Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
068-030-173
2006-0039548 RECORDIN,G�Ef 'I -JESTED BY: Recorded I FEC FEE 10.00 Official Records I County of I WORMED COPY 1.00 Butte CAW#U J. BRUBBS I County Clerk-Necorderl 1 AND WHEN RECORDED MAIL TO: 1 DD 011:W M 02 -Aug -206 I Page I of 2 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MICHAEL J. CHADWICK REAL PROPERTY OWNERILESSOR 7 COUNTY CENTER DRIVE PO BOX 6392 MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 321 PALERMO DR. BUILPDIN,G PERMIT NO. TELEPHONE NUMBER INSTALLATION MAILING ADDRESS, IF DIFFERENT DATE OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE FIRST EDITION MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-1049 530 538-7541 BUILPDIN,G PERMIT NO. TELEPHONE NUMBER SIG14AJUR.E dFLOCALA N Y OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. HBOS MANUFACTURING 2004 FIRST EDITION MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMERJUMBER H-022781AlB 48'X 28' ORE454095/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 068-030-173 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. 108/05 15:42 FAX 530 894 7647 BTEC CUSTOMER SERVICE _ 0005/006 �,.. 530 894 1647 Illlllllllllllllllllllllilllllllll I . RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 102333 -TR Title Order No. 00102333 When Recorded Mail Document and Tax Statement To: Mr. Michael J. Chadwick P.O. Box 6392 Oroville, CA 95965 GRANT DEED 2100 1 --01043896 Recorded Official yyRecords CaBUTTE f CANDACE J. 6RUSHS Recorder ROSEMARY DICKSON Assistant 09r00AM 25 -Sep• -2001 FOR The undersigned grantorls) declare(s) Documentary transfer tax is 079.75 I X I computed on full.value of property conveyed, or [ ) computed on full value less value of liens or encumbrances remaining at time of sale, I X I Unincorporated Area REC FEE 10.00 TAX 79.75 Fay Page 1 of 2 FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Scott D. Wilcox and Margot S. Wilcox, husband and wife Community Property and Janice Wilcox Hamill and Stephen A. Hamill, wife and husband, as Community Property hereby GRANT(S) to Michael J. Chadwick, An Unmarried Man the following described real property in the unincorporated area of Oroville County of Butte, . State of California: Parcels 2 and 3, as shown on that certain Parcel Map, filed In the Office of the Recorder of the County of Butte, State of California, on August 8, 1991, in Book 123 of Maps, at Page(s) 80 and 81. DATED: September 13, 2001 STATE OF CALI OR I COUNTY OF 10. before me, THE • UND RSIVARY PUBLIC personally Appeared personally knowlAo me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose names) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity((es), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument. Witn'ss my han �nd,offlciialSign Cox A. *' D ERGEN V m.01157862 °D T P IC CALIFORNIA+, .• _ :i • YOLO UNTY 0 omm. 0 17 2001 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED 0 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 2 -Aug -2006 2006-0039548 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MICHAEL J. CHADWICK 7 COUNTY CENTER DRIVE REAL PROPERTY OWNER/LESSOR MAUJNG ADDRESS PO BOX 6392 OROVILLE BUTTE CA MAILING ADDRESS CITY COUNTY STATE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 321 PALERMO DR. DATE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE FIRST EDITION MAUJNG ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-1049 530 538-7541 BUILPINf, PERMIT NO.TELEPHONE NUMBER SIG14AtLM 6PIOtAl AGZUY OFFICIAL. DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO HBOS MANUFACTURING. 2004 FIRST EDITION MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER H-022781AJB 48'X 28' ORF -454095/6 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) I RPM a ' _ ; r7��S33diJlP7: ASSESSORS PARCEL NUMBER 068-030-173 HCD FORM 433(A) REV. 8/91 08/05 15:42 FAX 530 894 7647 BTEC CUSTOMER SERVICE RECORDING REQUESTED BY; Fidelity National Title of California Escrow No. 102333 -TR Title order No. 00102333 When Recorded Mail Document and Tax Statement To: Mr. Michael J. Chadwick P.O. Box 6392 Oroville, CA 95965 0005/006 530 894 1647 Illllllllllillllllllllllllllllllll GRANT DEED a10GD 1---ID1D438C-36 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 25 -Sep -2001 THIS I REG FEE 10.00 I TAX 79.75 I ( t I Fay Page 1 of 2 The undersigned grantor(s) declare(s) Documentary transfer tax is $79.75 [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ X I Unincorporated Area FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Scott D. Wilcox and Margot S. Wilcox, husband and wife Community Property and Janice Wilcox Hamill and Stephen A. Hamill, wife and husband, as Community Property hereby GRANT(S) to Michael J. Chadwick, An Unmarried Man the following described real property in the unincorporated area of Oroville County of Butte, State of California: Parcels 2 and 3, as shown on that certain Parcel Map, filed In the Office of the Recorder of the County of Butte, State of California, on August 8, 1991, in Book 123 of Maps, at Page(s) 80 and 81. DATED: September 13, 2001 STATE OF CALI OR I COUNTY OF ON O I before me, colt D, Wilcox y� THE UND RSI dUm MT8RY PUBLIC personally eared e Yrvi crv) ��, 1 _C Mare cox � personally know o mn (or proved to me on the basis of satisfactory evidence) to be the person(s) whose names) 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) acted, executed the Instrument. Witn ss my han �fiiciial_s Signat '0 A. T. L D ERGEN V M. 11111151662 T P IC CALIFORNIA YOLO LINTY 0 M !ir1 0 172001 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED u . .. ' S t t BUILDING PERMITS NUMBER: 05-1049 Address or location of unit: 321 PALERMO DR., OROVILLE CA 95966 Legal Description of Real Property: 068-030-173 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above•by installation on a foundation system pursuant to Health and Safety Code Section 18551.- Owner's 8551.Owner's name: MICHAEL J. CHADWICK Owner's address: PO BOX 6392, OROVILLE CA 95965 INSIGNIA OR HUD NUMBER: ORE454095/6 + SERIAL NUMBER OR V.I.N.: H-022781A/B MANUFACTURER'S NAME: HBOS MANUFACTURING YEAR: 2004 OFFICIAL APPROVING INSTALLATION: R DATE: PHONE: (530) 538-7541 H.C.D. 513C y ��,►fcNT Opp STATE AF CALIFORNIA r' BUSINESS, TRANSPORTATION -AND HOUSING AGENCY NUMBER: DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT t� p• ® DIVISION OF CODES AND STANDARDS (� 9 MANUFACTURED HOUSING PROGRAM uyrTY MANUFACTURER CERTIFICATE OF ORIGIN ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO• ANUFkCTURED HOME OR MULTNUNIT MA AC HOWSLNG i I r�I NUMBER OF E J SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS COMMFBCIAL COACH: OCCUPANCY GROUP SECTION TRADE NAME; 1 MODEL NAME AND/OR NU NUMBER: I TRANSFEREE DE: J6 7 1 J. -i ) ! 0 PIONEER AVE 0OV7,AND 4F' EXTrON 771 J Lf)?:;yi).i'ti\iF 5'I'E tib � 51' i:OUB� IMS tj3105 — MANUFACTURER SERIAL NUMBER MCD INSIGNIA OR HUD LABEL NUMBER —J! 2%)3 l ul;1:2).R !i- TRANSPORTER NAME: NC N 1-0A.` TRANSPORTER ADDRESS; 1 X91 :�'O :)f -17 u2-• 1 .s -,;u():; LENGTH WIDTH WEIGHT 'INCHES) INCHES POUNDS) L:1 2,U nin Ain 3t20 !t.< (Street) PC; BOX ((i 3 J `c'L!`''r ORT-' :77:06 DESTINATION FOR UNIT DESCRIBED ABOVE: (Stele ZIP) (NAME) " IC 1 O R ,N ii 1. !. C. l S (! !' Y l :V I; >✓' T.? 's 1J E lti �fati''.(. f� �i ii �' � � Q 7 1 ZI ) I Certify under Penally of Perjury under Me laws of the Stare of California that In eDove faGa ere Wa ane correct Executed on A (earl ? D0,41 O°)oI (� 2 Sit 1 3 1'0 i`.; U:\i A T 10 1, A C. P E I Ity) - (County) (Stale) SIGNATURE OF AUTHORIZED AGENT: . J7ISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREOROR UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHae) FORWARD TO THE DEPARTMENT AT P.O. BOX 1a28, SACRAMENTO. CA 95012-1818; W)THIN FIVE (S) DAYS OF RELEASE' COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANYTNE UNIT TO RS DESTINATION..' ', COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER :::,• HCD, 483.0 - Side 1 - (7/97) - :; :.r : {7•.:: asUsti M SIO/94 HOIHHO VA SOMOH SITdSONI NEEE6 M XVH G9:bi (1H11 90OZ/Oi/ZO Gb✓08/05 15:42 FAX 530 894 7647 BTEC CUSTOMER SERVICE IM005/006 530 894 1641 IIII111111111111111111111111111111 RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 102333 -TR Title Order No. 00102333 When Recorded Mail Document and Tax Statement To: Mr, Michael J. Chadwick P.O. Box 6392 Oroville, CA 95965 an GRANT DEED 21010 1—Wtm4389t6 Recorded Official Records CaBUTyyTE Of CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09300AM 25 -SOP -2001 LINE FOR The undersigned grantorls) declare(s) ° Documentary transfer tax is $79.75 ( X ) computed on full value of property conveyed, or [ ) computed on full value less value of liens or encumbrances remaining at time of sale, [ X ] Unincorporated Area REC FEE 10.00 TAX 79.75 Fay Page 1 of 2 FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Scott D. Wilcox and Margot S. Wilcox, husband and wife Community Property and Janice Wilcox Hamill and Stephen A. Hamill, wife and husband, as Community Property hereby GRANT(S) to Michael J. Chadwick, An Unmarried Man the following described real property in the unincorporated area of Oroville County of Butte, State of California: Parcels 2 and 3, as shown on that certain Parcel Map, filed In the Office of the Recorder of the County of Butte, State of California, on August 8, 1991, in Book 123 of Maps, at Page(s) 80 and 81. DATED: September 13, 2001 STATE OF COR COUNTY OF ON ALI O I before me, Tur.lmm atir,AIM MTAPY PUBLIC nersonally aweared personal y know > o me for 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) acted, executed the instrument. MAIL TAX STATEMENTS AS DIRECTED ABOVE '. e . Wilcox M/ Mar t �� 4_111i A Witn ss my han nd,off(cial� Sign at D ERGEN m. 111157'862 CALIFORNIA YOLO LINTY (� omm. !?�� 0 t7 200th FD -213 (Rev 7/96) GRANT DEED NO K/08/05 15:42 FAX 530 894 7647 BTEC CUSTOMER -SERVICE 2006/006 530 894 1641 STATE OF California COUNTY OF Contra Costa On September 21. 2001 before me, Christina A Taylor Notary Public (Name, Title of Officer) personally appeared Stephen A Hamill and Janice Wilcox Hamill (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(les), and that by his/her/their signature(s) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. (Signature of Notary Public) CON COSTACOUNiY. My Comm. .July 27, 2004 (This area for notarial seal) IIIIIIIIIIIIIIIIIIIIIIIIIIIIIgInll�nu�I ItlIIIIIIIIIIIIIIIIIIIIInIIIIII1111tlAlIIIIIIN CHRISTINA A. TAYLOR COMM. 4f 1271861 NOTARY PUBLIC - CAUFORNIA CONTRA COSTA GOWM My 0®mm: &p, Jury P, 2604 Iluuullunnmm�nmmnnnuumumuunumommuumumuauml tom, .r C � • mojrES'- RESIDENTIAL - 068-030 173 OS-1049 ^Y PERMIT NO. DWICK; 1\I.ICHAEl7r 'PALERMO DR, OROVILLE &67Cont:0WNER �NEW MH PERM FND i SPECIAL CONDITIONS s CHECKED BY ~� SRA ` FLOOD CERTIFICATE REQ. FIRE SPR...._.__.._= — — — — — — — ' SPECIAL OFFICE COPY - VERIFY—++ Address��%�,� USE PERI GAS r SUB-STAT ' - 'Meter By Date ELECTRIC 7 Meter By ate 1&10 JOB FINALED (Date) 1 Signature ` do 0 a S't = OK = Not OK = NotReadyfble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. So!jvSpecial MH Support Sketch ewer;,Location-Te t -Fall -C/O -Concrete 4. r, Location -Test -Easement Needed (Sketch) le city; Location-Clearances-Grnd-/ /Amp -Concrete as; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft✓ P LPG 7. W ,pikotlearance & Disconnect r/ 8e*fJtility 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 er and Sewer Connected -C/O to Grade -HD Approval O Gas and Electricity Tagged . T owns -Type -Installation Cert. 1%)00"Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements F 'ngs; Size -Spacing- arriage Line - a B ocking � MH Test -Demand -Valve COFElectricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. (AAs and Electricity Tagged .� „n�F ' g License Decals 11. Verify #'s with Office Dates -/J. (p Card B-1 lj . Date Card B-1 Date Card B-1 Date -- Card B-1 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh i 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings a 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-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = NotOK = Not Applicable =Not Ready RESIDENTIAL (Single & Duplex) . Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 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 #'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 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InstldJ0rive O Yes 0 No/Walks O Yes O WPlanters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO51049 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION , I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 05/18/2005 APN: 068-030-173-000 the Business and Professions Code, and my license is in full force and effect. Site Address:,321 PALERMO DR ORO : License Class License Number: Map Index: Date: Contractor: Description: NEW MH ON PERM FND(1066) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CHADWICK MICHAEL J permit to construct, alter, improve, demolish, or repair any structure, prior PO to its issuance, also requires the applicant for such permit to file a BOX 6392 signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractors State License Law (Chapter 9 commencing with Section 95965-6392 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): fi7' I, as owner of the property, or my employees with wages as their Y sole compensation, will do the work, and • the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: CHADWICK MICHAEL J Code: The Contractors' State License Law does not apply to an PO BOX 6392 owner of property who builds or -improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95965-6392 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractorsto construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of a Business andir�ofesssions Code Data — tU•nwOwner: aaA+—" License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Total Square Ft: 1066 S.F. Policy#: Valuation: $69,290.00 Census Code: $Tertify 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: '� l •� Applicant: WARNING: Failure to secure workers' compensation coverage is r c1 -,U % L--�' ✓ LS! 64 unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. ^ , ( �-1`' CONSTRUCTION LENDING AGENCY This permit is PereV issued under the applicable provisions of the Butte County Code and/or I hereby affirm that :here is a construction lending agency for the- - performance of the work for which this permit is issued (Sec 3097 Civ.) , Resclutions t - ork indicated above for which fees have been paid' - Name: BY Date: _1S.65 1S•6S r✓ J r /\ Address: PERMIT EXPIRES N: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ , Notification in accordance with Section 1D827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Cou to enter upon the above mentioned property for inspection purPos Print Name: eA\ � ' Date: .❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor E.H. USE ONLY Piot Plan Attscho- Floor Plan Anschad Sant to B.D. TO: Building Department FROM: Environmental Health. SUBJECT: Sanitation Clearance 0 A�cJ.5 Owner Location AP# Plan Approved for: Sewage Disposal Clearance for ✓ dwelling. Other Hold final for: Final clearance O.K. for: NOTE: -� Water Supply: Public ✓ Private Well nvironmental Health ftcialist Date 8/96 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMIT'T'AL REQUIREMEN'T'S 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION S-4 (?. old "PLEASE PERMIT NO. BIN BP BIN N OWNER Last Name �/A06✓ iC /e IFOU N=8ae .� Address ?D 7 PO t0 -- /v - �� v L state C,4.1749;F,6 I�DQS96 Phone -ff89• SJAIO Fax E-mEd CZI,7 /960 �,,•� APPUCANT MANE CONTRACTOR Name Ci" �?o ELLE Address I�DQS96 City Fax State Zip Phone Planner Fax E -W Uc. # Class APPUCANT MANE ARCHITECTIENGINEER Name Ci" �?o ELLE Address I�DQS96 City Fax Slate Tip Phone Planner Fax E-mail State Uoense Number APPUCANT MANE Nsrrre Address 3a 7 7"�7 E' r,rlo Dr Ci" �?o ELLE Com- I�DQS96 Phone S8 9�-e yO Fax f -mad For office use on : Zoning Flood Zone SRA y Ito Occ. I Type Const Subttivision Name Map Book I Page Lot # Planner Date Approved: LENDING AGENCY Name Address t VER FOR SUBMITTAL REQUIREMENTS I(,1FOR BUILDING F0RMS1BtdgAppMubRgmta.d0c Wage t or!j EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plum and ree will be REQUEST FOR REFUNDS Refimds can only be made upnn written request by the person who paid the fee. 17re request must be made prior to the expiration of the permit and no construction work has been done. Filing foes, plan check fees for work plan checked and other department costs are not Received by: lsimount 2zg ` 4 Bldg SRA Receipt#:./-i2�' � 8' Shea SMTP *-5b 19 �� i`-' Other OXY I Tali \ i; REI/ 7?7-04 '068-030-173 JS -10'1)y` CHADWICK, MICHAEL 307 PALERMO DR, OROVILLE Cont: OWNER NEW MH PERM FND CbUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ` 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: OAad IC� IIG��, ASSESSOR PARCEL NUMBE U '5D, -/ /� Proposed Building Use:. ;2 Use:. Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: Installation manual, including marriage line info, (pFloor Plan, ( -Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be be stamped and wet -signed by the engineerand wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form rp 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Rema' ' terns needed to issue the permit. (May require -additional plan review upon receipt of the following items.) Sanitation and site plan approval from the Environmental Health Department in ❑ Chico C�'roville, as applicable Fire Sprinklers............................................................................................ /J I F'r' t�9a,v d Qn.t annpM K 2Lta ' ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by I �- illl\a�-Q ❑ 18. Soils Report and/or Engineered Foundation required ........................................... .� �t�� cS ❑ 19. Erosion Control Plan Required...................................................... .....:............. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 1. City of Chico Plumbing permit ......................................... ...................... :........ ❑ 2. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry Ian approval maid. Sent by: 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ... ✓`.... 25. Contact Land Development about _ Improvements, _ Drainage ........................ J:I- 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ,fl.. 30. Owner -Builder Verification ( given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits........................................................ ❑ 34. Deed Restriction ............................................. ...Capp ...:........ ...................... ❑ 35. legal description, O.H. Title, title search, regi or MCO.. ❑ 36. ther: ❑ 37. Other: When issued Telephon S'K 6?- S��J jo-o to F and hold for pickup. I have been �informed �of the above itemsan2,t remen s for obta'ning ding permit. (' Applicant: �' `� f `� �`ZDate: ��OJ 1. Index permit application for the above items num ered: i Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone ❑ mai , ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: tans approved by: Date: 5 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER iG ,� dc,�) �[�,_/ l _ / / / /�ha 2f - PROPROSED BUILDING USE �SF-� hP g 4�d� 1. BUILDING PERMIT FEES --- Balance Due ..................... $ / �� q --- FEMA Flood elevation review ... $ A.P. # ( JJD DATE RECEIPT # D . E REC. --- Additional plan checking Fee.... $ rn SCHOOL DISTRICT FEESFF J (paid at School District Office) (form availa le -after-P Ian Check) (y el� -74. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0-03 = $ a4. -RECREATION Sq.Ftg. DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) ` 5. RESIDENTIAL DEVELOPMENT, IMPACT FEES COUNTY WIDE (per dwelling) $ I r7. 'q 2 CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning S E INSPECTION AND PLAN CHECK FEE $204.98 id at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) �SMIP � 9. OTHER 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. l APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) 6. l Butte County Department ofDevelopinent Selvlces 0 %)T rF 7 County Center Drive 0 Oroville, CA 95965 0 (530) 538-7601 Telephone 0 `°' 0 (530) 538-7785 Facsimile cOUN�y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 0 I need to submit applications for septic and/or well to Butte County Environmental Health immediately. 0 I ant required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained 0 I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: APN: 0.0 3— MQ — 113 -aDO Building site address: �50'1 QF,�4\ex mo T Permit No.: r�), 5 ` L I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above-refere buildin permit application and my signature below: 4 NATURE OF APVACANT DATE Copy to Applicant/EH/File K:Forms/BldgPermitwithoutClearances 020705 0Tr Department ®f Public Works 0 C o u n t y Q f B u t t o 0 0 0 0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program \\ C O / 7 County Center Drive 0 U N'\ Oroville, CA 95965 A UC W���S ((.3X) 5 266 5 87 National Pollutant Discharge Elimination System (NPDES,) Phase 11 Construction Storm Dater Permit and Storni Water Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN I ACRE Project Description: Project ]Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre -or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program 12—A—a cMemn Butte County Department of Development Services ADMINISTRATION ` BUILDING' GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building pen -nit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than. your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be 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 contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. X Micel C. Vieiri, C.B.O. M a7 ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. WIR IgII�l��� 1.I�'I}CA,TI ION, dcsf—&xis'."'-A,'"'S7SN.si.ti .mr`.ti.t"i .... l.+c... _ . '� t:•:Vi3, Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [�,J NO [ ]. 2. I HAVE [ ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS. PHONE TYPE OF WORK SIGNED: DATE: 9 -12-0 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 CDF FIRE. SAFE REQUIREMENTS AP# 1, &' — � 3 O .- �;? 3 PERMIT # 05- �� C�% NAME /L� C Under authority of Public Resources Code Sec. 4290, the f611owing checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are D minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards , Pq All driveway surfaces and structures (bridges, culverts and other ~Surface. appurtenant structures which .supplement'the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. Pq Grade. Not to exceed 16 percent unless paved. I Driveway Radius R [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. Pq The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. Pq Tumarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. Pq Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum (� 25 -foot taper on each end. Q Pq Width. - All driveways shall provide a minimum 10 -foot traffic lane and T T unobstructed vertical clearance of 15 feet along its entire length. U pq Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in T length, shall provide a turnout near the midpoint of the driveway. Where a 1 driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates Pq 1. Gate entrances shall be at least two feet wider than the roadway E they serve. 2. The gates must be located at least 30 feet from the roadway and M shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. T S Im Setback for Structure Defensible Space Pq Maintenance of Defensible Space. To ensure continued maintenance of . in D properties conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. ' AU p.,arcels•.`-.-,,. _.:: ,•.a•. ., _ •-. ..... _. . l,,. acre, and larger shall provide a minimum 30 -foot ,-;'setback for buildings' 'an'd*accessory\buildings from all property lines and/or the center of the road. [ j 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See 'Other Requirements below. [xl Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion R of road construction or final building permit inspection. E Other Requirements [ j If Building Setback is 15 to 30 Feet: �. Class A or B roof Enclosed eaves [ l If Building Setback is Less Than 15 Feet E Class A or B roof with enclosed eaves and choose'any 2 of the following: ❑Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10% of wall toward U area property line with insufficient setback ❑ Siding from the following list: o Stucco = 3 coat I o Hardi-Board or Plank 1 _ o Masonry o Masonry Veneer R o Metal 1 o Other Butte County Fire Department approved materials [, E . M . E Date Signature T S 2"x 2"x 3/16" 3/8" CAD PLATED BOLT, NUT & WASHER COACH "C" FRAME COACH "J" FRAME STEEL ANGLE AT 8" O.C. (8) REQUIRED COUNTER BORED FLUSH WITH BOTTOM 2" CHANNEPC—BEAM 1/4"x1-1/4" GRIPPER TEK STS 1/4"x1-1/4LATE (4) REQUIRED _ 1/4" STAND BASE TEK STS (2) REQUIRE = ABESCO ABS PAD #503 — 1/4- GRIPPER 1/4- GRIPPER BASE BASE DETAIL ,.A,. 1/2" A307 BOLT (2) REQUIRED 1/2" A307 BOLT (4) REQUIRED 3/8"x 6"x 6" STEEL PLATE CHASSIS FRAME 1/2" A307 BOLT J—BEAM (2) REQUIRED ATTACHMENT ATTACHMENT 36" MAX 10.00 I 1/4" GRIPPER PLATE (2). REQUIRED TO 80TTOM 6 OF PAD o o ¢ ¢ ¢ 8" 1/2- DIA. HOLE (8) PLACES 1 /4" GRIPPER BASE 6 O 10.00 1/2-13UNC-A307 x 4" 01/2"x 3" C.R. LOCK PIN WITH BOLT WITH NUTS 01/8" BRIDGE o PIN _I r (4) REQUIRED m 09/16 HOLE (TYP) / STAND BASE STEELL FRAME 01 1/2" SCH 40 PIPE RISER WITH o I TOP VIEW TOP VIEW 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE m t. Yr was STMT C 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES J Q�Q�Essl, ® Xl1 =ANDBA['MCOD16WC11=INI 1 ABESCO ABS PAD #503 STEEL FRAME L t� 17918 `:>;:•`;'' SEE DETAIL "A" ARROVAtMU MW AU7901M OR A"RWR M? of ROM OR DrAATtox FROM RBQUMBINOM Of �Y APPNCAM STAIR RAWS AM 111111110111 J!Pl c0���' �°0� w r^ SoMrdAWania OF �r >= ..a. afOODB�AND 1,14t 37" TUF-1 PERMANENT FOUNDATION SYSTEM 2 w 7>YsPlrApper�dB+4ir+r�..�� 18 1/2- ABESCO-GUS GUARD COMPANY BUTTE CO U N U 5851 FLORIN - PER ONS ROAD - SACRAMENTO, CA 95823 PH: (800) 382-8831 WAYNE T. _ -"'-61'" POLVA '0,—LsITIiG� NO F9�494 HEET 1 of 3 FAX: (916) 383-5207 GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 L8. 16. FOUNDATION BLOCKS 16"x 16"x12" POURED IN PLACE AT GROUND LEVEL MAY FLOOR LIVE LOAD - 40 PSF BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE #15) SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS'. VARIES 10'-70' (SEE TABLE ON SHEET #3) 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, E S S S E MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. ❑ ❑ a 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS RIDGE BEAM SUPPORT AS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND REQUIRED BY MANUFACTURER SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND ❑ 0 (TYPICAL) a ❑ ❑ a MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED. ACCORDING TO AISC SPECIFICATION.137❑ El El WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES-370 PLATES-ASTM TT ' A36 BOLTS-SAE GR 5=ASTM A449=ASTM A3725. 8' NOM. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND❑ LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: 2' NOM. ❑ ALLOWABLE LOADS: HORIZONTAL VERTICAL PADS IN ANY PAIR MAY BE I STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES. GUS GUARD TUF-1 2200# 6000# OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT GUS GUARD MGP PAD 2200# 6000# AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) GUS GUARD E-Z TIE PAD 2200# 6000#Y, 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT ; MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. �®ESS STATE APPROVAL 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL (y� ` MANUFACTURED HOMEIMOBILBHOMS FOUNDATION PLANS. FOUNDATION SYSTEM 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE . FOR INSTALLATION IN FLOOD HEALTH AND SAFETY CODE. SECTION Ig551 PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT 17918 APPROVED OF THREE FEET.i 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED ��p'� SUBJECT TOCORRECTIONS NOTBD THE NUMBER TUF-1 UNITS THE SAME ASOSHOWN REQUIREDUPERREACHHUNITIT IS ®F C OMISSIONS OR DEVIATION FROM REQUIREMENTS Of t���,��� APPROVAL DOES NOT AUTHORIZE ORAPPROVBANT p1i� 12. SINGLE-WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. * (SEE SHEETS) s APPLICABLE STATE LAWS AND REpUL47TOM 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. state of Califomin 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT DeP t of Housing and Comms Developaa,t REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENTO CODESAND ST FOUR (4) 1/2'x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM EYv 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO-GUS GUARD COMPANY 'SPA NO. WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PE UCINS ROAD This Plan Approv 1 Expires MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. PH: (800) 382-8831 rnY• (Q, r,) 7, tA_S?m WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 F, 3/4" DIA. x 18" LG. 1/2"x 3 1/2" 1/2"x 8" LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT & WASHER (4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM 1 1 1 AT 8" O.C. (8) REQUIRED ILIt . 1v +Irk 1 IE CONCRETE PAD INSTALLATION QQ11 CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH m 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE m 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 � o STEEL FRAME 18 1/2" E - Z TIE PAD POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION 36" MAX YTI—mpg U�� TO BOIITTOM OF PAD 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION LENGTH OF I HOME 24 WIDTH OF HOME 26 _ 28 _ 44 _ UP TO 44' 1 8 1 8 1 8 12 44'-1' to 66'1 12 1 12 1 12 1 18 66'-1' to 80 20 20 20 24 SINGLR WMR MaTR LENGTH OF HOME 10 WIDTH OF HOME 12 14 16 UP TO 44' 1 6 6 6 6 6 44'-1' to 66' 8 8 8 66'-1' to 80' 10 10 10 10 NUMULK OF 1UF-1 REQUIRED NUMBER OF TUF-1 REQUIRED NOTE: SINGLE WIDE UNITS REQUIRE (4) E—Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL STATE APPROVAL FOUNDATION SYSTEM AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED * APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY A OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California D an of Housi andCommunity Development DES AND STANDARDS BY AT8_ / C (sire) SPA NO. (fJ r This Plan Approval Expires�7 Gf L.l t, (AJ i WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 3 of 3 0 N m w .n N ' d O N O _ - ,�v�xoE)a'trr�rrnlnvrx�mr� DIMENSIONS SHOWY ARE ACTUAL FLOOR BOX SIZE: OOES NOT INCLUDE SIDING AND ANY SET UP VARIANCE. UTIUTY NEASUREMEN %� Q Liw FROM TKS CORNER 1� t 9 t DOOR •U �o . 1 co Trl kIAV fRAA[: 1g'- 2 u ' �ABEB ' O i9 • �h� t MUST BE 1 0 8.-7 ^ oaf *401 4 - Lb4AlXA�If! _ �tlYe M N F I �. m MA G 9 9 .� _ I _ p p ® u v it)!6 fl d .E'. u O 1 PWMPUSS &%7= ff SUP.°CPtIm �+ MUMS 1A o �IeundiUen �) • IiLL Mr/ Br Opera In alasmanet area. .....r. u..,t. N/I,r� �• r �. ri.n ti r VBDZM f'111e! }� 4. ba�ll�tn /x.t...OA _ _. �- _. �_ _ _ _ _ r _ _ _ HBOS Manufaeturi LP Ar Pifh/e On AQ Mds 71e dLbr=�) l» Az .at Marlette ' co �I ,___� 0 man" Une PfdItflry{ErylpIMIS 1WN nrurxti.0 aa.or� a Q� - V A r L - o UTILITY LOCATIONS 4 SYM DESCRIPTION DISTANCE FROM END / FROM SIDE p 1 GAS INLET @ 10'-6" @ 2'-0" 0 2 DRAIN OUTLET @ 22'-0" @ 5'-4" a 3 DRAIN X -OVER @ 22'-0" @ 21'-4" 4 WATER X -OVER @ 19"-4" @ 13'- 4" 5 WATER INLET @ 18'-1" @ 0'-100 6. DRYER VENT @ 17'-9" @ 10'-4" 7 ELECTRICAL INLET ®6'-0" ®t1'-94"CIO 8 ELEC X -OVER @ 6'-0" @ 13'-4" 9 HEAT DUCT X -OVER @ 2'-2" & 35'-2" @ 13'-4" X 10 WTR HTR.AIR INTAKE @ 16'-7° @ 12'-1" m ROOF ZONES m (LOAD IN POUNDSfSUPPORTED BY PIER) 3 BP-# LOCATION 201-8.301-6? 401 -13 - BP -1 @ 0'-0" 1868 '1-�M90 3113 BP -2 @ 9'-4" 3199 1666 5332 BP -3 @ 16'-00 4267 5689 7112 z 0 BP -4 0 30'-8" 4799 6398 7998 0 N OMIT W/ OPT. PORCH O BP -5 @ 40'-0" 1868 2490 3113 HBOS Manufacturin , LP ADD WITH OPT. PORCH WIWI Marlette BP -5 BP -6 @ 401 -0 3467 @ 48'-0" 1600 4623 2133 5779 .2666 WE Ir_ _ - - m - CD r '3 ,_ ;� �;, �4.`jra:�>t.'3d%i4r.,.i�['t� :v`:..�:.sw:.r7���. i!-i�}�y��'Y7:]YeGl:a'l; .?c%.:; �Xr:.".4F13;dam?,]t_"'i�Y-6't�.:..Ut�.�F.t/,z-�:..-G :sa»tvr_a-s'.:.. .w. u::u,:.L:r _ _.....».. ,. o,.i,.. .... ... ..... ,.... .__.. ._. ... ... BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) ��� _ — }' _ f Building Permit Number �a� Property Owner (s) (,:'% Project Location /Address Subdivision Name New Development Alteration/Addition(s) 1/ Mobile home Assessable Sq. Ftge _26L(,0__ Type of Residential Development (check one) Single Family -Detached Single Family -Attached Non -Residential to Residential Multi -Family Dwelling Mobile home replacement verified by Assessor Department Demo Permit (date issued Comments: ,Z /3,--/ / verified by Buildine, ❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: 121, �� Applicant Name. Phone Number 7 P,4 A 10 C,4 Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: Paid by Cash: Recreation and Park District Representative KAFORMSWILDING FORMS\park-rec standard form rev Ldoc per unit for a total of $� per sq foot for a total of $ Receipt No: Z 16,06 ��L2�y , , �J�r/�7_,�.�S�v • � . `f School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One forint per Building) Building Department No. County Property Location/Address Subdivision Residential Development Wwo No of Living Mobil me Units Installation Lot No. _............................................................... :...................................... 0 XX//__ (� ' Sq. Footage /X& Addition/ 'Supplemental to (Group R) Conversion Permit # ^ .'(No foundation Inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage Addition (Including Exterior Roofed Areas) Building Department Representative Date District Identification No. l O k. ((�,�. cl �� ` w ro Jl$ School District certifies that �/h i t, r-_ " (Applicant) (Street Address) '; (Phone Number) 0y - J : Gg— °� s q (at� (City) (State) (Zip Code) has complied with the requirements of Resolution No. 3 .-b —t` by payment of $ 13 8` -- representing School District 1000 l square feet. 2926 $ FULL MtTiGAT10N $ A Date Paid by Check # Remarks: No*@: You may protest the Imposition of the fen Identified above by submllting a wrfttsq protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date ten are paid. Failure to submit a timely written protest wlll'prohibk you from challenging the Imposhtlon of the fen in any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fn Certification Form, the School District Is rrotlfed by the applicable Local Planning Agency that this project Is being rovewed under the California Environmental Quality Act (CEQA) this project may be subject to additional school fen to fully mitigate. its Impact on the school dlstrletls schools. �. White (applicant), Yellow (building department), fink (school district) fnform.xis (10/03)dmm . = t SITE PLAN REVIEW APPLICATION Date: 1,3/05 AP# 0& Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: S o r Q Owners Name: ;&/2 1r. Owners Address: [C�� P.�.✓� ® Az U -e Oho( a! cy Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well _-W. ♦ Al X .i LL Yy DEVELOPMENT SERVICES INFORMATION (For Staff Use) IN Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By Date 5-13106-- V 3 06-- Page 1 of 5 01 - DE VEL UPMENT 1- ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservatiori Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) IN SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) ched) • Flood Zone: • Flood Panel No.: 0& 007C ZSC- Index Date: (9 ? A ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------- —--------------------- —---- --------------- -- -- - ------------------ ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: —1 Applicable Building Setbacks: Front Zoning Code � � Streets & Highways Fire Prevention ® 1 Subdivision Map Side /0( Side Street Rear l ( r Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount ' Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: l Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ' Page 3 of 5 'E, Subdivision Map/Parcel Map: Map Date of Recording: Lot: .3 ❑ Use Permit/Minor Use Permit Permit Number: Book: /,2-3 Page: b 0 Date of Approval: Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa INK Page 4 of 5 0 C Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:1Larrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS *.PLANNING May 3, 2005 Michael Chadwick 307 Palermo Drive Oroville, CA 95966 Subject: APN — 068-030-173 Dear Mr. Chadwick; The Butte County Department of Development Services, Planning Department, has reviewed and approved the submitted Building Permit Application 05-1049 for a new manufactured home. Attached, please find a copy of the parcel map conditions for your parcel that was recorded in 1994. In these conditions, it states "Automatic fire suppression sprinkler systems shall be installed in all new residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, N.F.P.A. Standard 13D (see Note #1)". Should you have any questions, please feel free to contact the Building Department about the requirements for submitting the fire sprinkler plans at (530) 53877541. Sincerely, Lana Adler Assistant Planner GC''R/W%/'UE. fER SE]P/AL�9/-OOd97 SEEOETA/C ;4- 40 -Z WEST (Rr) Z99.17 iP9'SG'IO 'Al ^ -WE57(R) 4Ct9'-, a0 sR4' 07 E .��' RrBius'•so'I 6� COMA rlAM 8?R•SCo' 40 E(A'>)/t>o04 Al 511149 jll� ., 49.91'dOf(Or)kO.09' � I i I NR9•� EAST Y AC nn.97,.9r Q Sm'3z'?p"WCv) � NRY-S6'd0•W( /EAST (BJ 3R.G vrrssrF,,/,Yy;P, . �N si•d6 �CR� N S/'d9'87 E(M) 9S. RP S6/QI/FXW. ; STDTEMENT COUNTY ti!/PYES�OPS hTDTEMENT TNM MOHWdg P?EPq?PD AYME D? I/NDB?MYO/?ECT/ON qND r)LLS Md Y�CONFO?MS W/7N THE ?EDU/?EMENN O,� /g A9OBE/7 UPoNO F/P[q gUR✓EY /N LONFO?MDNCF W/TNTNf F'Rf�W/ MENTBOFT?E OU9q/V/g/ON MdP dCT OND GOCd[ ORO/Nq ALE qT THE 5U9D/✓/p9/O/N MOP qLT ONO tOCdL O?12 AMMCe. MeleFOUE97Of JL4+) yry(CON ONM1li9 /9 $$, rNEREAIr frq TE Dd TEq: TNOT TN/d PQAYEL MQH 6U.lgldNT/d[LY GIJNFO?M6 ID TINE OiV?O✓E4 LIPLGNO/7/ONOCLYOPP?O✓M TCNTOTIYB MOH,/PONY. THE MIV(/MINTj' T�E OFFER OFDED/CPT/O/✓/9 AOT SNOWNNERL{TNO?BOF>wE CNdmgLTER qND LKGUPY TNC PO f/T/dVf gLLEPTED AT TF/iS T/ME /./%I7 /NL)/LOTP?ONgq?E/N HLACE4N? 4R! AFF/l�jP_A;T TO ENd/A[P TNF L(/wiY[4w.� SU?YET >D AAL'?/T?iLE/J. �1/ T. ,E�yri W/L L /dM IW OE c eW4 ✓ Ls OOGw COUNTY fa-wemo I'— w / 1 1-3 OID 'c'?E LEGE/V/1 • SEI % "L'fR4¢ Mll-'A L.6 IORT X Fawv )i -Amw L.S. dreg A AVA42'A"1. P A'cE /M4V O CgCCLYATED /GU/:,AbidA.4' SETORRT/!/D (R) ORO✓i'LE R/YAN/.�7TE f7PU?L.4V S e //M R,) ROOK A70FAAOPS AT PAGE 27 (RT) ROOK 76 OIAWPS AT PAGE G //(C) G4LC4,L4TE? [R)) AMR Me pFF,Y[OL RECORDS 695 �MAS O ti C / S R3'pB'20"W ' t NSR'34'dp "!Ai'MJ 60./4.90.R6 00.2 (R.w,;r w W o 65%,6W 6?.RS'(R)Nvvw AMPS -AIT P44ES ////P. D Arl-7141WOF 711j- 6.3. 2d, s s7e sz 2p / -99' © E6MT FOR M/ATERG/NP5 I sw•sza7"N/ aez9 atn/RynB'e9'u/ °• I � N � n .5w's2co•P/ T17.2.e9' /8 532°GYo EO •E /5.65'NOTE% N�,� �,��. �, ,� 4q.0/' 7i.A7(R)M7 iO'W h O V ..JJ h /JETA/L 'A" p1 ep1 — - - vrrssrF,,/,Yy;P, . �N si•d6 �CR� N S/'d9'87 E(M) 9S. RP S6/QI/FXW. ; STDTEMENT COUNTY ti!/PYES�OPS hTDTEMENT TNM MOHWdg P?EPq?PD AYME D? I/NDB?MYO/?ECT/ON qND r)LLS Md Y�CONFO?MS W/7N THE ?EDU/?EMENN O,� /g A9OBE/7 UPoNO F/P[q gUR✓EY /N LONFO?MDNCF W/TNTNf F'Rf�W/ MENTBOFT?E OU9q/V/g/ON MdP dCT OND GOCd[ ORO/Nq ALE qT THE 5U9D/✓/p9/O/N MOP qLT ONO tOCdL O?12 AMMCe. MeleFOUE97Of JL4+) yry(CON ONM1li9 /9 $$, rNEREAIr frq TE Dd TEq: TNOT TN/d PQAYEL MQH 6U.lgldNT/d[LY GIJNFO?M6 ID TINE OiV?O✓E4 LIPLGNO/7/ONOCLYOPP?O✓M TCNTOTIYB MOH,/PONY. THE MIV(/MINTj' T�E OFFER OFDED/CPT/O/✓/9 AOT SNOWNNERL{TNO?BOF>wE CNdmgLTER qND LKGUPY TNC PO f/T/dVf gLLEPTED AT TF/iS T/ME /./%I7 /NL)/LOTP?ONgq?E/N HLACE4N? 4R! AFF/l�jP_A;T TO ENd/A[P TNF L(/wiY[4w.� SU?YET >D AAL'?/T?iLE/J. �1/ T. ,E�yri W/L L /dM IW OE c eW4 ✓ Ls OOGw COUNTY fa-wemo I'— w / 1 1-3 OID 'c'?E LEGE/V/1 • SEI % "L'fR4¢ Mll-'A L.6 IORT X Fawv )i -Amw L.S. dreg A AVA42'A"1. P A'cE /M4V O CgCCLYATED /GU/:,AbidA.4' SETORRT/!/D (R) ORO✓i'LE R/YAN/.�7TE f7PU?L.4V S e //M R,) ROOK A70FAAOPS AT PAGE 27 (RT) ROOK 76 OIAWPS AT PAGE G //(C) G4LC4,L4TE? [R)) AMR Me pFF,Y[OL RECORDS 695 �MAS RE/_A/G D P0�/ON OFLOT i, 0ylLLE WYsW- FO / S R3'pB'20"W ' t NSR'34'dp "!Ai'MJ 60./4.90.R6 00.2 (R.w,;r w /!O, TE F,ParT Latins IIN/T O 2 �, RL�/l // 47A - 65%,6W 6?.RS'(R)Nvvw AMPS -AIT P44ES ////P. D Arl-7141WOF 711j- 6.3. 2d, s s7e sz 2p / -99' © NW %J OF SEl //, 7-/9/V, 044 /N. /7 M. /V sw•sza7"N/ aez9 atn/RynB'e9'u/ T/✓E UM/NG'0/1/•l9�EAD,?EA OF RUTTE � aLw•e3a9•E //97' 9 NR7'd9'd0"N/ X..25' R sw'Sz'd0-r/ 79' AWSM / 01MG+IX n .5w's2co•P/ T17.2.e9' /8 532°GYo EO •E /5.65'NOTE% N�,� �,��. �, ,� 4q.0/' 7i.A7(R)M7 iO'W dN dFF/OO✓/T OF Ox'NBR9N/P /9 AE/N6 Li1VCU4?ENTLY RECO?OPD /N THE OFF/CB OF T:IB ,?U Tlt OUNTYRELI+ROBR 9/-3L ..JJ UNOF?SE?/OL NUMAIE'? 6d QECO/G+,OE/G)'S CE ,g GATE F/L FO 7!//�f M OF�:(1E.- 9/ p1 ep1 — - - M y OT 300K�/JLV3 OF ,yd P9 q7 PGGE�$LgT 7UE ?EgUEST R `r/G OF o G/AVi'9 �AssµG• SUfl VEYINO SE?/dL N= q/- -415" PARCEL MAPS & a s s o c c a t e s SOILS TESTS C�yPAl' J. 15AWAS ca/Oyro� .?EHury - — P.O. BOX 986 OROVILLE, CAI,. 95965 a.rm Ph. (916) 534-9587 R9 -,w W70MAT/C FIRE SUPPRESS/ON SYSTEMS S✓.00L RE IN6744LE0 ALL NEW RMA -A T/AL. S7g6iCTURES /A/ 4CCOR04NCE TAI 7//E NA7/ON4C F/RE PROTECT/ON 45SOC/q TION STAN- 'RO FOR TF7E /.VSTgCLgTION OF SAP/NKCER SVSTEMS ONE A140 7" F4NIILV DWELLINGS 4140A-MOA/LEWES' 140 MOA/LE WES', NF4.4 6'74140,400 /V 0. DE✓LOPMEN7 Or P40CECS /; 2/9 W14 i. REgUIRECO.V- !CTION 70 4 PURL/C WATE SUPPLV. OEYELOPMENT OF TIJESE /WOefZS AMY RE 6619✓EC7 f0 /TTE COUNTY F/RE DEPT WOTER 7ENOER FEES. n4f SO'4SC. /S 4 SEPT,' SE7T34CKG/NE FRIM Ti IE O/W46E WAYON P4kCEG $. I T/IE &W'SS.C. IB A SEPT/C SE7X4l.YL/NEFOOM %AIG Q'11 -✓6 ON P4Ar,G 4 IW/A7rF/EO AW4 /S USQWC SEWAaW 4LSR094L AREA CESS TT/AN 2F07o. T7/E SO'R.SL . SORE 4 SO "R&&MA(9 SE7R4C/! L/NE :4414ARE0 ATWM TdE 4E/d7Ejr4/AA OF T/JE 4GCESS 'SEMENTS ANO p0'rg" R/E R/W UNE CFCLC-Af-SAG9 /lZ 3_ F/ 7!//6' 44/J/T/ONOC Mq/�S//EET S//OWS 4n0?/CiN.OL %NFORMOr/ON, /8 R7R /NFORM4TMN.QG /Y/RR9B650NGV �ESCR/R/MO CON/!?/ONS A6 O� T,C/E /ROTE OF F/L✓N6 .o.VO /S NOT /LVTELV/lE/) TO .OFFECT Wl--CORO T/TLE /NTEREBT RENO .4 P A MON Of LOT 3, '070V/LGE WY4N oonc FRUIT LANDS UN/T 4`Z f , xA- // OF W.05-47'13.46,0 /A/?. O RORT/ON OF T,c/E NW //4 of SEC. //, T1914, R 4E, 44.12 M. /N TW/E JN/NCORIVRATER AREA Or RUTTE e0el) f! IJ -N: Oto g- 030--173 -6P*'-05_-/o49 Adler, Lana From: Read, Darren [Darren. Read@fire.ca.gov] Sent: Monday, May 16, 2005 12:07 PM To: Adler, Lana; CRyberg365@aol.com Subject: RE: chadwick 068-030-173 Page 1 of 3 Lana, Mr. Chadwick has a hydrant within 1000' of his proposed second residence and will not be required to install residential fire sprinklers. Call with questions!! Thanks Darren Read Fire Captain, Fire Protection Planning Law Enforcement & Fire Prevention Bureau CDF Fire, Butte County Fire Rescue City of Biggs and Gridley Fire Departments 176 Nelson Ave. Oroville CA 95965 (530) 538-7888 Work (530) 538-2105 Fax (530) 521-8072 Cell Hi Darren, We just measured from the new mobile to where the water meters and hydrant are on Plumas drive. It measures 814 feet in straight line by tape measure and, also, I did a double check on that number by adding the distance from the hydrant to my current home (517 feet) and the distance from my current home to the mobile (310 feet) and it came in at 827 feet, so I know that is a pretty accurate measurement. In case I didn't tell you the mobile is a second dwelling. I will e-mail Lana and tell her I have been in contact with you and if you could let her know I'm within the 1000 feet, I would certainly appreciate it. I didn't think I would need another clearence for the second dwelling, so I never gave it a second thought. I think this is the last thing I need to get for my permit to be issued. Happy day! Thanks, again, for your help and quick response Mike Chadwick 307 Palermo Dr 068-030-173 5/18/2005 -----Original Message ----- From: Fowler, Steve Sent: Sunday, May 15, 2005 3:29 PM To: Adler, Lana; CRyberg365@aol.com Subject: RE: chadwick 068-030-173 Hi, Page 2 of 3 The home must be within 1000 feet of a pressurized fire hydrant to be exempt from the home fire sprinkler requirement. I don't have access to the county computer or files today to check the address against the AP number. Darren will be on duty Monday and he can confirm the need for the sprinklers. A connection to public water doesn't free one up from the requirement --only the pressurized fire protection (hydrant) system. darren.read(a)fire.ca.gov or 538-6837 ext. 167 Steve Fowler Life Safety Officer/Asst. Fire Prot. Planner Butte County Fire Rescue/CDF Fire Office (530) 538-6837, Ext. 166 Cell (530) 521-8768 Fax (530) 538-2105 steve.fowler@fire.ca.gov www.buttefire.com -----Original Message ----- From: Adler, Lana [mailto:ladler@buttecounty.net] Sent: May 12, 2005 1:40 PM To: CRyberg365@aol.com Cc: Fowler, Steve Subject: RE: chadwick 068-030-173 Hi Mike: I will need to get approval from Steve Fowler for release of the requirement for fire sprinklers. I understand that you have been through this process before, but I would like to get approval by Steve since he has the authority to waive this requirement. Thanks, GanaAdCer Assistant Tlanner Department of Development Services 7 County CenterDrive Oroviffe, CA 95965 530-538-7601 From: CRyberg365@aol.com [ma iIto: CRyberg365@aol.com] Sent: Thursday, May 12, 2005 12:21 PM To: Adler, Lana Subject: chadwick 068-030-173 Hi Lana, I received your letter stating that we are required to have a sprinkler system installed in the mobile 5/18/2005 Page 3 of 3 home we are adding We ran into this last year, when we built our home. Since we are connected to public water, this was waived. In my file there is a CDF Fire Safe Requirements check list and a requirement list from the county (Russell Bloomfield) and if you note the fire sprinklers are not required box is unchecked. Our neighbors who are 2 parcels down just installed a mobile home and the sprinkler requirement was waived for them as well, do the fact that we are on public water. These forms should be in my file but I can fax you copies, if needed. Is this sufficient to have this requirement waived on the mobile, as it was on my home that was completed last year? The mobile is, as well, metal roof and hardy board siding. Thanks, Mike Chadwick 5/18/2005 -r APPROVED _ w w Of *&fth _LU �+.. F - J z `®" z .7 LU ^" U + • r i C>Of F— • - - „ C) MODEL #4028-9741-5-1066 SQ. F7:--�-'BDRM-1 112 BATH t z Uj . 9'-4• -�' - nom' �.+ ;: :/ la• • P•RG i f. ` /��.'�7:/� - r PbHGy - _ ��••���L O ` ;,./ • •� RIM R Webdhe. _ 2r-2' ( _ .r 4 OPTK)N Opt. windows PORCH d T w LL 3 . � .�� • . 1 1 - '-. ..• . � � x..11 � V ` ' J NOTES RESIDENTIAL - � � i�. .�° �r< -'* • j ('068-030-17,3 03-1427, ; �, L LQ OLf %%,4- PERMIT NO r `HADWICK; 3O']PALERMO'OROVILLE ' ,NEW SINGLE FAMIL } a - r i D i May 4 SPECIAL CONDITIONS CHECKED 4 BY �x r SRA t FLOOD CERTIFICATE REQ. „t FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY - �•- t"�♦� OFFI CE COPY _l L Address _ y GAS Meter B - DaX ELECT OFFICE COPY �7 ��� / r`w� e J/r �~ Address •,f t ELECTRIC Meter By Date. JOB FINALED (Date) - Signature J=OK 0 = Not OK - = Not Applicable . = Not Ready I Y` ` RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec. Grnd.-/r " Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped ' 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -S C� 10. OF as Pipe; Size Ancho and Gas Piping; Size TejjZL 1 Z p 11.Water Pi st-Anchors-Reg es F, 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. tr rs-Sills-Anchor Bolts-Joists-Vents-Crippies Access & Ventilation 16. Insulation Date Card B-1.,�,011- Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s n aHtr.; Vent -Access -Combustion Air Baffle er Pipe; Test & Anchor -Nail Protection W.V.; Test Fittings & Anchor -Nail Protection raj . . Sh er Pan; Test, First Floor -Tub Access PItst-Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors a Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s fixture & Transformer Clearance -Ins. Protection L5-15ec. Receptacles Spacing -Lights & Switches at Doors tze oxes & No. of Conductors Stapled D-AoM.ex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu Z AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ f /ga Cu o A ven Circ. / /ga Cu or AI Insulated Neutral O Yes O No 37 Seadce-Riser-Gonductors & Ground Main Disconnect -3 earances Panels-Motors-Mech. Equip. 1W_Clqtbes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s C. Ducts Insulation & Support Vent Fan, Exhaust above insulation ondensate Drain & Overflow, Size & Grade !LaFur a -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s . ills Proper Materials & Anchors CUs Studs -Nailing Spacing & Braces -Plates -Sound 4�Bearing Walls over Girders & Floor Nailing 4. Draft Stop in Walls (rat proof) a Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMING (Continued) (fin . Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. ireplace Ties or Type A Flue -Fireplace Throat Clearance 111!68rm. Windows or Exiting Doors -Sill Ht. & Dimensions arage Fire Protection Ftaminq-RC Channel L54 -Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5-77'Siding- aling 5 Mesh -Drip Screed -Fd. Vents-Underflr. Access r t59-19-1azing Area -Glass Protecti n-Skylig ts- Plastic ear Walls; 6ailinos 03 61. Brace Interi Exterior Wall Panels _ 2. 63. Insulati -Wa •i'_Z_T' Infiltration--Walls-Windows Date ard 13-1,&44 Date -Card B-1 Date Date FRAMING (Continued) (fin . Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. ireplace Ties or Type A Flue -Fireplace Throat Clearance 111!68rm. Windows or Exiting Doors -Sill Ht. & Dimensions arage Fire Protection Ftaminq-RC Channel L54 -Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5-77'Siding- aling bggfucco Mesh -Drip Screed -Fd. Vents-Underflr. Access r t59-19-1azing Area -Glass Protecti n-Skylig ts- Plastic ear Walls; 6ailinos 03 61. Brace Interi Exterior Wall Panels _ 2. 63. Insulati -Wa •i'_Z_T' Infiltration--Walls-Windows Date ard 13-1,&44 Date -Card B-1 Date Card B ' Date Card B-1 Date A ans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector j - 6 urnace Vents -clearance -Comb, Air -Connector - 1 arage; Above Floor-Ducts-Mech. Protection Bed om Exiting I. & Bath Fixtures & Tub Access -Spa fe-Elec. Trim & Subpanel, Breaker Sizes & Labels �& Rails Fireplace or Stove, Clearance -Hearth ; Outlets at Wood Panel, Int. & Ext. VT Kit t. & Appliance; Ground -Air -Gap -Cooking Clearance lec Outlets & Receptacles at Kit. Counter A��.C_Ddbt in Garage -Damper r. Htr.; Vents -Clearance -Comb Air Connector-P.R.V. in age; Above Floor-Mech. Protection - Ib Elec. & Mech. Equip. Listed for Location leg -Receptacles in Garage (F.F.I.)-Romex Protection nsulation-Foam-Looked in Attic u,ard Rails & Deck Constru tion -Post Caps dn. VBents & Crawl U20§or Drainage & Wood -Earth _ Clearance Looked de loor 0 Yes 83. Fojlowin ve o/Walks O Yes Planters 0 Yes &*`A.0 nit Disconnect, ElectricarPlumbing Veq!s_Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Well, Disconnect, Electrical, Plumbing E terior Elec. Trim, G.F:I. Receptacle -Underground Ventilation Throual out House Glass Protec ' n,i 91. Correcti s rom Previous Inspections Meters Tagged, Gas -Electric 93. & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates fifar. Address Posted 9 pnnkler Date p Card B-1 Date Card B-1 Date lj , and B Date Card B-1 Date Card B Date Card B-1 Comments at Final: J=OK 0 = Not OK . = Not Readyabte , 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 11. Cert. of Occupancy Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements . Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office 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, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -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-GFI .5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Q ertainTeed Col InsulSafe 4 Builders Statement Fiber Glass Blowing Insulation - & h Kcqz Homeowner Name / Jobsit"ame Installer/Contractor (sign) 11, Company Name Date Builder (sign) Company Name Date Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: Obs.) Should not be less than: Cin.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 10'/2 22 13.1 76 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 5'/2 11 6.6 151 0.179 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 r R -VALUE THICKNESS -AREA (SQ. FT.) INSULSAFE 4 (✓) BAGS USED BATTS/ROLLS (✓) CEILINGS WALLS D© V FLOORS THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2002 CertainTeed Corporation 11/02 r COUNTY OF BUTTE BUILDING DIVISION a DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • 530 891-2751 7 County Center Drive • Oroville, CA. • (530) 538-7541 CORRECTION NOTICE `. ,r �/ Z 7 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice'this office when correction of work is completed. If you have any questions pertaining to this matt or -need additional. explanation, ple�aas�e ntact this office immediately. v✓' , dl' -4 . 41 b A'D.�, ..� (7 , / •�'' 11 A. ,/ / n l I ela o � r s cZ . � �...i /�� � .S Si-� c •C� � sa 1i L w S Date- 11-922 REV ,•�w... s, rr r .�,, i .., , tom.. ,n,�� .,�,i•i,,,,, � Y-..,,r-�r+,,.y_+>.�es.•.✓""�w.."'^ar.^ri.T" '+rw-J' +.- .:,�"�a I COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES _ 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date ��� - i/(1 Inspector REV 10/R2 s• COUNTY OF BUTTE BUILDING DIVISION , DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street � Chico, CA (530) 891-2751 , -- 7 County Center Drive • Oroville,,CA • (530) 538-7541 ,• CORRECTION NOTICE OWNE,,R,�. �` ~' PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address an&should be corrected. Please notice this office when correction of work is completed.. If you have anyqueslions p rtaining to this matter, or need additional explanation, �plpse,Aontact this office immediately. /! REV 10/92 s . ,•r � r r e` f . 3 } ti • REV 10/92 ,COUNTY OF BUTTE: BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 x CORRECTION NOTICE Ile `5 — /--t .Z % OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is 's completed. If you have any questions pertaining to this matter, or need additional explanation, rFw please contact this office immediately. Date 2 Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 r, / q (Rev.12/96) APPLICAT&ON.AND PERMIT�� ASSESSOR PARCEL NUMBER 068-030-173 AR -1 ZONING BUILDING PERMIT OWNER CROWICK MICHAEL TELEPHONE 589-1327 SO.pFT. OCC. BUILDING VALUATION 200 1 2 ,320.00 . OWNERS MAILING ADDRESS 2357 LUMPKIN RD. OROVILLE 95966° 497 U 8;946.00 CONTRACTOR'S NAME OWNER TELEPHONE 196 2498-00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MNUNG ADDRESS Total Valuation $ L,. rin ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee $ 723.50 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 470-29 BUILDING ADDRE PALERMO DR. OROVIT Jy Energy Plan Checking Fee $ 23,00 $ PERMIT FEE $ 1.236.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 63 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 15-00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U6lrbes ❑ Installation ❑ Other ❑ Describe Work: NSF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15-00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Fee 20.00 800V OR UE:: Main Service 20.A0.. 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 astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO +000A 46.00so NEW CONST. DWELLING OCCUP. OR ( 3.5QF°: coNS. MunoDo MIET NON REslo. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 Q 1.00 BAL @ .so Ex. Occup. DFlxED s A D OR" 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 133.20 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 Fling Fee 1 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation 2 gas fire -place 1 9.00 PERMIT FEE $ 80.50 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 p visions of section 3700 of the Labor Code, I shall forthwith compty with tho provi I ns S _ 1 9 X Date I T Sign ture 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 $ Energy Inspection Fee $ 46.00 Occ CONST. TYPE TAL FEE $ 19639.45 HAZ. -__ D. F IMP -- FLOOD X CDF PARCEL Po HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ove for which fqep have been paid. By Date �1 PERMIT EXPIRES ON V e ReceiptNo. 381630 $ 1639,45 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number Jurisdiction: city County Property Owner to LJ_ Property Location/Address —1 Subdivision Residential Development Commercial/lndd'strial Lot No. 1-M ...................................... .......... . ............................... I ............................... Sq. Footage No'of Living' Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundationinspection):................................................................................................................ New Addition Sq. Footage (including Exterior Roofed Areas) 64.) ell 3 4 Date (Floor Plans reviewed by School District Personnel) District Identification No. 00 S`91 7 School District certifies that (Applicant) (Street Address),' (Phone Number) v D\J 1(0(z (City) (State) (Zip Code)' has complied with the requirements of Resolution No. 0 4— by payment of $ 6 representing C) square feet. JFABi2�92 $ [FULL MITIGATION $ Schoolbistrict Representative Date F1 Paid by Check # Remarks: Z) 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 660201a), 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 ICEQA), 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) A I feeform.xis (10/98)dmm' 4 CX COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION t ` ` 7 County Center Drive, Oroville, C�A956i Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: I r/ C�/v�! l �` i ASSESSOR PARCEL NUMBER Proposed Building Use: / ` , Counter Technician: / G� Date: Items required in order to apply for a permit. All boxes MUST be checked ORjnarked NA in order to apply. 1 1.. Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. JP omplete plans, 3 or 4 sets, signed by the preparer of the plans. ngineered plans, 3 or 4 sets, with wet signature on plans AND(EiE� Engineered truss details and layouts in duplicate. No faxes! Energy compliance design and supporting documentation in duplicate. . Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these inust be stamped and wet -signed by the a engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner......... 2Hazardous Ma rtal For _D ..............................y4ne�3ther , S Date Received By WIN Renjaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 1 ees as shown on the attached Schedule of Fees Due Sheet ....................................... (Ol44(/U? (q OWL 15. Statement of Intent for Non -heated and A/C Buildings .................................. Sanitation and plot plan approval from the Environmental Health De artnt in -- 17. ity of Chico Plumbing permit .......................�../. ! ............./�............: . lifornia Department of Forestry plan approval LrYpaid. Sent. 19. Planning approval' for (A) Use: �a' (B)Parking: (C) Par 1 Check: ,� �.," 0 3 Lam_ V2Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 21 ncroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 2. Pre Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... V0 24 Worker's Compensation Carrier and Policy Number ..............:.............................. 5. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26. Letter of Signature authorization.................................................................... �P. Recorded copy of Agricultural Acknowledgment Statement .................................... 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... 0. ❑Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ C1.O t her :_ n issued Te I have been informed,pf theabove items an Applicant: hold for pickup. u'rements for obtaining a building permit. Date: S --� 1. Index permit application for theti b'ove ' n mbere Plan Check Letter 2. Additional items required Contractor, designer, owner, was ad is c e ab ve phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the ab ve data by ❑phone, ❑mail, O counter, by Date: Plans reviewed by: Q,� Date: 5 2'7 3 Plans approved by: a Date: Structural reviewed by: Date: Structural approved by: Date: D Note transfer by: Date: Yellnw' Ruildinu nivkinn TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. -S catty Sol Plan Attnchod Floor Plan Ahad Saw to ®.O.,�_� 0 11 -3 0 --� pazi x 6�2, 1 � Owner Location AP# Plan Approved for: Sewage Disposal -Water S pplam�Q ly: Public Lyvs— Hold vate Well Clearance for dwelling. Other le 1 C 1 c S 1 - � ) r final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. Eloy Plan Attechoe! Floor Elan Attach® San% to 8.0 Owner Location AP# Plan Approved for: Sewage Disposal--:,. WLater S ply: ublic> Private Wek?�' Clearance for dwelling.hey �- Oo� I �"(? Ah— N ,1A l L. �) Yl ALO C— i / A Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 ULE OF FEES DUE Com" PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees.Due ................. $ Additional Fees Due .................. $ Revised Plan Checking Fee ...... $ 2. SCHOOL DISTRICT FEES ' (paid at District Office) (Available after Plan Check) U 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = 1(�5& Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. . 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check). 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 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 DATE RECEIPT # DATE REC. 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. /1 „ APPLICANT DATE / Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Stormwater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or of permits or other c ions rovides by law. Signed: m,,,LJ �— � Title: m z�b ok- Date: /� - .2 — 0 3 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Stormwater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than I acre of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provides by law. Signed: Title: Date: NPDES &. SWPPP Non -Compliance Certification Butte County Stonn Water Management Plan Revised 5/22/03 i Butte 'tL-6�% ,4p # 066 -bio -113 � PAlsrw.-o prWE Q rov t l.l.t Environmental Health MAR, 2:4 2003 ' 7 County Center Dave Oroville, Ca 31 -Zq 10 - in FJ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDIN(.;fPERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041466 .� LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under 1 1 } provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN'' 068-030-173-000 the Business Professions Code, and my license is Ln full force and effect. Q �! v v.. License Class . License Number: " Site Address: 307 PALERMO DR ORO Date: Contractor: Ve I V OQJ _ Map Index: f. Description: POOL MASTER 01-517 (532) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: CHADWICK MICHAEL J to its issuance, also requires the applicant for such permit tofile a ', PO BOX 6392 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section tl OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or ! 95965-6392 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, ' and the structure is not ,1 intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CHADWICK MICHAEL J owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 1! year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of �( K sale.).. 'i ❑ I, as owner of the property, am exclusively contracting with + licensed contractors to construct the project (Sec. 7044, Business I: and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: BLUE HAVEN POOLS DIVING LADY INC. pursuant to the Contractors' State License Law.). f, 275 FAIRCHILD ST ET l\�5 ❑ I am Exempt under Article 3 of the Business and Professions Code SUITE 100 A 9597 V 530-899-8445 Date: Owner: j ' License #' 718849 QUO WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided, for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policynumbe Carrier: Total Square Ft: 0 S. F. Policy #: (o 7?� �--L1 2 Valuation: $0.00 J �� Census Code: / I certifythat in the performance of the work for which this permit is P issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation rovisions of Section 3700 of the Labor Code, I shall 1 4 f+ / forthwith com with t se arovisions. V Date: Applicant: • ' WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for.in Section 3706 of the Labor code, interest, and attorney's fees. A(Q 4� 4-k-,-7. 7pem -- CONSTRUCTION LENDING -AGENCY 'This it is hereby i>sued under the applicable provisions of the Butte-County-CodA_?nd/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)B y' Date: Name: PER IT PIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agf the owner. I agree to comply with r'lt all county. and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form r doc e o utte County. I he by authorize represe to ives of Butte Courtly to ter u- on the abov mentioned property for inspection purp s. Print Name: Signature: Date: ❑ Owner Contractor 0 Agent for Owner ❑ Agent for Contractor s isr.M"+.i.•til'1L�y"kt'y-ww✓. ty». . �s.r- +���r^P�n,.a.r%!?'sS COUNTY OF BUTTE f BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 -` 7 County Center Drive • Oroville, CA • (530) 538-7541 / CORRECTION NOTICE a 1,4 Z OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is 't completed. If you have any questions pertaining to this matter, or need additional explanation, j please contact this office immediately. . n 14 4� L1 Date d� Inspector �, � Id V REV 10/9 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041466 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of ICV7t']I�i Issued Date' APN: 068-030-173-000 ' the Business Professions Code, and my license is in full force and _ effect. QV License Class . License Number:. Site Address' 307 PALERMO DR ORO i �. V Date: Contractor: I Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: POOL MASTER 01-517 (532) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: CHADWICK MICHAEL J to its issuance, also requires the applicant for such permit to file a PO BOX 6392 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965-6392 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CHADWICK MICHAEL J owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: BLUE HAVEN POOLS and who contracts for such projects with a contractor(s) licensed DIVING LADY INC. pursuant to the Contractors' State License Law.). 275 FAIRCHILD STREET ❑ 1 am Exempt under Article 3 of the Business and Professions Code SUITE 100 A 95973 530-899-8445 Date: Owner: License #: 718849 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number �% Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation rovisions of Section 3700 of the Labor Code, I shall forthwith corn with t s rovisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. �I / '� 42- 4. Vewf- CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anrVor-- - I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ` 9 04- Name: By: Date: ' 9 ' lnJ Address: PER IT PIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. ' I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agf the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form r doc e t o utte County. I he by authorize represe to ves of Butte Coun y to ter upon the abov mentioned property for inspection pure s. Print Name: "\Y1 Signature: Date: V+ 1 ❑ Owner �Q Contractor ❑ Agent for Owner 0 Agent for Contractor a BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name Name d < Address p cat r,M 6 City or-OQ,l �c StateCA Zip 59 COG Phone s89 Iq y a Fax E-mail Fax .3 (q Z 5 �7a APPLICANT NAME Name r Address City StaN Zip Phone Fax E-mail _ Y ro FITV ,IV i "mma r PERMIT NO 0 . BP' BIN # LOCATION CONTRACTOR Name 1� _1 Address 3 City0, City State Zi "-39-73 Phone 9 add `� Fax .3 (q Z 5 �7a E-mail E-mail Lic. # Class APPLICANT NAME Name r Address City StaN Zip Phone Fax E-mail _ Y ro FITV ,IV i "mma r PERMIT NO 0 . BP' BIN # LOCATION ARCHITECT/ENGINEER Name .ern b Cross Street Address 5 0 See 1) �l City Carrier Stere r Zip S7� Phon 916 33 33 �7 7 Fax E-mail Date _G pr¢yed: State License Number APPLICANT NAME Name r Address City StaN Zip Phone Fax E-mail _ Y ro FITV ,IV i "mma r PERMIT NO 0 . BP' BIN # LOCATION AP# 0(� 8 036 F 3 Property Address 3 0� P Q .ern b Cross Street WORKER'S COMPENSATION Policy Number -L Carrier If hiring anyone other than license contra tors, a certificate of worker's compensation must be shown at the time of permit issuance. Subdivision Name Map LENDING AGENCY Name _ Address JA N j For office use only: Zoning — Flood Zone SRA No Occ. Type Const. Subdivision Name Map B� P�eD L-o�t # Planner Date _G pr¢yed: OVER FOR SUBMITTAL REQUIREMENTS Fur!, D criptionSc a of Work: 1 �. Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only -be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: / Bldg SRA Receipt #: Sheriff 1 v SMIP Other j , Date: lY K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed ` calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) q 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). 0 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor paqin triplicate, All of these must be stamped and wet-signedy the engineer. Mobile, Manufactured, or Modular Homes: 111. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ` PERMIT APPLICATION DATA SHEET ) ,8- V � � IS OWNER: ASSESSOR PARCEL NUMBEi�v Proposed Building Use: �` ( Counter Technician: Date: ✓ CT r G Items required in order to apply for a permit. All boxes MUST be checked OR marked NA i order to ly. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.. s LL b rV kFe� ' n ro c c� ,�(o �- �o l0. �'1�S ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans -4 tbCt cfe.e�- -cam �,-, ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of t ftp d anlg Iculaons ��ou Lo °"z ❑ 4. Engineered truss details and layouts in duplicate. No faxes! j2p-&n copi cci ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)Qa ❑ 17. Fire. Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use:a >(B)Parking: (C) Parcel Check: ' & ❑ 25. Contact Land Development about _ Improvements, _ Drainage .......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization .................................. ....:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: -- When issued Telephone O and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ��� Date: i. O 1. Index permit application for the above items numbered: Plan Check.Letter / j2. Addi ' ' ems required ntr esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, b ate: ontractor, designer, owner as advised of the ab e d a by phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date:w O Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division J=OK 0 = NotOK - =Not Applicable Applicable . = Not Ready FRAMING (Continued) RESIDENTIAL (: Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date Ext. Steps -Door & Sidelight Protection -Landings 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 23. Fire Sprinkler; Test 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Date 74. Card B-1 Date Card B-1 Date 75. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s A.C. Duct in Garage -Damper 24. Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Plb.; Elec. & Mech. Equip. Listed for Location 26. Size Boxes & No. of Conductors Stapled Elec. Receptacles in Garage (F.F.I.)-Romex Protection 27. Romex Installed Close to Edge of Studs & C.J. Insulation -Foam -Looked in Attic 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Guard Rails & Deck Construction -Post Caps 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Clearance Looked under Floor 0 Yes 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No Following Instld./Drive 0 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect Stucco Brown -Finish 33. Equip. Clearances Panels-Motors-Mech. Equip. A.C. Unit Disconnect, Electrical -Plumbing 34. Clothes Closet Light -Shower Light -Spa Light Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 35. Smoke Detector Water Well, Disconnect, Electrical, Plumbing 88. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 91. 36. A.C. Ducts Insulation & Support 92. 37. Vent Fan, Exhaust above insulation 93. 38. Condensate Drain & Overflow, Size & Grade 94. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 95. 40. Attic Access & Platform if Furnace in Attic Date Fire Sprinkler Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing -.. jingle & Duplex) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: E NOTES RESIDENTIAL '068-030-173 04-1466--) PERMIT NO. - CHADWICK M 307 PALERMO DR, PALERMO Cont: BLUE HAVEN POOL MASTER 01-517 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Not OK Not . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Card B-1 Date Card B-1 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG Card B-1 Date Card B-1 7. Well Clearance & Disconnect 8. Utility Clearance 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date 4. Card B-1 Date Card B-1 Date 5. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Elec.; Enclosures; Conduit Entries -Terminals -Listed 1. Zoning Requirements -Setbacks -Easements Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 2. Footings; Size -Spacing -Marriage Line Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 3. Gas; MH Test -Demand -Valve -Connector Health Department Approval 4. Electricity; MH Test -Crossovers -Breakers -Clearances Plumb.; Cir. Test -Water Supply Test 5. Drain; MH Test -Fall -Flex Connector Light Niche 6. Water; MH Test -Regulator -Connector Enclosure; Fencing -Alarms 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Tie Downs -Type -Installation Cert. Card B-1 Date Card B-1 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office 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, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -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-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Building Permit Number: 0 4' 1 7 Owner Name: (�hadUJB GJZ Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot. above grade. 6. The openings may be screened or covered with other devices that will permit ' automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: �— Owner Name: Cko1 CACI Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: -' All structures and equipment including overhangs shall be clear of all easements. Asetbackof.ID feet from the side andla feet from the rear property lines and 20 feet (25 feet i Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. U It Suite Countq I w-�� IAND OF NATURAL WEALTH AND BEAUTY - �sC'r ' - ':�E��a�. •�.:�r� BUILDING p1VlS10N DEPARTMENT OF DEVELOPMENT SERVICES Vii.-,<<�:•7;:,, F .-... 4. 7 COUNTY CENTER DRIVE? OROVILLE, CALIFORNIA 95965-339 TELEPHONE: (53D) 53B-7541 October 6, 1999 FAX: (530) 53B-2140 Re: Swimming Pool Safety Act Clarification Of Enforcement In Butte County Effective Date: January 19 1998 To Whom It May Concern, In December of 1997, just prior to the effective date of the Swimming Pool Safety Act, (see back page) we initiated a letter of explanation, and a mailing to all pool contractors in Butte County. Due to the poor wording of the Act itself, a number of questions have arisen concerning compliance with the Act and how describe how enforcement will occur in Butte County, and are to enforce it We have revised our letter to again conducting a mailing to notify pool contractors. ` This revised letter should clarify several common questions or problems concerning our enforcement of the Swimming Pool Safety Act including I . In our review of legislative considerations, we discovered that when �ac acas commodation d tion was provided a conforming to allow exit alarms on doors providing direct access to the pool, It perimeter fence was already in place. However, in many cases there is no pre-existing pool or parcel enclosure, and unless the residence is one side of an enclosure which entirely surrounds the pool, installation of exit alarms alone does not constitute compliance. 2. The 1994 Uniform Building Code, Appendix Chapter 4, Division 1, and the 1997 Uniform Building Code, Appendix Chapter 4, Division 1, specifically allow the use of chain link fencing- as encing-as pool barrier material. In Butte County we will continue to allow the use of 11 gage, 2-1/4 inch mesh, chain link fencing as pool barrier material. Other types of fencing will be considered on a case by case basis, based upon the requirements of the Swimming Pool Safety Act. Please call for clarification prior to installation. 3. All access gates through the enclosure shall open away from the swimming pool, and be self- closing with a self -latching device placed no lower than 60 inches above the ground. This includes large gates for vehicle access. questions concerning this matter, please contact this office at the address or phone Should you have further number listed above. Si*MagarC,OiBuilding rel C.B.O. Inspection r_ CALIFOkNIA HEAL'T'H AND SAFETY CODE SECTION 115920-115927 115920. SWUYEY ING POOL SAFETY ACT 115921. As used in this article the following terms have the following meanings: a) "Swimming pool" or "pool" means any structure intended for swimming or recreational bathing that contains water over 18 inches deep. "Swimming pool" includes in -ground and aboveground struchrres and includes, but is not limited to, hot tubs, spas, portable spas, and non-portable wading pools. b) "Public swimming pool" means a swimming pool operated for use of the general public with or without charge, or for the use of the members and guests of a private club. Public swimming pool does not include a swimming pool located on the grounds of a private single-family homes. c) "Enclosure" means a fence, wall, or other barrier that isolates a swimming pool from access to the home. d) "Approved safety pool cover" means a manually or power -operated safety pool cover that meets all of the performance standards of the American Society for Testing and Materials (ASTM), in compliance with standard F1346 -9L e) "Exit alarms" means devices that make audible, continuous alarm sounds when any door or window, that permits access from the residence to the pool area that is without any intervening enclosure, is opened or is left ajar. Exit alarms may be battery operated or may be connected to the -electrical wiring of the building. . . 115922. Commencing January 1, 1998, except as provided in Section 115925, whenever a constriction permit is issued for construction of a new swimming pool at a private single-family home it shall be equipped with at least one of the following safety features: a) The pool shall be isolated from access to a home by an enclosure that meets the requirements of Section 115923. b) The pool shall be equipped with an approved safety pool cover. c) The residence shall be equipped with exit alarms on those doors providing direct aocess to the pool. d) All doorsproviding direct access from the home to the swimming pool shall be equipped with a self-closing, self- latching device with a release mechanism placed no lower that 54 inches above the floor. e) Other means of protection, if the degree of protection afforded is equal to or greater than that afforded by any of the devices set forth in subdivisions a) to d), inclusive, as determined by the building official of the jurisdiction issuing the applicable building permit Any ordinance governing child access to pools adopted by a political subdivision on or before January 1, 1997, is presumed to afford protection that is equal to or greater that afforded by any of the devices set forth in subdivisions a) to d), inclusive. 115923. An enclosure shall have all or the following characteristics: a) Any access gates through the enclosure open away from the swimming pool, and are self-closing with a self -latching device placed no lower than 60 inches above the ground b) A minimum height of 60 inches. c) A maximum vertical clearance from the ground to the bottom of the enclosure of two inches. d) Craps or voids, if any, do not allow passage of a sphere equal to or greater that four inches in diameter. e) An outside. surface free of protrusions, cavities, or other physical characteristics that would serve. as handholds or footholds that could enable a child below the age of five years to climb over. 115924. Any person entering into an agreement to build a swimming pool shall give the consumer notice of the requirements of this article. 115925. The requirements of this article shall not apply to any of the following: a) Public swimming pools. b) Hot tubs or spas with locking safety covers that comply with the American Society for Testing Materials Emergency Performance SpeciScation (ASTM ES 13-89). c) Any pool with the jurisdiction of any political subdivision that adopts an ordinance for swimming pool safety that includes requirements that are at least as stringent as this article. d) An apartment complex, or any residential setting other than a single-family home. 115926. This article does not apply to any facility regulated by the State Department of Social Services even if the facility is also used as the private residence of the operator. Pool safety in those facilities shall be regulated pursuant to regulations adopted thereof by the State Department of Social Services. 115927. Notwithstanding any other provision of law, this article shall not be subject to further modification or interpretation by any regulatory agency of the state, this modification or interpretation by any regulatory agency of the state, this authority being reserved exclusively to local jurisdictions, as provided for in subdivision (e) of Section 114922 and subdivision (c) of Section 115924. NEsscOQ P.JgC'E'L ? "Al -S O/ AG/ZES GRO,ss '7e e 4.97 ACRES AIS moi, O 2 6- S�� E;M,. Ogg � as �I E • � vel ""5* R 4� 1 l\< P612244 0 �' ti b A129 1 FE"REO FOR �.�6 GAT/C 4,7d W1 -17C IN, g4o,41 S9 EASEM,E�t/TFOP-�' W4TEII Z1ANIES TO RE AE!!re WV /.(/4EEQ5 Al1vea 3 5.O/4CRES aa?,5.5 4.97 4CRES NET X84 �aei N S'/'GG E NO7°07 E(AQ) 69.97 NO7°/o'W Y' '4)68.96 30'Si R/n-O RE AEE/)EA A151 37 E,I2 ) /47.4g ' 741 RUT/E CO(/A' / CRX.u)c/s%d0 20 "E(P.) /57.43' S-FRUI- 4t 91-32 LSO (0)/57.49' 9 (a -',v)/00 7�i°02'20 000 NR3°OIL' /70.44' iV f33°09'20 E-(,2.)iM) /7� 43Y,P,) (M) /7440- s/' '4gs�s o�.4o WISP.) c E.H.JUSE ONLY Aot Ran dttachad Ficar Sian 14t28SRa �— 3snt to ®.D / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance s -t P yn,D -CR Owner Location AP# Plan Approved for: Sewage Disposat—, Vater S ply: ublic> Private Wea?�' Clearance for dwelling. her Mk=Q OoL-- YL Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8196 3 ---� Date d`,5 5 Butte �4p #bbd-a3o-t�3 � }�h1�rr�sc� 'Dr'%vE l.l.IC n �� Environm' ental Health MAR 2 4 2003 7 County Center Drive Oroville, Ca 31 Zq 10-3 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: National Pollutant Discharge Elimination System SWPPP Non -Certification for Project # County Storm Water Permit Compliance (NPDES) Phase II & for Butte By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. L additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BIVIPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. - .Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: C5 r Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan O.B.- r 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 �roperty improvement: YES, NO 132. HAVE ❑ HAVE NOT signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK DATES NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code, This verification must be completed and returned to our office before we are permitted to issue the permit OVER O.B.-1 I 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 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: ♦ 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. ♦ 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. ♦ 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 information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by 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 9rely, 1�61cel C. Vi ira, C.B.O.Mer, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER IIII III III I IIII I AND WHEN RECORDED MAIL TO: II I IIII IIII III I III 10 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE Recorded I REC FEE 7.00 OROVILLE, CA 95965 OfficialRecords COPIES 2.00 County Of BUTTE i I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I MaryR 09:58AM 19 -May -2003 I Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: J i,oWn D 1% TI -,AT c F- AIA Pa.Y'GG;1. Ty\AP Ed It-) Tk 0!;�S�tc.�- p Ltie=- ECcshClt►^ OP t�L (�Vh4y 0-y- B'J+- El J T- A r e' O � CQ I I -t o r r',a O n /�' `1 'J 5 r- s5' ) (tel cid Oi� Y1')ar-x5j txT poese ted© .and iso, P,p -W 068-000--i73 pu\crrno 0r%VE - Oro V,L.A_E CA - Date - 2.Lf P: 3 PROPERTY OWNERS: State of California ) County of 48U On Ro "__2Aa-Dg before me,�c, es �c, �•,- tNr e•r, iUc9fo�/ personally appeared i�%'; c A,coe' l ('�, ,�, , c, t< personally known to me (or proved to me on the basis of satisfactory evidence) to be theperson( ywhose namekyis/aye subscribed to the within instrument and acknowledged to me that he/sloe/Owy executed the same in his/hWtheir authorized capacity0es), and that by his/Ie-/their signature( on the instrument, the person(s) or the entity upon behalf of which the person(t) acted, executed the instrument. WITNESS my hand and official seal. JAMES LAMAR KINSER Signatur Seal:"@,my COMM. #1377185 NOTARY PUBLIC - CALIFORNA BUTTE COUNTY ������ Comm. Expires Sept. 28,20M. A.P. #` _..............................................----......._. . ... .... SITE PLAN .._ ..........................lu _..._ . _..._ ................ EW- •. :......; .... .. ................... ... .:._ ..:....:.. ......:.....:. . . . . .... . . . . : . .......... . . . . . . ............: .... ..... .. ' �!N N� DI � ISI •N - '...:......:......... , .. ; .:.. ... ... . �... .. V Q 6UILC7ING 9�LAN Ap�f��7 �A�"" .. ..:.. ._;_ ... y C r `0_ R a :...... .......... Parton / '� •� 4 : �.r g: [ a rtg ... .. c� p. .. .. .0 .. -. r f .:3.. ........... ... .. .. .. .. ............. ... .. .. ... .. .. .. .. .. ....� :mss. e... .................... f 7��"�. ; O :� ........ ...... ............ ... ...... .. . � _ Jy/ - ....... . SAY.... .. / l F $X►�i;/ CJ _ EHEC � .. .. { / 1' �•: RE'VI 0 ..ri A i f _ / V a •`✓ .. .. ._ .. .. .. .. .. .. .. • t' ALF. C O . . •. i I /I 3 J / �brr�itte .. =r .,d e�s s .. ... �n. a o ', �i ri i i C V .. •`r i v d thio dton - ori nE_. ... ._ .. f J DC: / att4cli sh 'peri J .. �.... �:-. .. — ... ....................... ............. .. ._ .. ............ - .v..._.�,�.....,......,............• .Dais � a : ... J .. ' , - :..... .. .. .. - ��- BXe�irW. •"- O i G 9 .... J• ro oSBp .. t S ! : f - ✓: `�. �:i {;. .�. rti '6�;�.�... __ .. ... .. .. ... .. e. 17. ld: . A- rn d o E� _ 14� � . �: J . .i A 0 prop> L-sn6. . . i �'• : 0: ,! Ioc? ADarp ,°ii�sf� �tsrtfk�� .. y.......... r.... .................... j i-%�•hof':• �c2k Ni• ... J' F. 0 r' U n .s• .S o...Qs L3 P R >~ eis p� P e rS .� -Pee $'' .. J _ .. 7$.i R Sl.. . . . . . . . . . . . . �(' . . . . . . . . . . . . . . . ,.. ................. - ...,. 1..: ,...............-••••........_.....--.......... ..................... .. .. .. 5.c,.(tth �OirrN. .. .. .zr .............. . . . . . . . . S� . . �a �-� R �i -tea a...... , ..:.. ..:.. .:.. :... _�.. .. .. ... .. .. .. .. .. .. 0. ............. ..... Assessors Parcel Number 0 © ® — 0 30 91 — El 0 12 Scale: 1" = 100 , Owner Name M'Chas i C 4AUWKtc - Address / Phone No. 30-7 ?sal erµo ti rivE 'S 89- y546 Site Location 561 Rt l Er Mo UrL v ef . ssq - ({5140 Contact: .Name til tL�At I bw tc r, ..Phone S Pi- 45140 -0c&=bW,'A20"- FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acnes 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: SITE ALAN ............................. .-- :.... - ..... ............ ...... .. .. .. .. .......... ..... ...... ...... .. ..................... o'...ar .�................ ......................... .............. .. .. .............. f �E / e 1Z"f' :.....:......:......:.....; :....._:_... :--•-•-......-----.:.............;--_........................ ... = = - ...: .. .. .. ... ........................................... ;...... : : : : :::: : : :.. . . cJ _ ... / ..� ...:..... `` r= y� p�p� .. A PROV ........................................... .: : i .. ... .. .. ._ ... .. .. ... lQ i"Ie�YI . .. .......... ... _. .. .. _ _ _ .............. ............. y .. r.. ...,.....� .refs •-- -.. �nYl f �.f �l: cif • .. i : : r� .' ' ............ ��` f: r. i n�tu 2 ..... .......................... ....................... .. . 9 ::.... .. .. .. .. . ...:.....;'' .. ....... .. ... .- b .r n► .. .. C > ego "i" i-it�ri :P V: 1!/ D ,J V- �:. .: �, , : } I Lo •��r�clr _ .. y �' :.. .:.. ..... .... .... ..... .... .... ..... ..:. .:.. .. I7 1 :......:......__....:...... :......:.....:_._...:..............._. . • �. 1.... : / ro oS80 ! .. i ,' :.. ' . - -------�--.-. ... d -ter.. v � •- --................... V. ... M i. o E� A t� .1� .w r .Imo .......' '-•�rc►,�----- .:........ -•-�-: �-•-fi--- -�•-- -., -- -.. ro > L.inE: 100 ADHD Ai•S/?F f�bl P. P. Sc fC• ~,• SH .....:.. :..................:..........••-:.....:y_...:.••--= .......... t: .. _.. .; .. .. ....... f- �.. : S: :i $... :.... - .... ................................... p ops ` 5 as'��4s ti1o.�1?�'eEc�T e�r8� .. _ ... .. . ............. . ra�rricE sa- X30 ............................... .. .. ... .... .....:.. ..:. :.. = - .................... 7-5. O �f �ovtN.►i�t„ST' S. - ell, R I C ?Yi _ er - 7 •a � f o r h' Vs:. I. ����/ ............. ......................... .. ........................ .. .. .. .. .. .. .. ... .. .. ..:.. .... ... :'... .. .. .. .. ................. ............ .. .. .. .. .. ... ........................ ... .. .. .. ...................CL ... D..V ♦ c R ...........:.......................> .............. ............... ... ....................... '`Tl ...;.. .... ... Assessors Parcel Number FQ1© ® — 9 M Fel — 0 0 12 Scale: III= 100 Owner Name Mtbial✓ L C 4AVW1dC Address/ Phone No. 307 ?A1 ermo D rwe _5 S4- q514 Site Location 367 TA-16rmo Uriyct Sg9• C45LID Contac: Name M ICAAt I Lql ,z w tu._ Phone 5 gq• �! 540 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres a.00r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: Ne�H Se�H 16 d1b4m dip W�► 6aff Lpro p I oam6 ) Orb-CI�o • 1i,' �d7 Pw�t�eDr' CNAovwk e� Ravu�•n O a3 mow. � `y �- �NA1 pe+►ps� 1 bes �t-? V c S eco � / &/0 ,7 pie L�h� per. -le0 3- /vz -7 �roi5 BUTTE COUNTY BUILDING DIVISION APPROVED 0 I �t-? V c S eco � / &/0 ,7 pie L�h� per. -le0 3- /vz -7 �roi5 BUTTE COUNTY BUILDING DIVISION APPROVED �'uh4,"3ArrPN #!d?T'�"•Y r •S,E'.i`.+.,�#7,a iV-t s `r BUYER'S'R PONSIBILIT.Y; r:• T. ; A. .,fix'" f ••+t -r~ �r"°�Cx s -••r- •-- f yNrra .o-.. Pool area to be•sing fe ed per local code'k��'; Gates to ties. o;and self latching °± Wet downrGU -E vice daily fog seven day ',N' It _ c 3 • BLUEHRUN PALS GENERAL POOL SPECIFICATIONS: (Tem SUR. ) 416 Since 1 MAXIM M I TH: I PERIMETER AREA: `t MAXIMUM LENGTH: POOL CAPACITY: _p POOL DEPTHS: TURNOVER RATE: Hrs. BLUE HAVEN OFFICE: - j > EXCAVATION 0'Q� - DECKI ZO�G Ices Front ea Type MrCat Shuttle Color Remove Dirt Risers Remove Stump(s) Footings �t Remove Fence k YO Mastic U `� bt Replace Fence 4.2'cl Drains P i ch Remove Concrete S.F. o Sawcut Concrete ^•o Ft • EQUIPMENT S U (�U I S Q a::Filter Type Size .� ! STEEL' AU+0 i i Pump HP 2 S��� 1 Sp �( Expansiv a Soil Steel Patt rn BH Smart Box Yes �(o t ( ��. Smart Pure Yes ND Ei PLUMB NG 2� WrA Smart Li ht Yes No Filter Run Ftg. o . f Return Lines rt Li ht Yes Not P -Trap _ B/Wash Line Smart Vac II %6A No it f � Gas Line L_Ftg Heater BTU Rat Pro Drill Drive KIVIN Div. Board a 3 3' I AL Slide ELECTR r�t b Water Feature •� Run By Ftg .-UNITE ')G f L ([ `� Love Seat Et at'Y.� PL) 1 ` t to 4f r `T 0 Swim Out Color 1 1, _ It M - I LIrst.'!P1 Ext. 2nd Step. SPAc • CSA OC t � ` �y , ' r ® .. R.B.B. �'' in. X Ft. F {- �? R.B.B.__ in. X Ft. Size In Out 3 \ I L Plumbing Run Y M f $4ry�" - ` k t 1 } COPING ►'� Dam Wall Length ,� _ .. , - �' 1 ^ A ev� LQ�Oc\) � = f' Number of Jets '� t� I i Type 'yt' 1 ova i Z.i' �' p �' Blower H Yes _ No [� \•� TILE Remote Model # J i t•;�rr, ,•� { / . _ �.�"'- f r'; J ^ `p /�:,3 I Type Spa Side Switch Yes No i t 3 ! Spa DamSmart Light Yes No ' ; c I -- ! \i Accent T le 100 Watt Light Yes- No `t I Z \ BUYER - O®. Initials �''' Approve)above specification { t t D P 'j qxt - � �r� �'rr•' ' qL-1 Approvei equipment location Understand at decking shown is for illustration purposes only and m is understand that they : �o�rec¢ive i � b square fe of ck. - i t f Signature Date. _ T ill ; _ - Prepaired Especially For: o _ .... _ _�.. M C h acct ► Gi.C, Street ` ' , .�1 . i I. ` i k . F c - ) ! z .t City Zip Home Pho e 9 {� t V Work Phone • ZI PF O `' �,1 Designer Job No. ' Lot Block Tract 4 Mapsco N r PL der: dmr AEW� Se�H v �p�epaseil� I Wk. 4ft 40baft MOW 061 a OZO a TO 3d7 �.►�s��+e firr' I„ CN��wwl�c s Ravvt�n 03 a vw 0® dw 0 w � Sir' • s so sop �� cures 41D ELECTRICAL, MECHANICAL, AND PtUMBINO CONSTRUCTION ( NOT FLAIL; CHs °KE® ) SHALLCOMPLY WITH CURRENT EDITION OF NEC, UMC AND UPC. II NOTE: See the attached � E�i�e I e � Pages 10 16 o4 --/4G,6 r)" -C - BUTTE COUNT �1�p r11 '10IL®{NO DEPARTF.,b PV16"I" Line plo� 0 3-- /Vz BUILDING DIVISION APPROVED ED ka,tBUYER'S R r PONSIBILITYf.r «' Pool area to_tie fe d per local code ti , Gates to be}seif osing and self -latching ,� :, Wet down GU E twice daityNfoi seven day �. �. - SQCstI�trr.��'ytPas i BLUEHNNIEN PGDLS) GENERAL POOL SPECIFICATIONS: A�(Temp.# MAXIMUM WIDTH- Iq PFRIMETFR9 ARFA 44� BLUE HAVEN OFFICE: rVVL Ur t' I r1,'): k 1 UNP4UVth MAI t: Firs. 1 EXCAVATION OL0C'Q V,DECKING Ices Front ea Type X'I INC Sfftat Shuttle Color L_ �+u Remove DirtRisers ` Remove Stump(s)1 ) Footings Remove Fence tIM Mastic I'v d� tReplace Fence Is In Drains 1 r' Oh AU .I1 Remove Concrete NO S.F. a Ll ai> - 5 - r lB Sawcut Concrete 4 T t Ft. EQUIPMENT°� d Fes. i STEEL U�0 F ; I i Filter Type i� • ' Pump HP 2 Shy- 1 SA ` . • +L4 Expanskda Soil Steel Pattern BH Smart Box Yes 'No (0Ifr. Smart Pure Yes foo PLUMB NG �-_ Smart Li ht Yes No Filter Run Ftg: ' i Return Lines e� 500 W Li ht Yes P -Trap _ B/Wash Line Smart Vac II No r -41 Gas Line LbFtg Heater BTU ISA at Pro / I Drill Drive k1t), Div. Board ELECT I AL Slide a4- p Water Feature Nb g Run By Ft QUNITE rC f / ti - e Seat t?` Et PLASTER _ �1=3i t <-. (..f Swim Out Color 11 ,_ ..a ._ _ Ext. 2nd Step SPA X' Cc -y �.. ® _ _ la .; R.B.B. ' in. X Ft. y'- �4 R.B.B.__ in. X Ft. Size In Out t i / _ \,�c Plumbing Run COPING -1 �Ad_ 1 ie Dam wall Length � �w Type C_ca C',P I C < ,� L- Number of Jets / folie ".me � � y tri � i YP C r-C�Q •�T1 Blower Hp Yes _ No TILE AZ Remote Model k ' : J i� l0 Ij - Spa DamSpa Side Switch Yes No `r i {`0 Ca � �'� t 4 t , P Smart Light Yes No 4 \ Accent T le � Ll - 100 Watt Light Yes No t BUYER ,r��)f !.�.'-'•�-.._ F. , .�tit,t - _ Initials v }"v bo I t ; , it t : Approve above specification ''...- 71 IDP v ��It. , Approve equipment location Understand at decking shown is for illustration purposes only and 1understand th1t thoy to'?ecbive �isquare feqt of ck. i ( El • P { iia !! �I - Signature .Lra'-- � '"~^� ��'- Date Vcv v 11 _ Prepaired Especially For: - ; E Street 1 3 City zip i I ! �I f r I ! W l_ ' } c I' , • Home Pho ie ` -Work Phone -E COUNTY- 4 �'si G. ' NG DEPAR I ME Designer Job No. A ® P 0 \ / Lot Block Tract Fc�.� �j "���` 1 + - Mapsco NQ. �Q�Qi�t.®io