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065-180-056
COMPLAINT--IGIVEN TO, INSPECT • �-�,o,z.. •�n�eci 94-0593P,E(MH)� Rr 065-180-056 �, BLOOD, DAVE, ' t � e w.?c� pr. OfMAGALIA d� :.,OBILEHOME UTILITIES _ 4 "ELECTRIC I ,t.`�',� "`��:...a-.� --.... -�^ � �I GAS., LINE'.i. COMPACTION TEST. -REQ • -� SUPPORT STRUCT REQ- A 065-180-056 -r PERMIT#95-2138 BLOOD_ , Dave's 1_t` 6648 Rosewood Dr,. Magalia '- MH Util Replaces BP#94-0593 ELECTRIC ` 5 'GAS LINE 04 .COMPACTION TEST REQ SUPPORT STRUCT REQ' - o65 -'-180 056 E065-180-056 ,+ '";. -PERMIT#98=1052 WRIGHT, •-Nancy::&' Glenn,, 6648 RQsewood?"Dr. Magalia ' Relocate•Utilities/MH,'"`'� ELECTRIC— 2(%U; Ayv,-f -- GASB LG -4 COMPACTION TEST REQ Afo SUPPORT'STRUCTURE REQ A10- 065=180- 6 O.065=180-056PERMIT#98-1129 HAMILTON, Scott:^ ` 6448 Rosewood• Dr Magalia Cont: Sky crest Mobilehome Installation B08-2166 065-180-056 RESIDENTIAL- SFD-Mobile Home RET MOBILE HOME PERM FND (RETRO F 6648 ROSEWOOD DR HAMILTON SCOTT C, . s _ t 7 s h M Ar BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6648 ROSEWOOD DR Owner: Permit NO: B0$-2166 APN: 065-180-056 HAMILTON SCOTT C, Issued Date: 10/22/2008 By TMP Permit type: RESIDENTIAL 6648 ROSEWOOD DR Subtype: SFD-Mobile Home RET MAGALIA, CA 95954 Expiration Date: 10/22/2009 Description: MOBILE HOME PERM FND (RETE (530) 873-0762 Occupancy: Zoning: RT1A ' Contractor Applicant: Square Footage: PREMIER BUILDERS PREMIER BUILDERS Building Garage Remdl/Addn 6055 TERRA VISTA 6055 TERRA VISTA PARADISE, CA 95969 PARADISE, CA 95969 (530) 872-1096 (530) 872-1096 . Other Porch/Patio Total FEE INFORMATION DBF MH Plan Check $241.16 DBMSC Mobile Home Permit Fee. $361.74 4 Total Charged: $602.90 Fees Paid: $602.90 Balance Due: $0.00 Receipt No: B8927 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License PREMIER BUILDERS 343173 / B / 09/30/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. n of Division.3 of the Business and Professions Code] or :hat he or she is exempt therefrom and the basis for the X ` LL LL alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the the applicant to a civil of not more than five hundred dollars 1 O/22/2008 penalty [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 Code: The Contractor's License Law does not apply to an owner of the property, wno builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: - ❑ 1 HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). i I �.HA4E AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: STATE FUND policy Number.1127626-06 Exp. Date:05/01/2009 's ContractorLicense Law.). (This section nee not be completed if the permit is or ons a hundred dollars ($100) or less. - ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' • X I O/22/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 10/22/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, conslruction,.and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or \ aut r d to act 0 the property owner's behalf. CONSTRUCTION LENDING AGENCY 10/22/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 'Contractor OR Agent for Owner Agent for Contractor FILE COPY Lender's Address City State zip BUTTE COUNTY 0��YpF0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION* 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 c ===:�_�� o A FEE WILL BE REQUIRED AT TIME OF APPLICATION C Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT .d, 21( BIN N "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name t44 -,/-,t C_ CL' IJ First Names I 77 Mailing Address cJ�i R�-6-u-)CT�n P YY� City �/ � StateZip S9 Phone %2 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name Address /cMaleA 'Address Addrels City Phone City. Zip State ; :; Zip Phone E-mail Fax E-mail Lic. # •; Class, APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address /cMaleA 'Address City >- City Phone State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name t��i `� CFL0eX1J1'1 P_4;? Address /cMaleA City >- State Zi Cry-- p Phone Occ. Fax E-mail APPLICANT SIGNATURE X 2?1 PROJECT LOCATION API Property Address City WORKER'S COMPENSATION Policy Number 2 7 �r�� s � q Carrier -27-A-7-e,c� If hiring anyone other than licensed contractors, a certifitcate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. q0 F. •i Xi2 Foundation System Installation Instructions f®r California for Ground & Concrete Sykems ICU® Wind Zone I, 15 PSF Wind Load Seismic 4 By Tie ®own Engineering Ba BUTTE COUNTY' (VE Xi2 Ground System Xi2 Concrete System Engineer Approval MANUFACTURED IIONIEIK40BTLE ROME FOUNDATION SYSTEM IMALTH AND SAFETY CODE, SEC 1ON 19551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPUCABLS STATE LAWS AND REGULATIONS state or califomia Dapotmed d1lousinS and Commnnily Dwelopmed By - Z= WAND STANDARDS ' naTB 11��AI+�. /07 1- r '��' ) ThioPI=ApprovesEtt m---- Page 1 of 8 . Installation of Xi2 Ground systems. 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground.until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are'connected together. (Figure 1) Figure 1 1-3/4" Tube Lateral Struts p 1-1/2" tube -#12x1" �k Screws U -Bolt & mounting Bracket i hd °f N°n'e <� J -Bolt Nut & Washer Strut (flag end) Figure 2 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. .12. Atfach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 1A." Pull the frame brack-erclam0 with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. 0 G D U r, O G • Installation of Ail Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground.until level and flush with prepared surface: 7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube.to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided: (Figure 2) N 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so . that the two tubes are'connected together. (Figure 1) 1-3/4" Tube J -Solt Nut & W/asher 1 Latera! Struts Strut (flag end) p 1-1/2" Tube 4-#12x1" = Tek Screws, - 1i Figure 2 U -801t & mounting -.,... ,;;...,•• Figure 1 Bracket dOfN° rti Install frame bracket clamps to I-beam on in i side of. block/pier. Do not tighten nuts at this time 12. Atfach longitudinal strut to U -bolt in pan using =' nuts provided. t $ r , 13. Insert strut in the frame bracket clamp, attach with nut n and bolt. D n o :__�,.,•:._ _::_:, a b of tighten at this time. '` ''2f p wit the fastened i�l: D�,II the frame bracket - 14. cyan h strut outward to remove any slack. 15. Tighten all nuts and bolts on the .struts and beam clamps. ..vim✓� O � 1 1 W �� fir 0- (• - h/. Xi2 Ground Part Qetaii ,�... Xi2 Ground Xi2 Ground Lateral System Sy5tam r; Part Slumber 59306� am-`.- ��� �. :< • Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). i Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam .brackets & – Its with all nuts and 2 U -bo bolts. Lateral and Longitudinal Combination Part Slumber 59333 Longitudinal Strut Includes: 5' Strut, Pad, Longitudinal Strut -- - &Hardware Kit (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts........................................................._............ . ......... .... .......................... Struts for Longitudinal Systems ® o _-- --Part-----—Str-ut-- ----Pier Height----- No. Lent ®�g� Length Up To: � e� Fagg Ground Longitudinal 59330-44 44" 4 Blocks or 32" Strut 59330-65 65" 6 Blocks or 48" Ground. Longitudinal Hardware Kit Xi2 Stabilization Pier Placement for Ground or Concrete u Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement i i Double Section Home 0 -62' 3 Xi2 Systems'' 63'- 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63'- 80' 5 Xi2 Systems Page 4 of 8 Installation of Xi2 Concrete Systems 1. Identify, the number of systems to be used on the home using the chart provided. 2. Identify the location where the.systems will be installed. 3. Build.pier according to State, Local or Horne Manufacturers guidelines. 4.. Drill'tdvo 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut:& washer on anchor, leave.enough room for 1 to -2 threads showing on top of bolt: Using . -a hammer, tap the wedge bolts' into hole through bracket, leaving .nut & washer flush with bracket. Using9/16" a socketwrench, tighten wedge/anchor bolt, securing bracket to the concrete.: 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the _ grade 5T-112" x 2-1/2" bolt/nut provided. v .6. Attach the`ffag end of the larger tube to the opposite I-beam using the "J" bolt over the top.of the 1 -beam, with the nut & washer provided. (Fioure 1 next page) 7. Install a minimum of four (#12 x-1" tek'screws) self -tapping screws into the holes I provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on' 1 -beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. Page 5of8. JVGJJ1�7ilJJG 0 0 LO 0 0 O - 1Z Lateral Concrete Syst8lms Part #59307 includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts.and bolt. Longitudinal Struts for "Con6rete Systems" Part No.. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination . Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. /Nut & Washer F,rgare 1 1 Beam Clamp • �- "� ` � -::, ..� Bracket J -Bolt Longitudinal Strut XT Concrete Jr- yotem B �—E *140 o o Concrete Longitudinal Hardware Kit ,f4orrle .end Of' � w. Lateral - _�1 •� _ i u . Longitudinal -- ----- --- I -Beam — �o ,ti p — — A% � o^ Xi2 Installation. Placement Page. 6 of 8 WD1dIN--1�J1T1NRlNC + 9D:y Wheaf+mr Dr�>►r�#lamaTff.�3/ >wsnr. fiedQrit►nctm [4Q4J4.ODQQ i; f'4X 1404),�rt1�{II li� 6 r - G ' LO 0 0 Offset Placement I I I I I . I I I I I I I . I i I I ' I . I I I I I I a�J I Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement F i ' I 1• I . I I ' I Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 0 -62' 3 Xi2 Systems' Triple Section Home 63' - 80' 4 Xi2 Systems 0 -62' 63' - 80' 4 Xi2 Systems 5 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Page 7 of 8 DDWJII' EDIGINEFIPING • 0 Hardware Breakdown #55329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 1-3/4 zinc 4 10556 Tek Screw #12 x V. 1 10631_7 J Bolt 112X 5-1/2 orade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Not 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #50331 Lengifudina! Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Full Thread '10 10646Y Hex Nut 1/2-13 grade 5 zinc_._. 2 10801 Carriage Bolt 1/2-12 x 2-1/2 Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 1-3/4 zinc 4 10640 Push Nut 112 4 10519 Hex Nut 1/2" w/ Serrflan ge # 59329 Hardware for 59333 Lateral 'an . nd Longitudinal combination 1 59329-1. Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange . 4 10926 Carriage Bolt 1/2-12 'x 1-1/4 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 Trade 5 Zinc ._... ... 1 845337 U -Bolt 1/2-13 x 2.63 x 2.19 Thread 1-3/4 zinc 2 10640 Push Not 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for. Lafeial System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x V 2 .1 0646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc 1159027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 '10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal, Ha"ru'ware for 59317 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 Lateral Hardware Kit Full Thread zinc 12 10646Y Hex Nut 1/2-13 'grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Carriage Bolt 1/2-13 x 1-1/4 Grade 5 zinc .#59364 Hardware for 59332 Lateral and Longitudinal combination 1, 59264: 3 Way: Concrete Bracket 2 10530 Wedge Anchor 3%8 x 3.50 1 59315-1 Lateral Hardware Kit 1. 59272-1 :`Beam Clamp' Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2...10801. Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Paoe 8 of a (-D G) LD U L P6 f o -/f 40 RESIDENTIA • 065-180-056 PERMIT#98-1052 ,PERMIT NO. _ WRIGHT, Nancy & Glenn 16648 Rosewood Dr., Magalia PERMIT EXPIRE,Relocate Utilities/MH 'OWNER CONTR. ASSESSOR PARCEL LOCATION M CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E t. Temp. Gas Service FILE Called PG&E ' JOB FINALED (Date) Signature V=OK 0 = Not OK `=Not t Applicable NoRMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-Q"oncrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / ^:ft. / /Nat. or/ /"L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rfirs-Trusses 9. Siding; Nailing VeneerShxxm-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GF1 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod Lghtq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single & Duplex) Date Elec. Outlets at Wood Panel, Int. & Ext. UNDERFLOOR (Plans) OK except #'s FRAMING (Continued) 1. ZoningSetbacks-Easments-FloodSlope 47. 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 48. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg. Porches & Decks; Soils -Steel-/ p Ftg. Depth 51. 5. Stemwalls, Main; Steel-Blockouts4Nrapped Property Line Firewall & Openings 6. Stemwalls, Garage; Steel-Blockoutsa/Vrapped 54. 6a. Hold Downs and Special Anchors Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 7. Slab, Steel0rapped 57. 8. Piers -Fireplace Ftg.-Steel Glaang Area -Glass Protection -Skylights -Plastic 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 60. Brace Interior / Exterior Wall Panels 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 62. 11. Water Pipe; Test -Anchors -Regulator -Service Test 91. 12. Electric Underground Date 13. Pienums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Ext Steps -Door & Sidelight Protection -Landings 15. Access & Ventilation 65. 16. Insulation Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa Date Elec. Trim & Subpanel, Breaker Sizes & Labels Card B-1 Date Card B-1 Date 70. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size B2�2_s & No. of Conductors Stapled 26. Romex I stalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral p Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 71. Elec. Outlets at Wood Panel, Int. & Ext. Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-RtV. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One Y -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glaang Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows 90. Corrections from Previous Inspections 91. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive 0 Yes 0 No/1Nalks 0 Yes 0 No/Planters 0 Yes 0 No W. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION :.,,, 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - �--�—� ASSESSOR PARCEL NUMBER 06�16�056 T d Q r v ZONING _ BUILDINGPERMIT OWNER WRIM, NANCY & GLENN TELEPHONE SQ. SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6316 AMBERST WAY, MAGALIA 95954 CONTRACTOR'S NAME UM MN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 0 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 23.0( BUILDINGADDRESS 6648 ROSEWWD Energy Plan Checking Fee $ PERMIT FEE S 23.0( LOT NO. SUBDIVISION'S NAME, PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar or heat pumpwater heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities] Installation ❑ Other ❑ Describe Work: _3 BEDRint EXISTI]tIG SITE RFIOCAT{? MLITIFS. Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home i .�;y @20.00 (y0�� PERMIT FEE $ 80.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( 200AORLLEESS 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION �- I hereby affirm under penalty of perjury that'I �am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors .to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( To 1uoaA 46.00 NEW CONST. DWEWNG OCCUP. OWE OR ADDNS. ( a ACC..LDS. SO 3.5Q�; NMRESIDTCONS ANC, 'RC ET'ITS @7,50 POWER APPARATUs 8 SINGLE OUTCIR. Ex. OCCU OUTLET OR FIXTURES 20 @ 1.00 BAL. @ .s0 Ex. Occup. ouTLEEDTSA REESSIo.oFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ZQ ()fi Misc. Wirin 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the r ; 'performance of the�Work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FOE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) X I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the 1 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X A,-f;d _ Date -r- Z7 - 9 8 __ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. D. FEES IMP FOOD COf PARCEL'PD Hp, ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �f �� Date By ,4 -li PERMIT EXPIRES ON Date Receipt No. . 4,r) n I I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .? Name 1HAMILTON SCOTT C Addr1 6648 ROSEWOOD DR Addr2 I MAGALIA CA 95954 Addr3 Addr4 Ascot # Fee`# 065 1 80=056 000 Status JACTIVE -'Status Date Tax 000 INORMAL OWNERSHIP TRA 093.025 Situs 16648 ROSEWOOD DR MAGALIA Base Dt �— r Timber Preserve Land 35,667Structure 5,403 !— AgPres Comments 16518005600 CONVERTED 09/08/88 F Etal Fixtures I Growing 0 0 Creating Doc# 1 9848 2951 333 Date F_ r Notes Current Doc# 1 998R 26623 Date 06!26!1998 r Total L&I Fix. R Pl—._�— 41,070 0 Killing Doc# Date F_MH Multi Situs r FIag1 PPI 0 Asmt Desc 6648 ROSEWOOD DRIVE SuplCntlF0— F Flagg PP 0 Zoning RT1A W00 Dwell r 910 MH Exempt 7,000 Acres/Sq Ft 1.88 NIC 065 F Asmt PP Pen r-- Net R/C#F_ Tax PP Pen r Appeal Pending T/R Dt T Split Pending R/C StatF HON I ATT 1 SIT APR. PCL I r 1= �►�►�� ;Find 12002 (sa, 07125120013:27:21 PM 065-180-056 ' � ..-t ett ; 3.� k M� a •` ?-,L- :D,-eF �1._•�. +fi ?rwin+t2X.'..4?aJ4tlie.;a"�.......,:�,i•t:.++A:.- 94- 477 065-180-056 BLOOD, DAVE tii E UTILITIES R RIC t 1V Vt9 , GAS LINE 4D ZT COMPACTION TEST REQ SUPPORT STRUCT REQ 111111 y.t - L C a *•i. X''��'. BLOOD, Dave MH Util Replaces BP#94- 9593 i 1 i 6648 Rosewood Dr., Magalia ELECTRIC tj GAS LINE COMPACTION / -' ••�• w i d4 k a� 065-180-056 PERMIT#98-1052 777 Y + L WRIGHT, ; Glenn --�y Relocate �r ..' ELECTRIC ✓ F F Y � ' r z r �• t 6" SUPPORT STRUCTURE REQ NO 065-180-056 PERMIT#98- HAMILTON, Scott • i '• - • . 1 - lia t al Cont: _ i !� • • • - • - } .! BUTTE COUNTY DEVELOPMENT SERVICES Phone Number: Other Comments: Inspector must draw a plot plan with all building locations: Additional Comments from Inspector: PA ._ .: �,.Kr. 'rqr; vi: -"WC uy^�,,.T,o "u_i iF.vvTT_r;�Y.'•y '^R.tr,a:Y�'. d'tr• � Dr �.,^,+:•r i^. . wci::. t..i,...,, .-.;«.,y,,..,�.-a� v-c:.:'.+.rc,yw: nsis�.va:f•l+•rr'- ...°'i.: G3r:s. ;PERMIT#98 1129, 065-180"056' { HAMILTON' Scott �. Ma alfa + t 6448 Rosewood Dr., g Cont: Skycrest, Mobilehome Installation e '• �`� WMk440 Q9"'14 t j f .0-� . �. r+.w-A'-1�`-{T��I' ..�-+�--�+--� . '^•�.'� •-^7^R , 'R-ZY."�.r'R. �I. T..-�. ... ..-w..o TrT F COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7' County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541, PERMIT NO. (� (Rev. 12/96) APPLICATION AND PERMIT � .- 2z ASSESSOR PARCEL NUMBER fRT ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME SKYEREST TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER r Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 644R ROSOMOD DRIVE, ','IACALIA Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex El Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: MTTI/98-1052 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( 2000A OR LES 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 4 I f License Class C I Lic. No. 'A 7 1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 6 ACC. BLDS. so 3.50FT. NN.AESID. N ULTI.OUTLET @7.50 OWER APATUS 8 PSINGLPAR E OUTLET CIR. Ex. Occup. OUTLET OR FUTURES 20 Q 1'00 SAL p .50 Ex. Occup. OUTEEDTS[RL�SID) FA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation ,�,as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ,-OL D E -,/ t c1 C [ L /f/ '' Policy Number of ie,111 t 7y i 1 7Ot (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. '1 ry X _/J . -4- O--1: '=__ Date _G� 41 / Signature of Applicant - ❑ Owner ,D, Contractor ❑ Agent An OSHA permit is required for excavationsover 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 143,00 HAZ. D. FEU CDF PARCEL PO HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have �- By�l.i�_ ;ori. PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 237064 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT -OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMI NO. (Rev. 12/96) 1 APPLICATION AND PERMIT 9 V"z ` �// ASSESSOR PARCEL NUMBER 065-18-0-056 ZONING I?T BUILDINGPERMIT �• OWNER ItUEPHONE - SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME qKYCREST TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6442 R050.4.100D DRIVE, MACALIA Energy Plan Checking Fee $ $ PERMIT FEE $ 43:00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee - 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 13 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: MHI/98-1052 Gas piping system t- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 a0OVOR LESS Main Service z00A OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class C — y 7 Lic. No. 9 s4 1 Z OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 10DOA 46.00NEW CONST. DWELLING OCCUP. sa OR ADDNS. ( 8 ADO. BUDS. 3.5QFT: NON -RES D. NEW CONST. MULTI-ORANCH CIRCUT 97,50 APPARAruS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES BAL�1.00 Ex. Occup.ouTEiFrs RE.s D.DEo 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier a6e_D 6hC ��R) CeLL': /�c% S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number' n/ uJr: 51!9 2 L7 of (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with t�provi X9_ Date _ O Signature of Applicant ❑ Owner �C actor ❑ Agent An OSHA permit is required for excavation�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 $ HAZ. D. FE IMP FLOOD x CDF PARC PD HD U This permit is here y issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. `tel vY— Date PERMIT EXPIRES ON A-1/7— �� Date ReceiptNo. 217n64 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . � �'<'^'^"+`" �'j�"',p�v+zT�� e� "�'^,fir 2!?d�';,..Qsa'�-;; a+►aC� -��+--. "^'Y'rr+�,tJ+v�iY'�'i�i "i ..i;.,�r�=tifi�.:r•�-�ii.Y"+it'�'�''; COUNTY OF BUTTE- DEPARTMENROF'i) VELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY. CENTER DRIVE.- OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 SC l 0 PERMIT APPLICATION DATA SHEET OWNER: SSOR PARCEL Proposed Building Use: 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 By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- E]2..Plot plans, 3/4 sets, signed by the preparer-Qf plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.----------------------------------------------------------------------------------------- ❑ 9. Manufactured Home `data and installation instructions including Tie Down Specifications .------------------ ❑ 10 Fees of $ ------------------------------------------------------------------------------------- pact fees as shown on the attached schedule. -------- e-11% 9 E----�� 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ------------------------------------------------------ ❑ 13. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------------- 1124. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- t026 Letter of intent on building use. ----------------------------------------------------------------------------------- - Manufactured Home utility clearance. --------------------------------------------------------------------------- Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- When you issue the permit, procces�as ollows ❑ Mail to owner, /❑ ail to c actor. Telephone (3 _ � and hold for pickup at �J%�v/ office. ❑ Deliver with insnector. 1 . Applicant: Date: 9 U Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: /' By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by p phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, weer wa 'sed of the above required by o phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: .•: n Plans approved by: Date:17. Sets of plans on hold ' ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:_ Yellow Copy - Department of Development Services, Building Division "�l•-l._,•;T,...r��.�e+��4�''�"ji3tfTV'i COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 .TELEPHONE (916) 538-754l... SCHEDULE OF FEES DUE OWNER P. # PROPOSED BUILDING USE :" DATE REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ . -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ �2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) esidential ........ x $360.00 = $�3Gd, G� _=`lc� Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) x _ $ #Units Amt. Commercial (sq.ft.) ... x _$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) . $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE. $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the . building permit. These fees may be changed during the plan checking process. . APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) scc) om, 0/1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION -7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT PERMIT NO. ASSESS P CEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION - - OWN 5 MAID DRESS r. a V, p Y Q CONE CT]NIE en TELEPHONERA LI ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ 111,00 BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ �}� ,D LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.0b USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome k Other SPECIFY Each Tra 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation` Other ❑ Describe Work: /fj �/ // �( S e Q A (�f v � Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Fee 20.00 Main Service 200. OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Q License Class C — 417 Lic. No. % / S q ( 2- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONIS.( so ¢F7; MU ppµgE°q,p LTI.OUTLET J 1@7,50 POWER APPARATUS 8 SINGLE OUTLET Cla Ex. Occup. OUTLET OR FOMRES 20 O 1'00 eAl_ Q .so Ex. Occup. oED CRR D °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier e2 LD 6tff C. I� �O G<-- (N S Policy NumberK W C 37 9]LZa ( (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those pr 'sions. �/ X Date 9 O _ Signature of Applicant - ❑ Owner ontractor ❑ Age—nth An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 3 . HAZ. D. FEES IMP FLA00 I COF PARCEL PO HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. To Receipt No. , WHITE-D.D.S.-B.D. CANARY -ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT " ..".. '�'tv...r�'. ��I'4 ''T �., 'rl....r ^'`,,`." ,..-'�.� ' .•vF,�.��•....-.-..�,•.-.v.�...r..r.....,.�5-ry"�7'r-'."�."-�-�.'4.-..e-.-.�..--.v-�...rr .-.....- ��1 ..r .. �.. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District ridS Q On), C Building Department No. A -P. Number 65-1 �I� -VJ Jurisdiction: City County Property Owner Property Location/Address (Q G Subdivision Lot No. Residential Development No of Living Mobile Home Addition Units Installation Commercial/Industrial Q New Addition ct Identification No. N (Floor Plans reviewed by School District Personnel) School District certifies that Sq. Footage l (Group R) Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) .36 33-67 (Street Address) (Phone Number) (�L /�� � �Is973 (City) o., has complied with the requirements of Resolution No. representing /d15—& square feet. School District Representative (State) (Zip Code) by payment of S /� ;/, 3 2 rLBL2926 S MITIGATION $ Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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) feeform.xis (2/97)dmm y AP ONNER PERMIT # gs— 105A MI UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Str - . Compaction Test eq. Service Size Other Load Type Pipe Size Len th YES NO YES NO c tt� SETBACK L/NE 7- 1��ROWINIC 71 R-7 5EPT1 c. W T6p, AR\VC WA Y CX1;7I SEPTIC SYS ZPROPOSC-71-) FOR 3 bR RESIDurkE �e ALL STRUCI OVERHMGS 1�ell-, A SET BACK a� �2e FT. FI So F=T. FF CLEAR OF S' FOR A 2 FT. E r*is wt 01 playa` Ufa spet'rcc��ia Tl?5�f -apv on tho iob of d iimt es and it is unlaw%l k. make any chonges or altwa*e�tiovt on €comae �v'+tti written permission from the Dep e"t tj boo Wa,6'. n;v tj vuwe, PWP- P065 —� 50' I=A SE M ENT ,'tcCROSS AIDSAcENT nRQP ./ IIL loll IES AND EQUIPIRENT I UDING TALL BE CLEAR OF ALL EASEMENTS. FlO Ak ^-Ft. FROM THE SIDE AND 1M THE REAR PROPERTY LrIES AND A THE ROAD CENTERLINE SHALL BE . 3CTURES AND EQUIPMENT B(CEPT tE OVERHANG! VOTE COWTV VEV. SCoT' JA TON �t`2q 106 *8 ROSEWOOD MAC?AI LA CA 9595 R/F'* lo5- I8b - 05( 5CAL �5 11 = 40• El Mobilehome Manufacturer:. � KY L IN C Manufacture Year: 19 i Fl If other than single wide, furnish Setup Model Number: 4900 Width: 2 � (ft.) Length: !� 1 (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. ' FOOTINGS: Wood pressure treated or foundation grade[ 9] Other: SUPPORTS: Concrete block[X] Other: ETS 107 'B Provide Tie Down Specifications for all Mobilehomes• CEn(TR_4 L Pt Q Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line I Line 2 Line 2 ................................................................................................ Main Beams Line2................................................................................................ ine 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams Line 2 Line I .................................................ine 5 Tag or Triple ine 4 ine 1 Line 1 Piers: Size minimum: r I x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: Spacing maximum: From ends -maximum: 1 D ` Line.3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ 1Z -1x13 "I. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` ILX3o.2q-A3024x36(2x3 I'0 I W10 Zg'G 13'6 OVER M.H.L-2 1. Owner's Name: Se o 7'7— ,yA M t 1– 7 0,4 . 2. Assessor's Parcel Number: .(O 5-- / 8(0 — O S 3. Installer's Name: S K y e2E:s ? `b u i i–D ty C s y S 4. Is the site currently under permit? Yes[ ] No[ X] Permit No. 5. Is the site an existing site? Yes[x] No[ -I (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 0 C) Amperes. 7. What is the mobilehome site circuit breaker rating? o d Amperes. 8. What is the electrical rating of the mobilehome site? /00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[x] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ 1(] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[)a None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 3Zt! inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? /o (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 CENTERLINE SUPPORT REQUIREMENTS THIS SHEET TO BE INSERTED WITH SUPPLEMENT TO FIELD INSTALLATION MANUAL FOR ?C* ROOF SNOW LOAD k' p RE.VIEwE[!-LlfMi:iv�iiNcEltlyG IiEPi. ISIUEL' BY FOLLOW !Ir SERVICES DEPT. JUS! 28 1,094 LIN'.:.I. vvHn Er:S CASORAYORIES, INC. FILE MH 8321 VOL 1 SEC. 4 ILL. 51 PQ. 8 -'Se V z 0 SERIES DESCRIPTION I NO. =4 ROOF F LIVE LOAD DW0. DY (�.�. CNECKEO - SHT, nc MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: 4 57 `> J PERMIT NO.: Owners: Name: Owners: Address: Mobilehome Sk Year of 5— Manufacturer Manufacture: Serial number W 64 S ! q 1�0 Insignia or �/ ( �L I Li 0 � -3 ` � or V.I.N. HUD number: v15- Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome Installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. r 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor d 11, CHICO BUILDING SYSTEMS Set up & Delivery of Manufactured Homes Plus Building Accessory Structures CONTRACTOR'S VERIFICATION I certify that I have installed the Ground Loc Tie Down System as per the installation instructions. I have made no modifications to the tie down system or to the building structure. Skycrest Enterprises, Inc. d.b.a. Chico Building Systems 13468 Highway 99 Chico, CA 95973- (916) 5973(916) 342-2694 Contractor's License #295412 Installer: For Client: _Scott Hamilton Site Address: 6648 Rosewood Magalia, CA Permit Number: Serial Number 8D-70-0950 H A & B Donn Dooley, Production Manager • Jim Brogden, Service Manager 13468 Hwv 99E Chico. CA 95973 • Phone (916) 342-2694 • Fax (916) 342-9174 z Ir COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION • -- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 2 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-180-056 , ZONING RT BUILDING PERMIT OWNER WRIGHT, NANCY & GLENN T873 -3732 SO. FT. OCC. BUILDING VALUATJ OWNERS MAILING ADDRESS 6318 AIA'iBERST WAY, MAGALIA 95954 - CONTRACTOR'S NAMEUNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.0 BUILDING ADDRESS 6648 ROSEWOOD Energy Plan Checking Fee $ $ PERMIT FEE $ 23.0 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome & Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities J0 Installation ❑ Other ❑ Describe Work: 3 BEDROOM EXISTING SITE RELOCATE UTILITIES, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home kAITN @20.00 60.00 PERMIT FEE S cg. 0. CC ELECTRICAL PERMIT Filing Fee 20.00 Main Service !..AORESS 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 NEW CONST. OWEWNG OCCUP. EL CU OR ADDNS. ( & ACC. BLDS. SO 3.5¢FT. NEW CONST. MULTI -0 NON-RESID. CH CI r @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FUTURES 20 1.00 SAL p .50 Ex. Occup. ouiLEEDrsA RES D.PPLNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall i not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the I workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. rr X Date S ''-9 8 Signature of'Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. D. FEES 1 P r, FL D C PARC Po _ H ISSUE �// This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ��— By _ PERMIT EXPIRES ON �T the applicable provisions Resolutions to do work been paid. j `, �• Date%' —te), I Receipt No. t1 n WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ppi5� (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - ^ ((I/) ZONING /A ii BUILDING PERMIT OWNER VII j TELEPHONE g75, 373L SO. FT. OCC. BUILDING VALUATION ow ER'S MAIUNO_ADO / �M �C2/V t /!/% n/.a n ✓ /-(�/ `LFII, Qy i IN /v ONTRACTOR'S NAME U TELEPHONE HARING ADDRESS /e h /JA 11 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2 O Permit Fee S ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2 BUILDING ADDRESS C Energy Plan Checking Fee $ $ PERMIT FEE S Z LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome/ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation O Other ❑ Describe Work: _�/©2 Q %l �7�f S �17� /It �C>C/�„L Ieu- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Q20.00 6� PERMIT FEE S �� ELECTRICAL PERMIT Filing Fee 20.00 Main Service . oA.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A _ 46.00 NEW CONST. DWELLING CLIP. OR ADDNS. ( 07 ACC. BIDS. s0 3.5¢FT. NONI-RES D. MULTI -OUTLET @7,50 APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFORURES 2G@''50 SAL @ .SO FIXEDI Ex. Occup. ouTrAPP Ao .DEKA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Z� Misc. Wirina 1 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' X Date Signature of Applicant - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL PO ADE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Dete ReceiptNo. WHITE-D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR ti GOLDENROD -APPLICANT .`+,�;�R`(t•� 7 �`RTR�P��'r'11��"��.t-i'��Y%t^.t�i��[k^.r-�i,✓...+,n�K�-rhT"tyN.,.(�:,� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 -COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: i V ASSESSOR PARCEL Proposed Building se: Building Inspector: Date: - a -7 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 iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 leis, signed by the preparer of plans. -------------- Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. --------------------------------------------- ------ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 1 pact fees as shown on the attached schedule. - --------------------------------- - - -- California Department of Forestry plan appy al/fees. ---�Q� Cz- =� �='---------- ❑ . Flood elevation certificate. ---------------------------------------------------------------------------------------- . Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: --------------------------- -- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ------------------------ 6/. Encroachment Permit for driveway (construction approval prior to occupancy).{�S-�------- 20. Pre -inspection for required Request to Building Inspector on (Date)' 1321. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- El 22. ------------❑22. Workers' Compensation carrier and policy number. ----------------------------------------- ,------------------ ,* 02-3/."Owner-Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- Letter of signature authorization. ------------------------------------------ ----- ,- -- ---- . - ---------------- Recorded copy of Agricultural Acknowledgment Statement.------------J�.-- -,�- -el- -- ---------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. -------------------- - - - - - ----ui f---yam�d=-- =► C- C't F / S '' `° i1 i5 c,u � 8 Cic, 028. Existing violations and/or expired ts�4�------------- • -- - - -*-- S C),2 C&F 433 A, ❑C , ❑ M.H. Title, ❑ Check to H.C.D $ CGt G CJ �,`/5 t WfLZw---1 -�-rC' Other: l� i �%, � I /�K L le S Fi' C( t 7 r ----- �n you issu=tip rmit�proc�ss as _ f'o'llows C3 Mail to owner, ❑Mail o contractor. CL�,A p /Telephone I 2�7�v�and hold for pickup aE office. ❑Deliver with inspector. Applicant:&ec Date: JT - Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, o ther: Date: By: 1. Index permit application for the above items numbered:?J' o ❑ a���a List 2. Additional items required: JQ p-t4AuAa e /aji 7cd cf- rho b) ofContractor, designer, owner, was advised of th above required data by one, 13mail, o Building Division counter, by ate: Contractor, designer, owner, was advised of the above required data by Q;76one, ❑ mail, ❑ Building Division counter, by Date: ((/• �g0 Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, design, wn of the above required data b ❑p13hone, ❑mail, B ion c anter, by Date: Plans reviewed by:erDate: Plans approved by: Date: / Sets of plans on hold ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. vlV TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance fiffz+.»v l G�� Rose Owner Location E.H. USE ONLY Plot Plan Attached !/ Floor Plan Attached L,� Sent to B.DCF— AP# Plan Approved for: Sewage Disposal Y Water Supply: Public y Private Well Clearance for as .SIL L. ,.t U gA,!&V. Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date . OWNER -BUILDER VERIFICATION f� Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your Isignature. 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 Z NO —2. I HAVE HAVE NOT t7 signed an application for a building permit for the proposed wcl� 3. I have contracted with the following person (firm) to provide the proposed construction: -.w;. nno N•IME_ -- ADDRESS:' 1 ` CITY: . PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following' person' to. coordinate; . supervise, and provide the major work: NAME: ADDRESS: CTTy. PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOViNER: SOCIAL SECURITY NUMBER: DATE: S - ;;--I NOTE: ----- This -Owner-Builder Verification is required by Section 19831 and 19832 of the. California Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit 1 ; ZO t OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property'. improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such ; a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply - If you plan to do yo with the exception of various trades that you plan to subcontract, you should be aware of the folio Information for ur benefit and protection: ♦ If you em oy or otherwise engage any p rsons other than your immediate family, and the work (including materials and oche costs) is 5300 or more fo the entire project, and such persons are not licensed as contractors or subcontract then you may be mployer.- .i ♦ If you are an em ou must register with the State and Federal Governments as an employer and you are subject to several obliga ' cluding.state and federal income tax withholding, federal social security taxes, t, workers compensation insurance, disability insurance costs, and unemployment compensation contributions.., ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific inforimation about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally.' Information about licensed contrac9rs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +irely, Vi ira,C.B.O.uilding Inspection NOTE: • This Owner-Builder,Info rmation is required by Section 198.0 of the California Health and Safety Code OVER co1U1 W I -OCAT ION . 6(64 8 R06EWOOo DR MAC-tAcL14�I C.A q5 95Z\ u set on th iany I, I plans and spocifiicatiol job at all times and it is ongos or alterations on s< fission from the Deparlmo UN oS L rz,qr, — — — — — - 1BI u�tL POLE /2 2 Co %o The attached Fire Safe requirements must be complgftd as specified and approval! A permit will be required for the M0Qi� F �� 6 -} � �et`'It:� I i N, I 11y Cj I ORIV _ I i ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. I `� A SET BACK OF 2144 THE SIDE AND 3O FT. FROM THE REAR PROPERTY LINES AND k0 =y -►✓FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT I v p FOR A 2 FT. EAVE OVERHANG. installation of the mobilehome. 36 � O VRawm t3y: Sct)Ts HAMI LToN PM0NE- (EZD)813-317b C)wNERI r6N%�.pF_9N 3,t\AtAjL o�t SF RE_Vii 'vVEED 13YBU _ PT CALIF. f7E 'T. c„ ,i -- TRY I El m -n -roved appto ed kvi, t C, ditions per raft, .v`ged sheet. ' ,ire D -e ITTV C I� Y APPROW- PAA' CEL # (95 PARC- L = )- 0 CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAM Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [x] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. IV 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. ] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [� 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with.a minimum 25 foot taper on each end. [�9 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3-•. o AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [x] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates IN 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road._ 3 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi_ial inspection of a building permit. Page 2 of 3 V) AP # PERMIT # NAME Other Reauirements If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials s-, 2114 Date Signature Page 3 of 3 ' PRbF�oSCD 240 i9M? EHE(- SERVICE — SETBACK L/AlE 7 1�5 5 . EA 5 E M f= N T 1 AccR08S A DTACENT PRO PC 2-7- y A�f E X 1;, ,1- SEPTIC SYS FOR 3 8f�,- SC -07T- 1-1 A M I (,T0 h( &6 *8 ROSE Woop IAAC,AI LA CA 9595'L i /P* (o5- 180 - o5(o 5CAb I"= 40' Environmental Health R E s i oe- rrc.c' �-3 FjR) APR 2 9 1998 Chic -o; f,b ED Butte County Environmental Health Date Signature SC -07T- 1-1 A M I (,T0 h( &6 *8 ROSE Woop IAAC,AI LA CA 9595'L i /P* (o5- 180 - o5(o 5CAb I"= 40' �----I1'-lo' 11'-l0'� ,------------- 0 Environmental Health ;in APR 2 9 1998 -4 Butte County Environmental Health j Date Signature O v 0 A� y x g K Environmental Health ;in APR 2 9 1998 -4 Butte County Environmental Health j Date Signature MEMO TO: Whom it May Concern FROM: Nancy & Glenn Wright DATE: May 25, 1998 RE: 6648 Rosewood, Magalia, CA We hereby give Cousin Gary's and/or Scott Hamilton authorization to obtain any permits necessary regarding the subject property, including lot preparation and installation of manufactured home. Glenn Wright Nancy'Wright n • Q88 S. Main Slreel Yreka, CA 96097 Phone: (530)842-7319 Fax: (530)842-7310 Fzm To: Fax( 5�?C/C I---� Phone: I N=�� From: Date: Pages: Re: CC: X Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle -Comments: RESIDENTIAL 065-180-056 PERMIT#95-2138 BLOOD, Dave 6648 Rosewood Dr., Magalia I MH Util Replaces BP#9 -0593 .x JOB FINALED (Date) Signature J=OK O = Not OK -=Not Applicable ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements • 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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 -Pane I boa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except ff's'' 1. Zoning -Setbacks -Easements -Flood -Slope y 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------- -- ------------------------- 17. Water Pipe: Test & Anchor -Nail Protection --------- ---- --------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access ---- --- 20. Test Tub & --Shower. Second Floor -Tub Access - ---------------- ------- ---------- 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B -t Date Card B-1 Date ELECTRICAL (Permit) OK except ft'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 & Water ----------- - ---------------------------------------------Gas---------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -- -------------- ------------- - ---------------------- 28. - ------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / / ga. Cu or At -------------------------------- - -------------- - ---------------------------- 29. Range Circ / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- ---- ---- ---------------------- ------------ --30. -Service-Riser ---oCnductors & Ground -Main Disconnect -------------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------- - ---------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------------------------------------------- 33. -Smoke -Detector ------------------------------ -------------------------------------------------- Date ------------------------------------------------- Date Card B-1 Date Card B-1 ------------- - - - -- -- -- - -- - - ---- - -- -- - ------------------------- ---- ---- -- ----- - -- - Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------------------------------------------------ 35. Vent Fan Exhaust above insulation ---------------------------------------------------------------------------- 36. Condensate Drain & Overflow; Size & Grade -------------------------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------- ------------------------------------------------ 38. Attic Access & Platform if Furnance in Attic ---------- - -------------------------------------------------- -------------------- Date Card -B-1 Date Card -B- t ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------- ----------------------------------- ---------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --- - - - --- -------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ------------ ------------------------------------------------------------ 42. Draft Stop in Walls (ratiproof) ---------------------------------------- ---------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beaai-Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. 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 Garage -3rd Story, 2 Exits _ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer --------------------- - _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------------ Date _ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ff's 61. Ext. Steps -Door & Sidelight Protection -Landings --- --------------------- 62. Smoke Detector ------------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------------- 64. Bedroom Exiting ------------------------ 65. G. -F. 1 & 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 -Meth. Protection ------------------------------------ 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ------------ 7r. 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--O-Yes 11No -------------------------------------- 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. - --------------87. Glass Protection - ---------- 88.- ---- ----------- --------- 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 ------- -------------------------------------------- -- Date Card B-1 Date Card B-1 -------------- ----------------------- ----- --- ----- Date Card B-1 Date Card B-1 ----------------------------- - -------- - - - Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT APPLICAT-10N'AND PERMIT 19�"Q� S ASSESSOR PARCEL NUMBER 065-180-056 ZONING RTIA BUILDING PERMIT OWNER 'R1 nod Mqyp TELEPHONE 872-8584 SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1147 1 Pnrndise, CA 95969 CONTRACTOR'S NAM Ownpr TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ existing ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 6648 Rosewood Dr., 11agalia PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDN510N'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ' Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities U- Installation ❑ Other ❑ Describe Work: Replaces BP#94-0593 Mobile Home I I 1xG kw 1 @20.00 60.00 PERMITFEE S 80.00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service ( O0000A A R S OR LESS 2 ) OLES 23.00 23 . 00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,(a and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawlor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. ) SO. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 SOIWER NGLE OUTLET RATU R. ) EX. Occup. ( OUTLET OR FIXTURES) BAILZO Q 1.0050 EX. Occup. ouTLEE S (REs D.j ERA ( ) 5.00 Temporary Service 23:00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. XQ _ Date Signature of Applicant-- XOwner ❑ Con actor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oer CONST. TYPE TOTAL FEE $ 1JQ, HAZ. D. FEES IMP FLOOD �— CDF PARC PD .,�-11 This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By 4OF PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Elate (pat Receipt No. WHITE-D.D.S.-B.D. Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 r y . .. .- v w1`�'� Tr.. t'$1`r� •. + '.J`ti ♦ �{''tynrt.� � :,;Y'Mr�Yr'[ t.. Tt;;, � ,''� " r ; C.OUNTYOF BUTTE - DEPARTMENT 7 COUNTY CENTER DRIVE - OROV OWNER - Propos�ed Building Use IF;DEVELOPMENT SERVICES - BUILDING DIVISION PERMIT APPLI IA 95965 - TELEPHONE (916) 538-7541 TION DATA SHEET No.06-5 %90'0(O Date Building Inspector 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. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. 4. Flood elevation letter (100 year floo by California Engineer ................... - Sanitation and plot plan approva(`_0 Health Department . ............ 15. City of Chico plumbing -permit ......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ....... 20. Freanspecion requesT Pre -inspection for required. . to Building lnspeotor k(Date) r 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _) 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. .` ................................................... . 33. 34. When you issue the permit, process as follows: Mail to owner. `' Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation (� 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 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 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Pl. AMM d V I= FS Floor Plea Aawlwl iYC S .. Seat to B.D. 9 - Owner Location AP# Plan Approved for: Sewage Disposal V1 Water Supply: Public Private Well Clearance for _A bedroom mobile home. Other e 5-/2.,5-/43 Hold final for: Final clearance O.K. for: NOTE: C kU , an Environ tal Health Specialist 8/92 l/ I qt Date 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 P4 NO ]. 2.. I HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the . proposed work. 3. I have contracted with the following person (firm) ' to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person..to coordinate, supervise, and provide the major work: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY SOCIAL SECURITY NUMBER:? DATE: r. NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. . 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department ' of Benefit Payments and the Division of Industrial Accidents. owners who are not licensed contractors are allowed to If the structure is intended for sale, property perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. d persons professing to be contractors is to secure an "ownerbuilder" A frequent practice of unlicense building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT PENO. APPLICATION AND PERMIT ��jj Ass DR PAR NLIMBER ^ OS 2oM /1 BUILDING PERMIT —NER a � e_ 1 d A la SO. FT. OCC. BUILDING VALUATION OWNEIJM�RJNj± DRESS 0 &0rozIl'Se gSQG /RACT�IjM$•1-L�NAME COM TFlEP110NE (L/) y— CONTRACTORS MA01NG ADDRESS Fireplace CONSTRUCTION EA I UNIOlOWN ©�l - I Total Valuation $ ' Filing Fee LENDEP•S MAILING ADDRESS Permit Fee $ ARCHITECToR F�Nc+q+EER m LICENSE No. Plan Checking Fee $ rt 'g YI Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ -1-DIIGADDRESS (Q / �1�j / os O ,^ i PERMITFEE $ PLUMBINGPERMIT Fling Fee 20.00 a Each Trap 7.00 LOT No. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeOther sPECIFv Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Ulf ibesA Installation ❑ Other ❑ Describe Work: "aS 9,:5 Mobile Home S G @20.00 0 29 PERMITFEE $ ; Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service ( 000vOR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to. construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 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. NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. SLOS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 WFR ( d SOI GLE OPUTLET CC FL ) Ex. Occup. ( OUTLEr OR FIXTURES ) BAL O +:� EX. Occup. (DFIXEEDTs (RESID) 5.. 0 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $/116 Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PO NO ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Oete) Receipt No. ( RS' 'g ?o WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT This set of Pie and oma ,ke ton , . tto�yg a��i':be t\ Y P th job at' •t.nies Nid-ft id'iirt i%,ma Lo ma::e . cht ;£s• or .ai; erstio rAg aame .iKltha SALESMAN itten pa ESTIMATOR PURCHASE ORDER NO - 3 NAME p I • I �C'�'-` } ! '� ;100 1-.A•�% i8 if I wv eta +nom a� 10„' C00, ' c Ala j �► Ig41p C�+ 1�apPro,PrE7p , �; . ST, �Y I - EfgCF r�°c,�`r, th c�� r;f; "� �:ip6, 4:'9 '•,e�. ' `'.±'s � ��,�jR�QR � �, `�Ri.�jyj 4� Ty`:;R� ��r�p �<<-F4 �'Ol � �f ` . HE;g ggRr�� Fti; rid {FM�:N i�0'FR�S�Irp �Nt�R�'�'fily'1��F q/V� 's LI yANc. yip r�NFS NO 1 I{ f I ?�i`j r+; rt.a,wr Flo �� T � ` � � �N �C4 • .�: �1..., c ..,11.;1 1.�:�.,� ,� ..: �,... - � . �`,,3�� �, 0 6• CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards �] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apr.-,rte-tant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. '[>/] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a.horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vert-i":;U curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than'100 feet. } 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [ 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�] 1270.10 Width. All driveways shall provide a minimum 10 foot I� traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of :2.-. '93c,oa� 1`�is-vim AP # PERMIT # 14AME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. ] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 6<] 1. Gate entrances shall be at least two feet wider than the roadway it serves. )1 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. ] 2. For parcels less than.l acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. ] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and ,fuel modification shall be completed prior to completion of road construction ar fi_ial inspection of a building permit. Page 2 of 3 •4 t p / /y • - ` � S '�a �,6 ^/ �6•��l' 3 � CODS AP # PERMIT # NAME Other Requirements If Buildincr Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves If Budding-Setback--is-Less Than 15 Feet Choose any 3' of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 1016of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials z5-17 Date Signature Page 3 of 3 Year: Mobilehome Manufacturer: If other than single wide, furnish Setup Model Number: Width:_L2-jft.) Length: Tagalong orExpando Size(&)x=ft.) On all mobilehomes manufactured after October 7, 1973, furnish -nianufacturer's* installation manual and structural- setup ' sheets. pressure treated. or. Scundatio;44de[Y-J. tb_thei: :.,..--..`SUPPORTS: Concrete block[]':;bther: o wl' n:. 'e, cti r. i ii- c a t i o i slo r all M Provide Tie obilehomes: -P .................................................................................... Main Beams .................................................................................... .......... Tag or Triple ................................ Line 1 Piers: Size minimum: r 1 x r I Spacing maximum: From ends-maximum:1 Line 2 Piers: Size minimum: x [jo Spacing maximum: 1 _5 -- From : ends -maximum m I / Line 3 Roof Loads: Size minimum ` Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Una 5' '7 I Line 4 Line 3 Line 2 N j Line 2 Line I i Line I Openings Size minimum: 1x[ ]. Each side of openings with Width over: Line 4'Piers: Size minimum: x Spacing maximum: From ends -maximum -EE] OVER A 2. Assessors Parcel Number: 3. -"Installer's Name: + ' �l -- 4w``Is the site.currently=und�r-pehwt?=� es�(] leo[ j Permit No. ''the . -site ` M -.. i..f. 5. Is the site an existing site? Yes[ ] No[Xj (If yes, furnish two plot plans). `6. What is the electrical rating of the mobilehome? /0-0 Amperes. ' 7. What is the mobilehome site circuit breaker rating? 10 D Amperes. - ---_ _ 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[�O If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: ` Load- �) O n Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane None[ ] 12. Size of sas pipe at the mobilehome site from the meter or tank: Z 1!4 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?-O-(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541,PERMIT NO. `APPLICATION AND PERMIT 9S ASSESSOR PARCEL NUMBER 065-180-056 Z6NING RTIA BUILDING PERMIT OWNER Dave Blood TELEPHONE p 2-8 8 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1147 Waa-,taff Rd., Paradise, CA 95969 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDREss 6648 Rosewood Dr o PERMITFEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap J 7.00 LOT NO. SUBDIVISIONS NAME PARCEL M Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Q% Other SPECT Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation XX Other Describe Work: Replaces BP#94-0594 Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000V OR LESS ( z00A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DE LARATION I hereby affirm under penalty of perjury that I am lice sed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of t Business and Professions Code, ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DE-LARATION I hereby affirm under penalty of perjury that I a exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employeewith wages as their sole compensation, will do the work, and the structure is not 'ntended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUR \ OR ADDNS. ( a ACC. BLDS. / s0. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS 8, SINGLE OUTLET CTR. ) Ex. Occup. (OUTLET OR FO(TURES) 200 1.00 BAL SO EX. Occup. OUTLETS (RES PaEs16.j EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) R�1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall hwith comply with those provisions. X �A� _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 00.00 Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 143.00 HA2. D. FE OOD IMP FCDF PARCEL PD Ho ISSUE This permit is hereby issued under the Of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 185290 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I .r.r`:'�In:E+^.''+vL^i. [R'�+fvr_�' ' h j� ff • i'' R.w. t� #3 t.r -' 7 � " i^'J, q 4 W. •+.,': &W,111 a •4'-` ll" l 4t,,OUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 's►'.y 6. � ",:gip: �..: �. r� 7 COUNTY CENTER DFt?Ve ,6kOVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Q V el /0 d A. P. o. 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 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 manufa'%ure.r's installation in ructions, 2 sets. ...10. Fees of $11. Impact fees as shown on attachedule. . 12. California Department of Forestry papprova' fees . ........................ 13. Flood elevation letter (100 year flood) y Calif mia Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......... ............................... 16. Plot plan and business license approval fr' m ity of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B arking: . ......... 18. Contact Land Development about (A)/Improvemen (B) Drainage. .......... . 19. Driveway permit (construction approval required prior tt occupancy). .. .. ... . 20. Pre -inspection for Fre-Inspedion requ� required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Giv A to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural 2cknowledgement Statement . .................. 25. Letter of signature authorizati6n......................................... 26. Copy of recorded deed of p9kel creation and 60 right of way to a public road. .... . 27. Letter of intent on building yse. . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal ac,cess...................... :.................. 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.................................�q. 32. Plan check list. .......... �. . 34. o 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 �1 / Acreage Applicant c Date 4115 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 gew m 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 1//T Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541. W l o od, 0 NER A.P. # — PROPOSED BUILDING USE DATE REC. # DATE REC SCHOOL DISTRICT FEES (paid at District Office).........................lS 2. SHERIFF FEES (paid at Building Department) Residential ..... x _$ `36a JI 63 unit amt. Commercial (sgft) x _$ :sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x -$ sq.ft. amt. • 4. RECREATION DISTRICT FEES (paid at District Office). ...................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK -- $89.00...... (paid at Building Department] 7. OTHER 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 DATE COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �/�`� ASSESSQ JL eCEINLJMBER 05 - DDN1 t) II BUILDING PERMIT -- a t; e l O �[[ o SO. FT. OCC. BUILDING VALUATION OWN FA DRES COM - RS NAME TELEPHONE CONTRACTORS 14 NG ADDRESS Fireplace COIJSTRU LENDER I LI P - I Total Valuation $ Filing Fee - -- $--- _— 20.00 LENDER'S MAILING ADDRESS Permit Fee $ AACH7 OFV ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR GINEERS MAILING ADDRESS Penalty $ BUanwGAODRES1r / --AA (� (D ` PERMITFEE $ Q PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME CEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome �( Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Re mod D Utilities ❑ Installation Other ❑ Describe Work: a co- �J Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service 600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. .._. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to. construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUR OR ADON BLOB. ) ACCLICENSED ( aT. SG. 3.5¢ FT. MULTI- NEW CONSTI.OUTLET S NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8Ps NGLE OWERPtftLET a ) EX. Occup. (ourLEr OR FIXTURES 20 Q 1.00 ) SAL 50 FIXED APPLNS. OR Ex. Occup. p• ( OUTLETS (RES10.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee is 0 Energy Inspection Fee Is Occ CONST. TYPE I TOTAL FEE $ 1 4Q ,HD HAz. 1 o. FEES I IMP I FLOOD I CDF PARCEL PD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRES ON applicable provisions Resolutions to do work been paid. Date (Data) ReceiptNo. K15-0 R 7 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District P4 r" D ISL Building Department No. A.P. Number 180 " �S�D Jurisdiction 0 City ��— County Property Owner Property Location/Address Subdivison Residential Development Commercial/Industrial Lot No. 0 No. of Living M� HI Addition Units Sq. Footagd- (Group R) 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building bdpartment.Representative . Date (Floor Plans reviewed by School District Personnel) Dis ict Identification No.. •�—L%U Od School District certifies that (App scant) (Street. dress) (Phone Number) (City (State). (Zip ode) l has complied with the requirements of Resolution No. by payment of $ / J representing square feet.. Cl�C. r School Di trict Representative 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) feeform.wkt (4/92) FOR BUILDING DIVISION USE: 9 Receipt I`n`formation: Number: -Ly Date: Issue TTo: Amount • I Fees Retained:„ /t.Processing Fee: $ a� (/Bldg Filing Fee $ PO Plbg Filing Fe\ $ E1ec Filing Fee \ $ Mech Filing Fee $� 141jl�lqh6 , ra)kr-d Energy P/C Fee /Plan Check Fee Inspection Fee Total Amount Retained TOTAL REFUND DUE v vckk `S sl 4,q4,v re 40 do r��r�•,cl�. l't'� W ; / ( rP�rP/Y ocaVe- OD �Jecq uSe sue (have re. RJy done �0�e•6z� REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL # PERMIT RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories,:; (Check those categories which you wish to have refunded.) [� Building Permit Fees [ ] Sheriff Fees ' [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. '�Pe l� SIGNATURE Xr-k-A-1,0 DATE r Ni Please refund any applicable fees in the following categories,:; (Check those categories which you wish to have refunded.) [� Building Permit Fees [ ] Sheriff Fees ' [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. '�Pe l� SIGNATURE Xr-k-A-1,0 DATE COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this l / day of , 19�, at (&I 'Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or a i les specified abo have been performed or delivered and that there is a Budget Appropriation I ) or Specific Board Approval 'I ) (Check one) f r t e Dated this day of 19_, at Calif. epartment Head or Authorized Deputy Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS TO CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, description and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the Department head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. Sa � > 9 0,5'9 RNi 1 � -tea+" -TSSv�e(` P,,ro b Ie,tvl gea ly`4 mss 0-a vi �t Y or VtO t 141 d e- Ct., 1--,r 1� f{ t'S earn Gc�S 1`` Dvi TOTAL $ 50. 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this 4th day of Feb , 19 97, at Oroville Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation [ ] or Specific Board Approval [ ] (Check one) for the same. Dated this day of , 19_, at Calif. Department Head or Authorized Deputy Dept. Code 440-002 Exp. Code 543 PAYABLE FROM Trans/Travel FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. PACIFIC FLOORING'SUPPLY CO. F �Caepets • 94andwood' • TesNAt'•-`, demhies 8 Sgwpmek 4220 QARF 770 TENNESSEE ST. )1306 KANSAS•AVE. ERVVILLE, O SAN FRANCISCO, CA 941 0-MODESTO,'CA 9535L '&&01 9i@dE (510)65 PHONE (415)626-0375 PHONE (209)522-5937 t f963l�p EO AVE., S� 1450 INDUSTRIAL- WA 2754 TEEPEE DRIVE j _ C6t7 J(j,,1� I { �., O SPARKS, NV 69431 O STOCKTON, CA 95205 --� . O, PHO1��1068f24516, PHONE(702)359-3764" - PHONE(209)463-6642 f 1527.NORTH'S �L 5042 WESTSIDE ROAD 2145 PARKAVE.,9e O SACRAMENTO, r�6,4` O REDDING, CA 96001 - O CHICO, OA 95926:' �,-r PHONE (916)442.04 OAr _,,PHONE (916)244-3832 _ - - PHONE 916)693-2661 Gw O PRODUCTS: ' ' _ ....,. ,� _ �-. • _' ,� ,�` � i �-fit �- 0 Adhesive _ 7 ,� El Blades: p Cove Base Q Floor Patch Metal Moulding, ! � AAA El Nails El Pad Q Pad Tape.' 1, Patterri Felt Seam Sealerd�� 9 p 0 Seam Tape J - O Staples � M 0 Tackless D Tools if , El Undedayment - - j5�" M Vinyl Moulding • 'l�`�®�.� �. f '�/ lr _ uthor z Is Tors Capitol • Crain Cushion • Crain Cutter • D & G • Dap/Durabond • Duo -Fast • Fortifiber • ran In • Ura - General Felt i Hartex'• Kennedy • Macklanburg-Duncan • Mercer • One -Shot • Orcon Personna 9 Relco • Roppe • Seam Master • Taylor Tools • Universal � Vite)i • W.F. Taylor • W.W. Henry map P PACIFIC FLOORING•SUPPLY CO.) S Cahpets • �landwood ••cPeAteht'��Accesohies 8 £yulpmeht 4220 HUBBARD ST.' � , 770 JENNESSEE�ST. 1308 KANSAS AVE. 0 EMERYVILLE, CA 94608 "'0 SAN FRANCISCO, CA 9410 O MODESTO, CA 95351 PHONE (510)654-0485 ^ PHONE (415)826-43757 r PHONE (209)522-5937 965 DETROIT AVE., SPACE C, 4 1450 INDUSTRIAL WAY 2754 TEEPEE DRIVE 0 CONCORD, CA 94518 9 • (• 0 SPARKS, NV 89431 '0-STOCKTON. CA 95205 PHONE (510)682-5697, • - PHONE (702)359-3784 .-PHONE (209)463-6842 1527 NORTH C STREET! ,t 5042 WESTSIDE ROAD • 2145 PARKA'✓E. 9B O SACRAMENTO, CA 95874 �� 1 ,� r 0 BEDDING, CA 96001 41 �• L O CHICO. CA 95928 PHONE (916)442-0491 .,,,PHONE (916)244-3832 . PHONE (916)893-2661 , PRODUCTS:CJI)*. .� -tillj©, Q Adhesive ' .D,Blades O Cove BaseED Floor Patch ✓- t � {�` � . - �„ � M t Metal Moulding -/^ Nails Q Pad 0 Pad TapeeA • , , t er '� El Pattern Felt _ �' • /W M Seam Sealer Q Seam Tape� ' Q Staples Tackless Tools I!r Underlaymenf 0 Vinyl Moulding g a Authorized Distributors Of: Capitol • Crain Cushion • Crain Gutter • D & G • Dap/Durabond • Duo-Fast • Fortifiber • Franklin • Futura General Felt • Hartex • Kennedy • Macklanburg-Duncan • Mercer • One-Shot • Orcon Pefsonna • Relco 9 Roppe 4 Seam Master 9 Taylor Tools • Universal • Vitex • W.F. Taylor • W.W. Henry I _ PLEASE HAVE BECKY CLEARLY SIGN THE REQUIRED FORMS WHERE INDICATED SO WE MAY PROCESS THE REFUND. THANK YOU BUTTE CO BLDG DEPT #7 COUNTY CENTER DR OROVILLE, CA 95965 THE RECEIPT FOR PAYMENT WAS MADE BY HER. CyA_\1►d_LA ADDRESS: COUNTY OF BUTTE Oroville, California GENERAL CLAIM CITY & STATE: ane, (2az DATE OF CLAIM:���n SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES IMPORTANT: SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT p 1 a 41 ` 00 G C/ o 'o I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true Znaderect as stated. atethis _ day of 19%,at Calif. Signature of I imant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation [ ] or Specific Board Approval [ ) (Check one) for the same. Dated this day of19_, at Calif. Department Head or Authorized Deputy Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. • 7"i t & i --� ---- =.�..I.NSTRUQTIIONS ;T9 CLAI_MA.NTS _ _ All claims against the county must be itemized, giving dates and.character of service rendered or work's performed, quantities, description and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the Department head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first: Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Compliance with above will expe'djxe , payment of claim, failure to do so may delay payment considerably. t , l ' 0 f co/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Caldornia 95965 - Telephone (916) 538-7541 PERMIT NO APPLICATION AND PERMITS-� ASSESSOR PARCEL NUMBER 065-180-056 ZONING RT1A BUILDING PERMIT OWNER DAVE BLOOD TELEPHONE 872-8584 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1147 WAGSTAFF RD PARADISE 95969 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS FIR HAVEN DR, MAGALTA PERMIT FEE $ 43.00 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 PA E MAP ' / Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome qOther SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New Q Addition O Remodel 1:1Utilities ❑ Installation Other ❑ Describe Work: MHI / MHU # 9/71._ PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP.s0- OR ADDNS. ( & ACC. BLDS. ) 3.5C FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification � as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON -REBID. ( BflANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPWS. OR ( ) OUTLETS (RESID.1 EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 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. 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 all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun 'n consequence of the g nting of this permit. X Dateahmpq at Signature of Applicant-- - Owner ❑ Contractor I 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 TOTAL FEE $ HAZ- D. FEES IMP F100D CDF PARCEL/ PO HD (/// ISSUE --" This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMIT EXPIRES ON IDatel Receipt No. 156325 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4ZNf ►T ' , T-. !� )'�YF' .'ti1p{'e"`xR� y�'iiq►�r7n �a"�{".7 -. X ,� . . „ tCOUNTYOF BUTTE - DEPARTMENTOF YFVELOPMENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVI LE;'G LiFORNIA:95t 9 -TELEPHONE (916)538-7541 ,pY'I PERMIT AP . PLICATION DATA SHEET OWNER C Cis A. P. No. _066; - l �30 - n ':ESCo Proposed Building Use - _ Building Inspector \ Date At time of permit application, I i as ad ised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items havelbeen submitted . ............ .......................... . 2. Plot plans, 3/41 sets, signed by preparer of plans S. ......................... . 3. Complete plays, 3/4f sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material1Form.................. . ......................... .. 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. Mobileho�n{{e data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of s/ . .............. .. ...... . j,e 11. Impact fees as shG own on attached schedule. - .. 90 ...................... 12. California Department of Forestry plan approval/fees. ...................... . 13. Flood elevation Idtter (100 year flood) by California Engineer . ............ . 14. Sanitation and plot plan approval Health Department . ............ 15. City oZhico plumbing permit. ....... . 16. Plot pl n and business license approval from City of Biggs/Gridley. 17. Plann;ng appQal for (A) Use: (B) Parking: ........ 18. Contact Land Dievelopment about (A) Improvements (B) Drainage. .......... . 19.. Driveway permit (construction approval required prior to occupancy). . . 20. Pre inspection l,or requiied. o ild g Inspedo�- (Date) 21. Contractors 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. .... . .Letter of intent on building use. -4 28. Mobilehome utility clearance. .......... �..-......................... . Documentation of legal access. . 30. Documentation of 50% subdivision developed`or(A6 iload improvements completed and (B) Parcel meets zoning area and'ffontage requirements. ��......... r' 31. Existing violations/expired permits..�........ '.jj ..........� '� 32. Plan check list. ......... .......... . I �\ .34. t .. 33 When youI issue the permit, process as-folIews: / Mail toowner. Mail to contractor. Telephone and holderr4ickup-et e _ office. Deliver with, inspector. Other Parcel Creation /3 Q Acreage�- Applicant Date ./ Copy of Haz-Mat formsent-, Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept.- Fire Dept. Other Date / By The following data must be submitted priorto 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 �irail. Counter bey _Date Contractor, designer, owner, was advised of above required data by _.phone _ mail Counter,by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ,� i �y-� i �,i/�� ; ,- ' �� COUNTY 'OF BUTTE - 15eoartment 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 es or no) 2. I S%/have not) signed an -'application for a building permit. fo�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 hire& the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors Li6#nse 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 GG��-- 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. �31 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, .California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER .- D - e� ZON1N5 T I /q BUILDING PERMIT OWNER v� TELEPHONE $7Z—SSBI( SQ. FT. OCC. BUILDING VALUATION OW I �"? S4AORE 111sk 1 .6 C CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23 - — ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'SNAME PARCELMAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile HS G W Home @20.00 TYPE OF WORK New C1Addition C2Remodel ❑ Utilities ❑ Installatio Other ElPERMIT Describe Work: —_ FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( `oR `Ess ) 2WA OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( b ACC. BLDS. ) 3.50 FTSO. . 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) CII am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTIOUTLET •NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL. Ex. Occup.FIXED APPINS. OR (OUTLETS (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. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all gainst said liabilities, judgments, costs, and expenses which may in anywayyX County in consequence of the granting of this permit. DateV, 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 $ ® 5 E77 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for wNch fees have been paid. BY Date PERMIT EXPIRES ON /Dare) �- � 15&V5 Receipt No. �J� WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I:.li. IISE ONLY Hot Pkit Atmehed Floor Ilan AtWelied Sew to I).n, C-�C�iycJCZ1 i �ZG4 TO: Building, Department FROM: Environmental Health SUBJECT: Sanitation Clearance a57Z CaS-(8�c7 -aS�o Owner Location AP# Flan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for S bedroom kA4, home. Others— �= iZ--i (fir= 7l� Hold final for:. Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 Date •I C t r Cie %1/o R tai inro oa . eJ I a� e , I n I F ' f I ' ENVIRONMENTAL HEALTH APPROVED' J Butte County MAY 1 8 1993 n Enomen H l aaIth_. _. _ ._....... - -- , i '.. r~ _PARADISE, CAI:4FORNIA I ! I fe Signature 1 y 1 I i in L owes-' �wej :I \ J �o0m I 17 r H F ! " � r �• r .-door s Y ENVIRONMENTAL HEALTH � - MAY 1' 8 1993 � AppFnV�U • Butte County - alth PARADISE, GAUFORNIA Environmental He , { I 1]I - _3 , e- Vel �oq)�i ���►' C4 si r �jec1 ®o rh to 10 I + l _ ✓ _ i - - . - - -. --� -- - - ...1. _ _ ' .___..ENV(RONM6iAI HEALTH ' Butte Co �ntjealth _ ;1:8 1993 -7- En. ironmenta - - �- �' , PARADISE, CALIFORNIA _ I Signa_'` ���j ,��s �� �� � ��o S� �� �'��C� � ��� i' a� ����_. �� w t*, L 1,r+-��o —.r- 74 _w t El 7, 04 S' /967 CON C., JW ON. L (PER (R, R A(Or FOUND 0 V C'D,9 E4 PER S Am 1609 0R. 492 N 'DR R ' 7660 ...`:R0SEW00DDR E4S 00 Rl� �4 8 9 55 5 2 E R,-)- 660 32 132 (10 .......... 89055 52 E R3 13_2. 'ENV'RONA'ENTAL HEAL'N 51? TH MAY 1993 'X PARADISE, CALIFORNIA FROM SET CDR. FO :12"REPAR W,' ALUM. CAP L 2963 R on 0.86 O CD L c, 0 cc Q Q 132 -CO ------------------ 5 C 9LDu SE 784C LIN E --J Parrce! 12.12 4C GROSS RAO A. ASPER BK._o R.. P. 50'NON EXCLUSIVE RD. a PU.EAS-M-T TO BE RfSERvEr) Ply ('EELS 6-50' <g- N9 90 5 5' 5 2 1. E cl 4 . =0 FROA L S SET COR /"I, - 526 0 . P. W1314 r 143 INSICE IT NLII 1 85 Percel 2 1 619 AC GRo!z s SET 4" v IT. - - 112" REBAR W1 At Uhl L. S. 284° IV 25°13'19"W 0 33 w 1* 0 CONC 44ON L S *(R4 ) Nor rou SEC 13 • L S 2843 N 70('27*52"Le- 0. 73 Thls Pet of Pious and spectnca _� kspt on th- a©b at.alr.t:- ' - rind Z b ma:�e..;�.ny chases ar r_1'rrstlo itten ,pa s .wI tht SALESMAN ORDER NO. ESTIMATOR Yu CHASE�'S NAME i �,v8ei,cl�; i i• � , by • T Cn nvi on en al , at -- i 4L) at I QCs Si nat re IV oc ams • . \ • :. /.3'• � 'ti "�—� � �: f. E p� RKIWGq 17 t `,� A , , i• ,. •.. j �1tlp � r R ' •i •. i•• .fir„; `.'J �• �•:%. •'�C � L� . IWO !I JVL `�, ;• �• � •'f~I� icy •' ��^�°i ; •`'' I t 1 i `� j i 1 Ijt�1• PLC T PLAN ' COUNTY OF BUTTE - DEPARTMENT OF DEVEIeOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7542ND 38-754 PERMIT NO. APPLICATION AND PERMIT �-��� ASSESSOR PARC EL NUMBER 06S-180-056 ZONING RT1A BUILDING PERMIT OWNER DAVE BLOOD TELEPHONE 872-8584 SQ. FT. OCC. BUILDING VALUATION MK Fs RD PARADISE 95969 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ —�g- Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS MAGALIA PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 r Solar or heat pump water heater 23.00 Water i in P P 9 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP 3 s 114 Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex ❑ Mobilehome 9 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home �20'CC 60.00 TYPE OF WORK New Cl Addition ❑ Remodel O UtilitiesPERMIT � Installation O Other ❑ Describe Work: MHU FEE $ 80 00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 200A OR LESS 23.00 23,00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC UP. OR ADDNS. ( 8 ACC. BLDS. ) so. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. Icense No. Classification as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET .NON RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.00 Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidHAZ. County' onsequence of the grant' g of this permit. X��- Date ze Signature of Applicant-�Wbwner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0". deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is ocC CONST. TYPE TOTAL FE -$ 166. 0 D. FEES IMP FLO6 I C;rJ P2>K I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. By Date PERMIT EXPIRES ON Oatel Receipt No. 156325 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMtNTSERVICES -BUILDING DIVISION .. 7 COUNTY CENTER DRIVE - OROVILLE;�CsALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNERy F -It)) OSS A. P. No. D Co s-1- ( 8 © -t�56 Proposed Building Use /u Building Inspector F� (C> Date e> �cl�( At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY X-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. ........... 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 AVND*- 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). . f: 3. � 20. Pre -inspection for required. o B ill g 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'fig`lit'°of�way to a public road. .... . 27. Letter of intent on building use. .:...................................... . 28. Mobilehome utility clearance. .................. ....................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................. ................. . 33. ..34. W _mou issue the ermit process as follows: Mail to owner. Mail to contractor. j=Telephone a _ and hold for pi k p at S office. Deliver with inspector. Other Parcel Creation 22 Acreage Applicant % Date V 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 submitte prig to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. r pi 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 4e Date 4!2�cz Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ", COUNTY OF BUTTE - DEPARTMENT OF 'DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER A. P. # &65 • PROPOSED BUILDING USE A4 n - V DATE ` 6 lot Y REC. # DATE REC 1. SCHOOL DISTRICT FEES (paid at District Office) ..................... 2. SHERIFF FEES .... (paid at Building Department) Residential...... x =$ unit amt. Commercial (sqft) x =$ :sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) # x =$ _ units amt. Commercial (per sq.ft) x =$ sq.ft. amt. • 4. RECREATION DISTRICT FEES (paid at District Office)... 5. DRAINAGE DISTRICT FEES / (Contact Land Development Division) .............. �,�` 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00 ...... 516 3g�5 (paid at Building Department] 7. OTHER 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 DATE COUNTY OF BUTTE - Deoartment 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 ��or no) 2. I 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. !c: 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 Securit Date 31gjq� Number 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. �S COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California J5965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER060 r` �D �Os� •"Jl ZONING � BUILDING PERMIT OWNER Daue, hoJ TELEPHONE 8'ta- �s8k SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD ESS S Q S�% CONTRACTOR'S NAMEN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ , LENDER'S MAILNG ADDRESS Permit Fee $ 2--%. a�E7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 2 3 • t®"� 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 O Duplex 0 MobilehomeXOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ` 20'�0 @ TYPE OF WORK New 0 Addition 0 RemodelCl Utilities Q Installation Q Other Q Describe Work: / / V � H— 0 _ PERMIT FEE g Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( BDOV OR LESS ) 2WA OR LESS 23.00 7-3- Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AOONS. ( & ACC. BLOS. ) SO 3.50 R; NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification D 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) 0 I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) 0 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) SA . @ 1.0 '50 Ex. Occup' FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 0 This permit is for $100.00 (valuation) or less. 0 I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 0 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 $ 36 Contractor MECHANICAL PERMIT Fling 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. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte a ainst all liabilities, judgments, costs, and expenses which may in any way a crue a inst said County in consequence of the granting of this permit. X Data / Signature of Applicant - 0 Owner 0 Contractor Cl Agent An OSHA permit is required for excavations over 5"0" deep a demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPETOTAL FEES lQ HA2. I O. FEES I IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRESON lDe tel / Receipt No. tib WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT R. -turn to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT -•Ruildii;k Division FOR RESIDENTIAL DEVELOPMENT l� Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 9.00 p Fee RecCOP The property described herein is adjacent to land or included 75030347 1.50 10. 50 within an area zoned for agricultural purposes, and residents Recorded I Cash of this property may be subject to inconveniences or official Records I discomfort arising from the use of. agricultural chemicals, County Of including, but not limited to herbicides, pesticides, and Butte I fertilizers; and from the pursuit of agricultural operations Candace J. Grubbs including, but not limited to cultivation, plowing, spraying, Recorder I P U B L XX pruning, and harvesting which occasionally generate 2: 4 5 p m 5 -Sep - 9 5 I dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. Al: that real prcperty'sitiate in the County of Butte, State of California, described as follows: see ,O ffi�e�e Date: - I PROPERTY OWNERS: State of California ) County of gal? On 49 -OS -9S before me, �CGvtQI �£�t�2S7�ei.�i ND�A�et/ /mob//� personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) ...cted, executed the instrument. WITNESS my hand and official seal. —�' COMM. H9886104 RICHARD FEU104 NQ 2 NOTARY PUBLIC -CALIFORNIA 0 / 0 a . ; BUTTE COUNTY .� Signature Seal: .a.• MY Comm. Expires Feb. 28, t987 . A.P. # Oct Order No. 44709 P -17433 -MS DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: Parcel 2; as shown on that certain Parcel Map being a portion of Lot 331 , Fir Haven. Subdivision, f iled in the off ice of the Recorder, of the County of Butte, State of California, July 8, .1983, in Book 93 of Maps, at page 14. EXCEPTING THEREFROM all of the valuable minerals beneath the" ur- face of the said'. -land, with the right to mine and extract said minerals, it being agreed and understood that in all mining opera- tions the surface of said lands will be protected against damage and that all* 'such mining shall be carried on from tunnels, shafts or drifts, having their orifices outside of the surface area of the above described realty. PARCEL B: Non-exclusive easement 50 feet in width for road and public uti- lity easement, as shown on that certain Parcel Map being a portion of Lot 331, Fir Haven Subdivision, filed in the office of the Recorder, of the County of Butte, State of California, July 8, 1983, in Book 93 of Maps, at page 14. This qft of plous 00 and UM UW ,kePt on tha- -alt. be Job at MmW and it: jg� 10 made chak&'_ ... 11, or !?ltarati• *Itten W paq ojkJsama.wj&hc A. . ism SALESMAN Jd&4p(_3m_= . 'ft -M W -DUVAL ESTIMATOR PURCHASE ORDER NO - i NAME lr4e ';o le 'Oot 2j. jj c _ �5 Z �/�00' c v % }. Ic LO 414,x r ad - F ..�-'! p n' �1 '� �� 1 I REfq C . 7t s' f Fk-. 6NC ct '?' '07, Op � L74 AQ V{ � ,( ; � te vt' An 4.41 wjeeobw `7 Noma- Goa&& 5CAL.G I/ 4, xv�p -parceL465-A�0- 0 OoLo" V! t CDF FIRE SAFE -REQUIREMENTS —401 3 AL 00D , N -JL - AP# PERMIT # NAME Under authority.of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. VI 1272:00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards �] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-,rtenzant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. $A1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a.horizontal inside radius -of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of SO - 100 feet radius; 2 feet to those from 100-200 feet. /1 2. The length of ver_i^ l curves in roadways exclusive / of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [� 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot-taper.on each end. (�] 1270.10 Width. All driveways shall provide a minimum 10 foot (� traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of:3--. -1( 41 AP # PERMIT # SAME [ 1273.10 Turnouts.' Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. b(] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates ] 1.. Gate entrances shall be at least two feet wider than the roadway it serves. j 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop :without obstructing traffic on that roadway. [ ) 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. _ [ ) 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from u17 property lines and/or -the center of the road. ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. ') 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and .fuel modification shall be completed prior to completion of road construction or fi_ial inspection of a building permit. Page 2 of 3 s , AP # PERMIT # NAME Other- Requirements If Building Setback is 15 to 30 Feet:' - Class A' or B roof - Enclosed eaves 0Jf_BUjjdjA_ � Choose ' any 3 '6_f the following: - Metal or no doors on side toward property line with insuffi- cient setback Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D — Glass area not to exceed i0% of,wall area toward property line with insufficient setback - Siding from the following list Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 n 1. Owner's Name: 2.� Assessor's Parcel Number:��` 3:"Installer's Name: •• .i�.y _ _ _ _ .... .. _.. w ..n.. fit.-r.l � .fit '4 Is the site currently unddrperirut� 3es "N0 Permit 5. Is the site an existing site? Yes[ ] No[)(j (If yes, furnish two plot plans). s' 6.—What is the electrical rating of the mobilehome? /ODAmperes. }; 7. What is the mobilehome site circuit breaker rating? - !d 0 Amperes. - . 8. What is the electrical rating of the mobilehome site? a Amperes.: 9. Is the main service remote from the mobilehome site? Yes[ J NO[K]'If it is, what is' V the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size - a) The mobile home site: Load- 1�0 Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ j None[ ] 12. Size of s pipe at the mobilehome site from the meter or tank: 3 !j inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?4(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 Mobilehome Manufacturer: Fleetwood Manufacture Year: If other than single wide, furnish Setup Model Number: Width:_j _(&) Length:_� �,S(ft.) Tagalong or Expando Size _(&) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's' installation manual and structural setup sheets. .FOOTINGS.-IVoedpresspre -treated- or-foundatiqw-40 Other: t -- _"SUPPORTS: Concrete block[ Other: Provide Tie Down Specifications for all Mobilehomes: Line I - Line 2" Line 2' Line I. Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE .................................................................................... ........... Main Beams ................... ! .................................................................. ........................................................ Main Beams ............................................ ................................. Tag or Triple ............................................ Line I Piers: Size minimum: r i x r 1. Spacing maximum:` 9 : From ends -maximum: 4 Line 2 Piers: Size minimum: 1jj I x tits I Spacing maximum: 1 5- ' (- From ends -maximum: 1 4 kd Line 3 Roof Loads: Size minimum '- Location Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): .MCI Line 2 Ane 2 Line 3 Line 2 I Line 2 Line I Line I Openings Size minimum: x Each side of openings with width over: I I Line 4 Piers: Size minimum: x Spacing maximum: F From ends -maximum: OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT 7 County center Drive, oroville Phone: 916-538-7541 DAVE BLOOD 1147 WAGSTAFF ROAD -PARADISE CA 95969 RE: Permit Appin 94-0593 (mobilehome utilities )DATE: A. P. # 065=18-0-056 With reference to the above subject: SERVICES,' BUELDING DIVISION CA 95965 -r: 1ijl . ,s 12/19/94 Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed 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 on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome 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 from City of Biggs/Gridley. Planning approval for Land Development (a) Imprcve:rents (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. =Recordedccry of Agricultural Acknowledgement StateT,ent. 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. Documentation of legal access. Documentation of 50V subdivision developed or (a) Road improvements completed 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. Other: This permit application expires 3/8/94. and -cannot be issued after that date Should you lave any questions concerning the above, please contact of this office. MCV:ahb Linda Sexton Y rs very tr ly, Mic.ael C. ieira, C.B.O. Man ger, Building Inspection Am�