F ,°N/A ❑ Other: Brief Explanation (if necessary): i DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION°(For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval i ' Site n Stamp • Approved • V I By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area:aU Z Say' Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract F-1NitrateAction Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) • Flood Zone: k • Flood Panel No.:y6o076m 3 75"L Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) 11 Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: T e- lU 6-r &OL Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. jo CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 20 Side Side Street Rear �d Height . Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. jo CDF approval needed for encroachments into SRA setbacks. Page 2of5 Applicable Development Fees: _ . 1 Standard Fees Amount Formula ❑ Fire ❑ -School* ❑ Parks/Recreation ❑ Roads. ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ` ❑ Chico Urban Area — Road ❑ Therrnalito Drainage`Area : ❑ Thermalito Urban Area ❑ Other . Subdivision Map Special-..Fees . ❑ 'Water Tender " F-1 Road Improvement ' ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre-application review.' A final determination will be made at -the time of the building permit. Parcel Created By k ' 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: 11"e-cc c�ee.K�f : �� l c.�'a�Oip b SS ❑ 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- ' F-1Complywith Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel'size required-by zone ❑ Meet current Environmental Health,Department requirements ------------------------------------------------------------------------------------------------------------------------------- ' Page 3 of 5 w IM Subdivision Map/Parcel Map: Map Date of Recording: -Tame 1171 Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: 77 Page: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. u Page 4of5 This'informationprovided in this. summary is based on the application information and on the best available data at the time of review. : C:\Larrys\Building Permit Site,Plan Reviewl.doc Page 5 of 5 x r - (4853 (D2 -Z. 0_3 BUTTE COUNTY DEPARTMENT DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION ARCHITECT/ENGINEER OWNER Name L k Address -� City '" State Zip S Phone- --3 _ 130 1 Fax �-mailm k v S /`c 2 5i3 C 6-10 4,a ARCHITECT/ENGINEER CONTRACTOR Name f l� C,� Address State City Phone -3 ,�. v State Zip Phone Type Const. Fax E-mail E-mail I r4\1 ✓ SIC Lic. # Class ARCHITECT/ENGINEER Name Address % S . r f l� C,� City 1 t Civ State Zipj s9 Phone -3 ,�. v Fax E-mail State License Vumber APPLICANT NAME Name (A L Zoning cat Flood Zone Address 22 n - G t City . State& Zi�"o - Occ. I Type Const. Phone 14 } 9 30. Fax E-mail I r4\1 ✓ SIC APPLICANT SIGNATURE X For office use only: LOCATION Zoning I -T tj(" Flood Zone Due/T r SRA t es j No Occ. I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING F0RMS\B1dgApp1S6bRgmts.doc PERMIT NO. BPS /498 BIN # A' tt� Description or Scope of Work: t✓t 14 vS vv�_o� < �\ cjvn e ci i- O 5 f Sq. Footage Gz�_ SZ ❑ Structure Built without Permits f ❑ Proposed Change of Occupancy i'� `r (Note previous use): (2 ��vra641-IS /# whj0,'a has not been issued will expire onen.In order to renew action on an w application, plans and fee will be REST FOR REFUNDS Re nds can only be made upon written request by the person who paid. the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: ,k"I-It- Amount: f �v $ • 5 Bldg 1 152.98 SRA Receipt #: 40(o 12 Z Date: -Sheriff SMIP p TT Other Total Page 1 of 2 REV 4-30-04 LOCATION AP# Property Address Due/T r Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: t✓t 14 vS vv�_o� < �\ cjvn e ci i- O 5 f Sq. Footage Gz�_ SZ ❑ Structure Built without Permits f ❑ Proposed Change of Occupancy i'� `r (Note previous use): (2 ��vra641-IS /# whj0,'a has not been issued will expire onen.In order to renew action on an w application, plans and fee will be REST FOR REFUNDS Re nds can only be made upon written request by the person who paid. the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: ,k"I-It- Amount: f �v $ • 5 Bldg 1 152.98 SRA Receipt #: 40(o 12 Z Date: -Sheriff SMIP p TT Other Total Page 1 of 2 REV 4-30-04 LS 11 C- N '03. Oq4 a4-(�8 ff CHECKLIST FOR SHIPPING PLANS TO WILLDAN The (following items must be included when shipping plans to Wilidan for plan check: L/ Cover Sheet ✓ Copy bf Permit Copy of Site Plan Review Form with important items highlighted. (i.e. map conditions, site elevations if snow load area, fire sprinklers, flood zone, requirements for engineered foundations, etc.) Z(2) sets of plans with plot plans (1 plot plan stamped and signed by CDF if in SRA. Both sets of plans must be signed and stamped by the engineer or architect of record for commercial construction or engineered structures.) (2) sets of structural calculations (Commercial or engineered structures) (2) sets of energy calculations 1-/(2) sets of truss calculations (Designed for appropriate snow load) Vlj= (2) wet stamped flood elevation certificates (If within a flood hazard zone) V (2) copies of SRA requirements (If in SRA) Copy of geotechnical report recommendations (If a geotechnical report is referenced on the parcel map or subdivision map) V (2) copies of Residential/Commercial Construction Requirements (Blue Sheets) V Residential/Commercial Plan Review Guide Butte County Air Quality Management District Rule 207 Form (If a fireplace or wood burning device is shown on the plans.) Code analysis for commercial construction (Must be included on the plans) Permit history for commercial construction (i.e. copy of file jacket) • Enter date shipped to Willdan in Access • . Place assembled plans and documents in shipping bags • Prepare shipping label • Call Willdan for pickup Sent by: Date sent: • Owner::. {" RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, D UPLEX AND MISCELLANEOUS ONLY Building. Permit Number: Plans Examtner. A P; Number: GENERAL ¢ 6 r , .: �-} � , . •,• . :� .� ••` 1. , "Zoliklequirement's (number of permitted living units): 2. : Plans signed -by the designer. f 3.. Proper description of work on'the application • . 4. Existing violations: on -the property. < { - 5. ,Recorded notice. of,violation._,;,f 6. ,• Building permit -valuation .- PLOTTLAN: �- 1. Completeparcel size and dimensions. 2. Setbacks; side:yard,:'easements,,etc.. , 3. Other.buildings or -structures. 4. Grading, fills and/or drainage. 5. Flood hazard_ 6. Special conditions.on Parcel Map: Noise ❑ SRA. El Fire Sprinklers El Water Tender ❑ Traffic and Drainage fees ❑ 7. Federal Aid Route and/or Federal Aid Secondary Route setback requirement. 8. Building:or utilities across lot lines (Lot merger approval by Butte County LandDevelopment.) FLOOR PLAN: 1. Plans and specifications drawn Wscale with dimensions and of sufficient clarity (UBC section 106.3.3). 2. -10%• of natural light and 56/o of ventilation (Uniform Building Code section 1203). 3. Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet. The minimum net clear openable height dimension shall be 24". The minimum net clear openable width dimension shall be 20". When windows are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the floor (Uniform Building Code section 310.4). 4. Skylights (Uniform Building Code,section.2409 & 2603.7). 5. Glazing in Hazardous locations (Uniform Building Code section 2406). 6. Habitable space'shall have a ceiling height of.'not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens, halls', bathrooms and toilet compartments .may. have a ceiling height of not less than 7 feet measured to the lowest projection from the ceiling(Uniform Building Code section 310.6.1). 7. All habitable rooms except kitchens, shaIl have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). 8. GFCI in baths, garage, kitchen, wet bar, -and -exterior receptacles (NEC 210). 9. Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed tobe used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath or bedroom (Uniform Plumbing Code'section 509:0). 10. Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom, or in a room, compartment or alcove opening'diiectly into any of these (Uniform Mechanical Code section 304.5): 11. Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). 12. Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (Uniform Building Code section 312.4). 13. Wood stove location - Alcove - UMC section'205 confined space & 223 unconfined space & 304.2). 14. Smoke detectors (Uniform Building Code section 310.9:1). Page 1 of 2 15. Water closet clearances (Uniform Plumbing Code 408.5). 16. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). 17. Bearing walls shall,be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: 1. Braced wall panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on center in both the longitudinal and transverse directions (UBC section 2320.4.1.) Braced wall lines must be continuous throughout the structure. 2. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building that do not comply with the Uniform Building Code. This must include the designer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. 3. Clerestory requiring balloon framing and/or engineering. 4. Foundation plans complete enough to construct building (Uniform Building Code Table 18 -I -C). 5. Floor construction details complete enough to construct building. , 6. Elevations and wall construction details complete enough to construct building. 7. Roof construction details complete enough to construct building. 8. Fireplace construction details and calculations if necessary. 9. Garage door header size(s). 10. Porch header size(s). 11. Typical header size(s). 12. Stud heights. 13. High expansive -soil - special foundation design required. 14. Retaining walls requiring design. a. 15. Gypsum wallboard nailing inspection required. 16. If the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certification maybe provided by a registered professional engineer or.architect that the design will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction design requirements must be shown on the building plans. 17. Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during tconditions of flooding. ,, MISCELLANEOUS ITEMS: I.. Stairway details.- landings, rise and run, head clearance, handrails (Uniform Building Code section 1003). 2. Guardrails (Uniform Building Code section 509). 3. Brick or stone.veneer,.(Uniform-Building Code section 1403). 4. Exterior plaster - weep screeds :(Uniform Building Code section 2506.5). 5. Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). 6., r Foam .insulation - protection. . . , }; . . .7: , 36".halls and stairways ((Jniform Building Code section 1004.3.3.2). 8. Two exits on three - story dwellings (Uniform Building Code section 1004.2.3.2). 9. . Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). 10. tAttic access and ventilation (Uniform Building Code section 1505). 11. Sound requirements. 12.. Energy design compliance and supporting documentation. 13. CDF responsible area requirements. BUILDING PERMIT REQUIREMENTS: 1. ❑ SRA. 2. ❑ Flood elevation certificate. 3. ❑ Fire Sprinklers required. 4. ❑ Special Inspection:requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing letter. Page 2 of 2 Fm V=OK r, , O=Not OK NotReadyable MOBILE HOMES-, Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s - • 1. Zoning Requirements -Setbacks -Easements -2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete - 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements ` 2. Footings; Size -Spacing -Marriage Line. 3.. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test-Crossovere-Breakers-Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy V r MISCELLANEOUS ' Date/Initial CKS, COVER;, CARPORTS, GARAGES, (Plans)OK except #'s 3. DSPW, Griders and/or Joists -Decking -Bracing -Stairs -Rails food Awn.; Posts-Beams-Rftrs.-Connectors Shthg -ft.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures R f`a rnnrfn• Winrinu,a_nnnrc Date/Initials POOLS (Plans) OK except #'a 1: Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater S. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test-Water'Supply Test 5 V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Stab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials C. i FRAMING (Continued) ngers-Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49.' Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garsge-3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Wells -Windows Date/Initials F NAL Plans OK except #'s _ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Centegr Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �3�n ASSESSOR PARCEL NUMBER 53-24-44 ZONING 10 TM - BUILDING PERMIT OWNER MATT LUKSIC TELEPHONE 893-4088 — SQ. FT. OCC. BUILDING VALUATION j 240 R 2 60 • O 12,960.00 OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 19-Q6 _00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 144.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 93 60 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12 988 DOE MIT L RD PERMIT FEE $ FOREST RANCH PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome IR Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W � 20.00 TYPE OF WORK New ❑ Addition C Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: G A W N A PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2OOV OR LESS ) 0OA OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( a ACC. BLOC. ) SO. 3.5C FT. 8.40 NEW CONST. MULTI -OUTLET .NON -RES ID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @'.50 p Ex. Occup.FIXED APPLNS. OR ( O UTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-insure.4 �. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor ' 40 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling • Hood 6.50 Ventilation t PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County Butte against all liabilities, judgments, costs, and expenses which may in any way aCbrue against said 4unty in cQnseque ce of the granting of this permit. X C ' Date /0/I/2_3 Signa ure of Applicant -® Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 286.00 HAZ. D. FEES IMP FLOOD C. PARCEL PO HD LASUY This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat above f r which fees have been paid. R /C/T,O�R OF PUBLIC WORKS Q By Date PERMIT EXPIRES ON 4p' - f (Dare) J (� Receipt No. `�y —� 14882$ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CO NTYOFBUTTE DEPARTMENTOFDEVELOPMENTSERVICE LDIN DTVI N SB- UIG SI O \' TCOUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 1 C/ PERMIT APPLICATION DATASHEET OWNER 4L4Up'E �_ t:�k5c �, A. P. No. 63-Zy-4/4/ Proposed Building Use ,aw/a- Building Inspector l Date / 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4., Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5 � Hazardous Material Form . .............................................. 6. 'Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of $ . ..................... . Impact fees as shown on attached schedule. ...SL, . . 12. California Department of Forestry plan approval/fees. . ft.?yrTiv%!?�'-P'r h -I- 11- Flood elevation letter (100 year flood) by California Engineer . ................. . . Sanitation and plot plan approval Health Department. ............. 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..P��"�e ncto st 20. Pre -inspection for r required. . . to Building Inspector .ctor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _............ —� 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ...................................:..... . 29. Documentation of legal access....................:..y....:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... N 33. 34. i When you issue the permit, process as follows: _Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date �� c//13 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitt, 1. Index permit for above items No. 2. Additional items required: to pepil issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail ? Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Plans checked by Date Plans approved by oZ'�- Date ,[�-36 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works °. F.Ii.Iis1: ONIN I'I++I 1'I:m Auuchul _'�/ i 7 I�luur I'I:m Mtnchad /✓TF sant lu 11.1 _ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance L v tom, r 2t'� 06 12 wi L C/ /.3-- Ly - .Owner Location AP// Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: -- Environmental Health Specialist 8/92 -7- Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING: DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965.- TELEPHONE (916) 538-7541 OWNER /174Gr Lws!C. A. P. # PROPOSED BUILDING USE C e93'V'A 'F- • DATE ��/��S ; REC. # DATE REC 1. SCHOOL DISTRICT FEES 6' At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit., - APPLICANT �.. DATEA/�/ ,3. 9 (paid at District Office)............ ........ 2. SHERIFF FEES (paid at.Building Department) Residential..... x _$ unit amt. Commercial (sqft) x _$ sq.ft. amt. 3. URBAN AREA FEES (paid.at Building Department) Residential (per unit) x _$ # units amt. Commercial (per sq.ft) x _$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office).... .................`.. . DRAINAGE DISTRICT FEES (Contact Land Development Division).............. SRA FIRE INSPECTION AND PLAN CHECK _ $91.00.4'4.. _ (paid at Building Department) 7.. OTTER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit., - APPLICANT �.. DATEA/�/ ,3. 9 :��u�7�`!.rw•ava�4'��+w7?s^pd'avq.-.,,,o,�w°grnrn'v�».�,.,,wir,,...,..:+yw..nnwnniF�'.�i��"`.,r'N:a'.w��.-,�crc�,+{w�t,'rua�H�'iy �k t a ' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District A.P. Number Property Owner � /W Jurisdiction 0 City Building Department No. =31-1"C'ounty Property Location/Address I/I T E3 B a A // /Z 4:_ cinev„eu, de - Zi n e6oeu, o Subdivison Lot No. Q t)UoD d' Korff Residential Development 0 . Sq. Footage ' Z '?'� No. of Living MHI. Addition (Group R) Units' Commercial/Industrial 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date . (Floor Plans reviewed.by School District Personnel) District.ldentification No. %(J r1.t � o��J School District certifies that (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. Tj a by payment of $ lfXC/77i]` representing 0776 square feet. School District Representative Date Paid by Check Number /U Remarks: Bank Number Paid by Cash If, 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 reviewed under the California Environmental Quality Act '(CEQA), this, project may be subject to White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) COUNTY OF BUTTE - Deoartment of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION: Attention.Property Owner: Phone:. 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete•and return this information.at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to. provide the major labor and materials for construction of the proposed property improvement (yes or, no)'- f j 2. I (have/have not) / signed an application for a building permit. for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone -Contractors-License No. !�. I plan -to provide portions of this work,,..but-I have hire& the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors Lidense 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 ,�5ocial Security Number 00 Date i aL 9 3 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 .and .19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 7''/lc./ :70F'r --------- I , . I ' �. ' VNL I ; At —•�� :moi T-�— --."—'�—' { I I I i 1 iqu lu If j++t ' - - I I I I I I 1 I 1 4-. - -1----!__I_ , '._•. _'_��- rr .._•�'�--�j--- ' .. - t�L�� 1 I I j I •I , 1 1 .7� / I I j _ 1 -.� -�-J i I •— — ; , ! .•r-�'-- -ate' �-^- ' y ! , .-! =;--= .'- • i I 1. '-•ate 1 ^ i 06 fI ' iI i I '�! • _ i- 1 ' �W_r�i—:!_-+- - 6QQ:: 1406;A 7''/lc./ :70F'r --------- K �o . + •' - Mph � ' PROOF'OF SERVICE BY MAIL f'r';4y'i`ai �{pPh aj t�--,;� �•^n ii.�t. I. am over the age..df 18' and not a party + to this cause. I .Am a • `= resident .of and .- ,employed in the. county.. where the. -mailing' occured'. My business address is Building Division* Department of Development Services 7 County Center Drive Oroville, CA,95965 I served the foregoing SECOND NOTICE VIOLATION LETTER (063-24-0-044) -1 by enclosing -a -true copy'in a sealed envelope and depositingsaid.envelope in the United States mail with postage fully prepaid on 28th. of June . 19 94and addressed as follows: MATTHEW LUKSIC #3 MIND i' COURT CHICO,+CA 95928 ' I declare under penalty' of. perjury.'under• the laws of the State of Calififornia that' the foregoing is true and. correct and that this declaration was executed on' 6/28/94 at Oroville California. I Matthew Luksic #3 Mindy Court Chico, CA 95928 i - _ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 June 28, 1994 RE: Code Violation A.P.#063-24-0-044 12588 Doe Mill Road, Forest -Ranch Dear Mr. Luksic: This isa formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated March 14, 1994 -notifying you that you are in violation of the BCC at the above -referenced location. As of this date, the following violations still exist: Failure, to obtain the required permits,, inspections and approvals from this office for construction of a cabana for mobilehome in violation of the Mobilehome Parks Act of Title 25, California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) 1018 -Permits Required for any Mobilehome Accessory Structure (b) 1048 -Inspections Required for any Mobilehome Accessory Structure The above violation shall be corrected or abated by you submitting the necessary items to issue the permit and paying the penalty -fees. After permit issuance and field authorization to .proceed, the corrections must be completed and approved by this office within the permit specified time. This is.your final warning. Unless you contact ,this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s).or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of.the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira; in this office at the address or telephone number listed above. MCV:dms Sincerely, 4Micel4Ci__e:::ira, C..B.O. Manager, Building Inspection VIOLATION CHECK LIST A. P. # 063-24-0-044 Address 12588 Doe_ Mill Road, FR Owner Matthew Luksic Owner's Address ' #3 Mindy Court, Chico CA 95928 Owner's Phone'No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. 4 cabana without permit Specific Plot Plan with C/V Noted _yes no Penalties Required 1st. Notice Sent 6/29/94 2nd. Notice Sent ate Date Comments and/or Determination Disposition, For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) u e ount BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 March 14, 1994 Matthew Luksic #3 Mindy Court Chico, CA 95928 RE: Code Violations A.P. #063-24-0-044 12588 Doe Mill Road, Forest Ranch Dear Mr. Luksic: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome and construction of a cabana. (Applications *were made for mobilehome installation and cabana October 1993, but were not issued due to failure to obtain items listed on the data sheets.) Since permits and inspections are required for the above work, please submit the items necessary to issue the permits. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code'. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. Sincerely, MCV:dms 1 C. 1Vieira, C.B.O. r, Building Inspection cc: Assessor V= OK O = Not OK Not = Not Readyable MOBILE HOME Date/Initials MOBILE HOME UTILITIES (Plansl�OK except #'a MH & Disconnect K MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg -Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test i{ .4. V=OK O = Not OK - = Not Applicable = Not Ready usssfl RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2.Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3.Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4.Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/Initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=root Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protectlon-Skylights-Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct In Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comrmnts at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0. Address or location of mobilehome v 2 Dlt!'e lq%Lu Owner's name I 1 t,2K Owner's address # ✓ ?69?- Insignia 572 Insignia or hud number Manufacturer's name /h a"Z� Serial nurpber of V.I.N. 605555 )(6Q DZ_ Year of manufacture/~n �,t+= (Official Approving Installation IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. �Aon3_ X21- �,/ 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE � DEPARTMENT- OF PUBLIC W S PERMIT N0. �.-i• 7 County Center Drive - Oroville, C431ifornia'959E5 - Teleph0 9 53 7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 063-240-044 ZONING TM -10 BUILDING PERMIT OWNER Matt Luksic TELEPHONE 342-0930 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 Mind Ct. Chico 26 01 CON7RAC TO 'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee �Q $12588 PLUMBING PERMIT Filing Fee 15.00 DGe Mill Rd Forest Each Trap 1 5.00 , Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 3@ 15.00 T5. 50 TYPE OF WORK New Addition El Remodel[]. Utilities [y Installation❑ Other ❑ Describe work: MHU (2 Bedroom) _ Permit Fee $ 0. Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLELESS 1 18.50 18.50 Main service 200ATO1OODA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NO I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification IV I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&� OR ADDNS. ( ACC. BLDGS. 3.64 sq.ft. NEW CON5TR ULTI-OUTLET N•RESID BRANCH CIRC ITS ^ 5 00 POWER APPARATUS & ( SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 764 A Ex. Occup. OUTLETS ED P(RESID )REA.1 j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 '15.00 15.00 c Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g FHood 6.50 Ventilation Permit Fee $ LContractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any.way accrue against said County i consequence of the anting of this permit. X �3 Date Signature of Applicant — Owne Contractor ❑ Agent ❑ An OSHA��- 1111 ion of structurest overis r 3gstoraesuireoineheightf ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Ener Inspection Fee 9Y P $ occ CONST TYPE TOTAL FEES 128.50 HAz I DFEES IMP FLOOD — CDF PARCEL J.POHD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above f which fees D TO OF UB BY PERMIT EXPIRES Date applicable provi- � resolutions to do have been paid. ORKS p DaeJ.2( Receipt NO. 3 �2L WHITE-D.P.W., ELLOW-ASSESSOR• PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (9;16) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. i A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If yo a any questions pertaining to this matter, or need additional explanation, please costa is office immediately. f yr C' 1 W (/+•. f Date gl ZZq`- Inspector r REV 10/92 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 3- pa 55 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, 0t need additional explanation, please contact this office immediately. WA- HE1- I , r � Date Inspector ' COUNTY OF BUTTE sDEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 +7 County>.Cep.tergD.rime, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 3- S5 5 OWN R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date � � Inspector . a 1`� �`�1�1�r/`�.fi`�`disr"'"`+'i'`[�'�^.�itLa.^y""�"�.• i' •. ` • / _ , �,.3.y,,.r... �,,. �.-, jj xT �q. 'CO�INTYOFBUTTE - DEPART E��T6F,DEVELOPMENTSEI��/ , ES BUILDING DIVISION ( jj�I 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER V Proposed Bu PERMIT APPLICATION DATA SHEET Use /vi f/ LJ /G Building Inspector A. P. No. 1� 3 Date I., -Zy-yy At time of ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted. .... 0 V.. J,W .�l�J✓!�. ,�� w_ `� 2. Plot plans, 3/4 sets, signed by.preparer of plans . .......................... r 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calci, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... ' J 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees>of$ I . ......................................... 11. Impact fees as shown on attached schedule. . 12. California Department of Forestry plan approval/fees.���s`?�.�/, loo ',elevation letter (100 year flood) by California Engineer . ............:::: : 4 Sanitation and plot plan approval Health Department. . 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from,City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about *(A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. . ' Pre-Inspectio.n requeis 20. Pre -inspection for required. .. to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area an frontage requirements . ............... Existing violations/expired permits. Ok fip- 6-,oi .C41,W5 ... • • • . • • • • , , • • • . 42�- ` Plan dheck list. .. _ . :................................ . When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. x Other ,Parcel,Creation p Acreage Applicant � Date+ - Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept- Fire Dept. Other Date By The following data must be sub 1. Index permit•for above items 2. Additional items required: (Circle new item not checked above). ' _ Contractor, designe , owne was advised of above required data byph ne _ mail Contractor, designer, , ,was advised of above required data by phone _ ail Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Counter b Date Counter by -a Date Date TO: Building-. Department FRONI: Encroachment Permit Section RE: Driveway -Clearance Y 0 Z '5 �� ?a e- �� � •�7 Z �/� �/<i owner AP V 4, locatiioon Driveway permit !21' `Q�OP'« •' has, been issued. for the above property. n b n. ,sigre date A• ' F.H.use: m••i.Y �� .•. :. r rig„ Plannuac�,cd —� ri,,,,r ri:i„ Atiac,.a ` Sent ,,, B. u.V- TO: Building Department Of 6�� . FROM:, Environmental 'Health coumlY ' BUIl.D1NG ®€�fi SUBJECT: Sanitation Clearance n �vk-t�r Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for 2_ bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 Date 41 , COUNTY OF BUTTE - Department. of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name,and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your' -building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 1� f 2. I(hav /have not) , signed an application for a building permit fo e.proposed work. 3. 'I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, -but I.have hired the following person to coordinate, supervise, and provide the•major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work " Signed.: Pr3perty Owner , Social Security Number- C, 77 0 C Date. NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of -the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit., 0 for agricultural purposes, and residents 92-Q35'p ,3 = :�P-Arn to DPW AGRICULTURAL STATEMENT -OF ACKNOWLEDGaff.N7 . veniences or discomfort arisinof g from the County I FOR RESIDENTIAL DEVELOPMENT of agricultural. chemicals, including, Section 26-8.1 of the Butte County Code Candace J. Grubbs I' requires this acknowledgement 153'r Recorder of prior to issuance of a building includin 27 -Jan -92 1 PUBL - 92 -003350 1 Rec Fee 11.00 The property described herein is adjacent to land or included within an area zoned I Cash 11.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records 1 . ec veniences or discomfort arisinof g from the County I use of agricultural. chemicals, including, Butte but not limited to herbicides, pesticides,F2:13pm Candace J. Grubbs I' and fertilizers; and from the pursuit Recorder of a ricultural operations includin 27 -Jan -92 1 PUBL g g� but not limited to cultivation, plowing, --- spraying, pruning, and harvesting which { XX 3 occasionally generate dust, smoke, noise, and odor. Butte County has.established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent. property. should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real .:prop'erty:. situate in . the County of Butte, State of California, described as . follows: y 1 c% v • ` 4.' Date: j ': `,�.,,� PROPERTY OWNERS: till r {1 11.i: err' 00 1 „ I:IfA•.. .. . State of �y� ) On this the''` qday of �t h.uQ' d , . 19 % before me, the SS. undersigned'N,.t�ry Public, personally appeared County of j�l/ ) `"'' ''ii°,.�.,�. I j ���eeoseooseoeesoe0000000000eo "Per.sonally1 wiknon to me. Proved to me on the basis BETTY JANE FRY o it , of satisfactory evidence. N> �� COMM. #951569 to. be the person s) whose-na.me(s) ., NOTARYPUBLIC— CALIFORNIA W subscribed -t•o' ithe.within instrument and acknowledged that BUTTE COUNTY e executed the same' for the purposes therein contained. IN WITH 'SS o My Commission Expires January3, 1996 o WHEREOF, I hereunto set my hand and official seal. 000eoos000000000s000000000e000 (;•jq , Present A.P. No.��3'-' Notary Pu l'c f02s03350 SCHEDULE C The land referred to herein is described as follows: Order No. 2-151271 OX All that certain real property situate in the County of Butte, State of California, described as follows: Parcel 4, as shown on that certain Parcel Map filed in the office of the Recorder of the County of Butte, State of California, on September 18, 1980, in Book 79 of Maps, at pages 3 and 4. TOGETHER WITH a nonexclusive easement over the following described property: Being a portion of Sections 17 and 20 in Township 23 North, Range 3 East, M.D.B. & M., and more particularly described as follows: A strip of land 60.00 feet in width, lying 30.00 feet on each side of the following described centerline: Commencing at the center of said Section 17, Township 23 North, Range 3 East, M.D.B. & M., as shown on that certain Parcel Map for Anthony Santos, on sheet 2 of 3 sheets, and recorded in the office of the Butte County Recorder in Book 63 of Maps, at pages 54, 55 and 56; thence from said point, along the East, West centerline of said Section 17, South 89° 27' 12" East, 531.22 feet to the centerline of Doe Mill Road and the True Point of Beginning for the centerline herein described, said True Point of Beginning being an intersection with a 200.00 foot radius curve, concave to the East, tangent of which, at this point, bears South 11' 18° 58" East; thence from said True Point of Beginning and along the centerline of said Doe Mill Road and the arc of said curve, through a central angle of 40 05' 01", an arc distance of 14.25 feet; thence South 150 23' 59" East, 431.73 feet; thence along the arc of a 100.00 foot radius curve, concave to the Northwest, through a central angle of 430 49' 59", an arc distance of 76.50 feet; thence South 28° 26' 00" West, 149.55 feet; thence along the arc of a 100.00 foot radius curve, concave to the Southeast, through a central angle of 290 32' 10", an arc distance of 51.55 feet; thence South 10 06' 10" East, 702.62 feet; thence along the arc of a 100.00 foot radius curve, concave to the Northwest, through a central angle of 680 48' 52", an arc distance of 120.10 feet; thence South 67° 42' 42" West, 54.06 feet; thence along the arc of a 100.00 foot radius curve, concave to the Southeast, through a central angle of 28° 03' 30", an arc distance of 48.97 feet; thence South 390 39' 13" West, 89.80 feet; thence along the arc of a 150.00 foot, radius curve, concave to the Northwest, through a central angle of 200 14' 28", an arc distance of 52.99 feet; thence South 59° 53' 41" West, 204.93 feet; thence along the arc of a 150.00 foot radius curve, concave to the Southeast, through a central angle of 200 39' 51",an arc distance of 54.10 feet; thence South 390 13' 50" West, 322.90 feet; thence along the arc of a 150.00 foot radius curve, concave to the Southeast, through a central angle of 220 40' 46", an arc distance of 59.37 feet; thence South 16° 51' 20" West, 407.10 feet; thence along the arc of a 150.00 foot radius curve, concave to the Northwest, through a central angle of 170 00' 04", an arc distance of 44.51 feet; thence South 340 26' 02" West, 103.83 feet to a (Continued) Q 2. Q 33 5: 0 Order No. 2-151271 point on the South line of said Section 17, which .po;int:+bears�South� r a k.' 89° 28' 04" West, 19.02 feet from the South quarter -corner of said Section 17; thence continuing along the centerline of Doe Mill Road, South 34° 26' 02" West, 132.78 feet; thence along the arc of a 150.00 foot radius curve, concave to the Southeast, througha--centralangle of 9° 31' 39", an arc distance of 24.94 feet; thence South 24° 54' 23" West, 364.32 feet; thence along the arc of a 200.00"foot radius curve, concave to the Southeast, through a central angle of 1,�-2 15' 42", an arc distance of 42.80 feet; thence South 120 38' 41" West, 231.47 feet; thence along the arc of a 200.00 foot,radius curve, concave to the Southeast, through a central angle of 18° 05' 56", an arc distance of 63.18 feet; thence South 5.° 27' 15" East, 141.08 feet; thence along the arc of a 200.00 foot radius :curve, concave to the Northwest, through a central angle of 250 42' 55", an arc distance of 8.9.76 feet;. thence South 200 151 41"West, 288.54 feet; thence along the.arc of -a 200.-00 foot radius curve, concave to the Southeast, through a central angle of 200 46' 37", an arc distance of 72.52 feet; thence South 0'° 30' 56" East, 473.66 feet; thence along the arc of a 200.00 foot radius curve, concave to the Northeast, through a central angle of 210 Ob' 27", an arc distance of 73.68 feet; thence South 210 37' 23" East, 541.35 feet; thence along the arc of a 199.95 foot radius curve, concave to the Northeast, through a central angle of 270.34' 59", an arc distance of 96.26 feet; "thence along the arc of a 305.70 foot radius curve, concave to the Southwest, through a central -angle -of 180 14' 31", an arc distance of 97.33 feet; thence South 300 57' `50" :East, 305.83 feet; thence along the arc of a 100.00 foot radius curve, concave to the Southwest, through a central angle of 30 16' 18", an arc distance of 5.71 feet to a point on the East and West centerline of Section 20, said .point bears North 860,541 58" West, 23.03 feet from the center of Section 20, Township 23 North, Range 3 East, M.D.B. & M. AP No. 063-240-044 Gt�rr+pa. EN® OF DOCUMENT *1 0 U-1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Building Department No. A.P. Number L/Y Jurisdiction (_ city County Property Owner L(��G_S.r_ Property Location/Address Subdivison Residential Development Commercial/Industrial Building DepartmenbReprese No. of Living H Units New M/LC_ .4.. Lot No. Fv�_/ 5_�t 0 Sq. Footage Sys Addition (Group R) Sq. Footage Addition (Including EXterior Roofed Areas) Date (Floor Plans reviewed by School District Personnel) District Identification -No. _•_ /v P_ School District certifies that (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. = by payment of $ representing _�^ square feet. School District Representat Date Paid by Check Number Remarks: Bank Number Paid by Cash If, 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 reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) T2•c. r .�-..t,.y-,-_. • „;-� .yo-. "'!R•ss^�±��► .�..-.,wrpf•..,....�-r •..s�-+y-• COUNTY OF BUTTE :-,DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drivel- Oroville; Californi5 95965 - Telephone (916) 538-7541 q, PERMIT NO. APPLICATION ANb PERMIT ASSESSOR PARCEL NUMBER 063-240-044 ZONING V-10 BUILDING PERMIT OWNER Matt Luksic TELEPHONE 893-4088 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 Mind Ct. Chico 95926 a,> CONTRACTOR'S NAME Owner TELEPHONE I � - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN ' 4 Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER DCENSE NO. Plan Checking Fee $ • Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ._.... _,. -- 1±588 Doe 1 PERMIT FEE s43.01J PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 t,• .+ 1. �..••" a. - Solar or heat pump water heater 23.00 Water piping 15.00' LOT NO. SUBDIVISION'S NAME.. PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE „ SF ID Duplex ❑ Mobilehome '❑P Other SPECIFY Gas piping system 1': 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ElRemodel 1:1Utilities ❑ Installation)] Other ❑ Describe Work: 2 Bedroom MO - PERMIT FEE 1 $ •� Contractor ELECTRICAL PERMIT Filing Fee 20.00 j J Main Service ( 00AIII OR LESS ) 23.00 200A OR LESS 2 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC US P. . OR ADONS. ( &.-ACC. BLOS. ) 3.50 FT0, CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAS @ I.500 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 1 ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 1 PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the gropting of this permit. r 4 X Date /( r / .} Signa ure of'Applicanh - ❑ Owner ❑ Contractor ❑ Agent 1 An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stoiies'in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISS E """' 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 O,, F PUBLIC -WORKS / BY .� DateG/T LI ' f/ PERMIT EXPIRES ON .�J ,/�,/ /Dere/ t �1 Receipt No. % 5 E5 4. 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t v COUNTY OF BUTTE,.: DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive ' Oroville, Califorraia 95965 - Telephone (916) 538-7541 ^ PERMIT NO. 3 - 31184 APPLICATION AND PERMIT (.e ASSESSOR PARCEL NUMBER 063-240-044 ZONING TM -10 BUILDING PERMIT OWNER Matt Luksic TELEPHONE 893-4088 SO. FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS 3 Mind Ct. Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 19588 Doi- Mill Rd-, Forest Rqnrh PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome N Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities C)Installation XJ Other 1:3 Describe Work: 2 Bedroom Mobile Home /A�1i / �d'�-��� 6�(` PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 —I NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLDS. ) SO, 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do ` the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) SALL..@H.50 Ex. Occup.FIXED APPS. OR ( OWUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 0,1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all43 liabilities, judgments, costs, and expenses which may in any way accrue against said County i onsequence of the gr ntin of this permit. Q X Date e / Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ OCC CONST. TYPE I TOTAL FEE $ HAZ. D. FEES IMP F100D COF PARCEL PO ND I This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR O LLCrV1iSRKS By PERMIT EXPIRES ON !D e/ provisions to do work paid. Date O 1 g6 ceiptNo.`THITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F " y COUNTYOFB TTM DEPARTIJIENTe%C. ,) LOPMENTSERVICES BUILDIN DIV 7COUNTY CENTER DRIVE - OROVILtE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET y17 OWNER ;o-rr k s 7 C A. P. No. y— L/ 1/ Proposed Building Use Building Inspector l Date /---.' a 5 - At timeof pe mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted. rt. S.C. ' .... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9.Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ . 15. City of Chico plumbing permit . ........................................ . } 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for to Bussing InsioA �QO� required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . A26 : Recorded copy of Agricultural Acknowledgement Statement. ,-Letter of signature authorization . ........................................ . Copy of recorded'deed of parcel creation and 60 right of way to a public road...... . Letter of intent on building use .......................................... . Mobilehome utility clearance . ........................................... " 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, process as follows: VMail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation ,. Acreage Applicant `/riifif Date /� s Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by ;�17—&— Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville,,CA 959.65 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION: Attention Property Owner_: An 'owner -builder" building permit has been, applied for in your name and bearing your. signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in' process ing 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's for construction•of the proposed property improvement (yes or no) tof 2. I) signed have/have not ., ned an a lication for a building ( g pp g permit. for. the proposed* work. = 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City -Phone Contractors License No. 4. i plan to provide' portions of this "work,.but, I have hired the following person �to coordinate, supervise, and provide the major work: } Name Address City Phone Contractors'License Nd*. 5. I will provide some of the work,but I have contracted (hired) the following persons to provide .the work indicated r.. Name . Address Phone Type of ,Work Signed Property Owner Social Security Number /_6_r 77 0 y Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are'per- mitted to issue the permit. AP,-# OWNER ii A PERMIT a.MH UT M. CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Compaction Service Other Pipe' Struc. Test - eq; Size- L . oad- Type Size� Length YES -1 NO 10 -0 :A I N .1 LL A- 0S f-j. W F 77 c3 C�, I : - '-. " - i � A. J_ -17 J 'T. t-4 ------- -- -N ST. - �Work 1-4-4-- I i . imi Pkns an PeCMJ�060�5 MU w U AerWo� *1 ; .: 6. Yed- Goo� -rO;6ris Sar.n Itho make 6ij �hc;n'.Qbi or 61te' 6n� Pfv.scribtW, 1�em e1% drfmO. i u t theSP13Cifle(1:LIks�* written pefM. iision from th4 P66p�rfm� auji(j, try Ir ...Wor6c cl?4 !y the ki4 _: '---�aa i ! l 'lj� -i .7-7— vs?_: / 0% ho e oo, Ile N Location of structures equipment shall be as -shown' & clew of all easements. '30 I e-0,10 5b Fwy)l L A6,1441 SO E COUNTY �JA TT BUILDING DEPARTMENT A P P R: 0.".. V E D:'� o 1 vah _,,� r 15 IV N L, 44 T 'T, If T , v C,:k, 4: J -4 1. T 1. i-1, t i !_-c TFIA." "i-A-1 FTITIAT, 01 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS' Z County Center •Drive,. Oroville,, CA , . `,r. PHONE: 538-7541 r • MOBILEHOME INSTALLATION.SHEET ' 1. Owner's Name: :f� Olt y IJ%SSC A 2. • Installer's ,Name:�'sf�r,�Ct�,,' ' :3. Is thesi"te.currently under permit? Yes No (If ayes, furnish' permit 'number / ).OR �� a< Is the site-an existing site. Yes i i No (If yes, furnish two plot.plans.) 4.' . Will the mobilehome be located atleast •5 ft:. away from septic' tank,and leach' fields and clear of all setbacks and easements? Yes �I No (If no, clarify ., 5. What -is:the mobilehome electrical rating?----=--- ---. '� Amps l 6. What.is•the mobilehome site service rating?---------- -- Amps 7. What is the mobilehome site°circuit .breaker rating? = --- w - Amps 8,. �Isthere :any other° electric .load to be 'served by.,the - •r - ' ,.mobilehome site service? -------------=-=------=----==--- Yes' � `. No (If,yes, identify the -load and s'iz_e: ~(Load) (Amps) . 9.; What is the mobilehome 'site- •gas'pipe -size? -`"`•=-------=--- (in ) 10.E what. is the type of gas service?---- ----- Natural LPG 11. What is the gas pipe. length from meter or tank,'to the` mobilehome?--------------------------------------------- 12. ------------------- ---- 12. What-is the°mobilehome gas demand? --------------------.- (BTU) M .*(This information not required if=pipe length less than 6 ft. on natural-gas or `less 'than .50 ft. on LPG.) i y��lii ` %U • A, . r MOBILEHOME. SUPPORT DATA i - If other than single wide, Q � Mobilehome Mfr.�S�rP .± L_cA�Ce� furnish Setup Model No. Year i Width rL'> (ft. ) Box Length__2L (ft. ) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) Erl . Concrete block.7 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE fe11 Line' . Main Beams tI 1n "Anp Line 2 Main Beams !Ane 2 Line 1 —Line Tag or Triple (ine 4 Line 1 Lire 1 Piers: Line 1 Openings: Size -Min. ------------ „ Size -Min- ------------------ Spacing-Max - -----------------Spacing-Max. --------- _ „ Each Side of Openings From Ends -Max.------- " With Width Over --------- " Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min . ------------�Z „x3O Size -Min. ------------------ Sc Spacing -Max.--------- - Spacing -Max. --------------- n I CP From Ends -Max.------- '- " From Ends -Max. ----------- Line 3 Roof Loads:' Size -Min. ------------ Location (From Front) Line 4 Piers: Size -Min .------------ k Spacing -Max.--------- ., From Ends -Max. ------ Line 5 Roof loads: Size -Min. ------------ Location (From Front) e 5 Piers: (Under Bearing Walls Only) Size -Min.------------------ Spacing-Max.---------------ff ].I From Ends -Max.------------- x x y ,� k .x fif I� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle,, Callforrila 95965 - Telephone: 918,`538.7541 APPLICATION AND. PERMIT PERMIT NO. _2- 1�� ASSESSOR PARCEL NUMBER 063-240-044 ZONING TM -10 BUILDING PERMIT OWNER Matthew Luksic TELEPHONE 342-0930 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 Mindy Ct., Chico 95928 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee _$35,00 PLUMBING PERMIT Filing Fee 15.00 12588 Doe Mill Rd. Forest Ranch Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 4 SUBDIVISION NAME PARCEL MAP 79-4 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUC URE SF FlDuplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Q Addition ❑ Remodel ❑ Utilities nstallation Othe Describe work: MHI (10 x 55) 4.4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA, 37.50 I declare under penalty of perjury p y p l y (check one)' ❑ I am, licensed under provisions of hapt. 9, DBusiness CONTRACTORS LICE E LAWNtheir and Professions Code and my lic nse is in nd effect. License --No. Cl ssificationEx. I, as the `owner, or my employee with wagese compen-Ex. will do the work,and the tructure is Or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting wcontract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. // 3.64 sq.ft. NEW CON5TR ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS S (SINGLE OUTLET CIR. OCcup(OUTLETS OR FIXTURES 20 760 Occup. OULETS ((RESID )REAJ 1 3.00sation, Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department f Consent to Self -Insure. WICertificate of Workmen's Compensation Insurance or a Certificate shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Coolin g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag4s,d COU yin consequ nce of the granting of this permit. X Date 6 �a 9� Signature ofApplicant — Owner 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 S 70.00 Energy Inspection Fee $ occ CONST TYPE OTAL FEE $105.00 HAz I DFEES IMP FLOOD r CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 116940 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .. c COUNTY OF BUTTE - DEPARTMEN,T�OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVEt - OROVILLE, CAOrORNIA 95965 - TELEPHONE (916) 538-7541 s s PERMIT APPLICATION DATA SHEET OWNER 6—LI 4; 16 o. Proposed Building Use Building Inspector Date o7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . Engineered truss details and layout in duplicate (required prior to plan check). ... . t' Mobilehome data rid manufacturer's installation instructions, 2 sets. eesof$ .......................................... 11 Impact fees as show1 on attached schedule . .............................. 2. California Departmentpf Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . .............. . 14. Sanitation and plot plan approval Health Department. .....: t.p-¢`1 15. City of Chico plumbing permit. .�....... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development a, -out (A) Improvements (B) Drainage. .......... . 19. Driveway permit (con structio 'approval required prior to occupancy). . . \ Pre -Inspection reques�- 20. Pre -inspection for, required. .. to Building Inspector (Date) 21. Contractor's license information. o., Name Style, Classification) . .............. 22. Certificate of Workmans ompens� ion Insurance . .......................... 23. Owner -Builder Verificatio (Given to wrier Mail to owner_) .......... . 24. Recorded copy of Agric Itural Ackno edgement Statement . ................ . 25. Letter of signature auth rization. .... ................... ......... . 26. Copy of recorded dee /of parcel creatioNand. 60 right of way to a public road.etter of intent on buil - ing use...................................... 28. Mobilehome utility clearance. ........ Documentation of legal access . ............ ............ 30. Documentation of 50% subdivision developedor (A)rRoa8mprovements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. d `-;x 34. / When you issue the permit, process as follows: Telephone and hold for Other Parcel Creation Acreage _ Mail to owner p at Applicant Mail to contractor. _ office. Deliver with inspector. Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted p r to-4wmit issuance: (Circle new item not chec ed above). 1. Index permit for above items No. (l za SeAf �e� ,- - O - `� `1 Z6 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phonemail Counter by Date Z Contractor, designer, oowner), was advised of above required data by _ phone _ Counter by _ Date Plans checked by L'lW Date 2 q Z Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB R` 3— ZONIt'O X10 BUILDING PERMIT OWNERL (Y\ Q�rtew �fJkS« TELEPHONE 3y,2 092U SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 ("1)'J CONTRACTOR'S NAME I () w ki,-� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO, Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f a 5- 3-?- Do -P /n f /f/ �Q� Permit tee $ Q PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT JN 1O. `t SUBDIVISION NAME PARCEL MAP 7 Cl ^ y Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[' Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New 2f Addition ❑ Remodel Uti lit- s ❑ Instal lation Other ❑ Describe work: �� %� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20GATO1000A1 37.50 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 force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code` for this reason NEW CONST. / DWELLING OCCUP.�\ OR ADDNS. \ ACC. BLDGS. // 3.6Ceq.ft. NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CPR. ) Ex. Occup(OUTLETS OR FIXTURES 20"3.00. Ex. OCCUp- OUTLETS FIXED PIRESID IKEA.) Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 H I Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL .PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date a� a Signature of Applicant — Ownercontractor 1:1Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h ' ht. Mobile Home Installation Fee S rQ Ener gY Inspection -Fee $ occ CONST TYPE TOTAL FEE $ Q �J HAz DFEESIMP FLOOD CDF PARCEL PD HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W., YELLOW-ASeE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY-OF BUTTE - DEPARTMENT OF IVBI°.IG- WORKS — BUILDING DIVISION , IL •�'7 COUNTY CENTER DRIVE - OROVILLE, .CALIFORNIA •95965 --TELEPHONE.(-916)5387541 OWNER /� �/�/�� C� ' A". P. NQ. 2 A . PROPOSED BUILDING USE /G'/ / / / '+ DATE REC. # _DATE REC t ' School:Distri 6 Fee s,-. • (paidrat District Office) ,,,, 2. 'Sheriff Fees- , (paid.' at' Building. Department) / � Residential .... X '� =$ (DXx Z unit amt. . v , Commercial('per, sq.ft.) X =$ sq.ft., amt. ." 3. Urban Area Fees ('paid at , Buildiag_ Department ' Residential,(per.unit) X -$ e n units amt. ,. Commerical(per sq.ft.) X sq.ft. amt. 1 Y 1. •` .E '^' -+ w .. , ' ,- 4. Recreation-District Fees �. (Pald,'at. District Office)-,', , , , , , ; , ; , , ; , , , ...... 5. Drainage District Fees (Contact Land Development), .......... ther 6. Other- 7. Other 7. At time of permit application, I was advised the' above' fees .are required to'be t paid prig to . issuance of ttie permit. '' APPLICANT r DATE ; {. ' .. ... - c' ,( `mss' .. ,+ • •.. . 3 { ��'r1'?tYT+'°ii'"'.�(`n'�iMi �'�4�+�ittftt�P��� ��' ±'.u+..t�?.��eun..� Tow.+.»�.•-... �...�,��'�-�."�"+l'`�1s�'�s'f�"nTh�r�c��' f'-"tr'cM!'"1;W MOi4��+i�'^�tL�wtS^6;. 9 BUTTE COUNTY SCHOOLS IMPAC' FEE CERTIFICATION FORM (One Form Per Building) School District V_— _ —_ __ _ —_ Building Department No. ' A.P. Number &— 2 Jurisdiction. (_ City County Property Owner_—_ Property Location/Address Subdivison Lot No. Residential Development ���� Sq. F_.,00tage No. of Living /M H1 Addition (Group R,) Units f Commercial/Industrial C 0 Sq. Footage • New. Addition (Including Exterior Roofed Areas) Bui ing Departmen epresenta.ive Date r (Floor Plans reviewed by School District Personnel) "y .. District Identification No.'. School District certifies that - (Applicant) D (Street Address) (Phone Number) -------- --- - ��y 5s5 (City) (State) (Zip Code) has complied with the requirements of Resolution No. _ _ by payment of $ representing —�� — — square feet. School District Rep Paid by Check Number _ `4j ,4_ Bank Number Paid by Cash Date If, 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 reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) i we 063-24-0-044 91-4308 1 JLUKSIO, MATT i CONTR : OWNER - (006DOE MILL RD, FOREST RANCH ;MHU I i ✓ T � � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT— PERMIT NO. AS36.SSOR PARCEL NUMBER 63-24-44 ZO NG lvj IO BUILDING PERMIT OWNER MATT LUKSIC TELEPHONE 893-4088 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 MINDY CRT CHICO CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS DOE MILL ROAD FOREST RNCH permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 45.00 TYPE OF WORK New❑ Addition E] Remodel❑ Utilities® Installation[] Other E] Describe work:MHT 2 BDRM Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW penalty I declare under of perjury check one): p i y ( ) ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&\ OR ADDNS. l ACC. BLDGS. / 3.64 sq.ft. NON•R ESID ON5TR BRANCH CIRCUITS I @ 5.00 POWER APPARATUS h (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESI D.) EA.) ( 3.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. Wiring 9 15.00 Permit Fee $ 48.50 — 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 subjectHood to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g 6.50 Ventilation permit Fee $ ntractor I certify that I have read this application and state that the above informationobile is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co eq price of the granting of this permit. n X Date % 7 Signature of Applicant — Owner® Contractor ❑ Agent F]sions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Home Installation Fee S [EnergyInspection Fee $ DCC CONST TYPE TOTAL F E $ 128.5 / HAz I DFEES I IMP FL OD CDF I PARCE PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt Na _1 (141 Sr, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT . vy OWNER s. .u. ''' COUNTY OF BU'V' E-'DEPARTMENT!OF PUBLIC WORKS,,- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERI& APPLICATIOIN DATA SHEET Proposed Building Use Building Inspector Permit No. A. P. 6 -3 o %Date 12, L0 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIV APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................ .............. . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... Sch of Dis t fees paid .............. E�l Sanitation approval from G'"ff 1 C Health Department City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Panning approval for (A) Use: (B) Parking: ...... 1 Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) —1Z Pre -Inspection for required .. Pre-inspeo. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 1W 12 9 �6. Letter of signature authorization 27. When you issue the permit, process as follows: Mail to owner. � Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant �� `a Date :1L�971 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data d pri ermi ' s ance: (Cirole, n above). 1. Index permit for above items No. Z 2, Additional items required: Nn P. C- - cDoti c- RS lb 4_t), P>,oTPL *1 Contractor, designer, owner, was advised of above required data by—phone—(mail_-unter by��_..date o 2 Contractor, designer, owner, was advised of above required data by_phonerr counter by date Plans checked byT5ZJ Date-(,e� 191 Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNE n r TELEPHONE F SQ. FT. OCC. BUILDING VALUATION O WNE 'S MAILING ADDR E$S C_ _` ! _��0 -�CJ T G/�1{•-,�- ('// CONTRACTO 'S N/yM `e TELEG/PsHSO N�'Ell C ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ' Filing Fee $ 1 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS D� /L� �� }—•� Permit fee $ Q PLUMBING PERMIT FitirlgFee 15.00 �C:�1t Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping ' 7.00 Each qas water heater or vent 7.00 USE F TRUCTURE SF ❑ Duplex❑ Mobilehomeln Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home KWW=@ 15.00 Q� TYPE OF WORK New ❑ Addition ❑ emo�/el � /Utilities Ins llation❑ Other ❑ Describe work: /� (� --' �� Permit Fee $ w Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 200A TO 10o0A1 37.50 CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Elas the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.✓y) OR ADONS. ACC. BLDGS. I 3.6asq.ft. NEW CONSTR MULTI -OUTLET NON.R ESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76d Ex. Occup. OUTLETS ED APPIRESID IKEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g "15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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. also agree to save, indemnify and keep harmless the County of Butte against l liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Ownern OSHA permit is required for excavations over ❑ Cs overtor ❑ Agent ❑ 5'I)" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES �(� S-0alI HAz 1 0FEES I IMP rOOD I CDF PARCKI PD I Ho I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-o.P.w.. Te��ow-._.A•..�o o,..•.,.,.e•..,,- ......._..___ .__.._..._ Matt Luksic 7 County Center Drive, Oroville CA 95965 :�- `Ph6ne: 916-538-7541 3 Mindy Court F,Jlico CA 95926p, „G 5. 1993 ermit application for mobilehome A.P.•# 063-24-0-044 With reference to the above subject: MAttached is: Application for permit Mobilehcne Utilities Installation Sheet Building Plans _Iobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes Enforced PRe need the following information prior to permit processing and/or issuance Permit application signed and canpleted where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature cn plans. Hazardous Material Form Energy Design Ccmpliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehane data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval frau City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Workmans Compensation Insurance. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. - Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehane utility clearance. Documentation of legal access. DocLm�entation of 50% subdivision developed or (a) Road improvements canpleted and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. ether: We need plans and permit for cabana. Please submit as soon as possible so this won's be turned over to code enforcemenc. Inank you Should you have any questions concerning the above, please contact To. M., of this office. DP:ahb Yours v , David Purvis Manager, Building Inspection 7 COUNTY CENTER DRIVE 747 ELLIOTT ROAD ° CHICO, CALIFORNIAi - ^ . OROVILLE, CALIFORNIA_; `"PARADISE, CALIFORNIA ~` 891-2727 ' ".; 538-7281 872-6308 . 1469 Humboldf Road ,BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH ` Chico, CA 95928. P; DIVISION OF ENVIRONMENTAL HEALTH - SEPTIC TANK INSPECTION -CERTIjFICATE, The Septic Tank System ',was',,InstaIled.at pee_ 1�, 9T- '63 - zy —^`f y F -FOR ` 6ed�y _ •SEPTIC TANK,: LEACHING FIELD 1 • Length fb ft. ' . Size Gallons. + Width in. Material-� • r ~r� No: of Lines �-- •,•, Rock.Under Tile in. �4 Theabove dimensions meet the minimum requirements of Butte County Code, Article 19. Additional leaching area will be•required if experience shows it to, be. necessary. - Remarks: 41 •Date ' -7— 1� -5 L,; S2 -778R Sani tarian,. ,. f 7 COUNTY CENTER DRIVE 747 ELLIOTT ROAD CHICO, CALIFORNIA OROVILLE, CALIFORNIA PARADISE, CALIFORNIA 891-2727 538-7281 872-6308 1469 Humboldt Road BUTTE COUNTY,DEPARTMENT OF PUBLIC''HEALTH Chico, CA 95928 DIVISION OF ENVIRONMENTAL HEALTH SEPTIC, TANK INSPECTION CERTIFICATE The Septic Tank System was Installed at Vcai_ FOR-1)1Q•-s-p,�ia...e..:.'i a �X�?fl_ vane—�� SEPTIC TANK LEACHING FIELD ' ` Length ft. Sizes ` Ga ons Width in.,. ' - • MaterialCf � a k ' No: of Lines Z - F - • Y . -Rock'Under Tile in.. - The above dimensions meet the minimum 'requirements of Butte County Code, Article 19. Additional leaching area will be required if experience shows it to be necessary: ' r Remarks: • - J Date S2 -778R , Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE 6-30-92 MATTHEW LUKSIC RE: MH U & MH I PERMITS 12588 DOE MILL ROAD FOREST RANCH CA 95942. A.P. # 063-240-044 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs.in. by registered engineer or architect. Energy design including Street and drainage improvement.plan approval from Land Development.Section.'(DPW)... sets of plans in accordance with the changes marked in red.. Y Sanitation approval from Butte County Health Department at.: . X_ 1469 Humboldt 'Road, Chico. a 7"County-Center Dr., Oroville Skyway & Elliott Rd.-, -Paradise' 'Planning approval -from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner=Buihder Verification form. _ Recorded copy of deed showing Recorded copy. -of agricultural acknowledgement statement. OTHER 1. w yy Permit. _ r n ca nr-m _ Should you have any questions concerning the above, please contact BARBARA WILDING of this office. BETWEEN 3 & 5 P.M. Yours very truly, JFG/aj . r r William Cheff Director of Public Works JF .. Glander zl/. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 12.E Be Doe In iN toad Fore61- 4aricGt With reference to the above subject: DATE �-,/ / 9 2 RE: 10V fi oqm perm i�s A. P. # 603- Z-4--44- �l Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced L.1 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. ✓ Sanitation approval from Butte County Health Department at: _196 Memorial Way,' Chico 7 County Center Dr.., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER I Should you have any questions concerning the above, please contact of this office. Yours very truly, JFG/aj William Cheff Director of Public Works .F. Glander Chief Building Inspector I c 4;'"�'�^^x�'�rY-yc�^s�.3��.^�'y-a.i;-•...-D'+rawti�{`��,�' � ti-r�-Pf-L.k'^"i,=moi k�f"�L�""'!�'Y""y��`+ ~.¢.. COUNTY OF BUTTE i DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916),538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ,n OVtFKER' '5 ale PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinan esiexist at the above address and should be corrected. Please notify this office when correction ofiwork is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 'r 3^ ay= Gyq rjQ3- OQy-- 035 Date �' Inspector REV 11/81 L.• Lr' ?f_? i C:a..!,..:E:,{..' Y f i( T::.4..1T . E : r:;-} 05/E5/93 PROPERTY SYSTEM ASSESSOR INOUIRY -- •. ., PI_iRKl._ f-?i::i:_, 200 044 000 0 ~:a7A•1-•l S N :-:i 0000/06 i•',REA„I.1"_T? N 80 02...; . Sr__03 t:?:: /0 i/0,::? SEE TRAN 062016) DESCu, 1c::.,i„_:}b f.7i:aE MILL Rt",AD ZOja ' t G ,. TM 1 t i 00 ,CS r „ .063 _4_. 4 000 _A, A c / (r?i f-�, fR 2 c 7 i=r1 00/00/00 4 ! I i i ;! 062016 I A CD n 060 0i aSQ 00/00 i0 ::L L-..L.,.E1..7 „ .. r R _ i : # . ' R, "q ir09/21/90 ,..:ES,..•:, 124Si..i i::i..:C:: i-'t:f.L...L... {=C:}: -tom?' , . _ 4 . - L CMATTHEW Ii iE ., - E,; • r, t—..�_ :� per T t E E i• T ..a , .t. r•.L4.: r 4..: ..:._ri"\ l AC, t ,.._ ::3 ,: ;:...::.::, 9.12 i..,:.. Co CA 95928 r.::. V,,.,E '^•r^lM E,rlr•-N '( n 60400440O.CONVERTED - ff t4 i'l.}t7 %(_:i} , IT(..;':)z 12489 DOE:. E°iILE..: ; .I. _.. I„ {d;:'I' C;v�.l,i - L.....:L... YAPCar.. ....:.t. , I�:::AL`' t E•—I r.. PRE RET ::..._: c... ATT I• t ._! i •.I IAPR I. E E_ E'.E H i.:. f' i_ r_E .r ..+Pi :.s- +.'-'^5;•._ a•� .a..,.,�,..,., r.A. .,��•va}Ic-• -• _ �.q �ssy,F y�'�as v- / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT NO. 7 County Center Drive - OrovIIle, California 95965 - Telephone: 916/536.7541 APPLICATION AND OERMIT r ASSESSOR PARCEL NUMBER - 63—.24,44 ZONI ,G BUILDING PERMIT OWNER - MATHEW BMSIC TELEPHO SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A.DDRE S i 3 MINDY CRT CHICO CONTRACTOR'S NAME OlrM TELEPHONE r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS DOE MILL ROAR Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT N�. �1y/^ SUBDIVISION NAME A CEL MAP 7C y Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 11 ' L ELECTRIC SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK I New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other El Describe work: 200 AMP SRRVT('E M WFT1,,JMW' WATER • T``s' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): • ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. j License No. Classification. I �. I, as the owner, or my employees with wages as their sole' ' compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, I DWELLING OCCUP.e, OR ADDNS. % ACC. BLDGS. , /20sgft NEW CONSTR. MULT'-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. OccupOUTLETS OR FIXTURES 00506 e 2AL030 KE \ Ex. Occup. OUTLETS ED P(RESID IA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 • PRE INSP 1 15.00 15.00 Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _/ = ii Date `�—/ 9' 9 / �-._.. Signature of Applicant — Owner ElContractor El Agent. An OSHA Permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height./t Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE — TOTAL FEE $ 52.,Itp HAZ CUA I PARK I sCHL I FLD COF I PVJ 104 Ho. ISS This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By r.�ii� �/1 ! .�� Date •'tY �'.'i ,i ! � PERMIX �T EXPIRES Date �• • �'- Receipt No. llli�J WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. T ASSESSOR PARCEL NUMBER 63-24-44 ZO_G BUILDING PERMIT OWNER MATHEW LU KSIC TELEPHO SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 MINDY CRT CHICO CONTRACTOR'S NAME *,I OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS DOE MILL ROAD Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOTZ. SUBDIVISION NAME PARCEL MAP 7�- Water piping � 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF [-I Duplex❑ Mobilehome❑ Other WELL ELECTRIC SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [ ] Installation ❑ Other ❑ Describe work: 900 AMR SERVICE TO WET T-117=1,, WATER Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 2 50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. �• I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.BI OR ACDNS. ACC. BLDGS. , ft /z¢sga NEW CONSTRESID, RANCHUL TLETCIRCUITS) NON.R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS IS %SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 201806 eALO 30 Ex. Occup. OUTLETS P(RESID.)REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 15.00 PRE INSP L5. 001 15.00 Permit Fee $ 52.50 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. Z 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Pernit 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way.accrue against said County in consequence of the granting of this permit. q X ��0,� —' 1 � Date %-� 9� ✓ l Signature of Applicant — Owner F-1 Contractor ❑ Agent, An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 52. 0 HAz. cuA PARK SCHL FLD coF PA PD HD. Issu . This permit is hereby issued unoer the sions of the Butte County. Code and/or work ind' ted above for which fe OIR OF PU I BY PERMIT EXPIRES Date applicable provi- resolutions to do s have been paid. WORKS / t - Date lJ //3 Receipt No. f 60 63 1 WHITE-D.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEJV�:OE.PUB'LIC WORKS - BUILDING DIVISION " 1 ►-c• 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT-PPLICATION DATA SHEET �]/jQ. // ���� Permit No. OWNER ,' �/ I LV C.-U'rCs% A P o. r �� Proposed Building Use �---`�-% C� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........ ............................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid. ............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW Driveway permit (con ruction ap ro al required prior to occupancy) 7� Pre -Ins ec. request ,. Pre -Inspection for required p�—f�� (Date) 21. Contractor's license information (No., Name Style, Classlflcatl0n�lding Inspector 22. Certificate of Workmans Compensation Insurance .......... ....... -owner-Builder Verification (Given to owner ❑, Mail to owner�f ..... S r ecorded copy of Agricultural Acknowledgment Statement .etter of signature authorization .................................. . 2 27. When you issue the permit, process as follows Mai I to owner. Telephone and hold for pickup at office. Other Applicant Mail to contractor. _Del,iver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data m.ust_be. submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2, Additional items required: Contractor, designer, owner, was advised of above required data by_phon ail_counter b�Z d to Contractor, designer, owner, was advised of above required data by_phone_rnail_counter1by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllles Callforpia 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB E — ?— ZONING BUILDING PERMIT OWNER ,l 777-/Cf/VA`'/ ` / Ltl�� / C_ /J� �MAILING TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S ADOLR E$5/�O � ��^2_6 C/n_ CON TRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS -7 D�� /LI ALL Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other Vv SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities.0 Installation❑—TOther ❑ Describe work: - �flQ A M S�y) G� 1 CJ ������ � j?/( (it%MELECTRICAL Permit Fee S Contractor PERMIT Filing Fee 10.00 OR Main service 100 AMP ORSLESS 10.00 Main service EA. AOD'L 100 AMP 2.50 �r CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING oCCUP.& oR ACDNS. ( ACC. BLDGS. ) 2/z ¢sq ft NEW CON5TR. ULTI.OUTLET NON.RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS h (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20650C BALI 300 FIXED APLNS Ex. Occup. OUTLETS PIRESID JREA.) 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 / , OU Permit Fee $ �a r 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 Appllcant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ 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 $ Energy Inspection Fee $ occ CONST TYPE 7� TOOSCHL E �� • -� v TAL FEE $ Hoz CUA I PARK I - PAF I i I Pp i I This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provl- resolutions to do have been paid. WORKS Date Receipt No. 'WHITE-D.F.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ABSOLUTE AUDIO 166 COHASSET ROAD #2 CHICO, CALIFORNIA 95926 TELEPHONE: 893-4088 X0. 05' V, /19/), COUNTY OF BUTTE - Department of. Public Works 7 County Center Drive, Oroville,. CA .95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has-been applied for in your name and -bearing your signature.. t 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 verificati6n'is received. 1. I personally plan to•provide•the major, labor and materials for construction of the proposed property improvement (yes or no) JYes 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: , Name Address City Phone Contractors License No. 5. I will provide some of the work but I.have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner " Social Security Number -Date NOTE: This Owner -Builder Verification is sent to you .as required by Sections 19831 and 19832 of the California Health and Safety 'Code. +`kssy,'��' This verification must be completed and returned to'our office before we are per- mitted to issue the"permit. �3.��_ �� ~'neo ��e o��n o ... . o�� • PRE -INSPECTION OWNER: lam/ . ` ' L'- l'e'�-> IC DATE— LOCATION: ATELOCATION• i A. P. ocs- R f f N c CONTRACTOR :iGi� ZONING PRE -INSPECTION FOR: x.. 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Assessor's Parcel Number 0 1 a] DY K0 Scale: 1 Owner Name M A Tr L u Ksxc- Address/Phone No. 3 Mx'v 0 y C -r. oc'wx f- 0 CA .530-310.2.0 Site Location 1 214 99 00C MILL R D. Contact: Name MA -n L L4 ic jxc- Phone :74.1 o930,Z 293 IM actaba A MM . FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres i 4.00' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES.: ki 0 13 i 44 , �� ^ � �� ^� � 25'-6~ 41'-4^ r--------------------------- �� K / PROPOSED FUTURE � BATHROOM 6068 FIR ! Nr SEE STAIR DETAIL THIS SHEET I/Al. 00 BASEMENT 6068 FIR PROTECT PER CODE, 5/8" GYP. FIRE GYP. ON ALL SURFACES COMMO!kJ TO RESIDEN EA GARAGE FROM FINISHED FLOOR TO Z OF. DOCIRS FR.OM GARAGE TO RESIDENCE TO BE 1 RATED 1-3/8" SOLO ICORE SELF-CLOSING. co ` 21'-7^ LIVABLE AREA: S82SQ. FT. MASTER BEDROOM 9'CBUNG / / / / 7 Ir 77 / OFFICE |9'CBUf / / ENTRY D'CE|LKN', FIRSTFLOOR PLAN LIVABLE ARIEA: 1,659 SQ. FT. � SEE SHEET A1.S (ARCHITECTURALNOTES) FOR GLAZ|HG'REQUIREMENTS. WOULD LIKE TO CANTILEVER DECK NO POSTS WALLS NV22X4 @16- O.C.�� � -'^��'����� � ��NOSING u���»8~��XN��/ �� m���—' E NOSING If WALLS N82XU@18^D.CTYP. APP vim - 0 �� *~x� / ��° O^BEAR|N{�VVALLSTYPICAL STAR AND HANDRAiL DE7A!I- -�---�-r- ---- kx | / `Y---------'------'----- ` 21'-7^ LIVABLE AREA: S82SQ. FT. MASTER BEDROOM 9'CBUNG / / / / 7 Ir 77 / OFFICE |9'CBUf / / ENTRY D'CE|LKN', FIRSTFLOOR PLAN LIVABLE ARIEA: 1,659 SQ. FT. � SEE SHEET A1.S (ARCHITECTURALNOTES) FOR GLAZ|HG'REQUIREMENTS. WOULD LIKE TO CANTILEVER DECK NO POSTS WALLS NV22X4 @16- O.C.�� � -'^��'����� � ��NOSING u���»8~��XN��/ �� m���—' E NOSING If WALLS N82XU@18^D.CTYP. APP vim - 0 �� *~x� / ��° O^BEAR|N{�VVALLSTYPICAL STAR AND HANDRAiL DE7A!I- -�---�-r- ---- `Y---------'------'----- ` 21'-7^ LIVABLE AREA: S82SQ. FT. MASTER BEDROOM 9'CBUNG / / / / 7 Ir 77 / OFFICE |9'CBUf / / ENTRY D'CE|LKN', FIRSTFLOOR PLAN LIVABLE ARIEA: 1,659 SQ. FT. � SEE SHEET A1.S (ARCHITECTURALNOTES) FOR GLAZ|HG'REQUIREMENTS. WOULD LIKE TO CANTILEVER DECK NO POSTS WALLS NV22X4 @16- O.C.�� � -'^��'����� � ��NOSING u���»8~��XN��/ �� m���—' E NOSING If WALLS N82XU@18^D.CTYP. APP vim - 0 �� *~x� / ��° O^BEAR|N{�VVALLSTYPICAL STAR AND HANDRAiL DE7A!I-